中热卒倒，语言不清，心神恍惚，此（内经）所
谓煎厥。宜用天王补心丹加龙齿、牡蛎，镇神撮阴
也。
凡暑热之际，忽然昏倒，语言不清，心神恍惚，状如中
风，正《内经》烦劳则张，精绝辟积于夏，令人煎厥之谓。
宜用补心丹清心，合龙齿、牡蛎镇神，不致内闭外脱，庶几
可望有成。
中热脉大身热，口渴汗多，此热伤元气。宜用人
参白虎汤 (1)，甘寒养正也。
凡身虽大熟，而不恶熟 口渴汗多，脉形洪大，此东垣
所谓脉虚身热为伤暑也。用白虎汤之石膏 知母清胃热，
参、甘、梗米养胃津，则不致燔灼伤阴矣。
中热后，神虽清，而懒言倦卧，朝凉暮热，夜则
谵语，此热留胆中，营热被灼。宜用清骨散加鲜菖
蒲、广郁金、益元散等味，清营却热也。
中热之后，倦卧懒言，乃病退之象;但朝凉暮热，夜则
谵妄，是余热逗留，营络被灼。故用清骨散，清营却热，兼
菖蒲，郁金，益元散，宜窍除邪，庶为合法。
(1)人参白虎汤：（伤寒论·辨太阳病脉证并治上）原作，白虎加人参汤
中热后，舌绎芒刺，腐点如疳，寝则谵语，醒则
神清，此热毒蕴结，营络末清。宜用导赤散加犀角、
绿豆壳、人中白、鲜菖蒲、辰砂、灯草等味，清营解
毒也。
此条与前条相似,惟兼舌绎腐疳芒刺，乃余热化毒，蕴
结心炮。故用导赤散加犀角，灯草，绿豆壳、人中白，菖蒲，
辰砂清心解毒，勿致热毒蔓延，变生腐蚀之累为妙。
中热导致突然昏倒，言语不清，心神恍惚，这是《内经》中所说的“煎厥”。适宜使用天王补心丹加入龙齿、牡蛎，以镇摄心神、收敛阴气。
凡是暑热之时，忽然昏倒，言语不清，心神恍惚，症状像中风，这正是《内经》所说的烦劳过度则阳气亢张，精气耗竭，加之夏季积热，使人发生煎厥的情况。适宜用补心丹清心火，配合龙齿、牡蛎镇摄心神，不致使邪气内闭而正气外脱，这样才有望取得疗效。
中热表现为脉象大、身体发热、口渴、汗多，这是热邪损伤元气。适宜用人参白虎汤，以甘寒之品滋养正气。
凡是身体虽然非常热，但不怕热，反而口渴、汗多，脉象洪大，这是李东垣所说的脉虚身热属于伤暑。使用白虎汤中的石膏、知母清除胃热，人参、甘草、粳米养护胃中津液，就不会导致火热燔灼而损伤阴液了。
中热之后，神志虽然清醒，但懒于说话、疲倦想躺卧，早晨凉晚上热，夜间说胡话，这是热邪留滞在胆中，营分受热被灼烧。适宜使用清骨散加入鲜石菖蒲、广郁金、益元散等药物，以清营分热、退却邪热。
中热之后，疲倦躺卧、懒于说话，是病情好转的迹象；但早晨凉晚上热，夜间说胡话，是余热逗留，营络被灼烧。所以使用清骨散清营退热，兼用石菖蒲、郁金、益元散开窍祛邪，这才是合法的治疗。
(1) 人参白虎汤：（伤寒论·辨太阳病脉证并治上）原名为白虎加人参汤。
中热之后，舌面有芒刺，出现如疳积般的腐点，睡觉时说胡话，醒来时神志清醒，这是热毒蕴结，营络未清。适宜使用导赤散加入犀角、绿豆壳、人中白、鲜石菖蒲、辰砂、灯草等药物，以清营解毒。
这一条与前一条相似，只是兼有舌面腐烂、疳积样改变和芒刺，这是余热化为毒邪，蕴结在心包。所以使用导赤散加入犀角、灯草、绿豆壳、人中白、石菖蒲、辰砂清心解毒，防止热毒蔓延，避免产生腐蚀性的危害，这才是妙法。
Heatstroke causing sudden collapse, unclear speech, and mental confusion is what the *Neijing* (Classic of Internal Medicine) refers to as "Jian Jue" (Frying Syncope). It is appropriate to use Tianwang Buxin Dan (Emperor of Heaven's Tonic for the Heart Pill) added with Longchi (Dragon Teeth) and Muli (Oyster Shell), to calm the spirit and consolidate Yin.
