其证身热头痛，微寒拘急，舌燥生苔，前板齿燥，大渴烦躁，乃热伤膀胱经也。
主方 石膏（二钱） 知母（一钱） 人参（五分） 麦冬 香薷 栀子 芍药 茯苓 白
术扁豆（各一钱） 陈皮（八分） 甘草（五分）上加乌梅（一个），莲肉（七个），水煎服。
腹痛、胸满、吐泻忌石膏。
因火热之气克制肺金，不能平木，搐搦卒倒，不省人事，名曰暑风。亦有因痰火气郁而倒者，
宜吐痰（法见中风）清火。
主方 羌活（二钱） 黄连（姜炒，一钱） 香薷（一钱） 扁豆 浓朴 陈皮 茯苓（各八分）
水煎服。痰加南星、半夏；气加枳壳、桔梗。
夏初头眩身倦，五心烦热，神昏多睡，口苦舌干，饮食减少，胸膈不利，脉数无力。乃阴虚血少，元气不足。
主方 人参（五分） 白术 茯苓 当归 白芍 熟地 麦冬（各一钱） 黄柏（酒炒）
知母 陈皮（各七分） 甘草（三分） 五味子（十粒） 上加枣二枚、乌梅一个，水煎服。
少食、呕吐加藿香、砂仁、白蔻，去当、芍、地、柏、知；泄泻加山药、泽泻，去当、柏等；
行动无力加牛膝、杜仲；有汗、少睡加黄 、枣仁。煎成，调朱砂一钱服。
（附∶身重）
经曰∶诸湿肿满，皆属脾土。又曰∶湿胜则濡泄。又曰∶地之湿气，感则害人皮肉筋骨。盖湿
气侵人，有从外入，有自内生。外入者，感山岚之瘴气，受阴雨之湿润，江海地卑，居处泥地，履
之则湿气客于腠理，渗走皮肤，泛溢经络。致头痛目眩，自汗拘急，骨节酸疼，四肢困倦，其脉浮
缓。治宜渗湿为主，而略兼发散。内生者，酒醪浓味，瓜果生冷，湿面乳酪，多饮汤液，留积于胃
，脾土虚弱，土不制水，浸渍肌肉。致面目浮肿，胸满喘急，大便溏泄，小便短涩，腿膝 肿，其
脉沉缓，治宜理脾为主而兼利水。所谓治湿不利小便，非其治也。
主方 （治外感） 苍术 紫苏 羌活 干葛 防风 川芎 本 柴胡（各八分） 升麻
甘草（各三分） 上加生姜三片，黑枣一枚，水煎服。微散外邪。有内邪，后参用。
利水实脾汤 治湿由内生，通利小便。
苍术 白术 茯苓 陈皮 猪苓 泽泻 滑石 香附 抚芎 浓朴 砂仁（各八分） 甘草（三分）
上加生姜三片，灯心二十枝，水煎，食前服。发肿、气急加腹皮、枳壳、苏子、桑皮、萝卜子
，去白术、甘草；面目虚浮加山药、芍药，去抚芎。实人先以神佑丸下之（方见痰门。）
二术四苓汤 治诸湿肿满，一身尽痛，发热烦闷，二便不利。
白术 苍术 茯苓 猪苓 泽泻 羌活 芍药 栀子（各等分） 甘草（减半）
上加姜三片，灯心二十枝，水煎服。
除湿汤 治中湿身体重着，腰腿酸疼，大便溏，小便或涩或利。
苍术 半夏曲 浓朴 茯苓（各钱半） 陈皮（七分） 藿香 炙甘草（各五分）
上加姜七片、枣二枚，水二盏，煎八分，食远服。
羌活胜湿汤 治脊痛项强，腰如折，项如拔，上冲头痛，乃足太阳经不行，此药主之。
羌活 独活（各二钱） 本 防风（各钱半） 蔓荆子 川芎 炙甘草（各四分）
上水二盏，煎八分，食后温服。
渗湿汤 治坐卧湿地，雨露所袭，身重脚弱，关节疼痛，发热恶寒，小便不利，大便溏泄等证。
人参 白术 茯苓 甘草 附子（炮） 干姜（炮） 桂枝 芍药（等分）
上加姜三片、枣一枚，水煎，不拘时服。
简便方 感湿鼻塞，脑痛黄肿。
甜瓜蒂为末，口含水，吹三分入鼻中，流出黄水，效。
又方 治一切风湿痹，四肢拘急疼痛。
苍耳子去刺为末，三两，水二钟半，煮二钟，去渣呷服。
又 治风湿。
樟木皮屑 煎水洗。
又 小便不利。
茵陈蒿、木通煎服。
又方 煮赤小豆连汁吃，一日勿饮食，效。
又方 寒湿疼痛，用姜汁半碗，米醋一盏，水胶四两熬稠，用肉桂、花椒、皂角末各一两，搅成
膏，绢布摊贴患处，包暖烘热痛止。
The symptoms present as feverish body, headache, slight aversion to cold with limb stiffness and tension, dry tongue with coating, dryness of the anterior teeth, extreme thirst accompanied by irritability. This is caused by heat pathogen damaging the Bladder Meridian (Taiyang channel).
