刚痉者，头痛项强，手足搐逆；甚则角弓反张，发热无汗，此风热盛也。热伤营血，筋脉暴缩，风入经络，肢节
拘挛，风热合而为病，赤芍连翘散主之。
赤芍连翘散（自制）
赤芍（一钱五分） 连翘（二钱） 葛根（二钱） 花粉（三钱） 豆豉（三钱）
防风（一钱） 薄荷（一钱） 独活（一钱） 甘草（四分） 经霜桑叶（二十张）
柔痉者，身体重着，肢节拘挛，有汗而热。暑热为天之气，其来甚速，其去亦甚速。体重筋挛，乃热邪为湿所
留，故有汗而热不退也，白术苡仁汤主之。
白术苡仁汤（自制）
白术（一钱） 茅术（一钱） 苡仁（八钱） 茯苓（三钱） 当归（一钱五分）
赤芍（一钱） 薄荷（一钱） 连翘（一钱五分） 花粉（三钱） 甘草（四分） 鲜荷叶（一角）
伤暑者，汗多体倦，渴而引饮，心烦脉虚，加味白虎汤主之。
加味白虎汤（自制）
石膏（五钱） 知母（一钱） 人参（一钱） 茯苓（二钱） 山药（三钱）
麦冬（二钱） 石斛（三钱） 甘草（四分） 粳米（一合煎汤代水）
猝然而倒，昏不知人，身热口噤，此热邪内犯君主，黄连涤暑汤主之。
黄连涤暑汤（自制）
黄连（五分） 黄芩（一钱） 栀子（一钱五分） 连翅（一钱五分） 葛根（二钱）
茯苓（二钱） 半夏（一钱） 甘草（四分）
Gang Jing (Spasm characterized by stiffness of the neck and back without sweating) presents with headache, stiffness and rigidity of the nape, and convulsive movements or reversal of the hands and feet; in severe cases, opisthotonos (arching of the back like a bow) occurs, accompanied by fever and absence of sweat. This is caused by an excess of Wind-Heat. Heat injures Ying-Blood, causing sudden contraction of the sinews and vessels; Wind enters the meridians, leading to spasms of the limbs and joints. When Wind and Heat combine to cause disease, Chishao Lianqiao San (Red Peony and Forsythia Powder) is the primary prescription.
Chishao Lianqiao San (Self-made Formula)
Chi Shao (1.5 qian) Lian Qiao (2 qian) Ge Gen (2 qian) Hua Fen (3 qian) Dou Chi (3 qian)
Fang Feng (1 qian) Bo He (1 qian) Du Huo (1 qian) Gan Cao (0.4 qian) Jing Shuang Sang Ye (20 leaves)
Rou Jing (Spasm characterized by stiffness of the neck and back with sweating) presents with a heavy sensation in the body, spasms of the limbs and joints, sweating, and fever. Summerheat is the Qi of nature; it arrives swiftly and departs swiftly. The heaviness of the body and spasm of the sinews occur because Heat pathogen is retained by Dampness; therefore, although there is sweating, the fever does not subside. Baizhu Yiren Tang (Atractylodes and Coix Decoction) is the primary prescription.
Baizhu Yiren Tang (Self-made Formula)
Bai Zhu (1 qian) Mao Zhu (1 qian) Yi Ren (8 qian) Fu Ling (3 qian) Dang Gui (1.5 qian)
Chi Shao (1 qian) Bo He (1 qian) Lian Qiao (1.5 qian) Hua Fen (3 qian) Gan Cao (0.4 qian) Xian He Ye (1 corner)
Shang Shu (Summerheat Injury) presents with profuse sweating, physical fatigue, thirst with desire to drink, mental restlessness, and a deficient pulse. Jia Wei Bai Hu Tang (Modified White Tiger Decoction) is the primary prescription.
Jia Wei Bai Hu Tang (Self-made Formula)
Shi Gao (5 qian) Zhi Mu (1 qian) Ren Shen (1 qian) Fu Ling (2 qian) Shan Yao (3 qian)
Mai Dong (2 qian) Shi Hu (3 qian) Gan Cao (0.4 qian) Jing Mi (1 he, decocted to replace water)
Sudden collapse, loss of consciousness, bodily heat, and trismus (lockjaw), indicate that Heat pathogen has invaded the Heart (the Sovereign Organ). Huanglian Dixu Tang (Coptis Summerheat-Purging Decoction) is the primary prescription.
Huanglian Dixu Tang (Self-made Formula)
Huang Lian (0.5 qian) Huang Qin (1 qian) Zhi Zi (1.5 qian) Lian Chi (1.5 qian) Ge Gen (2 qian)
Fu Ling (2 qian) Ban Xia (1 qian) Gan Cao (0.4 qian)