伤湿头重，倦卧懒言，烦热汗多，口渴溺赤，
脉洪，此湿热伤气。宜用清暑益气汤加熟石膏、知
母、鲜荷叶等味，益气清热也。
《内经》云，伤于湿则头似蒙，首如裹。又云：言迟则
气虚。今头重懒言，更兼烦热汗多，气虚之象昭然矣。况液
不升则口渴，湿内蕴则溺赤。故用清暑益气汤大补中州，加
熟石膏、知母，鲜荷叶大清气热，然须细察精详，慎勿轻忽
以误入也可。
伤湿身倦嗜卧，目黄溲黄，此脾虚湿蕴，将成
谷疸。宜用茵陈、茅术、厚朴、薏仁、赤苓、车前、
神曲、谷芽等味，运脾理湿也。
(1)脸：疑为"脉"字之误。
脾气内虚，则身倦嗜卧;湿蕴中焦，则目溲俱黄。斯湿
热与谷气熏蒸蕴酿，必成黄疸。故用茅术、厚朴、赤苓、薏
仁健脾，神曲、谷芽疏脾，车前、茵陈分利膀胱，俾脾气健
运，则湿热自化也。
伤湿目黄，身倦便溏，溺赤，腹膨跗肿，此脾虚湿
泛，将成肿满。宜用小温中丸加茵陈、车前子等味，
补土逐湿也。
上条目黄溲黄，湿蕴热蒸，必成黄疸。此条目黄便溏，
腹膨跗肿 湿盛化水，渍于肌内，必成浮肿。用小温中丸苦
温理脾，加车前、茵陈分利膀胱，犹开支河以通水道之理
也。
尝考《内经-九宫八风》等论，风有八方，位分
八卦。故冬至后，风从干方来者为旺风，主长养万
物。从别方来者，谓之偏风，逆面来者，谓之贼风，
主伤害万物。是则立冬后风从北，立春后风从东，立
夏后风从南，立秋后风从西，皆为正风。若不从其
位，而反逆面来者，谓之贼风，不惟伤物，且易侵
人。倘正气有亏，风必乘虚而袭。忽而头捕恶寒，鼻
寒声重，咳逆痰多，但始终在肺，异于伤寒之壮热传
变耳。盖寒必伤于冬，暑必伤于夏，虐痢见于秋，温
热见于春，此四时之气，各随其令而见之。惟暴感风
寒，虽盛暑炎蒸，长幼同居，久病卧床者，俱能染
诸，故古人称为寒疫也。良以风必兼寒，先伤乎肺，
肺气闭塞，则鼻息不利，声不显扬，但留连在肺，熏
蒸熔炼，直至痰浓涕厚，鼻通气宣，庶得渐解。故治
法只宜苦辛温解，以宣肺气，不可过于寒凉，而致壅
遏上焦，邪留肺底，变成损法，医者慎之。
湿邪致病，表现为头部沉重、疲倦嗜卧、懒于言语、心中烦热且汗出较多、口渴、小便短赤，脉象洪大，这是湿热之邪损伤了正气。适宜使用清暑益气汤（清解暑热、补益正气的方剂）加入熟石膏、知母、鲜荷叶等药物，以起到益气清热的作用。
《黄帝内经》中说：“伤于湿则头似蒙，首如裹。”又说：“言语迟缓则是气虚的表现。”如今患者头部沉重、懒于言语，再加上烦热汗多，气虚的征象已经非常明显了。况且津液不能上承则导致口渴，湿气内蕴则导致小便短赤。因此使用清暑益气汤大力补益中焦脾胃，加入熟石膏、知母、鲜荷叶大清气分之热，但是必须仔细考察、详尽分析，千万不要轻率疏忽而导致误治。
湿邪致病，身体疲倦、嗜睡卧床，眼睛发黄、小便发黄，这是脾虚湿邪内蕴，即将发展为谷疸（因饮食不节导致的黄疸）。适宜使用茵陈、苍术、厚朴、薏苡仁、赤茯苓、车前子、神曲、谷芽等药物，以运化脾气、调理湿气。
脾气内部虚弱，则身体疲倦、嗜睡卧床；湿邪蕴结在中焦，则眼睛和小便都发黄。这种湿热与谷气相互熏蒸酝酿，必然形成黄疸。因此使用苍术、厚朴、赤茯苓、薏苡仁来健脾，神曲、谷芽来疏理脾气，车前子、茵陈来分利膀胱水道，使得脾气健旺运化，那么湿热自然化解。
湿邪致病，眼睛发黄、身体疲倦、大便稀溏、小便短赤、腹部胀满、足背浮肿，这是脾虚湿邪泛滥，即将发展为肿满（水肿胀满病）。适宜使用小温中丸（温中健脾、燥湿化痰的方剂）加入茵陈、车前子等药物，以补益脾土、驱逐湿邪。
上述条目中提到眼黄尿黄，是湿蕴热蒸，必然形成黄疸。本条目中提到眼黄便溏、腹部胀满、足背浮肿，是湿盛转化为水湿，浸渍于肌肉之内，必然形成浮肿。使用小温中丸苦温之性来调理脾气，加入车前子、茵陈来分利膀胱水道，这就像开辟支流以疏通水道的道理一样。
