五物香薷汤 驱暑和中通用。
香薷(三两) 白扁豆(姜制) 浓朴(制) 白茯苓(各一两半) 甘草(炙,一两)
上锉。每服三钱,水煎,温服。
香薷缩脾饮 驱暑和中,除烦止渴。
缩砂仁(二两) 草果仁 乌梅肉 香薷 甘草(炒。各两半) 白扁豆(姜制) 白
干葛(各一两)
上锉。每服三钱,姜五浓片,水煎,微温服。
香薷锉散 解暑毒,止霍乱。
香薷(二两) 浓朴(制,一两) 茯苓 陈皮 甘草(炙。各半两) 良姜(三钱)
上锉细。每服二钱半,盐一捻,水煎服。
五苓散 治伤暑烦渴,此引过多,小便赤涩,心下水气。(方见水饮门。)
小柴胡汤 治伤暑外热内渴。(方见血证类。)于内更加生姜为妙。
竹叶石膏汤 治伏暑内外热炽,烦躁大渴。
石膏(半斤) 半夏(汤洗七次,切,焙,一两二钱半) 麦门冬(去心,二两七
钱半) 人参
上粗末。每服二钱,姜五片,青竹叶七片,粳米百粒,水煎服。
六和汤 治暑证,身热,呕,不甚渴。
人参 半夏曲 杏仁(去皮,微炒) 甘草(炒) 缩砂仁(各一两) 茯苓 藿香 宣
木瓜 扁豆(制。各二两) 浓朴(制,三两) 香薷(四两)
上锉。每服三钱,姜五片,煎服。内伤生冷通用。
二陈汤(见痰涎类) 治伤暑复感冷,及内伤生冷。
半夏(制) 橘红(各五两) 茯苓(三两) 甘草(炙,一两)
上 咀。每服三钱,姜七片,小乌梅一枚,煎服。感冷更添生姜。
小半夏茯苓汤(方见水饮类)
消暑丸 治伤暑伏热生痰,以致头痛、中痞。
半夏(半斤,洗净,醋二升半,煮干,另碾) 茯苓 甘草(生。各四两)
上末之,用醋并姜汁调,半夏煮糊丸桐子大。每服七十丸,熟水下。暑药皆可下。
来复丹 均平阴阳。治中暑昏迷,霍乱吐泻。
透明硫黄 硝石(各一两,并为细末,入定碟内,以微微火慢炒,用柳篦不住手搅,会
阴阳气相入,再研极细) 元精石(一两,研细,水飞) 五灵脂(五台山者,水澄,去砂
石,日干) 陈橘皮(去白) 青橘皮(去白。各二两)
上灵脂、二橘皮为细末,次入元精末及硫黄、硝石末,和毕,以好醋打糊丸豌豆大。每
服五十丸,空心米饮下。或五苓散下,或水研灌下亦得。
大黄龙丸 治中暑昏愦,眩晕。分利阴阳。
透明硫黄 硝石(各一两) 白矾(枯) 雄黄 滑石(各半两) 飞罗白面(四两)
上为细末,入面拌和,滴水丸桐子大。每服十五丸至二三十丸,新汲水下。昏塞者,水
研灌下。如无硝石,以盆硝代。来复、黄龙大抵性温。道途中暑昏仆,即扶起,以手巾蘸热
汤暖其脐腹,即渐苏醒。次以来复丹为末,井水调下。无中,则以大蒜细研,新水调与之,
仍以蒜少许置鼻中。或谓中暑最忌得冷,来复、黄龙并蒜,以水调下者何?盖其药性温,因
寒
五物香薷汤:驱除暑邪、调和脾胃的通用方。
香薷(三两)、白扁豆(用姜汁炮制)、浓朴(经炮制)、白茯苓(各一两半)、甘草(蜜炙,一两)。
以上药材切碎。每次服用三钱,加水煎煮,温服。
香薷缩脾饮:驱除暑邪、调和脾胃,消除烦闷、止渴。
缩砂仁(二两)、草果仁、乌梅肉、香薷、甘草(炒,各一两半)、白扁豆(用姜汁炮制)、白干葛(各一两)。
以上药材切碎。每次服用三钱,加生姜五片厚切,加水煎煮,微温时服用。
香薷锉散:解除暑毒,治疗霍乱。
