（冒暑 伤暑 中暑 中 夹暑 暑风 暑厥 暑瘵 疰夏 湿温 暑泻 暑疡 伏暑附）
暑为阳邪，感之者从口鼻吸入，先阻上焦气分，则为头胀脘闷，渐至面垢舌苔，烦渴自汗。热则气泄。
或呕恶腹痛，泄泻肢冷，倦怠少神，经所谓热伤气也。仲景言伤暑脉虚。夫肺主气，
夏火铄金，则肺伤而气虚，心主血，暑先入心，则烦汗而脉虚，此《千金》生脉散，所以重保肺而清心也。经
云∶因于暑，汗烦则喘渴，静则多言。盖暑内扰于营则汗，上迫于肺则喘，内干于心则言多，知暑邪始伤肺，继
传心包也。节斋曰∶夏至后病热为暑，相火行令，人感之，自口齿入，伤心包络经。烦渴而热，头痛自汗，
甚者火热制金，不能平木，搐搦不省人事，名曰暑风。张兼善曰∶清邪中上，浊邪中下，其风寒湿，皆地之气
系浊邪。所以俱中足经。惟暑乃天之气，系清邪，所以中手少阴心经。暑本属火，而兼风寒湿燥，其传变为疟
痢霍乱，而条其浅深同异变症，则有冒，有伤，有中，有中 、暑风、暑厥、暑瘵、湿温之不同，其感而不即
病者，至秋时为伏暑。其候寒热苦闷，午后为甚，日暮更剧，得汗则减。治不合法，热炽则伤阴化燥，湿滞则
伤阳化浊，以致神昏内闭，脘痞肢厥，斯危候矣。叶香岩宗河间三焦立法，在上以辛凉清解，如竹叶、连翘、
杏仁、薄荷、栀皮、郁金、沙参、鲜荷叶。在中以辛苦宣通，如半夏泻心汤之属。在下以温行寒性，质重开下，
如桂苓甘露饮之属。此治三焦之大旨也，更宜细审邪在气分营分，治气分有寒温之别。寒则宗白虎汤及天水散；
温则从二陈汤及正气散。理营有清补之宜，清则犀角地黄汤，加入心之品；补则如三才汤、人参固本丸、复脉
汤。又如湿热沉混，宜苍术石膏汤。气血两燔，宜玉女煎。宣闭逐秽，宜至宝丹、牛黄丸、紫雪等。扶虚
养正，如参附汤及两仪膏。随其变幻，审其阴阳而治要得矣。
〔冒暑〕腹痛水泻，系胃与大肠受之，香薷饮。恶心者，胃口有痰饮也。香薷饮下消暑丸。此暑病之轻
者。
〔伤暑〕由静而得之，阴症也。伤暑，则暑邪伤及肉分。纳凉广厦，起居不时，恶寒肢厥，面垢烦躁，
汗出，脉虚细，清暑益气汤。或过袭阴凉，恶寒头痛，肢体拘急，肤热无汗，脉弦紧，消暑十全散。或外感暑
邪，内伤生冷，腹痛吐利，正气散、六和汤。身热烦渴，小便不利，乃湿盛而气不施化。益元散。烦热头痛燥
渴，乃湿蒸而热耗津液，麦冬汤。此暑病之稍重者。
〔中暑〕由动而得之，阳症也。中暑，则暑邪伤及脏腑。夏日
远行，阳气内伏，热舍于肾，水不胜火，烦渴喘促，猝然昏晕，用蒜捣汁，和童便灌下。待苏醒后，随
症用药。麦冬汤，或人参白虎汤。忌用香薷辛温之品。香薷饮，可治伤暑，不可治中暑。此暑病之尤重者。
〔中 〕行旅农夫，日中劳役，忽头痛壮热，汗泄，肌肉如火，大渴引饮，无气以动，乃热伤元气。益
元散、白虎汤、或清暑益气汤。若吐泻脉沉微，不宜用凉药。六和汤、大顺散。脉虚身热，得之伤暑；脉盛
身热，得之中 ；此暑与 微有辨也。
〔内伤夹暑〕暑月房劳，兼膏粱水果杂进，致阳气不得伸越，脉沉细，或弦紧。面垢无汗恶寒，四肢厥逆
拘急，霍乱呕吐，冷香饮子。或吐利兼作，脉微欲绝，急宜浆水散温之。又有暑痿症，暑月膏粱之人，阳事
顿痿，不可全用热药，亦不可全用凉药。黄连解毒汤合生脉散。
〔暑风〕因病暑忽手足搐搦，昏迷不醒，脉浮虚急，先以温水化苏合香丸灌之。俟醒再用药，黄连香薷饮
加羌活大效。此因痰火鼓风，蒙蔽心包。若呕吐，前药加陈皮、藿香。小便不利，加茯苓、猪苓、泽泻、滑石。
痰多，加石菖蒲、姜汁。口渴，去半夏、加花粉。泻利，加白术。转筋，加木瓜。腹满身重，难以转侧，口不
仁面垢，谵语遗尿，此热兼 也。白虎汤。
〔暑厥〕中暑手足逆冷，二香散，或人参羌活散合香薷饮。有热深厥亦深，烦躁昏冒，便秘溺赤，脉沉
滑而数者，大小承气汤加减。有湿热沉混者，苍术白虎汤加滑石。若寒厥脉微者，理中汤，四逆汤加减。
〔暑瘵〕暑热劫阴，咳血吐血。六味汤加阿胶、麦冬、丹皮，或杏仁、西瓜翠衣、竹叶、鲜石斛。
〔疰夏〕夏月患头痛足软，食少体羸，倦怠嗜卧，五心烦热，多属元气不足。补中汤去升麻，加半夏、
白芍、薏米、五味子、沙参。肺胃阴虚，生脉散，或加玉竹、杞子、扁豆、石斛等，甘润之品。
〔湿温〕其人伤湿，因而中暑，两胫逆冷，胸满头重，妄言多汗，脉阳濡而弱，阴小而急，切不可汗，
汗之必死。苍术白虎汤。
又有冷水澡浴，致暑湿相搏，一身尽痛，自汗发热，五苓散加羌活。若冒暑作劳，乘汗冷浴，身痹如针刺，
间有赤肿处，或发水泡者，六和汤加苍术、荆、防。
〔暑泻〕暑伤肠胃，或挟食挟湿，烦渴溺赤，腹痛，阵泻如水，桂苓甘露饮加减。久泻者，玉龙丸。
暑伤心脾，呕泻浮肿，霍乱转筋，六和汤。暑热引饮过多、致水暑交并，上吐下泻，解暑三白散。伤暑吐泻，
兼烦乱，香朴饮子。脾胃停积冷湿，致成吐泻，大顺散。若暑盛伤于外，阴冷伤于内，内外受迫，连理汤、
桂苓丸、缩脾饮。
〔暑疡〕暑月头顶赤肿，咽喉肿痛，或腿足 肿长至数寸，不堪步履，日夜发热，败毒散。热解，肿自消。
暑疮发泡，由湿热入经腠。黄连解毒汤、香薷饮。
〔伏暑〕秋发为伏暑，初由口鼻吸受，继而内结募原，至伏邪为新凉引动，头痛脘闷，渐至唇燥齿干，烈焰
内燔，阴津消灼。内热烦冤，忽然鼻冷气窒。夫暑秽，熏蒸则为粘涎，遏郁则为厥冷，得汗则凉。然有一厥