曾经考证《黄帝内经·九宫八风》等论述，风有八方，方位对应八卦。所以冬至之后，从乾方（西北方）吹来的风称为旺风，主要作用是长养万物。从其他方向吹来的风，称为偏风；迎面吹来的风，称为贼风，主要作用是伤害万物。也就是说，立冬后风从北方来，立春后风从东方来，立夏后风从南方来，立秋后风从西方来，这些都是正风。如果不从其应有的方位，反而迎面吹来的，称为贼风，不仅伤害万物，而且容易侵袭人体。如果人体正气亏虚，风邪必定乘虚而入。突然感到头痛、恶寒、鼻塞、声音重浊、咳嗽气逆、痰多，但病邪始终停留在肺经，不同于伤寒病的壮热传变过程。大概寒邪必在冬季受伤，暑邪必在夏季受伤，疟疾和痢疾见于秋季，温热病见于春季，这四时的气候，各自随着时令而出现相应的病症。只有暴感风寒（突然感受风寒邪气），即使在盛夏酷暑时节，无论老少同住，还是久病卧床的人，都能感染，所以古人称之为“寒疫”。这是因为风邪必定兼夹寒邪，首先伤害肺脏，肺气闭塞，则鼻息不利、声音不扬，病邪只留恋在肺部，经过熏蒸熔炼，直到痰浓涕厚、鼻通气宣，才能逐渐解除。所以治疗方法只宜用苦辛温性的药物来解表，以宣发肺气，不可过于使用寒凉药物，以免导致上焦壅遏，邪气留滞肺底，变成损怯之法，医生们务必谨慎。
When injured by dampness, the head feels heavy, there is fatigue with a desire to lie down, reluctance to speak, vexatious heat with profuse sweating, thirst, and dark urine. The pulse is surging (Hong). This indicates that damp-heat is damaging Qi. It is appropriate to use Qingshu Yiqi Tang (Cooling Summerheat and Boosting Qi Decoction) added with prepared Gypsum Fibrosum (Shu Shigao), Anemarrhenae Rhizoma (Zhimu), and fresh Lotus Leaf (Xian Heye), etc., to boost Qi and clear heat.
The *Neijing* (Inner Canon) states: "Injury by dampness causes the head to feel as if covered or wrapped." It also states: "Sluggish speech indicates deficiency of Qi." Now, with a heavy head and reluctance to speak, combined with vexatious heat and profuse sweating, the signs of Qi deficiency are quite obvious. Moreover, when fluids fail to ascend, thirst results; when dampness accumulates internally, dark urine occurs. Therefore, Qingshu Yiqi Tang is used to strongly tonify the Middle Jiao (Spleen and Stomach), while adding prepared Gypsum Fibrosum, Anemarrhenae Rhizoma, and fresh Lotus Leaf to vigorously clear Qi-level heat. However, one must examine carefully and meticulously, lest negligence leads to misdiagnosis and error.
