伤暑身无大热，汗多神疲，嗜卧不食，舌黄溺
赤，此暑湿伤阳。宜用清暑益气汤，益气利湿也。
上条虚中挟暑，身热汗多，故升降疏补之中，少染苦
寒，以清内热。此条暑湿伤阳，无热汗多，故不加清凉之
味，再损中阳也。
伤暑日多，病仍不解，朝凉暮热，舌黄尖赤，口
渴汗多，夜或昏谵，此热伤阴分，邪逗营中。宜用玉
女煎加人参、元参、骨皮、柴胡、荷叶、青蒿、鲜菖
蒲等味，育阴清营也。
暑热不解，而致朝凉暮热，此名潮热，状虽如疟，却无
寒战，如潮之不愆其期，故名。甚至舌尖赤，而夜则昏谵，
乃热伤阴液，邪逗营中，午后则卫气行阴，阴邪用事，所伏
余热，乘时而动。故用玉女煎之石膏、知母清气分，生地、
元参滋血分，青蒿、荷叶、柴胡透里邪也。
中暑头胀，恶寒身热，胸腹满闷，欲吐不吐，欲
泻不泻，烦闷难安，此暑浊中胃。宜用食盐一撮，童
便调服，用指探吐，以宣上焦也。
凡中暑秽，必先入胃，胃气阻遏，升降失宜，致不得吐
泻，而烦闷不安，此厉闭症，非吐不解。故用食盐一撮，放
锅刀上烧红，冲入童便一杯调服，以指探吐，盖吐中即有发
散之意也。况食盐，童便，性皆威寒下降，才下咽而随即探
吐，使邪仍从上散。吐后稍平，即以栀豉汤加杏仁、厚朴，
扁豆和之，若吐泻不止者，即用藿香正气散祛秽化邪也。
伤暑证表现为身体没有明显高热，出汗多且精神疲倦，嗜睡不想进食，舌苔黄、小便赤红，这是暑湿损伤了阳气。适宜使用清暑益气汤，以益气并利除湿邪。
上一条论述的是虚中挟暑，身体发热且出汗多，因此在升降疏补的治法中，稍微加入苦寒药物，以清除内部热邪。这一条论述的是暑湿损伤阳气，没有发热但出汗多，因此不加清凉的药物，以免再次损伤中焦阳气。
伤暑时间较长，病情仍未解除，早晨凉爽傍晚发热，舌苔黄且舌尖红，口渴出汗多，夜间有时出现神志昏迷和胡言乱语，这是热邪损伤了阴分，邪气逗留于营分之中。适宜使用玉女煎加入人参、玄参、地骨皮、柴胡、荷叶、青蒿、鲜石菖蒲等药物，以滋养阴液并清解营分热邪。
暑热未能解除，导致早晨凉爽傍晚发热，这称为潮热，症状虽然像疟疾，却没有寒战，像潮水一样不违背其定期涨落，所以得名。甚至舌尖红，夜间出现神志昏迷和胡言乱语，乃是热邪损伤阴液，邪气逗留于营分，午后卫气运行入阴分，阴邪当令，潜伏的余热乘势而动。因此使用玉女煎中的石膏、知母清气分热，生地、玄参滋补血分，青蒿、荷叶、柴胡透达里邪。
中暑表现为头部胀满，恶寒且身体发热，胸腹部胀满闷塞，想吐却吐不出来，想泻却泻不出来，烦闷难以安宁，这是暑浊之气阻滞中焦胃腑。适宜用一撮食盐，用童子尿调服，用手指探喉催吐，以宣通上焦。
凡是中暑秽浊之邪，必定先侵入胃腑，胃气被阻遏，升降功能失常，导致不能呕吐或腹泻，因而烦闷不安，这属于闭症，非通过催吐不能解除。因此用一撮食盐，放在锅铲上烧红，冲入一杯童子尿调服，用手指探喉催吐，因为吐法中本身就含有发散的意思。况且食盐、童子尿的性质都是咸寒下降，刚咽下随即探喉催吐，使邪气仍然从上焦散发。吐后症状稍平，立即用栀豉汤加入杏仁、厚朴，配合扁豆调和；如果吐泻不止，就立即使用藿香正气散祛除秽浊化解毒邪。
Shangshu (Summerheat Injury) presents with no significant high fever, profuse sweating, mental fatigue, lethargy, and anorexia. The tongue coating is yellow, and urination is reddish. This indicates that summer-dampness has injured the Yang Qi. Qingxu Yiqi Tang (Clear Summerheat and Boost Qi Decoction) is appropriate to boost Qi and promote diuresis to resolve dampness.
