伤暑初起，无汗恶寒，头痛身热，渴不引饮，舌
白呕恶，此邪初袭卫。宜用香蕾饮(1)加杏仁、薄荷、
通草、豆卷，连翘、大力、丝瓜叶等味，汗解可也。
(1)香蕾饮：本条所指香蕾饮，乃宗其方义，故下文注解中，只取君药香蕾
一味，余皆舍而不用，下"伏暑条辨第一"同。
暑必挟湿，先伤气分。凡人静坐纳凉，暑风乘袭，肌表
因之，阳被阴遏，腠理闭郁，发为头痛身热，恶寒无汗等
症。鈏湿蕴化热，势渐燎原，胃液不升则口渴，湿邪内蕴则
不引饮，肺气失宣则烦而欲呕。兼之舌白苔腻，脉形缓大，
无非挟湿而然。洽用香薷者，体轻浮而性温泄，乃夏令之麻
黄，善于走表，加杏仁宜肺，薄荷，大力祛风，连翘，豆
卷、通草泄湿清热，是邪在卫分，宜先汗解，杜其传里之
患矣。
伤暑既汗，头痛虽减，热仍不解，舌白渐黄，脉
洪口渴，此邪不汗解，热延气分。宜用白虎汤·加杏
仁、通草、连翘、淡竹叶、枇杷叶;若头痛未止，再
加葛根、薄荷，清凉解散也。
承上条，既发汗而热不解，则卫外之邪渐传气分。故
头痛减，而舌转黄，至脉洪口渴，则气热盛也，用白虎汤直
清阳明气分。如头额仍痛 外邪未尽，必加葛根、薄荷走表
祛风，以头为清阳，非风药不能到也。
伤暑病初起时，患者无汗、怕冷、头痛、身体发热，口渴但不想喝水，舌苔白且伴有恶心呕吐，这是外邪刚刚侵袭卫分（体表防御系统）。适宜使用香薷饮加杏仁、薄荷、通草、大豆黄卷、连翘、牛蒡子、丝瓜叶等药物，通过发汗的方法使病邪解除。
(1) 香薷饮：本条所指的香薷饮，是遵循其方义，因此在后文的注解中，只选取君药香薷一味，其余药物舍弃不用，下文“伏暑条辨第一”的情况相同。
暑邪必定夹杂湿气，首先损伤气分。大凡人静坐乘凉时，暑风趁机侵袭肌表，导致阳气被阴湿遏制，腠理（皮肤毛孔）闭塞郁滞，从而引发头痛、身热、恶寒、无汗等症状。若湿气蕴结化热，病情势如燎原，胃液不能上升则感到口渴，但湿邪内蕴故不想饮水，肺气失于宣发则心烦且想要呕吐。再加上舌苔白腻，脉象缓大，这无非是夹带湿邪所致。治疗选用香薷，是因为它质地轻浮而性温能泄，被称为夏令的麻黄，善于走表发散；加入杏仁以宣利肺气，薄荷和牛蒡子祛风，连翘、大豆黄卷、通草渗湿清热。既然邪气在卫分，应当先通过发汗解除，以杜绝病邪传入里的隐患。
伤暑经过发汗治疗后，头痛虽然减轻，但发热仍未解除，舌苔由白渐黄，脉象洪大且口渴，这是邪气未通过发汗解除，热邪蔓延至气分的表现。适宜使用白虎汤加杏仁、通草、连翘、淡竹叶、枇杷叶；如果头痛仍未停止，再加葛根、薄荷，以清凉解散之法治疗。
承接上一条，既然已经发汗但热势不解，说明体表的邪气逐渐传入气分。因此头痛减轻，但舌苔转黄，到了脉象洪大、口渴的程度，说明气分热盛，此时使用白虎汤直接清泻阳明经气分之热。如果头额部位仍然疼痛，说明外邪未尽，必须加入葛根、薄荷以走表祛风，因为头部为清阳汇聚之处，非风药不能到达。
In the initial stage of Summerheat Injury (Shangshu), characterized by anhidrosis, aversion to cold, headache, feverish sensation in the body, thirst without desire to drink, white tongue coating, and nausea/vomiting, this indicates that pathogenic factors have initially invaded the Wei (Defensive) level. It is appropriate to use Xiangru Yin (Elsholtzia Decoction) with added Xingren (Apricot Seed), Bohe (Mint), Tongcao (Tetrapanax Pith), Dajuan (Soybean Yellow Peel), Lianqiao (Forsythia Fruit), Niuli (Burdock Fruit), and Si Gua Ye (Loofah Leaf). The disease can be resolved through sweating.
(1) Xiangru Yin: The Xiangru Yin referred to in this section follows its formula principle; therefore, in the subsequent annotations, only the sovereign herb Xiangru (Elsholtzia Herba) is selected, while the rest are omitted. This applies similarly to "Fu Shu Tiao Bian Di Yi" (First Section on Differentiating Latent Summerheat).
Summerheat invariably carries dampness and first injures the Qi level. When people sit quietly to enjoy coolness, summer wind attacks the muscle surface, causing Yang to be suppressed by Yin-dampness. The Couli (pores) become closed and stagnant, leading to symptoms such as headache, feverish sensation, aversion to cold, and anhidrosis. If dampness accumulates and transforms into heat, the situation may spread rapidly like a prairie fire. Stomach fluids failing to ascend cause thirst, but internal accumulation of dampness leads to no desire to drink. Loss of Lung Qi dispersion causes irritability and urge to vomit. Combined with a white, greasy tongue coating and a slow, large pulse, these signs indicate the presence of dampness. The treatment uses Xiangru because it is light and floating in texture and warm in nature with dispersing properties, acting as the Ephedra of summer, good at venting the exterior. Adding Xingren benefits the Lung, Bohe and Niuli dispel wind, while Lianqiao, Dajuan, and Tongcao drain dampness and clear heat. Since the pathogen is at the Wei level, it should first be resolved by sweating to prevent transmission to the interior.
After sweating for Summerheat Injury, if the headache decreases but the fever persists, the tongue coating gradually turns yellow, and the pulse becomes flooding with thirst, this indicates that the pathogen was not resolved by sweating and the heat has extended to the Qi level. It is appropriate to use Baihu Tang (White Tiger Decoction) with added Xingren, Tongcao, Lianqiao, Dan Zhuye (Bamboo Leaf), and Pipa Ye (Loquat Leaf). If the headache has not ceased, add Gegen (Kudzu Root) and Bohe for cooling and dispersing.
Continuing from the previous section, since sweating failed to resolve the heat, the exterior pathogen gradually transmits to the Qi level. Thus, the headache decreases, the tongue turns yellow, and the flooding pulse with thirst indicates excessive heat in the Qi level. Baihu Tang is used to directly clear the heat of the Yangming Qi level. If pain in the forehead persists, indicating incomplete elimination of external pathogens, Gegen and Bohe must be added to vent the exterior and dispel wind, as the head is the gathering place of Clear Yang, which cannot be reached without wind-dispelling herbs.