而热，便得汗解者。有再厥三厥四厥而热，但头汗出者。有四末不和，身温而躁扰益甚者。盖邪伏募原之里，
热内结，外反不热，仲景所谓热深厥亦深也。若用苦寒直降，竟走肠胃，与膈上结邪无干，宜山栀、石膏、
天冬、淡竹叶、枳壳、栝蒌、郁金汁等味。若初但气分阻痹，手太阴肺。宜治上焦，宜杏仁、贝母、薄荷、
薏米、滑石、通草、半夏、橘皮、浓朴等味。若由气分延及血分，神呆舌缩，鼻煤唇血，邪已逆走膻中，包
络心主。既入营络，神识渐昏，内闭外脱，危期至速。急宜石菖蒲、犀角尖磨汁、连翘、元参、鲜生地、金
银花露等。或芳香逐秽宣窍，如藿香、佩兰、郁金、牛黄丸、至宝丹、紫雪等。若热痰粘腻，用竹沥、贝母、
橘红、栝蒌、花粉、沙参、甘草、蔗梨汁。俱可选用。最忌脉象涩数，正虚邪陷，手足厥逆，神昏液涸。若溺
短自利，潮热不解，中下焦均受，或参用六一散、四苓散。然总以清理上中焦为要。
治暑 ，汗液大泄，中气先伤，虽有膈满潮热，最忌攻下，以无形之热，不能随药攻散也。虽有头额
重痛，最忌发汗，以表
药皆能升举，痰食浊气支撑膈上也。
许学士治湿温病，胸项多汗，两足逆冷，谵语，其脉关前濡，关后数，此先受暑，后受湿，暑湿相搏，濡弱
见于阳部，湿气搏暑也。小急见于阴部，暑气蒸湿也。许氏以关前为阳，关后为阴。纪氏以浮为阳，沉为
阴。是名湿温。先以白虎人参汤。次用白虎加苍术汤。头痛渐退，足渐温，汗渐止，三日愈。
孙兆治湿温病，遍身皆润，两足冷，腹满，不省人事，脉小弱而急。以五苓散合白虎汤，十余剂少苏，
更与清燥汤调理而安。凡阴病厥冷，胫臂皆冷，今胫冷臂不冷，故知非下厥上行，是阳微寒厥，而合用祛热药
也。
张石顽曰∶中 用白虎汤，热伤气之治也，用人参白虎汤，兼伤无形之气也。中暑用生脉散，暑伤无形
之气也。用清暑益气汤，暑伤于气，兼挟风热，乘虚伤其经也。伤暑用十味香薷饮，风热湿合而伤形气也。
偏于表，则变香薷饮为消暑十全；偏于里，则变香薷饮为六和汤。此夏月鼎峙三法。其用消暑丸者，上盛之
湿泛滥而为痞满也。用益元散者，下盛之热，阻滞而为溺涩也。用大顺散者，水果伤于脾也。用冷香饮子者，冷
食内伤于胃也。用来复丹者，阴气固结于下也。用五苓散者，阳气遏绝于内也。
( Mao Shu [Mild Summerheat], Shang Shu [Injured by Summerheat], Zhong Shu [Struck by Summerheat], Zhong He [Struck by Heatstroke], Jia Shu [Summerheat with Internal Injury], Shu Feng [Summerwind], Shu Jue [Summer Syncope], Shu Zhai [Summer Consumption], Zhu Xia [Stagnant Summer], Shi Wen [Damp-Heat], Shu Xie [Summer Diarrhea], Shu Yang [Summer Sores], Fu Shu [Latent Summerheat] attached)
Summerheat is a Yang pathogen. Upon infection, it enters through the mouth and nose, first obstructing the Qi aspect of the Upper Jiao (Upper Burner), resulting in head distension and epigastric stuffiness. It gradually progresses to facial grime, tongue coating changes, irritability, thirst, and spontaneous sweating. Heat causes Qi leakage.
Alternatively, there may be vomiting, nausea, abdominal pain, diarrhea, cold limbs, fatigue, and listlessness. This is what the *Classic* refers to as "Heat injures Qi." Zhang Zhongjing stated that the pulse for injured summerheat is deficient. The Lung governs Qi; summer fire scorches Metal (Lung), injuring the Lung and causing Qi deficiency. The Heart governs Blood; summerheat enters the Heart first, causing irritability, sweating, and a deficient pulse. This is why *Shengmai San* (Generate the Pulse Powder) from *Qianjin