香薷(二两)、浓朴(经炮制,一两)、茯苓、陈皮、甘草(蜜炙,各半两)、良姜(三钱)。
以上药材切碎成细末。每次服用二钱半,加一小撮盐,加水煎煮服用。
五苓散:治疗伤暑引起的烦渴,此因饮水过多导致小便赤红涩痛,心下有水气停留。(方剂详情见水饮门。)
小柴胡汤:治疗伤暑后外有发热、内有口渴的症状。(方剂详情见血证类。)在此方中加入生姜效果更佳。
竹叶石膏汤:治疗伏暑导致的内外热势炽盛,烦躁且极度口渴。
石膏(半斤)、半夏(用水洗净七次,切片,焙干,一两二钱半)、麦门冬(去心,二两七钱半)、人参。
以上药材捣成粗末。每次服用二钱,加生姜五片、青竹叶七片、粳米一百粒,加水煎煮服用。
六和汤:治疗暑证,表现为身体发热、呕吐,但口渴不明显。
人参、半夏曲、杏仁(去皮,微炒)、甘草(炒)、缩砂仁(各一两)、茯苓、藿香、宣木瓜、扁豆(炮制,各二两)、浓朴(炮制,三两)、香薷(四两)。
以上药材切碎。每次服用三钱,加生姜五片,煎煮服用。此方也适用于内伤生冷食物者。
二陈汤(见痰涎类):治疗伤暑后又感受寒气,以及内伤生冷食物。
半夏(炮制)、橘红(各五两)、茯苓(三两)、甘草(蜜炙,一两)。
以上药材切碎。每次服用三钱,加生姜七片、小乌梅一枚,煎煮服用。若感寒较重,可多加生姜。
小半夏茯苓汤(方剂详情见水饮类)
消暑丸:治疗伤暑后伏热生痰,导致头痛、胸中痞塞。
半夏(半斤,洗净,用二升半醋煮至干,另研碎)、茯苓、甘草(生用,各四两)。
以上药材研为细末,用醋和姜汁调合,以半夏煮成的糊状物作为粘合剂,制成梧桐子大小的丸药。每次服用七十丸,用温水送服。防暑药物均可配合使用。
来复丹:平衡阴阳。治疗中暑昏迷、霍乱吐泻。
透明硫黄、硝石(各一两,研磨成细末,放入定碟内,用微火慢炒,用柳条棍不停搅拌,待阴阳之气融合,再研磨至极细)、元精石(一两,研细,用水飞法处理)、五灵脂(产自五台山的,用水澄清,去除砂石,晒干)、陈橘皮(去白)、青橘皮(去白,各二两)。
以上将五灵脂、两种橘皮研为细末,然后加入元精石末及硫黄、硝石末,混合均匀,用好醋打糊制成豌豆大小的丸药。每次服用五十丸,空腹时用米汤送服。也可用五苓散送服,或用水研化后灌服亦可。
大黄龙丸:治疗中暑神志昏沉、眩晕。分利阴阳。
透明硫黄、硝石(各一两)、白矾(枯矾)、雄黄、滑石(各半两)、飞罗白面(四两)。
以上药材研为细末,加入面粉拌匀,滴水制成梧桐子大小的丸药。每次服用十五丸至二三十丸,用刚汲取的凉水送服。若出现昏塞症状,用水研化后灌服。如果没有硝石,可以用盆硝代替。来复丹和大黄龙丸大体性质偏温。如果在旅途中中暑昏倒,应立即扶起,用热毛巾蘸热水温暖其脐腹部,即可逐渐苏醒。随后以来复丹研末,井水调服。若无中暑情况,则将大蒜细细研磨,新汲水调服,并将少许蒜泥置于鼻中。有人说中暑最忌讳受冷,而来复丹、大黄龙丸及大蒜均用水调服,这是为什么呢?这是因为这些药物性质温热,因寒邪所致……
Wu Wu Xiang Ru Tang (Five-Ingredient Elsholtzia Decoction): A general formula for dispelling summerheat and harmonizing the middle jiao.
