(与痧症、霍乱各门参看。)
中暑者,静而得之。如避暑深堂大厦,为阴寒所遏,暑不得越故也。外症见身热头痛,
烦躁不安,或咳嗽发热,汗出不止。然必热有进退,胁下有汗,方为伤暑。若久热不止,胁
下无汗,便是夏月伤寒,症虽少见,不可不详辨而妄投汤药也。又,腹痛、呕、泻为冒暑,
宜凉解清利。四肢困倦,不思饮食,为热伤元气,宜补。忽然昏仆,不省人事为暑风,宜清
凉而加风经药,不可概从中暑治也。
蒜头二颗,研烂,取路上热土,日晒热处净土,若污泥不可用,搅新汲井水调匀服一钱
,甚效。
又,黑芝麻,炒,井水擂汁灌下,即愈。
又,扁豆叶、捣汁饮,亦效。
又方∶六一散、盖元散(见内外备用诸方)均效。
名中热,又名中 。切不可误用冷水喷灌,一受寒冷则不可救。急用稻草结为长带,曲
盘肚脐,外用热土搓碎围之,使人撒尿其中,令温气入腹,久之自愈。
又方∶草纸卷成筒,点火向口鼻间熏之即活。其效如神。
又方∶用布蘸滚水,更换熨之,熨脐与脐下三寸为要,醒后仍忌饮冷水,饮之复死。
又方∶皂角烧存性,生甘草,各一钱,共为末,温水调灌。
又方∶白矾末,阴阳水调服一钱,即醒,神效。
凡暑月身热昏沉,未明症候,恐是出丹。用生白扁豆数粒食之。如不知腥味,则以生白
扁豆、水泡湿,研汁一小杯,调水一盏服之。即愈。
(Refer to the sections on Sha Syndrome and Cholera for comparison.)
Zhongshu (Heatstroke) refers to contracting summerheat while in a state of rest. For instance, seeking coolness in deep halls or large buildings, one is constrained by Yin-cold, preventing the summerheat from dispersing. External symptoms include fever, headache, restlessness and irritability, or cough with fever and incessant sweating. However, it must be characterized by fluctuating fever and sweating under the hypochondrium to be diagnosed as Shangshu (Summerheat Injury). If fever persists for a long time without sweating under the hypochondrium, it is Winter-heat Cold Damage (Shanghan in summer), which, although rare, must be carefully differentiated before administering decoctions indiscriminately. Furthermore, abdominal pain, vomiting, and diarrhea constitute Maoshu (Exposure to Summerheat), which should be treated with cooling and draining methods. Limb fatigue and loss of appetite indicate that heat has damaged Yuanqi (Original Qi), requiring tonification. Sudden collapse and unconsciousness constitute Shufeng (Summerwind), which requires cooling methods combined with herbs entering the Wind meridians; it should not be treated generally as Zhongshu.
Two cloves of garlic, pounded into a paste, mixed with clean soil from a sun-dried path (muddy soil is unusable) and fresh well water, taken orally in a qian dose, is very effective.
Another prescription: Black sesame seeds, stir-fried, ground with well water into juice and forced down, leads to immediate recovery.
Another prescription: Leaves of Lablab bean, crushed for juice and drunk, is also effective.
Another formula: Liuyi San (Six-One Powder) and Gaiyuan San are both effective.
Also known as Zhongre (Middle Heat) or Zhongmo (Middle Miasma). One must absolutely avoid using cold water to spray or pour over the patient; once exposed to cold, the condition becomes incurable. Immediately tie straw into a long strip, coil it around the umbilicus, and surround it externally with crushed hot soil. Have someone urinate into the center so that warm qi enters the abdomen; after a long time, self-healing occurs.
Another prescription: Roll toilet paper into a tube, ignite it, and smoke it towards the mouth and nose to revive the patient. The effect is miraculous.
Another prescription: Dip cloth in boiling water and apply compresses, changing them frequently. Focus on applying heat to the umbilicus and three cun below it. After regaining consciousness, strictly avoid drinking cold water; doing so will cause death again.
Another prescription: Burn Zaojiao (Gleditsia Sinensis Fruit) until carbonized but retaining its nature, along with raw Gancao (Licorice Root), each 1 qian, grind together into powder, mix with warm water, and force-feed.
Another prescription: Baijian (Alum) powder, mixed with Yinyang Shui (Yin-Yang Water) and taken orally in a qian dose, causes immediate awakening; it is highly effective.
In summer months, if there is body heat and lethargy, and the syndrome is not yet clear, it may be Chudan (Eruptive Heat Toxin). Eat several raw Baibian Dou (Lablab Bean). If the fishy smell is unpalatable, soak raw Baibian Dou in water, grind it into juice (one small cup), mix with one zhan of water, and drink. Recovery follows immediately.