Fang* emphasizes protecting the Lung and clearing the Heart. The *Classic* states: "Due to summerheat, sweating occurs; if irritable, there is panting and thirst; if quiet, there is excessive talking." Generally, summerheat disturbing the Ying (Nutritive) aspect internally causes sweating; pressing upwards on the Lung causes panting; interfering internally with the Heart causes excessive talking. Thus, we know summerheat initially injures the Lung and subsequently transmits to the Pericardium. Jiezhai said: Diseases occurring after the Summer Solstice involving heat are called summerheat. When the Ministerial Fire is in command, humans contract this pathogen, entering via the mouth and teeth, injuring the Pericardium Meridian of Hand-Jueyin. Symptoms include irritability, thirst, fever, headache, and spontaneous sweating. In severe cases, fiery heat controls Metal (Lung), failing to subdue Wood (Liver), leading to convulsions and loss of consciousness, named Shu Feng (Summerwind). Zhang Jianshan said: Clear pathogens strike the upper part, turbid pathogens strike the lower part. Wind, cold, and dampness are all Earth Qi, belonging to turbid pathogens, so they all strike the Foot meridians. Only summerheat is Heaven Qi, belonging to clear pathogens, so it strikes the Hand-Shaoyin Heart Meridian. Summerheat belongs to Fire but combines with wind, cold, dampness, and dryness. Its transmission can become malaria, dysentery, or cholera. Differentiating its depth and variations yields Mao Shu, Shang Shu, Zhong Shu, Zhong He, Shu Feng, Shu Jue, Shu Zhai, and Shi Wen. If contracted but not immediately manifesting, it becomes Fu Shu (Latent Summerheat) in autumn. Symptoms include alternating chills and fever, oppression, worsening in the afternoon, intensifying at dusk, and alleviating with sweating. If treatment is improper, intense heat injures Yin transforming into dryness, while damp stagnation injures Yang transforming into turbidity, leading to coma, internal closure, epigastric fullness, and cold limbs—this is a critical condition. Ye Tianshi followed Liu Hejian's Three Jiao legislation: for the Upper Jiao, use acrid-cool clearing and resolving, such