During periods of summer heat, if one suddenly collapses with unclear speech and mental confusion, resembling wind-stroke, this precisely corresponds to the *Neijing*'s description: excessive mental labor causes Yang Qi to hyperactive; when essence is exhausted and summer heat accumulates, it leads to Jian Jue (Frying Syncope). It is appropriate to use Buxin Dan to clear Heart fire, combined with Longchi and Muli to calm the spirit, preventing internal closure and external collapse, thereby offering hope for success.
Heatstroke presenting with a large pulse, body heat, thirst, and profuse sweating indicates that heat has damaged Yuan Qi (Original Qi). It is appropriate to use Renshen Baihu Tang (Ginseng and White Tiger Decoction), using sweet-cold herbs to nourish Zheng Qi (Upright Qi).
When the body is extremely hot but without aversion to heat, accompanied by thirst, profuse sweating, and a flooding pulse, this is what Li Dongyuan referred to as "pulse deficiency with body heat," which belongs to Shangshu (Summerheat Injury). Using Shigypsum (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma) from Baihu Tang clears Stomach heat, while Renshen (Ginseng Radix et Rhizoma), Gancao (Licorice Root), and Jingmi (Glutinous Rice) nourish Stomach fluids, preventing the blazing heat from damaging Yin.
After heatstroke, although consciousness is clear, there is reluctance to speak, fatigue, lying down, coolness in the morning and heat in the evening, and delirium at night. This indicates heat remaining in the Gallbladder, burning Ying Heat (Nutritive Heat). It is appropriate to use Qinggu San (Bone-Clearing Powder) added with Xian Changpu (Fresh Acori Tatarinowii Rhizoma), Guang Yujin (Curcumae Radix), and Yiyuan San (Benefit Origin Powder), to clear Ying level heat and dispel pathogenic heat.
After heatstroke, fatigue and reluctance to speak are signs of disease retreat; however, coolness in the morning and heat in the evening, along with delirium at night, indicate lingering residual heat burning the Ying collaterals. Therefore, Qinggu San is used to clear Ying heat and dispel pathogenic heat, combined with Changpu, Yujin, and Yiyuan San to open orifices and eliminate pathogens, which is the correct method.
(1) Renshen Baihu Tang: Originally named Baibu Jia Renshen Tang (White Tiger Decoction plus Ginseng) in *Shanghan Lun · Treatise on Differentiating Pulse, Symptoms, and Treatment of Taiyang Disease*.
After heatstroke, the tongue exhibits prickles and rot-like spots resembling gan accumulation, with delirium during sleep and clarity upon waking. This indicates heat-toxin accumulation and uncleaned Ying collaterals. It is appropriate to use Daochi San (Guide Out Red Powder) added with Xijiao (Rhinoceros Horn - note: usually substituted with Water Buffalo Horn in modern practice), Lv Dou Qiao (Mung Bean Hull), Renzhongbai (Calcinatus Human Feces), Xian Changpu (Fresh Acori Tatarinowii Rhizoma), Chen Sha (Cinnabar), and Dengcao (Juncus Effusus), to clear Ying level and resolve toxins.
This section is similar to the previous one, but additionally features tongue rot, gan-like changes, and prickles, indicating that residual heat transforms into toxin and accumulates in the Pericardium. Therefore, Daochi San is used with Xijiao, Dengcao, Lv Dou Qiao, Renzhongbai, Changpu, and Chen Sha to clear Heart heat and resolve toxins, preventing the spread of heat-toxin and avoiding corrosive damage, which is the optimal approach.