Main Formula: Shigao (Gypsum Fibrosum, 2 qian), Zhimu (Anemarrhenae Rhizoma, 1 qian), Renshen (Ginseng Radix et Rhizoma, 0.5 qian), Maidong (Ophiopogonis Radix), Xiangru (Elsholtziae Herba), Zhizi (Gardeniae Fructus), Shaoyao (Paeoniae Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Bian Dou (Lablab Album Seed, each 1 qian), Chenpi (Citri Reticulatae Pericarpium, 0.8 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian). Add Wumei (Mume Fructus, one piece) and Lian Rou (Nelumbinis Semen, seven pieces) to the above, decoct with water and take orally.
Contraindicated for those with abdominal pain, chest fullness, vomiting, or diarrhea: do not use Shigao.
When Fire-Heat Qi restrains Lung Metal, failing to subdue Liver Wood, it leads to convulsions, sudden collapse, and loss of consciousness, named Shu Feng (Summerheat Wind). Some cases of sudden collapse are due to Phlegm-Fire and Qi stagnation; these should be treated by inducing vomiting to expel phlegm (method see Stroke chapter) and clearing fire.
Main Formula: Qianghuo (Notopterygii Rhizoma et Radix, 2 qian), Huanglian (Coptidis Rhizoma, stir-fried with ginger juice, 1 qian), Xiangru (Elsholtziae Herba, 1 qian), Bian Dou (Lablab Album Seed), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria, each 0.8 fen). Decoct with water and take orally. Add Nanting (Arisaematis Cum Bile Rhizoma) and Banxia (Pinelliae Rhizoma) if there is phlegm; add Zhike (Aurantii Fructus Immaturus) and Jiegeng (Platycodonis Radix) if there is Qi stagnation.
In early summer, symptoms include dizziness, physical fatigue, five-palm heat (heat in palms, soles, and chest), mental confusion with excessive sleepiness, bitter taste in mouth, dry tongue, reduced appetite, discomfort in the chest and diaphragm, and a rapid yet forceless pulse. This indicates Yin deficiency and Blood insufficiency, along with Yuan Qi (Original Qi) deficiency.
Main Formula: Renshen (Ginseng Radix et Rhizoma, 0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Preparata), Maidong (Ophiopogonis Radix, each 1 qian), Huangbai (Phellodendri Cortex, wine-fried), Zhimu (Anemarrhenae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, each 0.7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 fen), Wuweizi (Schisandrae Fructus, ten grains). Add two dates and one Wumei (Mume Fructus) to the above, decoct with water and take orally.
For poor appetite and vomiting, add Huoxiang (Agastaches Herba), Sharen (Amomi Fructus), Baiko (Tsaoko Cardamomi Fructus); remove Danggui, Baishao, Shudi, Huangbai, Zhimu. For diarrhea, add Shanyao (Dioscoreae Rhizoma), Zexie (Alismatis Rhizoma); remove Danggui, Huangbai, etc. For weakness in movement, add Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex). For sweating and insomnia, add Huangqi (Astragali Radix), Zaoren (Ziziphi Spinosae Semen). After decoction, mix in Zhusha (Cinnabar, 1 qian) and take.
(Attachment: Heaviness of Body)
The Classics state: "All dampness-induced swelling and fullness belong to Spleen Earth." It also says: "Excessive dampness leads to loose stools (Ru Xie)." And again: "Earth's dampness, when invading the human body, harms the skin, flesh, sinews, and bones." Generally, dampness invades the body either from the outside or generates from within. External invasion occurs through sensing mountain miasma, enduring rainy humidity, living in low-lying areas near rivers/seas or on muddy ground; stepping into such environments allows dampness to lodge in the Cou Li (interstices of skin and muscles), seep into the skin, and overflow into the meridians. This causes headache, dizziness, spontaneous sweating with limb stiffness, bone and joint soreness, four-limb fatigue, and a floating-slow pulse. Treatment should primarily focus on leaching out dampness, slightly combined with dispersing methods. Internal generation results from drinking alcohol, consuming rich flavors, raw/cold fruits and vegetables, wet noodles, dairy products, and excessive intake of soups/liquids, which accumulate in the Stomach. Combined with weak Spleen Earth, where Earth fails to control Water, dampness infiltrates the muscles. This causes facial and ocular edema, chest fullness with panting, loose stools, scanty and difficult urination, leg and knee swelling, and a deep-slow pulse. Treatment should primarily regulate the Spleen, combined with promoting urination. It is said that treating dampness without promoting urination is not the correct method.
