冒暑过饮，脾胃受湿，水谷不分，霍乱呕吐，脏腑不调。
甘草（三斤，炒焦黄） 干姜（炒） 杏仁（去皮、尖，炒焦枯） 肉桂（去皮，不见
火，各六两四钱） 为末，每服三钱。如烦渴井花水调下，或沸汤点服亦可。
治长夏湿热蒸人，四肢精神困倦，身热喘烦，心下膨闷，或利，或渴，自汗体虚。
人参 白术（炒） 陈皮 神曲（炒） 泽泻（各五分） 黄 （炙） 苍术（制）
升麻（各一钱） 甘草 干葛（各三分） 五味子（九粒，杵）
热伤元气，清浊不分，《经》曰∶浊气在上，则生 胀；清气在下，则生飨泄。
黄、二术为元气之保障，人参、五味为治节之藩篱，升麻、葛根引清气上升，神曲、
泽泻分浊气下降，陈皮和胃，炙草和中，根本充实，清浊不淆，虽有湿热之邪无所客
矣，故曰清暑益气汤。
清散暑气，如薄荷、扁豆、香薷、木瓜、陈皮、浓朴、滑石、川黄连、生甘草、
麦门冬、赤茯苓、连翘、黄芩、黑山枝、木通、泽泻之类，随候采用。
清暑调元，如人参、麦冬、生地、五味子、香薷、扁豆、黄连、茯苓、生甘草之
类，随候采用。
夫天下默然而受其累者，湿之谓乎。脾为身主，最苦于湿，惟最苦者，最易受焉。
如上部所积。遇湿则为痰；下部所积，遇湿则为痢。如值太阴湿土司天者，此气化之湿
也。如淫雨袭虚，或寝卧卑处，而受地土蒸湿，或汗湿久沾，或冒露奔走，此外感之湿
也。如嗜瓜果，饮乳酪，啜酒浆，喜生冷，此内伤之湿也。如因母有湿病，或体肥而多
湿者，此禀受先天之湿也。然轻清为天，重浊为地，故土湿犯病者，厥体必重，治法惟
宜渗湿，而利小便，不可发汗，并忌向火烘袭，致湿内淫，变生别病。然湿本土气，而
火热能生土湿，故夏热则万物湿润，秋凉则湿复燥干，湿病本不自生，多因火热拂郁，
而水液不能宣行，即停滞而生水湿，虽为湿症，而又兼热症也。故湿热相因者此耳。
冒受暑邪且过量饮酒，导致脾胃受湿邪困扰，水谷精微不能正常分别输布，出现霍乱、呕吐等症状，脏腑功能失调。
甘草（三斤，炒至焦黄色） 干姜（炒制） 杏仁（去皮和尖，炒至焦枯） 肉桂（去皮，避免直接见火，各六两四钱） 研为细末，每次服用三钱。如果感到烦渴，可用井花水调服，或者用沸水冲服也可以。
治疗长夏季节湿热蒸腾人体，四肢精神困倦，身体发热、气喘烦躁，心下部位胀满闷痛，或伴有腹泻，或口渴，自汗且体质虚弱。
人参 白术（炒制） 陈皮 神曲（炒制） 泽泻（各五分） 黄芪（炙制） 苍术（炮制） 升麻（各一钱） 甘草 干葛（各三分） 五味子（九粒，捣碎）
暑热损伤元气，清浊之气不分，《黄帝内经》说：浊气停留在上部，就会发生胀满；清气陷于下部，就会发生完谷不化的泄泻。
黄芪、白术和白芍是保障元气的屏障，人参和五味子是调节气机的藩篱，升麻和葛根引导清气上升，神曲和泽泻使浊气下降，陈皮调和胃气，炙甘草和中焦，根本充实，清浊互不混淆，即使有湿热之邪也无法停留，所以称为清暑益气汤。
清散暑气的方法，如使用薄荷、扁豆、香薷、木瓜、陈皮、厚朴、滑石、川黄连、生甘草、麦门冬、赤茯苓、连翘、黄芩、黑山枝、木通、泽泻等药物，根据具体证候选用。
清暑并调理元气的方药，如人参、麦冬、生地、五味子、香薷、扁豆、黄连、茯苓、生甘草等，根据具体证候选用。
天下默默承受其累害的，就是湿邪吧。脾脏是身体的主宰，最害怕湿邪，正因为最怕，所以最容易受到湿邪侵袭。
如果湿邪积聚在上部，遇到湿气就会变成痰饮；积聚在下部，遇到湿气就会变成痢疾。如果遇到太阴湿土主司天气的时候，这是气候气化产生的湿邪。如果是连绵阴雨侵袭虚体，或者睡卧在低洼潮湿之处，从而受到地气蒸腾的湿邪，或者是汗水湿衣久沾不解，或者冒雨露奔走，这是外感得来的湿邪。如果是嗜好瓜果，饮用乳酪，喝酒浆，喜欢吃生冷食物，这是内伤饮食导致的湿邪。如果是母亲患有湿病，或者体型肥胖而多湿的人，这是先天禀赋带来的湿邪。然而，轻清之气属于天，重浊之气属于地，所以土湿致病的人，其形体必然沉重，治疗方法只适宜渗利湿邪，通利小便，不可发汗，并且忌讳靠近火源烘烤熏蒸，以免导致湿邪内侵，变生其他疾病。然而，湿本属土气，而火热能生土湿，所以夏天炎热时万物湿润，秋天凉爽时湿气又恢复干燥。湿病本身并非独自产生，多因火热拂郁，导致水液不能宣通运行，即停滞而生水湿，虽然表现为湿症，但又兼有热症，这就是湿热相互依存的原因。
