有一种中暑症。自汗背寒面赤。面部必通红紫胀。眼白必黄。或兼头痛气粗。发躁狂乱。审
知阳明的确。用白虎汤。
（倘脉不洪大。无消渴。恐白虎汤难投。如脉洪消渴悉见。当有背寒目黄。亦宜桂枝白虎。
或加苍术可也。否则不如东垣清暑益气为稳。
有一种头痛妄言。两胫逆冷。胸腹满。多汗。其人常伤于湿。因而中暑。名曰湿温。其脉阳
濡而弱。阴小而急。
治在太阴。不可发汗。白虎加苍术汤主之。保命云。立夏之后。至立秋处暑之间。伤寒者。
身多微凉。自汗。四肢沉重。谓之湿温。苍术石膏汤主之。（即白虎加苍术汤。或先用人参白虎数
剂。湿温一症。极不易治。清之则邪益陷。燥之则津即槁。补之助桀为虐。必纠
缠生变耳。近代温病条辨之三仁汤。法极精妙。盖专究三焦立法。较白虎苍术六经法。更胜一筹
矣。）
苍术石膏汤
苍术（佐） 石膏（君） 知母（臣） 甘草（使）
如夏月坐凉亭水阁高堂大厦中纵食瓜果生冷。亦能中寒。不可泥于盛夏。禁用热药也。附
子理中汤。（大顺散冷香饮子。并皆佳妙。）
有夏月因劳役。饮食失节。又伤冷冻饮料得疾。右三部沉细而微。太阴症也。左三部微浮而弦。
虚阳在表也。身体沉重。四肢逆冷。自利清谷。引衣自覆。气难布息。懒于言语。此脾受寒湿。
中气不足也。法当用四逆汤。但内经有用热远热之戒。是宜从中治。中治者温之也。钱氏白术散
加升麻主之。一再服后利止身温神出。可用异功散治中汤辛温之品二三剂。
附子理中汤
附子（臣） 人参（君） 白术（臣） 干姜（炮佐） 甘草（炙佐） 生姜（使）
大枣（使）
钱氏白术散
人参（君） 白术（君） 茯苓（臣） 甘草（炙臣） 藿香叶（佐） 木香（
使） 葛根（佐）
治中汤
陈皮（佐） 青皮（佐） 人参（君） 白术（臣） 干姜（炮使） 甘草（臣）
有一种中暑的病症。表现为自汗、背部发冷、面色发红。面部必然通红、发紫且肿胀。眼白部分必定发黄。或者兼有头痛、呼吸粗重。烦躁不安，甚至狂乱。仔细辨证确认为阳明经证后，使用白虎汤。
（如果脉象不洪大，没有口渴多饮的症状，恐怕不宜使用白虎汤。如果脉象洪大且伴有口渴，同时出现背寒、目黄等症状，也适宜使用桂枝合白虎汤，或者加入苍术也可以。否则，不如李东垣的清暑益气汤更为稳妥。）
有一种头痛、胡言乱语、两小腿逆冷、胸腹部胀满、多汗的病症。这种人平时常受湿气困扰，因而又中暑，这种病名叫湿温。其脉象阳部（寸脉）濡软而弱，阴部（尺脉）细小而急迫。
治疗重点在太阴脾经，不可使用发汗法。以白虎加苍术汤为主治方剂。《保命集》中说：立夏之后，到立秋、处暑之间，患伤寒的人，身体大多微凉，自汗，四肢沉重，这叫做湿温。用苍术石膏汤主治。（即白虎加苍术汤。或者先服用几剂人参白虎汤。湿温这一病症，极难治疗。清热则邪气更加陷入体内，燥湿则津液干枯，补益则助长邪气肆虐，必然纠缠病情并产生变化。近代《温病条辨》中的三仁汤，方法极其精妙，因为它专门依据三焦立法，比白虎加苍术汤的六经辨证法则更胜一筹。）
苍术石膏汤
苍术（佐药） 石膏（君药） 知母（臣药） 甘草（使药）
如果在夏季坐在凉亭、水阁、高楼大厦中，放纵食用瓜果和生冷食物，也能导致中寒。不能拘泥于盛夏季节就禁用热性药物。可用附子理中汤。（大顺散、冷香饮子也都非常美妙。）
有人在夏季因为劳累过度，饮食失节，又因饮用冷冻饮料而致病。右手三部脉沉细而微弱，这是太阴病的表现。左手三部脉微浮而弦，这是虚阳浮越在体表的表现。身体沉重，四肢逆冷，自行腹泻且大便中有未消化的食物，喜欢裹着衣物，气息难以舒展，懒于说话。这是脾脏受到寒湿侵袭，中气不足所致。治疗方法应当使用四逆汤。但是《内经》有“用热远热”的禁忌，因此适宜从中焦脾胃进行治疗。所谓中治，就是温补中焦。用钱乙的白术散加入升麻为主治方。服用一两次后，腹泻停止，身体温暖，神志清醒，可以使用异功散或治中汤等辛温性质的药物二三剂来调理。
附子理中汤
附子（臣药） 人参（君药） 白术（臣药） 干姜（炮制，佐药） 甘草（炙制，佐药） 生姜（使药）
大枣（使药）
There is a type of heatstroke syndrome characterized by spontaneous sweating, coldness in the back, and redness of the face. The face must appear thoroughly red, purplish, and swollen. The whites of the eyes must be yellow. It may also be accompanied by headache and coarse breathing, restlessness, and even mania or confusion. Upon careful differentiation confirming it as a Yangming disease (disease of the Yangming channel), Baihu Tang (White Tiger Decoction) should be used.