When injured by dampness, the body feels fatigued with a desire to sleep, the eyes turn yellow, and the urine turns yellow. This indicates Spleen deficiency with dampness accumulation, which is about to develop into Gu Dan (Grain Jaundice). It is appropriate to use Yin Chen (Artemisiae Scopariae Herba), Cang Zhu (Atractylodis Rhizoma), Hou Po (Magnoliae Officinalis Cortex), Yi Yi Ren (Coicis Semen), Chi Fu Ling (Poria with Red Core), Che Qian Zi (Plantaginis Semen), Shen Qu (Massa Medicata Fermentata), and Gu Ya (Oryzae Fructus Germinatus), etc., to transform the Spleen and regulate dampness.
Internal deficiency of Spleen Qi leads to bodily fatigue and a desire to sleep; dampness accumulating in the Middle Jiao leads to yellowing of both the eyes and urine. This steaming and fermenting interaction between damp-heat and grain Qi will inevitably result in jaundice. Therefore, Cang Zhu, Hou Po, Chi Fu Ling, and Yi Yi Ren are used to strengthen the Spleen; Shen Qu and Gu Ya are used to soothe the Spleen; Che Qian Zi and Yin Chen are used to separate and drain via the Bladder, so that when Spleen Qi becomes robust and functional, damp-heat transforms naturally.
When injured by dampness, the eyes turn yellow, the body feels fatigued, stool is loose, urine is dark, the abdomen is distended, and the dorsum of the feet is swollen. This indicates Spleen deficiency with flooding of dampness, which is about to develop into Zhong Man (Edema and Distension). It is appropriate to use Xiao Wenzhong Wan (Minor Warming the Center Pill) added with Yin Chen and Che Qian Zi, etc., to tonify Earth and expel dampness.
In the previous entry, yellow eyes and yellow urine indicated dampness accumulation with heat steaming, inevitably leading to jaundice. In this entry, yellow eyes, loose stool, abdominal distension, and foot swelling indicate excessive dampness transforming into water, soaking into the muscles, inevitably leading to edema. Xiao Wenzhong Wan uses bitter-warm properties to regulate the Spleen, while adding Che Qian Zi and Yin Chen to separate and drain via the Bladder, akin to the principle of opening tributaries to unblock waterways.
Having examined discussions such as those in the *Neijing*'s *Jiugong Bafeng* (Nine Palaces and Eight Winds), wind comes from eight directions, corresponding to the Eight Trigrams. Thus, after the Winter Solstice, wind coming from the Qian direction (Northwest) is called Prosperous Wind, primarily responsible for nourishing all things. Wind coming from other directions is called Deviant Wind; wind blowing directly against the face is called Thief Wind, primarily responsible for harming all things. That is, wind coming from the North after Start of Winter, from the East after Start of Spring, from the South after Start of Summer, and from the West after Start of Autumn, are all Proper Winds. If wind does not come from its proper direction but blows directly against the face, it is called Thief Wind. It not only harms living things but also easily invades humans. If the body's Righteous Qi (Zheng Qi) is deficient, wind will surely exploit the void and invade. Suddenly, there is headache, aversion to cold, nasal congestion, heavy voice, cough with air reflux, and profuse phlegm, yet the pathogen remains solely in the Lung, differing from the high fever and transmission patterns of Shanghan (Cold Damage). Generally, Cold is injured in Winter, Summerheat in Summer, malaria and dysentery appear in Autumn, and warm-heat diseases appear in Spring. These four seasonal qi manifest according to their respective seasons. Only Baogan Fenghan (Sudden Invasion of Wind-Cold) can infect everyone, regardless of age or health status (even during intense summer heat or among those bedridden with chronic illness), so ancients called it Han Yi (Cold Epidemic). This is because wind invariably combines with cold, first injuring the Lung. When Lung Qi is obstructed, nasal breathing becomes difficult, and voice is muffled. The pathogen lingers in the Lung, undergoing steaming and refining, until phlegm becomes thick and nasal discharge dense, and nasal airflow clears, allowing gradual resolution. Therefore, treatment methods should only employ bitter, acrid, and warm agents to release the exterior and diffuse Lung Qi. One must not overuse cold-cooling herbs, which would cause stagnation in the Upper Jiao, trapping the pathogen at the root of the Lung and transforming the condition into a wasting disorder. Physicians must be cautious.