中暑过汗，肢冷脉微，息淹神疲，状如欲脱，小
便黄赤，此湿留气脱。宜用归祗建中汤，加赤芩、车
前、滑石、萆薢等味，护阳利湿也。
汗多肢冷，脉微神倦，气脱之象已着，但小便黄赤，则
湿热内蕴之形昭然。故用归祗建中护阳气，合车前，赤芩、
滑石、萆薢清湿热，庶得邪正两清之妙，若一路扶补，则湿
热愈盛，镇之可也。
中暑汗之清之，旬外不解，渐致神迷，默默不知
饮食，面反淡，肢反冷，脉微如丝，身僵如死，此邪
入厥阳，与血沉混。宜用吴又可三甲散加柴胡、僵
蚕、广郁金、鲜菖蒲、连翘心、元参心、紫雪丹等
味，从血透表也。
此邪热入络，与血混淆，非清凉攻泻可解。故宜土炒山
甲、醋炒鳖甲，酒浸地鳖虫，俾潜窜入络，以攻隐伏之邪
合柴胡、僵蚕、紫雪丹，疏透宣宜泄，由内达表。用得其宜
可救万一，否则几无法矣。
中热卒然昏倒，人事不知，口角流涎，目闭手撤，
此热冒心神，阴不上承。宜用大蒜数枚，打烂取汁，
和醋灌之，并移置凉处，即苏。宜用洋参、麦冬、莲
子、竹叶、鲜菖蒲、远志、黄连、益元散等味，清心
安神也。
凡夏暑炎蒸，经营担荷，仆仆长途，赤日傍午，曝烈莆酷
遏，卒然昏倒，不知人事，目闭手撒者，此不可即以凉水灌
之，恐致热气攻心而死。宜用大蒜数枚，打烂取汁，和醋灌
下，再移置凉处，以手掬道上热土，围于脐之四旁，令人溺
尿于脐中即苏。苏后宜清心安神，将洋参，麦、连、菖、远、
黄连、竹叶、益元散，服之神清即愈。
中暑后发汗过多，出现四肢冰冷、脉搏微弱、呼吸短促且精神疲惫，症状类似虚脱，但小便黄赤，这是湿气滞留导致阳气外脱。适宜使用归祗建中汤（Guizhi Jianzhong Tang），加入赤茯苓（Chifuling, 赤芩）、车前子（Cheqianzi, 车前）、滑石（Huashi, 滑石）、萆薢（Bixie, 萆薢）等药物，以保护阳气并利除湿气。
出汗多且四肢冰冷，脉搏微弱、精神倦怠，阳气外脱的迹象已经明显，只是小便黄赤，则湿热内蕴的形态清晰可见。因此使用归祗建中汤来保护阳气，配合车前子、赤茯苓、滑石、萆薢来清除湿热，这样才能达到邪气与正气两清的妙处；如果一味地扶正补益，则湿热会更加旺盛，应当加以镇摄。
中暑后经过发汗和清热治疗，十天后仍未痊愈，逐渐导致神志昏迷，沉默不语且不知进食，面色反而淡白，四肢反而冰冷，脉搏细微如丝，身体僵硬如同死人，这是邪气进入厥阴肝经（Jueyin Liver Channel），与血液沉滞混杂。适宜使用吴又可（Wu Keke）的三甲散（Sanjia San）加入柴胡（Chaihu, 柴胡）、僵蚕（Jiangcan, 僵蚕）、广郁金（Guangyujin, 郁金）、鲜石菖蒲（Xian Changpu, 鲜菖蒲）、连翘心（Liaoqiao Xin, 连翘心）、玄参心（Xuanshen Xin, 元参心）、紫雪丹（Zixue Dan, 紫雪丹）等药物，从血分透达至体表。
这是邪热侵入络脉，与血液混淆，不是清凉攻下泻法所能解决的。因此适宜用土炒穿山甲（Tu Chao Shan Jia, 山甲）、醋炒鳖甲（Cu Chao Bie Jia, 鳖甲）、酒浸地鳖虫（Jiu Jin Di Bie Chong, 地鳖虫），使它们潜行窜入络脉，以攻击潜伏的邪气；配合柴胡、僵蚕、紫雪丹，疏泄透达宣通，由内达表。用药得当可以挽救万一，否则几乎无药可救。
中热突然昏倒，人事不省，口角流涎，眼睛闭合、手松无力，这是热气蒙蔽心神，阴液不能上承。适宜使用大蒜数枚，捣烂取汁，混合醋灌服，并将其移至凉爽之处，即可苏醒。适宜使用西洋参（Yangshen, 洋参）、麦冬（Maidong, 麦冬）、莲子（Lianzi, 莲子）、竹叶（Zhuye, 竹叶）、鲜石菖蒲、远志（Yuanzhi, 远志）、黄连（Huanglian, 黄连）、益元散（Yiyuan San, 益元散）等药物，以清心安神。
凡是夏季暑气炎热蒸腾，从事经营搬运，奔波长途，在烈日当空、暴晒酷热之时，突然昏倒，不知人事，眼睛闭合、手松无力的，此时不可立即用凉水灌服，恐怕导致热气攻心而死。适宜使用大蒜数枚，捣烂取汁，混合醋灌下，再将其移至凉爽之处，用手捧起道路上的热土，围绕在肚脐四周，让人在小便于肚脐中，即可苏醒。苏醒后宜清心安神，服用西洋参、麦冬、黄连、石菖蒲、远志、黄连、竹叶、益元散，服药后神志清醒即痊愈。
After heatstroke with excessive sweating, the limbs are cold and the pulse is faint; respiration is shallow and spirit is fatigued, resembling a state of collapse. The urine is yellow and red, indicating dampness retention leading to Yang Qi depletion. It is appropriate to use Guizhi Jianzhong Tang (Cinnamon Twig Decoction for Building the Middle), adding Chifuling (Poria Cocos with Red Skin), Cheqianzi (Plantago Seed), Huashi (Talcum), and Bixie (Dioscorea Hypoglauca) among other ingredients, to protect Yang Qi and promote diuresis to eliminate dampness.