as Zhu Ye (Bamboo Leaf), Lian Qiao (Forsythia), Xing Ren (Apricot Seed), Bo He (Mint), Zhi Pi (Gardenia Peel), Yu Jin (Curcuma Longa Root Rhizome), Sha Shen (Glehnia Root), and Xian He Ye (Fresh Lotus Leaf). For the Middle Jiao, use pungent-bitter unblocking and diffusing, such as Banxia Xiexin Tang (Pinellia Decoction to Drain the Epigastrium). For the Lower Jiao, use warm-moving cold-natured substances, heavy in quality to open the lower orifices, such as Guiling Ganlu Yin (Cassia Twig and Atractylodes Macrocephala Sweet Dew Drink). This is the general principle for treating the Three Jiao. One must further carefully distinguish whether the pathogen is in the Qi aspect or Ying aspect. Treating the Qi aspect has distinctions between cold and warm. For cold, follow Baihu Tang (White Tiger Decoction) and Tianshui San (Heavenly Water Powder); for warm, follow Erchen Tang (Two Aged Substances Decoction) and Zhengqi San (Righteousness Powder). Regulating the Ying aspect has suitability for clearing and tonifying. For clearing, use Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction), adding herbs entering the Heart; for tonifying, use Santang Tang (Three Immortals Decoction), Renshen Guben Wan (Ginseng Root-Solidifying Pill), or Fumai Tang (Restore the Pulse Decoction). For example, for deep-mixed damp-heat, use Cangzhu Shigao Tang (Atractylodes Macrocephala and Gypsum Decoction). For simultaneous burning of Qi and Blood, use Yvnu Jian (Jade Woman Decoction). To open closure and expel filth, use Zhibao Dan (Precious Treasure Pill), Niuhuang Wan (Calculus Bovis Pill), or Xuexue San (Purple Snow Powder). To support deficiency and nourish righteousness, use Shenfu Tang (Ginseng and Aconite Decoction) or Liangyi Gao (Two Powers Paste). Adapting to transformations and examining Yin and Yang ensures proper treatment.
[Mao Shu] Abdominal pain with watery diarrhea indicates invasion of the Stomach and Large Intestine. Use Xiangru Yin (Elsholtzia Decoction). For nausea, indicating phlegm-fluid in the stomach opening, use Xiangru Yin administered with Xiaoshu Wan (Summerheat-Resolving Pill). This is a mild form of summerheat disease.