When exposed to summer-heat and drinking excessively, the Spleen and Stomach are affected by dampness. The separation of water and grain fails, leading to cholera-like vomiting and diarrhea, and disharmony of the Zang-Fu organs.
Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 3 jin, stir-fried until scorched yellow), Ganjiang (Dried Ginger, *Zingiberis Rhizoma*, stir-fried), Xingren (Apricot Seed, *Armeniacae Semen Amarum*, peeled and tipped, stir-fried until scorched black), Rougui (Cinnamon Bark, *Cinnamomi Cortex*, peeled, avoiding direct fire, each 6 liang 4 qian). Grind into powder. Take 3 qian per dose. If feeling vexed and thirsty, mix well with well-water (*Jinghua Shui*), or it can also be taken by mixing with boiling water.
To treat the steaming damp-heat of late summer affecting the body, causing mental fatigue and lassitude in the four limbs, fever, panting, and irritability, fullness and oppression in the epigastrium, possibly accompanied by diarrhea, thirst, spontaneous sweating, and physical deficiency.
Renshen (Ginseng Root, *Panacis Quinquefolii Radix* or *Ginseng Radix*, depending on context, here likely *Panax ginseng*), Baizhu (Atractylodes Macrocephala Rhizome, *Atractylodis Macrocephalae Rhizoma*, stir-fried), Chenpi (Tangerine Peel, *Citri Reticulatae Pericarpium*), Shenqu (Medicated Leaven, *Massa Medicata Fermentata*, stir-fried), Zexie (Alisma Rhizome, *Alismatis Rhizoma, each 5 fen), Huangqi (Astragalus Root, *Astragali Radix*, honey-fried), Cangzhu (Atractylodes Lancea Rhizome, *Atractylodis Lanceae Rhizoma*, processed), Shengma (Cimicifugae Rhizome, *Cimicifugae Rhizoma, each 1 qian), Gancao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*), Gegen (Kudzu Root, *Puerariae Lobatae Radix, each 3 fen), Wuweizi (Schisandra Fruit, *Schisandrae Chinensis Fructus*, 9 grains, crushed).