Xiangru (Elsholtiae Herba, 3 liang), Baibian Dou (Vigna Semen prepared with ginger juice), Nongpu (Magnoliae Officinalis Cortex processed), Baifuling (Poria, each 1.5 liang), Gancao (Glycyrrhizae Radix et Rhizoma honey-fried, 1 liang).
The above herbs are chopped. Take 3 qian per dose, decoct in water, and take warm.
Xiangru Suopi Yin (Elsholtzia Spleen-Constricting Drink): Dispels summerheat, harmonizes the middle jiao, relieves irritability, and quenches thirst.
Suosharen (Amomi Fructus, 2 liang), Caoguoren (Tsaoko Fructus), Wumei Rou (Mume Fructus pulp), Xiangru (Elsholtiae Herba), Gancao (Glycyrrhizae Radix et Rhizoma stir-baked, each 1.5 liang), Baibian Dou (Vigna Semen prepared with ginger juice), Bai Gange (Puerariae Radix, each 1 liang).
The above herbs are chopped. Take 3 qian per dose, add 5 thick slices of fresh ginger, decoct in water, and take when slightly warm.
Xiangru Cuo San (Elsholtzia Powdered Scattered Formulation): Resolves summerheat toxicity, treats cholera-like vomiting and diarrhea.
Xiangru (Elsholtiae Herba, 2 liang), Nongpu (Magnoliae Officinalis Cortex processed, 1 liang), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma honey-fried, each 0.5 liang), Liangjiang (Alpiniae Katsumadai Rhizoma, 3 qian).
The above herbs are finely chopped. Take 2.5 qian per dose, add a pinch of salt, decoct in water, and take.
Wu Ling San (Five-Ingredient Powder with Poria): Treats summerheat injury causing irritability and thirst; this is due to excessive fluid intake leading to dark, scanty, and painful urination, and fluid retention under the heart. (See Formula Section on Fluid Retention.)
Xiao Chai Hu Tang (Minor Bupleurum Decoction): Treats summerheat injury presenting with external heat and internal thirst. (See Category on Blood Disorders.) Adding fresh ginger to this formula is advisable.
Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction): Treats latent summerheat causing intense internal and external heat, irritability, and extreme thirst.
Shigao (Gypsum Fibrosum, half jin), Banxia (Pinelliae Rhizoma washed seven times in water, sliced, dried, 1.25 liang), Maimendong (Ophiopogonis Radix dehearted, 2.75 liang), Renshen (Ginseng Radix).
The above herbs are coarsely crushed. Take 2 qian per dose, add 5 slices of fresh ginger, 7 leaves of green bamboo leaf, and 100 grains of rice, decoct in water, and take.
Liu He Tang (Six-Harmony Decoction): Treats summerheat syndrome characterized by fever, vomiting, and mild thirst.
Renshen (Ginseng Radix), Banxiaqu (Pinelliae Fermented Rhizoma), Xingren (Prunus Armeniacae Seed peeled and lightly stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma stir-baked), Suosharen (Amomi Fructus, each 1 liang), Fuling (Poria), Huoxiang (Agastetis Herba), Xuan Mugua (Chaenomelis Fructus), Biandou (Vigna Semen processed, each 2 liang), Nongpu (Magnoliae Officinalis Cortex processed, 3 liang), Xiangru (Elsholtiae Herba, 4 liang).
The above herbs are chopped. Take 3 qian per dose, add 5 slices of fresh ginger, decoct in water, and take. This formula is also applicable for internal injury caused by cold/raw food.