[Shang Shu] Acquired from stillness, it is a Yin syndrome. Shang Shu means summerheat pathogen injures the flesh level. Cooling oneself in spacious mansions or irregular daily routines lead to aversion to cold, cold limbs, facial grime, irritability, sweating, and a deficient-thin pulse. Use Qing Shu Yi Qi Tang (Clear Summerheat and Boost Qi Decoction). Or, over-exposure to cool/shady places leads to aversion to cold, headache, limb stiffness, skin heat without sweating, and a string-tight pulse. Use Xiaoshu Shiquan San (Summerheat-Resolving Ten Complete Powder). Or, external summerheat combined with internal injury from raw/cold foods leads to abdominal pain, vomiting, and diarrhea. Use Zhengqi San (Righteousness Powder) or Liuhe Tang (Six Harmonies Decoction). Body heat, irritability, thirst, and difficult urination indicate excess dampness with failure of Qi transformation. Use Yiyuan San (Benefit Origin Powder). Irritable heat, headache, and dry thirst indicate damp steaming consuming fluids. Use Maidong Tang (Ophiopogon Decoction). This is a moderately severe form of summerheat disease.
[Zhong Shu] Acquired from movement, it is a Yang syndrome. Zhong Shu means summerheat pathogen injures the Zang-Fu organs. Traveling far in summer traps Yang Qi internally; heat resides in the Kidney, where Water fails to overcome Fire. Symptoms include irritability, thirst, panting, rapid breathing, and sudden syncope. Administer crushed garlic juice mixed with child's urine. After regaining consciousness, treat according to symptoms. Use Maidong Tang or Renshen Baihu Tang (Ginseng White Tiger Decoction). Avoid acrid-warm herbs like Xiangru. Xiangru Yin treats Shang Shu, not Zhong Shu. This is a particularly severe form of summerheat disease.
[Zhong He] Travelers or farmers laboring at noon suddenly experience severe headache, high fever, sweating, muscles feeling like fire, extreme thirst with desire to drink, and lack of energy to move. This is heat injuring Yuan Qi. Use Yiyuan San, Baihu Tang, or Qing Shu Yi Qi Tang. If vomiting/diarrhea present with deep-micro pulse, avoid cold medicines. Use Liuhe Tang or Dashun San (Great Smooth Powder). Deficient pulse with body heat results from Shang Shu; vigorous pulse with body heat results from Zhong He; this distinguishes Shu from He slightly.
[Internal Injury with Summerheat] Sexual exertion in summer months, combined with rich food and fruits, prevents Yang Qi from extending. Pulse is deep-thin or string-tight. Facial grime, no sweating, aversion to cold, cold limbs with stiffness, cholera-like vomiting. Use Lengxiang Yinzi (Cold Fragrance Infusion). If vomiting/diarrhea occur simultaneously with faint pulse nearing extinction, urgently use Jiangshui San (Well Water Powder) to warm. There is also Shu Wei (Summerheat Flaccidity): rich individuals in summer suffer sudden impotence. Do not use only hot or only cold medicines. Use Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity) combined with Shengmai San.
[Shu Feng] Due to summerheat illness, sudden hand/foot convulsions and coma with floating-deficient-rapid pulse. First, dissolve Suhexiang Wan (Liquidambar Pill) in warm water and administer. After waking, use Huanglian Xiangru Yin (Coptis and Elsholtzia Decoction) plus Qianghuo (Notopterygium Rhizome) for great effect. This is due to phlegm-fire stirring wind, obscuring the Pericardium. If vomiting, add Chenpi (Tangerine Peel) and Huoxiang (Patchouli). If difficult urination, add Fuling (Poria), Zhuling (Polyporus), Zexie (Alisma), and Huashi (Talc). If much phlegm, add Shichangpu (Acorus) and Jiangzhi (Ginger Juice). If thirsty, remove Banxia (Pinellia) and add Huafen (Trichosanthes Root). If diarrhea, add Baizhu (Atractylodes Macrocephala). If tendon twitching, add Mugua (Chaenomeles). If abdominal fullness, heavy body, difficulty turning, insensitivity of mouth, facial grime, delirium, and enuresis, this is heat combined with He. Use Baihu Tang.
[Shu Jue] Summerheat syncope with cold extremities. Use Erxiang San (Two Fragrances Powder) or Renshen Qianghuo San (Ginseng and Notopterygium Powder) combined with Xiangru Yin. If heat is deep and cold is deep, with irritability, coma, constipation, red urine, and deep-slippery-rapid pulse, modify Da/Xiao Chengqi Tang (Major/Minor Order the Qi Decoctions). For deep-mixed damp-heat, use Cangzhu Baihu Tang plus Huashi. For cold syncope with micro pulse, modify Lizhong Tang (Regulate the Middle Decoction) or Sini Tang (Reverse Cold Decoction).
