口渴。瓜果下脘。格拒相斗。此中宫大伤。况进热饮略受。其为胃阳残惫。而邪结内踞可知矣。
考暑门时风烦躁。清浊交乱者。昔贤每以来复丹五六十粒。转运清浊为先。攻补难施之际。
望其效灵耳。来复丹。
吴 目黄脘闷。咽中不爽。呕逆。寒少热多。暑湿客气之伤。三焦不通。非风寒之症。
大竹叶 黄芩 杏仁 滑石 陈皮 浓朴 半夏 姜汁
又 暑湿热。皆气也。并酿蓄浊痰于胃。遂口甜腻滞不饥。议以宣气理痰。
川贝母 栝蒌皮 杏仁 黑山栀 泽泻 另用二贤散
某（四一） 诊脉弦。午后恶寒似热。不饥。溺涩短赤。暑热炎蒸。外袭肺卫。游行三焦。致气分窒痹而然。
当用和法。宜薄滋味庶杜疟患。
杏仁 香薷 木通 飞滑石 茯苓 浓朴 白蔻仁 淡竹叶
又 照前方去香薷。加半夏。
杨（二八） 暑热必挟湿。吸气而受。先伤于上。故仲景伤寒。先分六经。河间温热。须究三焦。大凡暑热
口渴。瓜果下脘。格拒相斗。此中宫大伤。况进热饮略受。其为胃阳残惫。而邪结内踞可知矣。
患者感到口渴，食用瓜果后停滞于胃脘部，出现格拒、争斗（呕吐或不适）的症状。这是因为中焦脾胃受到严重损伤。况且饮用热水也只能勉强接受，由此可知，这是胃阳极度虚弱，而病邪凝结盘踞在体内的缘故。
考暑门时风烦躁。清浊交乱者。昔贤每以来复丹五六十粒。转运清浊为先。攻补难施之际。望其效灵耳。来复丹。
考察暑病兼夹时行风邪导致烦躁，以及清浊之气相互混乱的情况，古代医家通常先用五六十粒来复丹，以转运清浊为首要任务。在攻邪与补虚都难以施治的艰难时刻，只能寄希望于它能产生奇效。方剂：来复丹。
吴 目黄脘闷。咽中不爽。呕逆。寒少热多。暑湿客气之伤。三焦不通。非风寒之症。
吴某，出现眼睛发黄、胃脘部闷胀、咽喉部感觉不顺畅、恶心呕吐。恶寒轻而发热重。这是被暑湿邪气所伤，导致三焦气机不通畅。这不是风寒引起的病症。
处方：大竹叶、黄芩、杏仁、滑石、陈皮、厚朴、半夏、姜汁。
又 暑湿热。皆气也。并酿蓄浊痰于胃。遂口甜腻滞不饥。议以宣气理痰。
另外，暑、湿、热三种邪气都属于气分病变，它们在胃中酝酿积聚成浊痰，于是出现口中甜腻、身体困重滞涩、没有食欲的症状。建议采用宣通气机、调理痰浊的方法。
处方：川贝母、瓜蒌皮、杏仁、黑山栀、泽泻，另用二贤散。
某（四一） 诊脉弦。午后恶寒似热。不饥。溺涩短赤。暑热炎蒸。外袭肺卫。游行三焦。致气分窒痹而然。
某患者，41岁。诊察脉搏呈弦象。下午出现怕冷，随后感觉像发热一样。没有食欲，小便涩痛、量少且颜色红赤。这是由于暑热邪气炽盛，从外部侵袭肺卫，并在三焦中游走运行，导致气分阻滞闭塞而引起的。
应当使用和解法。宜清淡饮食，以免杜绝疟疾的发生。
处方：杏仁、香薷、木通、飞滑石、茯苓、厚朴、白蔻仁、淡竹叶。
杨（二八） 暑热必挟湿。吸气而受。先伤于上。故仲景伤寒。先分六经。河间温热。须究三焦。大凡暑热
杨某，28岁。暑热邪气必定夹杂湿气，通过呼吸吸入而受邪，首先伤害上部（肺）。所以张仲景论述伤寒，首先要区分六经；刘河间论述温热病，必须探究三焦。大凡暑热……
Thirst. Fruits and melons lodge in the lower epigastrium, causing rejection and conflict (vomiting or discomfort). This indicates severe damage to the Middle Jiao (Middle Burner/Spleen-Stomach system). Moreover, since even hot drinks are barely tolerated, it can be deduced that Stomach Yang is critically depleted, and pathogenic factors are consolidated and entrenched internally.
Regarding summerheat diseases complicated by seasonal wind causing irritability, and conditions where Clear and Turbid Qi are disordered, ancient sages often prioritized using 50-60 pills of Laifu Dan (Reviving Pill) to restore the movement of Clear and Turbid Qi. In situations where both attacking pathogens and tonifying deficiency are difficult to apply, one can only hope for its miraculous efficacy. Formula: Laifu Dan.
Patient Wu presented with yellowing of the eyes, epigastric fullness and oppression, a sensation of obstruction in the throat, nausea and vomiting. There was slight chills but significant fever. This is an injury caused by external Summerheat-Dampness pathogenic factors, leading to blockage of the Sanjiao (Triple Burner). It is not a Wind-Cold pattern.
Prescription: Da Zhu Ye (Large Leaf Bamboo Sheath), Huang Qin (Scutellaria Root), Xing Ren (Apricot Seed), Hua Shi (Talcum), Chen Pi (Aged Tangerine Peel), Hou Po (Magnolia Bark), Ban Xia (Pinellia Tuber), Jiang Zhi (Ginger Juice).
Additionally, Summerheat, Dampness, and Heat are all Qi-level pathogens. They accumulate and ferment into Turbid Phlegm in the Stomach, resulting in a sweet and sticky taste in the mouth, heaviness and stagnation, and lack of appetite. The proposed treatment is to diffuse Qi and resolve Phlegm.
Prescription: Chuan Bei Mu (Fritillaria Bulb), Gua Lou Pi (Trichosanthes Peel), Xing Ren (Apricot Seed), Hei Shan Zhi (Black Gardenia Fruit), Ze Xie (Alisma Rhizome), along with Er Xian San (Two Sages Powder) taken separately.
Patient [Name Omitted], age 41. The pulse is Wiry (Xian). In the afternoon, there is aversion to cold followed by sensations resembling fever. There is no appetite, and urination is difficult, scanty, and dark red. The blazing Summerheat invades the Lung and Wei (Defensive) levels from outside, circulating through the Sanjiao (Triple Burner), causing obstruction and closure at the Qi level.
The Harmonizing Method should be employed. A bland diet is advisable to prevent the onset of Malaria.
Prescription: Xing Ren (Apricot Seed), Xiang Ru (Mosla Herb), Mu Tong (Akebia Stem), Fei Hua Shi (Purified Talcum), Fu Ling (Poria), Hou Po (Magnolia Bark), Bai Kou Ren (White Cardamom Seed), Dan Zhu Ye (Lophatherum Leaf).
Second visit: Follow the previous prescription, remove Xiang Ru, add Ban Xia.
Patient Yang, age 28. Summerheat must carry Dampness. It enters via respiration and first injures the Upper Jiao (Upper Burner). Therefore, Zhang Zhongjing’s Treatise on Cold Damage begins by differentiating the Six Channels, while Liu Hejian’s Treatise on Warm-Thermal diseases requires investigating the Sanjiao (Triple Burner). Generally speaking, Summerheat...