经曰∶因于暑汗，烦则喘喝（大声也）。又曰∶阳虚则外寒，阴虚则内热。是证多属阴虚，水亏
火盛，其烦（心不安也）必躁（身不安也），暑月多有之，吐泻后烦而口渴。伤寒后及妇人产后，
烦渴而手足厥冷脉沉者，乃内伤元气，邪伏至阴，从其所化。六脉沉、迟，津涸舌干，宜干姜、
附子之剂，复阴回阳。苟荣卫失调，亢烦复起，或证明相似而脉沉数有力，口渴大便秘，属实热
，宜承气汤下。有表里实热烦渴，人参白虎汤。有伤寒大渴，点水入口取呕，烦躁欲绝，竹叶石
膏汤（并见伤寒）去参，加知母。烦渴，辰砂六一散、灯心汤服；烦热、渴，五苓散（方见便癃
）；恍惚，妙香散（方见痫证）；不寐，清心莲子饮（见淋）。脉大缓吉、急数凶。
主方 麦门冬（三钱） 茯神（二钱半） 枣仁（炒，研，二钱） 当归（钱半） 半夏（制
一钱） 炙草（七分） 加姜三、枣一，竹茹一团，小麦（炒，三钱），煎服。
虚加参、 、小草；心虚，人参、远志；有痰，橘红，竹沥；大渴，石膏、知母。
小草汤 治虚劳忧思过度，遗精白浊，烦躁不安。
小草（远志苗） 黄 当归 酸枣仁（炒，研） 麦冬 石斛（各一两） 人参 炙草（
各五钱）
上咀，每四钱，水一盏，姜五片，煎八分服。
酸枣仁汤 霍乱吐泻增剧，虚劳烦扰，气奔不眠。
枣仁（炒，两半） 人参 桂心（各一钱） 知母 茯苓（各三钱） 炙草（二钱） 石膏
（，五钱）
上咀，每七钱，姜三片，枣一枚，水煎服。
简便方 大病后及诸虚烦。竹茹、麦冬各三钱，水煎服。
又 枣仁（炒，研，三钱），竹叶汤下。
又 苦竹笋煮食（亦治消渴，利水下气，风热香港脚）。发汗不得，心烦骨疼呕逆，人参、陈
皮（各二钱），竹茹、甘草（各一钱），加姜，枣煎服。
As stated in the medical classics: "Due to summerheat, sweating occurs; when vexation arises, there is panting and loud shouting (loud voice)." It also states: "Yang deficiency leads to external cold, Yin deficiency leads to internal heat." This syndrome mostly belongs to Yin deficiency, where water (Kidney Yin) is depleted and fire (Heart Fire) is flourishing. Consequently, vexation (mental uneasiness) must be accompanied by restlessness (physical agitation), which is common during the summer months. It also frequently occurs after vomiting and diarrhea, presenting with vexation and thirst. After contracting Cold Damage (Shanghan) or following childbirth in women, if vexation, thirst, cold extremities, and a deep pulse are present, this indicates injury to the primordial Qi, with pathogenic factors latent in the extreme Yin organs, transforming according to the constitution. With six pulses being deep and slow, dry fluids, and a dry tongue, it is appropriate to use formulas containing dried ginger (Ganjiang) and prepared aconite (Fuzi) to restore Yin and return Yang. If the disturbance of Ying and Wei mechanisms causes hyperactive vexation to recur, or if symptoms appear similar but the pulse is deep, rapid, and forceful, accompanied by thirst and constipation, this constitutes excess-heat, and Chengqi Decoction should be used to purge. For exterior and interior excess-heat with vexation and thirst, Renshen Baihu Tang (Ginseng White Tiger Decoction) is indicated. For severe thirst after Cold Damage, where drinking water induces vomiting, and extreme restlessness, Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) is used (both seen in Shanghan Lun); remove Ginseng and add Anemarrhena (Zhimu). For vexation and thirst, Chen Sha Liuyi San (Cinnabar Six-One Powder) or Dengxin Cao Tang (Juncus Decoction) may be taken; for vexatious heat and thirst, Wuling San (Five-Ingredient Powder with Poria) is used (formula see section on Dysuria); for mental confusion, Miaoxiang San (Wonderful Fragrance Powder) is used (formula see section on Epilepsy); for insomnia, Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction) is used (see section on Strangury). A large and slow pulse is auspicious; a rapid and tense pulse is ominous.
Main Formula: Ophiopogon Radix (Maimendong, 3 qian), Poria with Hostwood (Fushen, 2.5 qian), Ziziphus Seed (Suanzaoren, stir-fried and crushed, 2 qian), Angelica Sinensis (Danggui, 1.5 qian), Pinellia Tuber (Banxia, processed, 1 qian), Roasted Licorice Root (Zhigancao, 0.7 qian); add three slices of fresh ginger, one jujube, a ball of bamboo shavings (Zhuru), and wheat (Xiaomai, stir-fried, 3 qian). Decoct and take.
For deficiency, add Ginseng (Renshen), Astragalus (Huangqi), and Xiao Cao; for Heart deficiency, add Ginseng (Renshen) and Polygala Root (Yuanzhi); for phlegm, add Tangerine Peel (Juhong) and Bamboo Juice (Zhuli); for extreme thirst, add Gypsum (Shigao) and Anemarrhena (Zhimu).
Xiao Cao Tang: Treats deficiency勞 (Xu Lao) caused by excessive worry and thought, leading to seminal emission, white turbidity, and restless anxiety.
Ingredients: Xiao Cao (seedling of Polygala, Yuanzhi miao), Huangqi, Danggui, Suanzaoren (stir-fried and crushed), Maimendong, Dendrobium Stem (Shihu) (each 1 liang); Renshen, Zhigancao (each 5 qian).
Crush the herbs. Take 4 qian per dose, add one cup of water and five slices of ginger, decoct until reduced to 0.8 cups, and take.
Suanzaoren Tang: Treats worsening of Huoluan (cholera-like disorder) with vomiting and diarrhea, Xu Lao with vexation, and qi rebellion causing insomnia.
Ingredients: Suanzaoren (stir-fried, 1.5 liang), Renshen, Cinnamon Twig (Guixin) (each 1 qian), Zhimu, Poria (Fuling) (each 3 qian), Zhigancao (2 qian), Gypsum (Shigao, calcined, 5 qian).
Crush the herbs. Take 7 qian per dose, add three slices of ginger and one jujube, decoct in water, and take.
Simple Prescription: For vexation after serious illness and various deficiency syndromes. Zhuru and Maimendong (each 3 qian), decoct in water and take.
Another prescription: Suanzaoren (stir-fried and crushed, 3 qian), taken with Zhuye Tang (Bamboo Leaf Decoction).
Another prescription: Boil and eat bitter bamboo shoots (also treats Xiao Ke/thirst-quenching disorder, promotes urination, directs qi downward, and treats wind-heat podagra). For inability to sweat, resulting in vexation, bone pain, and vomiting/revulsion, use Renshen and Chenpi (each 2 qian), Zhuru and Zhigancao (each 1 qian), add ginger and jujube, decoct, and take.