Er Chen Tang (Two-Aged Herb Decoction) (See Category on Phlegm-Saliva): Treats summerheat injury complicated by cold invasion, or internal injury from cold/raw food.
Banxia (Pinelliae Rhizoma processed), Juhong (Citri Reticulatae Pericarpium rubrum, each 5 liang), Fuling (Poria, 3 liang), Gancao (Glycyrrhizae Radix et Rhizoma honey-fried, 1 liang).
The above herbs are chopped. Take 3 qian per dose, add 7 slices of fresh ginger and one small dried plum, decoct in water, and take. If cold invasion is significant, add more fresh ginger.
Xiao Banxia Fuling Tang (Minor Pinellia and Poria Decoction) (See Formula Section on Fluid Retention)
Xiao Shu Wan (Summerheat-Dispelling Pill): Treats summerheat injury with latent heat generating phlegm, resulting in headache and epigastric fullness/stuffiness.
Banxia (Pinelliae Rhizoma, half jin, washed clean, boiled dry in 2.5 sheng of vinegar, separately ground), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma raw, each 4 liang).
Grind the above into fine powder. Use vinegar and ginger juice to mix, and use the paste from boiled Banxia as a binder to make pills the size of paulownia seeds. Take 70 pills per dose with warm water. Summerheat medicines can be taken together.
Laifu Dan (Restoring Harmony Pellet): Balances yin and yang. Treats summerheat stroke with coma, and cholera with vomiting and diarrhea.
Touming Huangshi (Transparent Realgar? Note: Context implies Sulphur, likely Lu Heshang's formulation reference, but text says Transparent Sulfur/Sulphur), Xiaoshi (Natrii Nitras, each 1 liang, ground into fine powder, placed in a fixed dish, slowly stir-fried over low fire, stirred constantly with a willow whisk until yin and yang qi merge, then ground extremely fine), Yuanjing Shi (Fossilized Bone/Stone, 1 liang, ground fine and levigated with water), Wulingzhi (Trogopterori Faeces from Mount Wutai, clarified with water, free of sand/stone, sun-dried), Chenjupi (Citri Reticulatae Pericarpium aged, white pith removed), Qingjupi (Citri Reticulatae Pericarpium green, white pith removed, each 2 liang).
Grind Wulingzhi and the two types of orange peel into fine powder. Then add Yuanjing Shi powder, Huangshi (Sulphur), and Xiaoshi powder. Mix well, use good vinegar to make a paste, and form pills the size of soybeans. Take 50 pills per dose on an empty stomach with rice gruel. Alternatively, take with Wu Ling San, or grind in water and administer via gavage.
Da Huang Long Wan (Great Yellow Dragon Pill): Treats summerheat stroke with confusion and dizziness. Separates and benefits yin and yang.
Touming Huangshi (Transparent Sulphur), Xiaoshi (Natrii Nitras, each 1 liang), Baifan (Alumen exsiccatum), Xionghuang (Realgar), Huashi (Talcum, each 0.5 liang), Feiluo Baifan (Fine White Flour, 4 liang).
Grind the above into fine powder, mix with flour, add drops of water to form pills the size of paulownia seeds. Take 15 to 20-30 pills per dose with freshly drawn cool water. For severe obstruction/coma, grind in water and administer via gavage. If Xiaoshi is unavailable, replace with Panxiao (Saltpeter). Laifu Dan and Da Huang Long Wan are generally warm in nature. If one faints from summerheat while traveling, immediately raise them, apply a hot towel soaked in warm water to the umbilical region and abdomen, and they will gradually regain consciousness. Subsequently, take Laifu Dan powder mixed with well water. In cases of non-summerheat collapse, grind garlic finely, mix with fresh water, administer, and place a small amount of garlic near the nose. Some argue that cold is strictly contraindicated in summerheat stroke; why are Laifu Dan, Da Huang Long Wan, and garlic administered with water? This is because these medicines are warm in nature, addressing the pathogenic cold...