〔薛〕脾为太阴，位属坤土，喜燥而恶湿，故凡脾胃之气不足者，遇长夏润溽之
令，则不能升举清阳，健运中气，又复少阳相火之时，热伤元气，则肢体怠惰不收，
两脚痿弱，嗜卧发热，精神不足，饮食少思，口中无味，呼吸短乏气促，目中视物
，小便赤数，大便不调，名曰注夏。此皆禀赋阴虚，元气不足之证，丹溪补阴
论言之详矣，育子者，其可不知冬月养阳之道乎。治法，用补中益气汤去升麻、柴
胡，加炒黑黄柏主之。若因劳役发热，血虚脉大者，用当归补血汤。气血两虚者，
八珍汤。肝肾阴亏者，地黄丸。大便作泻者，人参理中汤。若乳母肝火乘脾，寒热
少食者，柴胡栀子散。胃火作渴者，竹叶石膏汤。小儿多因乳母之气不调而致，当
戒怒气，调饮食，适寒温，则可以远病矣。又如今人夏月皆以香薷汤浸冷，代茶饮
之，殊不知香薷利水，大损元阳，浓朴克伐，大泻真气，况脾性喜温而恶寒，夏月
阴盛于内，冷啜伤脾，若胃强有火，湿热为病之人，固无大害，其脾胃虚弱，中气
不足者，必为腹痛少食，泄泻寒中之疾矣，此大人亦所当戒者，况小儿乎。慎之
慎之。
补中益气汤（虚热） 当归补血汤（虚热） 八珍汤（虚羸） 地黄丸（肾）
人参理中汤（吐泻） 柴胡栀子散（发热） 竹叶石膏汤（发热）
清暑益气汤 治暑邪干卫，身热自汗。
黄 苍术（泔浸，去皮。各一钱） 升麻（七分） 人参 白术 陈皮（炒） 神曲（炒）
泽泻（各五分） 甘草 黄柏（酒浸，炒） 当归身 麦门冬（去心） 青皮（炒） 葛根（各三分）
五味子（九粒，杵）
上，水煎服。
清燥汤 治小儿自汗，或因热伤元气，大小便秘涩。
黄 （炒） 苍术（各五分） 白术 陈皮 泽泻 人参 白茯苓 升麻 麦门冬（去心） 当
归身 生地黄 神曲（炒） 猪苓 黄柏（酒拌，炒。各三分） 五味子（五粒，杵） 黄连（炒） 甘
草（炙。各二分）
上，姜一片，水一钟，煎服。
[Commentary by Xue Ji] The Spleen belongs to the Taiyin Meridian and corresponds to Kun Earth in the Five Elements. Its nature favors dryness and dislikes dampness. Therefore, for those with insufficient Qi of the Spleen and Stomach, when encountering the humid and muggy weather of late summer, they are unable to raise the Clear Yang or fortify the Middle Jiao Qi. Furthermore, during this time when the Ministerial Fire of Shaoyang is prevalent, heat damages the Original Qi, resulting in symptoms such as limb fatigue and flaccidity, weakness in both legs, lethargy with fever, lack of spirit, reduced appetite with tastelessness, shortness of breath and rapid respiration, blurred vision, red and frequent urination, and irregular bowel movements. This condition is termed "Zhu Xia" (Summer Malaise). These are all syndromes of congenital Yin deficiency and insufficient Original Qi, which Zhu Danxi discussed in detail in his *Treatise on Tonifying Yin*. Those who rear children should not fail to understand the principle of nourishing Yang in winter.
Treatment method: Use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), removing Shengma (Rhizoma Cimicifugae) and Chaihu (Radix Bupleuri), and adding stir-fried black Huangbai (Cortex Phellodendri). If fever is caused by overwork and blood deficiency with a large pulse, use Danggui Buxue Tang (Decoction for Tonifying Blood). For simultaneous deficiency of Qi and Blood, use Bazhen Tang (Eight Treasure Decoction). For deficiency of Liver and Kidney Yin, use Dihuang Wan (Rehmannia Pill). For loose stools/diarrhea, use Renshen Lizhong Tang (Ginseng Regulate the Middle Decoction). If the wet nurse has Liver Fire invading the Spleen, presenting with alternating chills and fever and poor appetite, use Chaihu Zhizi San (Bupleurum and Gardenia Powder). If Stomach Fire causes thirst, use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). Children often suffer from illness due to the disharmony of the wet nurse's Qi; one must guard against anger, regulate diet, and adapt to temperature changes to avoid disease.
Furthermore, nowadays people soak Xiangru Tang (Mosla Decoction) in cold water during summer to drink as tea. They do not realize that Xiangru promotes diuresis and severely damages Original Yang, and Houpo (Magnolia Bark) suppresses and severely drains True Qi. Moreover, the Spleen favors warmth and dislikes cold. In summer, Yin is abundant internally; cold drinks injure the Spleen. For those with strong Stomach fire and damp-heat pathology, there may be no major harm; but for those with weak Spleen and Stomach and insufficient Middle Qi, it will inevitably cause abdominal pain, anorexia, diarrhea, and other Cold-in-the-Middle diseases. This is something adults should also avoid, let alone children. Be cautious, be very cautious.
Buzhong Yiqi Tang (for Deficient Heat) | Danggui Buxue Tang (for Deficient Heat) | Bazhen Tang (for Emaciation) | Dihuang Wan (for Kidney) | Renshen Lizhong Tang (for Vomiting and Diarrhea) | Chaihu Zhizi San (for Fever) | Zhuye Shigao Tang (for Fever)
Qingshu Yiqi Tang: Treats Summer-Heat pathogen affecting the Wei (Defensive) level, presenting with body fever and spontaneous sweating.
Ingredients: Cangzhu (Atractylodis Rhizoma, soaked in rice wash, peeled, 1 qian each), Shengma (Rhizoma Cimicifugae, 0.7 qian), Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, stir-fried), Shenqu (Massa Medicata Fermentata, stir-fried), Zexie (Alismatis Rhizoma, 0.5 qian each), Gancao (Glycyrrhizae Radix et Rhizoma), Huangbai (Phellodendri Cortex, wine-soaked, stir-fried), Dangguishen (Angelicae Sinensis Radix), Maidong (Ophiopogonis Radix, heart removed), Qingpi (Citri Reticulatae Pericarpium Viride, stir-fried), Gegen (Puerariae Lobatae Radix, 0.3 qian each), Wuweizi (Schisandrae Fructus, 9 grains, crushed).
Take the above ingredients, decoct in water, and take orally.
Qingzao Tang: Treats pediatric spontaneous sweating, or damage to Original Qi by heat, leading to constipation and difficulty in urination and defecation.
Ingredients: Huangqi (Astragali Radix, stir-fried), Cangzhu (Atractylodis Rhizoma, 0.5 qian each), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma), Renshen (Ginseng Radix), Baifuling (Poria, white), Shengma (Rhizoma Cimicifugae), Maidong (Ophiopogonis Radix, heart removed), Dangguishen (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix), Shenqu (Massa Medicata Fermentata, stir-fried), Zhuling (Polyporus), Huangbai (Phellodendri Cortex, wine-mixed, stir-fried, 0.3 qian each), Wuweizi (Schisandrae Fructus, 5 grains, crushed), Huanglian (Coptidis Rhizoma, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 0.2 qian each).
Take the above ingredients, add one slice of fresh ginger, one zhong of water, decoct, and take orally.