Main Formula (for external dampness): Cangzhu (Atractylodis Rhizoma), Zisu (Perillae Folium), Qianghuo (Notopterygii Rhizoma et Radix), Gange (Puerariae Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Ben Cao (Ligustici Wallichii Rhizoma), Chaihu (Bupleuri Radix, each 0.8 fen), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.3 fen). Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and one black date to the above, decoct with water and take orally. To mildly disperse external pathogens. If internal pathogens exist, refer subsequently.
Lishui Shipi Tang (Diuretic and Spleen-Strengthening Decoction): Treats internally generated dampness, promoting urination.
Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Huashi (Talcum), Xiangfu (Cyperi Rhizoma), Fuxiong (Chuanxiong), Houpo (Magnoliae Officinalis Cortex), Sharen (Amomi Fructus, each 0.8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 fen). Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and twenty stems of Dengxin Cao (Junci Medulla), decoct with water, take before meals. For edema and shortness of breath, add Fupi (Tangerine Peel / Citri Reticulatae Pericarpium - specifically Qingpi or similar depending on context, here likely referring to specific peel variant), Zhike (Aurantii Fructus Immaturus), Suzi (Perillae Fructus), Sangbai (Mori Cortex), Luobozhongzi (Raphani Semen); remove Baizhu, Gancao. For puffy face and eyes, add Shanyao (Dioscoreae Rhizoma), Shaoyao (Paeoniae Radix); remove Fuxiong. For robust constitutions, first administer Shenyou Wan to purge (formula see Phlegm section).
Ershu Siling Tang (Two Atractylodes and Four Poria Decoction): Treats various dampness-induced swelling and fullness, whole-body pain, fever with irritability, and difficulty in urination and defecation.
Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Fuling (Poria), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Shaoyao (Paeoniae Radix), Zhizi (Gardeniae Fructus, equal parts), Gancao (Glycyrrhizae Radix et Rhizoma, half dose). Add three slices of ginger and twenty stems of Dengxin Cao (Junci Medulla), decoct with water and take orally.
Chushi Tang (Dampness-Removing Decoction): Treats dampness obstruction causing heavy body, soreness and pain in waist and legs, loose stools, and urine that is either obstructed or free-flowing.
Cangzhu (Atractylodis Rhizoma), Banxia Qu (Pinelliae Fermented Paste), Houpo (Magnoliae Officinalis Cortex), Fuling (Poria, each 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 0.7 fen), Huoxiang (Agastaches Herba), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, each 0.5 fen). Add seven slices of ginger and two dates, two cups of water, decoct to eight-tenths, take long after meals.
Qianghuo Shengshi Tang (Notopterygium Victory-over-Dampness Decoction): Treats spinal pain and neck stiffness, waist feeling like breaking, neck feeling like being pulled upward, ascending headache. This is due to dysfunction of the Foot-Taiyang Meridian; this formula governs it.
Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Angelicae Pubescentis Radix, each 2 qian), Ben Cao (Ligustici Wallichii Rhizoma), Fangfeng (Saposhnikoviae Radix, each 1.5 qian), Manjingzi (Viticis Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, each 0.4 fen). Use two cups of water, decoct to eight-tenths, take warm after meals.
Shenshi Tang (Dampness-Leaching Decoction): Treats sitting/lying on wet ground, exposure to rain/dew, heavy body, weak legs, joint pain, fever with aversion to cold, difficult urination, loose stools, etc.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Ganjiang (Zingiberis Rhizoma, processed), Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix, equal parts). Add three slices of ginger and one date, decoct with water, take at any time.
Simple Prescription: For nasal congestion and brain pain/yellow swelling due to dampness.
Tianguadi (Melonis Fructus Seed) powdered, hold water in mouth, blow 0.3 fen into the nose; yellow fluid flows out, effective.
Another Prescription: Treats all wind-damp Bi syndrome, limb stiffness and pain.
Cangerzi (Xanthii Fructus), thorns removed, powdered, 3 liang, water 2.5 zhong, boil to 2 zhong, remove dregs and sip slowly.
Another Prescription: Treats wind-damp.
Zhangmupi (Cupressi Cortical Fragments) decocted water for washing.
Another Prescription: Difficult urination.
Yinchenhao (Artemisiae Scopariae Herba), Mutong (Akebiae Caulis) decocted and taken.
Another Prescription: Boil Xiaochidou (Vigna Angularis Seed) and drink the liquid; abstain from other food and drink for one day, effective.
Another Prescription: Cold-damp pain. Use half bowl of Jiangzhi (Zingiberis Juice), one cup of rice vinegar, 4 liang of Shuijiao (Animal Glue), boil until thick. Add Rougui (Cinnamomi Cortex), Huajiao (Zanthoxyli Pericarpium), Zaojiao Mo (Gleditsiae Sinensis Spina Powder), each 1 liang. Stir into a paste, spread on silk cloth, apply to affected area, wrap warmly and bake with heat until pain stops.