The preceding clause discusses deficiency complicated by summerheat, characterized by fever and profuse sweating; thus, among methods of regulating ascending and descending, dispersing, and tonifying, a slight addition of bitter-cold herbs is used to clear internal heat. This clause discusses summer-dampness injuring Yang Qi, characterized by absence of fever but profuse sweating; therefore, cooling agents are not added to avoid further damaging Middle Jiao Yang Qi.
When Shangshu persists for many days without resolution, presenting with coolness in the morning and fever in the evening, yellow tongue coating with a red tip, thirst, profuse sweating, and occasional nocturnal delirium or coma, this indicates that heat has injured the Yin aspect, and pathogenic factors are lingering in the Ying (Nutritive) level. Yu Nu Jian (Jade Woman Decoction) added with Renshen (Ginseng Radix et Rhizoma), Xuanshen (Scrophulariae Radix), Gupi (Cortex Dictamni), Chaihu (Bupleuri Radix), Heye (Nelumbinis Folium), Qinghao (Artemisiae Annuae Herba), and Xian Changpu (Acori Tatarinowii Rhizoma Fresh) is appropriate to nourish Yin and clear the Ying level.
Unresolved summerheat leading to coolness in the morning and fever in the evening is termed Chaore (Tidal Fever). Although the presentation resembles malaria, there is no chills stage. It is named so because it occurs like the tide without missing its schedule. In severe cases, the tongue tip is red, and nocturnal delirium or coma occurs due to heat injuring Yin fluids and pathogens lingering in the Ying level. Afternoon is when Wei (Defensive) Qi enters the Yin; Yin pathogens dominate, and latent residual heat moves opportunistically. Therefore, Shigao (Gypsum Fibrosum) and Zhimu (Anemarrhenae Rhizoma) from Yu Nu Jian are used to clear the Qi level; Shengdi (Rehmanniae Radix) and Xuanshen (Scrophulariae Radix) nourish the Blood level; and Qinghao (Artemisiae Annuae Herba), Heye (Nelumbinis Folium), and Chaihu (Bupleuri Radix) are used to vent interior pathogens.
Zhongshu (Heatstroke) presents with head distension, aversion to cold with body fever, chest and abdominal fullness and oppression, desire to vomit but inability to do so, desire to defecate but inability to do so, and unbearable restlessness. This indicates summer-turbidity obstructing the Stomach. A pinch of Yanpan (Sal) mixed with Tongbian (Uterine Urine) should be taken, followed by finger-induced emesis to unblock the Upper Jiao.
Whenever summerheat turbidity invades, it first enters the Stomach. Stomach Qi is obstructed, disrupting ascending and descending functions, leading to inability to vomit or defecate, resulting in restlessness. This is a Bi Syndrome (Closed Syndrome) which cannot be resolved without emesis. Therefore, a pinch of Yan (Sal) heated red-hot on a spatula is mixed with a cup of Tongbian (Uterine Urine) and taken, followed by finger-induced emesis, as emesis contains the intent of dispersion. Moreover, both Yan (Sal) and Tongbian (Uterine Urine) have salty-cold and descending properties. By inducing emesis immediately after swallowing, pathogens are dispersed from above. After symptoms subside slightly, Zhichi Tang (Gardeniae and Fermented Soybean Decoction) added with Xingren (Pruni Semen), Houpo (Magnoliae Officinalis Cortex), and Bidou (Dolichoris Semen) is used to harmonize. If vomiting and diarrhea persist indefinitely, Huoxiang Zhengqi San (Agastache Powder to Rectify the Qi) is used immediately to dispel turbidity and transform pathogens.