Summer-heat injures Yuan Qi (Original Qi), causing confusion between clear and turbid qi. As stated in the *Classic*: "If turbid qi stays above, distension occurs; if clear qi sinks below, undigested food diarrhea (*Xiangxie*) occurs."
Huangqi and the two Atractylodes species serve as the guarantee for Yuan Qi; Renshen and Wuweizi act as the barrier for regulatory functions; Shengma and Gegen guide the clear qi to ascend; Shenqu and Zexie cause the turbid qi to descend; Chenpi harmonizes the Stomach; Zhi Gancao (Honey-fried Licorice) harmonizes the Middle Jiao. With the root strengthened and clear/turbid qi distinct, even if damp-heat pathogens exist, they cannot lodge. Hence, it is called Qingshu Yiqi Tang (Clear Summer-heat and Boost Qi Decoction).
To clear and dissipate summer-heat, herbs such as Bohe (Mint, *Menthae Haplocalycis Herba*), Bian Dou (Hyacinth Bean, *Lablab Album*, though often refers to *Euryale Seed* in some contexts, here likely *Lablab albus* or similar cooling bean), Xiangru (Elsholtzia Herb, *Elsholtziae Herba*), Mugua (Chaenomeles Fruit, *Chaenomelis Fructus*), Chenpi, Houpo (Magnolia Bark, *Magnoliae Officinalis Cortex*), Huashi (Talcum, *Talcum), Chuan Lianlian (Sichuan Coptis Rhizome, *Coptidis Rhizoma*), Sheng Gancao (Raw Licorice), Maidong (Ophiopogon Tuber, *Ophiopogonis Tuber*), Chi Fuling (Red Poria, *Poria with Red Mycelium*), Lianqiao (Forsythia Fruit, *Forsythiae Fructus*), Huangqin (Scutellaria Root, *Scutellariae Radix*), Heishanzhi (Black Gardenia Fruit, *Gardeniae Fructus*), Mutong (Akebia Stem, *Akebiae Caulis*), Zexie, etc., should be selected according to the specific presentation.
To clear summer-heat and regulate Yuan Qi, herbs such as Renshen, Maidong, Shengdi (Rehmannia Root, *Rehmanniae Radix*), Wuweizi, Xiangru, Bian Dou, Huanglian (Coptis Rhizome, *Coptidis Rhizoma*), Fuling (Poria, *Poria*), and Sheng Gancao, etc., should be selected according to the specific presentation.
Among all things that silently bear the burden in the world, it is dampness. The Spleen is the master of the body and suffers most from dampness; precisely because it suffers most, it is most easily invaded. If dampness accumulates in the upper part, encountering moisture turns it into phlegm; if it accumulates in the lower part, encountering moisture turns it into dysentery. When Taiyin Damp Earth governs the climate, this is dampness generated by atmospheric transformation. If continuous rain invades a deficient body, or one sleeps in low, damp places, thereby receiving earth-steaming dampness, or if sweat-soaked clothes remain long without changing, or one runs exposed to rain and dew, this is externally contracted dampness. If one indulges in melons and fruits, drinks milk and cheese, consumes wine and malt liquor, and prefers cold and raw foods, this is internally injured dampness due to diet. If the mother had damp disease, or the person is obese and prone to dampness, this is congenital dampness inherited from the parents. However, light and clear belong to Heaven, heavy and turbid belong to Earth. Therefore, those suffering from Earth-dampness will necessarily have a heavy body. The treatment method should only involve leaching out dampness and promoting urination; sweating is contraindicated. One must also avoid heating near fire to prevent dampness from invading internally and generating other diseases. Dampness belongs to the nature of Earth, but Fire-Heat can generate Earth-dampness. Thus, in summer heat, all things are moist; in autumn coolness, dampness dries up again. Dampness does not arise independently; it mostly occurs because Fire-Heat stagnates, preventing the free flow of body fluids, which then stagnate to form water-dampness. Although presenting as a dampness syndrome, it is accompanied by heat symptoms. This is why dampness and heat are interdependent.