伏暑微恶寒发热，呕恶泄泻，腕闷舌白，此伏邪
内动。宜用藿香正气散，疏滞利湿也。
此发明伏邪之异于新邪。既无头痛身疼，则表邪甚微;
而恶寒发热，腕闷吐泻，为伏邪发动，并无新邪勾引也明矣。
非藉藿、朴、苏叶、白芷、陈、腹、夏、曲以祛秽疏泄，则
恐邪无泄越，蔓延传变焉。
伏暑热不解，咳逆欲呕，烦闷泄泻，此伏邪弥漫
三焦。宜用苏子降气汤合六一散，加通草，赤芩等
味，通泄三焦也。
此言热不解，而伏邪传变，逗留肺胃，则咳而欲呕，盘
踞中焦。则腕闷不舒，奔迫下趋，则泄泻无度。是邪既弥漫
三焦，上下交争，故用苏子降气宣肺胃，六一、通、芩分水
道，则上下三焦，得一齐通泄，不致留邪变患为妙。
伏暑热渐甚，咳逆不眠，胸胁刺痛，痰多舌白，
此痰滞肺络，肺气失降。宜用旋复花、新绎、积壳、
桔梗、桑皮、薏仁、苏子、降香、枇杷叶、芦根、滑
石等味，降气通络也。
上条热不解，而传布三焦;此条热不解，而邪与痰冱，
阻滞肺络。若不通调，恐致痿痛缠绵。故用（金柜）旋复花
汤，借新绎、青葱，一通气分，二通血络，再兼枳、桔，桑
皮、苏子、降香开肺降气，苡仁、枇杷叶、芦根、滑石甘淡
之味，清热泄湿也。
伏暑病表现为轻微恶寒、发热，伴有呕吐、恶心、腹泻，手腕部闷胀不适，舌苔白腻，这是伏邪在内发动所致。适宜使用藿香正气散，以疏理滞气、利除湿邪。
此处阐明了伏邪与新感外邪的不同之处。既然没有头痛和身体疼痛，说明表邪非常轻微；而恶寒发热、腕部闷胀、呕吐腹泻，是伏邪发动的表现，并没有新感外邪的引动，这一点是很明显的。
如果不借助藿香、厚朴、紫苏叶、白芷、陈皮、大腹皮、半夏、神曲等药物来祛除秽浊之气、疏通泄导，恐怕邪气无法宣泄透发，从而蔓延并发生传变。
伏暑病热势不退，出现咳嗽气逆、想要呕吐，心烦闷乱、腹泻，这是伏邪弥漫于三焦。适宜使用苏子降气汤合六一散，加入通草、黄芩等药物，以通利泄导三焦。
这里说的是热势不退，伏邪发生传变，逗留于肺和胃，所以出现咳嗽且想要呕吐；盘踞在中焦，导致腕部闷胀不舒；向下奔迫，则导致腹泻无度。既然邪气已经弥漫三焦，上下交争，所以用苏子降气宣通肺胃，用六一散、通草、黄芩分利水道，这样上下三焦就能一齐通利泄导，不至于留滞邪气产生变证，这才是妙处。
伏暑病热势逐渐加重，出现咳嗽气逆、失眠，胸胁部位刺痛，痰多、舌苔白腻，这是痰浊阻滞肺络，肺气失于肃降。适宜使用旋覆花、新绎（指代某种药材或笔误，结合语境及后文“金匮”旋复花汤，此处疑为“新绛”之误，但依原文翻译）、枳壳、桔梗、桑白皮、薏苡仁、紫苏子、降香、枇杷叶、芦根、滑石等药物，以降气通络。
上一条论述的是热势不退，邪气传布三焦；这一条论述的是热势不退，邪气与痰浊凝结，阻滞肺络。如果不能通调，恐怕会导致痿痹疼痛缠绵难愈。所以采用《金匮要略》中的旋覆花汤，借新绛、青葱，一通卫气分，二通血络，再配合枳实、桔梗、桑白皮、紫苏子、降香开肺降气，以及薏苡仁、枇杷叶、芦根、滑石等甘淡性质的药物，清热泄湿。
Fu Shu (Summerheat-Latent Disease) presents with slight aversion to cold, fever, vomiting, nausea, and diarrhea, along with a sensation of stuffiness in the wrists and a white tongue coating. This indicates the stirring up of latent pathogens within. Huoxiang Zhengqi San (Agastache Powder for Rectifying the Qi) should be used to disperse stagnation and promote diuresis to resolve dampness.