[Shu Zhai] Summerheat robbing Yin, causing coughing/vomiting blood. Use Liuwei Tang (Six Substances Decoction) plus Ejiao (Donkey-Hide Gelatin), Maidong (Ophiopogon), Mudanpi (Tree Peony Bark), or Xingren (Apricot Seed), Xigua Cuiyi (Watermelon Rind), Zhuye (Bamboo Leaf), Xian Shihu (Dendrobium).
[Zhu Xia] Summer headaches, weak legs, poor appetite, emaciation, fatigue, lethargy, five-palm heat. Mostly due to Yuan Qi deficiency. Use Buzhong Yiqi Tang (Tonify the Middle and Boost Qi Decoction) removing Shengma (Cimicifuga), adding Banxia, Baishao (White Peony Root), Yimi (Coix Seed), Wuweizi (Schisandra), and Shashen. For Lung/Stomach Yin deficiency, use Shengmai San or add Yuzhu (Polygonatum Odoratum), Qizi (Goji Berry), Bian Dou (Lablab Bean), Shihu (Dendrobium)—sweet/moistening substances.
[Shi Wen] Person injured by dampness, then struck by summerheat. Cold reverse legs, chest/head heaviness, delirium, profuse sweating. Pulse: Yang aspect soggy-weak, Yin aspect small-urgent. Absolutely do not induce sweating; sweating leads to death. Use Cangzhu Baihu Tang.
Also, cold bathing causes summer-damp interaction, whole-body pain, spontaneous sweating, fever. Use Wuling San (Five-Poria Powder) plus Qianghuo. If laboring under summerheat and bathing cold while sweating, body numbness like needle pricks, occasional red swelling or blisters. Use Liuhe Tang plus Cangzhu, Jingjie (Schizonepeta), Fangfeng (Saposhnikovia).
[Shu Xie] Summerheat injuring intestines/stomach, or carrying food/dampness. Irritability, thirst, red urine, abdominal pain, paralytic watery diarrhea. Modify Guiling Ganlu Yin. For chronic diarrhea, use Yulong Wan (Jade Dragon Pill).
Summerheat injuring Heart/Spleen, vomiting/diarrhea, edema, cholera with tendon twitching. Use Liuhe Tang. Excessive drinking due to summerheat causing water-summerheat mixing, upper vomiting/lower diarrhea. Use Jieshu Sanbai San (Resolve Summerheat Three Whites Powder). Summerheat injuring with vomiting/diarrhea plus irritability. Use Xiangpo Yinzi (Elsholtzia and Magnolia Infusion). Cold-damp accumulation in Spleen/Stomach causing vomiting/diarrhea. Use Dashun San. If summerheat injures externally and yin-cold internally, forced from both sides. Use Lianli Tang (Linked Licorice Decoction), Guiling Wan (Cassia Twig Pill), Suopi Yin (Constrict Spleen Drink).
[Shu Yang] Summer month red/swollen crown, sore throat, or leg/foot swelling inches long, unable to walk, day/night fever. Use Baidu San (Defeat Toxin Powder). Once heat resolves, swelling subsides.
Summer sores with blisters caused by damp-heat entering meridians/subcutaneous tissue. Use Huanglian Jiedu Tang, Xiangru Yin.