Excessive sweating with cold limbs, faint pulse, and spiritual fatigue indicate that the signs of Qi depletion are prominent. However, the yellow-red urine clearly reveals the pattern of internal accumulation of damp-heat. Therefore, Guizhi Jianzhong Tang is used to protect Yang Qi, combined with Cheqianzi, Chifuling, Huashi, and Bixie to clear damp-heat. This achieves the subtlety of clearing both pathogenic factors and healthy Qi simultaneously. If one merely supports and tonifies throughout, damp-heat will become more vigorous; thus, sedation is required.
If after treating heatstroke with sweating-inducing and cooling methods, there is no resolution after ten days, it gradually leads to mental confusion, muteness, loss of appetite, pale complexion, cold limbs, a pulse fine as a thread, and a stiff body resembling death. This indicates the pathogen has entered the Jueyin Liver Channel and is mixed with stagnant blood. It is appropriate to use Wu Keke's Sanjia San (Three Shells Powder) added with Chaihu (Bupleurum Root), Jiangcan (Bombyx Batryticatus), Guangyujin (Curcuma Aromatica Rhizome), Xian Changpu (Fresh Acorus Tatarinowii Rhizome), Liaoqiao Xin (Heart of Forsythia Fruit), Xuanshen Xin (Heart of Scrophularia Root), and Zixue Dan (Purple Snow Pill) among other ingredients, to vent the pathogen from the blood level to the exterior.
This is a case where pathogenic heat enters the collaterals and mixes with blood, which cannot be resolved by simple cooling or purgative methods. Therefore, it is appropriate to use Tu Chao Shan Jia (Earth-fried Pangolin Scales), Cu Chao Bie Jia (Vinegar-fried Turtle Shell), and Jiu Jin Di Bie Chong (Wine-soaked Ground Beetle), allowing them to penetrate deeply into the collaterals to attack latent pathogens. Combined with Chaihu, Jiangcan, and Zixue Dan, they soothe, vent, and unblock, guiding the pathogen from the interior to the exterior. Proper application can save lives in desperate cases; otherwise, there is hardly any remedy.
Heatstroke causing sudden collapse, unconsciousness, drooling at the mouth corners, closed eyes, and relaxed hands indicates that heat has clouded the Heart Spirit and Yin fluids fail to ascend. It is appropriate to crush several cloves of garlic, extract the juice, mix it with vinegar, and administer it orally, while moving the patient to a cool place, upon which they will regain consciousness. Subsequently, it is appropriate to use Yangshen (American Ginseng), Maidong (Ophiopogon Tuber), Lianzi (Lotus Seed), Zhuye (Bamboo Leaf), Fresh Acorus Tatarinowii Rhizome, Yuanzhi (Polygala Root), Huanglian (Coptis Rhizome), and Yiyuan San (Benefit Origin Powder) among other ingredients to clear the Heart and calm the Spirit.
During summer when heat steams and rises, if one engages in heavy labor or travels long distances under the scorching midday sun, sudden collapse, unconsciousness, closed eyes, and relaxed hands may occur. In such cases, one must not immediately irrigate with cold water, lest the heat attacks the Heart and causes death. It is appropriate to crush several cloves of garlic, extract the juice, mix it with vinegar, and administer it orally. Then move the patient to a cool place, scoop up hot earth from the road with hands, surround the navel with it, and have someone urinate into the navel; the patient will then regain consciousness. After regaining consciousness, it is appropriate to clear the Heart and calm the Spirit by administering Yangshen, Maidong, Huanglian, Acorus Tatarinowii Rhizome, Yuanzhi, Huanglian, Zhuye, and Yiyuan San. Upon taking these medicines, when the spirit clears, recovery is achieved.