This passage elucidates the distinction between latent pathogens and newly acquired external pathogens. Since there is no headache or body ache, the exterior pathogenic factor is very slight; whereas the aversion to cold, fever, wrist stuffiness, vomiting, and diarrhea are manifestations of the stirring up of latent pathogens, clearly indicating that there is no new external pathogen inducing them.
If one does not rely on herbs such as Huoxiang (Patchouli Herb), Houpo (Magnolia Bark), Ziye (Perilla Leaf), Baizhi (Angelica Dahurica Root), Chenpi (Tangerine Peel), Fupi (Areca Peel), Banxia (Pinellia Tuber), and Shenqu (Medicated Leaven) to dispel turbidity and promote venting and draining, there is a risk that the pathogen will fail to be vented and discharged, leading to its spread and transmission.
In Fu Shu, if the heat fails to resolve, accompanied by cough, air rebelling upwards, desire to vomit, irritability, stuffiness, and profuse diarrhea, this indicates the latent pathogen permeating the Triple Burner (San Jiao). Su Zi Jiang Qi Tang (Perilla Seed Decoction for Descending Qi) combined with Liu Yi San (Six-to-One Powder), plus Tongcao (Akebia Stem) and Huangqin (Scutellaria Root), should be used to unblock and drain the Triple Burner.
This refers to the situation where heat fails to resolve, and the latent pathogen transmits and lingers in the Lung and Stomach, causing cough and desire to vomit; it lodges in the Middle Burner, causing wrist stuffiness and discomfort; it rushes downward, causing profuse diarrhea. Since the pathogen has permeated the Triple Burner, with conflict between the upper and lower parts, Su Zi Jiang Qi Tang is used to diffuse the Lung and Stomach, while Liu Yi San, Tongcao, and Huangqin separate and direct the water passages. Thus, the upper, middle, and lower Triple Burners can be simultaneously unblocked and drained, preventing the retention of pathogens and the occurrence of complications, which is the essence of the treatment.
In Fu Shu, if the heat gradually intensifies, accompanied by cough, air rebelling upwards, insomnia, stabbing pain in the chest and hypochondrium, excessive phlegm, and a white tongue coating, this indicates phlegm stagnation blocking the Lung collaterals and the failure of Lung Qi to descend. Xuanfuhua (Inula Flower), Xinjiang (Safflower/Red Dye - *Note: Text says 'Xinyi' but context implies Xinjiang/Xincang based on Jin Gui Yao Lue*, here translated as Xinjiang/Safflower for accuracy to likely intent or kept as transliteration if strict), Zhike (Bitter Orange Fruit), Jiegeng (Platycodon Root), Sangbaipi (Mulberry Root Bark), Yiren (Coix Seed), Suzi (Perilla Seed), Jiangxiang (Sandalwood), Pipaye (Loquat Leaf), Lugeng (Reed Rhizome), and Huashi (Talcum) should be used to descend Qi and unblock the collaterals.
The previous paragraph discussed heat failing to resolve with the pathogen spreading through the Triple Burner; this paragraph discusses heat failing to resolve with the pathogen coagulating with phlegm, blocking the Lung collaterals. If not regulated and unblocked, it may lead to chronic Wei Bi (flaccidity and obstruction) and pain. Therefore, Xuanfuhua Tang (Inula Flower Decoction) from the *Jin Gui Yao Lue* (Essential Prescriptions of the Golden Cabinet) is employed. By using Xinjiang (Safflower) and Qingcong (Green Onion Bulb), it first unblocks the Qi aspect and secondly unblocks the Blood collaterals. Additionally, Zhishi (Immature Bitter Orange), Jiegeng, Sangbaipi, Suzi, and Jiangxiang open the Lung and descend Qi, while Yiren, Pipaye, Lugeng, and Huashi, being sweet and bland in nature, clear heat and drain dampness.