[Fu Shu] Manifesting in autumn as latent summerheat. Initially inhaled via mouth/nose, then binding internally at the Mouyuan (Diaphragmatic Origin). Triggered by new coolness, symptoms include headache, epigastric stuffiness, progressing to dry lips/teeth, internal blazing fire, consuming Yin fluids. Internal heat/oppression, sudden nasal cold air obstruction. Summerheat miasma steams into sticky saliva, suppresses into cold reversal, alleviates with sweating. However, some have one reversal then heat, resolving with sweat. Some have two/three/four reversals then heat, with only head sweating. Some have discordant four extremities, warm body but increasing restlessness. Pathogen lies deep in Mouyuan, heat binds internally, exterior appears cold—Zhang Zhongjing's "heat deep, cold deep." Using bitter-cold direct descent goes to intestines/stomach, ignoring diaphragmatic binding. Use Shanzhi (Gardenia), Shigao (Gypsum), Tiandong (Asparagus Root), Dan Zhuyeqian (Light Bamboo Leaf), Zhike (Bitter Orange), Gualou (Trichosanthes Fruit), Yujin Zhi (Curcuma Juice). If initially Qi aspect blockage in Hand-Taiyin Lung, treat Upper Jiao. Use Xingren, Beimu (Fritillaria), Bohe, Yimi, Huashi, Tongcao (Akebia Stem), Banxia, JuPi (Tangerine Peel), Houpo (Magnolia Bark). If spreading from Qi to Blood, mental dullness, retracted tongue, black nose/red lips, pathogen counterflows to Danzhong/Pericardium. Entering Ying collaterals, consciousness dims, internal closure/external collapse, rapid crisis. Urgently use Shichangpu, Xijiao Jian (Rhinoceros Horn Tip) ground juice, Lianqiao (Forsythia), Yuan Shen (Scrophularia), Xian Shengdi (Rehmannia), Jinyin Hua Lu (Honeysuckle Flower Dew). Or aromatic pathogen-expelling/orifice-opening: Huoxiang, Peilan (Plagiorchis), Yujin, Niuhuang Wan, Zhibao Dan, Xuexue San. For hot-phlegm sticky: Zhuli (Bamboo Sap), Beimu, Juhong (Red Tangerine Peel), Gualou, Huafen, Shashen, Gancao (Licorice), Zhe Li Zhi (Pear Juice). All selectable. Most contraindicated: choppy-rapid pulse, righteous deficiency/pathogen sinking, cold extremities, coma, fluid exhaustion. If short urine/spontaneous diarrhea, tidal fever unresolved, affecting Middle/Lower Jiao, optionally use Liuyi San (Six-to-One Powder) or Siling San (Four-Poria Powder). Ultimately, clearing Upper/Middle Jiao is key.
Treating summerheat with profuse sweating injures Middle Qi first. Even with diaphragmatic fullness/tidal fever, absolutely avoid purgatives because formless heat cannot be scattered by drugs. Even with heavy forehead pain, absolutely avoid sweating agents because exterior herbs ascend, supporting phlegm/food/turbid Qi in the diaphragm.
Xu Xueshi treated damp-heat disease: chest/neck sweating, cold feet, delirium. Pulse: Guan front soggy, Guan back rapid. This is first summerheat, then dampness, interacting. Soggy-weak in Yang aspect indicates dampness battling summerheat. Small-urgent in Yin aspect indicates summerheat steaming dampness. Xu defined Guan front as Yang, Guan back as Yin. Ji defined Floating as Yang, Deep as Yin. This is named Shi Wen. First use Baihu Renshen Tang. Then Baihu Cangzhu Tang. Headache recedes, feet warm, sweating stops, cured in three days.
Sun Zhao treated damp-heat: moist body, cold feet, abdominal fullness, unconsciousness, small-weak-urgent pulse. Use Wuling San combined with Baihu Tang. After ten-plus doses, slight recovery. Then Qingzao Tang (Clear Dryness Decoction) for regulation and safety. For Yin disease cold reversal, calves/arms cold. Here calves cold, arms not, so not descending cold rising up. It is Yang-micro cold reversal, requiring heat-resolving herbs.
Zhang Shiwang said: Zhong He uses Baihu Tang to treat heat injuring Qi; Renshen Baihu Tang treats concurrent injury of formless Qi. Zhong Shu uses Shengmai San for summerheat injuring formless Qi. Qing Shu Yi Qi Tang treats summerheat injuring Qi with wind-heat complicating, invading meridians via deficiency. Shang Shu uses Shiwei Xiangru Yin for wind-heat-damp jointly injuring form/Qi. Predominantly exterior transforms Xiangru Yin into Xiaoshu Shiquan; predominantly interior transforms into Liuhe Tang. These are the three tripod methods of summer. Xiaoshu Wan treats upper excess dampness flooding causing fullness. Yiyuan San treats lower excess heat blocking causing difficult urination. Dashun San treats fruit injuring Spleen. Lengxiang Yinzi treats cold food injuring Stomach. Laifu Dan treats Yin Qi knotting below. Wuling San treats Yang Qi blocked inside.