(If the pulse is not surging and large, and there is no excessive thirst, it is feared that Baihu Tang may not be suitable. If a surging pulse and excessive thirst are both present, along with symptoms such as back coldness and yellowing of the eyes, Guizhi combined with Baihu Tang is appropriate, or Cangzhu (Atractylodis Rhizoma) can be added. Otherwise, Li Dongyuan's Qingshu Yiqi Tang (Clear Summerheat and Boost Qi Decoction) is more stable.)
There is a condition involving headache, delirious speech, coldness reversing up from the lower legs, fullness in the chest and abdomen, and profuse sweating. Such individuals are often injured by dampness, and subsequently contract summerheat; this disease is named Shiwēn (Damp-Heat). The pulse is superficial (cun position) soggy and weak, and deep (chi position) small and rapid.
The treatment focuses on the Taiyin spleen; diaphoresis (sweating method) is contraindicated. Baizhu Jia Cangzhu Tang (Baihu Decoction plus Atractylodis Rhizoma) is the primary formula. *Baoming Ji* states: From after Lixia (Start of Summer) to Chushu (End of Heat) around Liqiu (Start of Autumn), those suffering from Cold Damage often have slightly cool bodies, spontaneous sweating, and heavy limbs; this is called Shiwēn (Damp-Heat). Cangzhu Shigao Tang (Atractylodis Rhizoma and Gypsum Decoction) is the main treatment. (This is identical to Baizhu Jia Cangzhu Tang. Alternatively, several doses of Renshen Baihu Tang (Ginseng White Tiger Decoction) can be administered first. The Shiwēn syndrome is extremely difficult to treat: clearing heat causes the pathogen to sink deeper, drying dampness depletes body fluids, and tonification aids the pathogen's tyranny, inevitably leading to entangled complications. The Sanren Tang (Three Seeds Decoction) from the recent *Wenbing Tiaobian* (Systematic Differentiation of Warm Diseases) employs an extremely exquisite method, as it specifically establishes laws based on the Triple Burner, surpassing the Six Channels approach of Baihu plus Cangzhu.)
Cangzhu Shigao Tang
Cangzhu (Atractylodis Rhizoma) [Assistant] Shigao (Gypsum Fibrosum) [Monarch] Zhimu (Anemarrhenae Rhizoma) [Minister] Gancao (Licorice Root) [Envoy]
If one sits in cool pavilions, water pavilions, high towers, or grand halls during summer and indulges in eating melons and raw/cold foods, one can also suffer from Cold Injury. One must not rigidly adhere to the notion that hot medicines are forbidden in midsummer. Fuzi Lizhong Tang (Aconite Decoction for Regulating the Middle) can be used. (Dashun San (Great Harmony Powder) and Lengxiang Yinzi (Cool Fragrance Beverage) are also excellent.)
In summer, due to overexertion, irregular diet, and illness caused by drinking frozen beverages, the pulses at the right hand's three positions are deep, fine, and faint, indicating a Taiyin disease. The pulses at the left hand's three positions are slightly floating and wiry, indicating deficient Yang floating on the exterior. The body feels heavy, limbs are cold, there is spontaneous diarrhea with undigested food, the patient prefers wrapping themselves in clothes, breath is difficult to distribute, and there is reluctance to speak. This is due to the Spleen being invaded by Cold-Dampness and insufficiency of Middle Qi. The method should employ Sini Tang (Reverse the Extremity Decoction). However, the *Neijing* (Inner Canon) has the warning "avoid using hot remedies when the season is hot"; therefore, it is appropriate to treat from the Middle Jiao. Treating from the Middle means warming it. Qian Shi Baizhu San (Qian’s Atractylodes Powder) with Shengma (Cimicifugae Rhizoma) added is the main treatment. After one or two doses, if diarrhea stops, the body becomes warm, and spirit returns, Yigong San (Extraordinary Assistance Powder) or Zhizhong Tang (Regulate the Middle Decoction), which are acrid-warm substances, can be used for two or three doses.
Fuzi Lizhong Tang
Fuzi (Prepared Aconiti Lateralis Radix) [Minister] Renshen (Ginseng Radix et Rhizoma) [Monarch] Baizhu (Atractylodis Macrocephalae Rhizoma) [Minister] Ganjiang (Zingiberis Rhizoma, processed) [Assistant] Gancao (Licorice Root, honey-fried) [Assistant] Shengjiang (Zingiberis Rhizoma Recens) [Envoy]
Dazao (Jujubae Fructus) [Envoy]
Qianshi Baizhu San
Renshen (Ginseng Radix et Rhizoma) [Monarch] Baizhu (Atractylodis Macrocephalae Rhizoma) [Monarch] Fuling (Poria) [Minister] Gancao (Licorice Root, honey-fried) [Minister] Huoxiangye (Agastachis Herba) [Assistant] Muxiang (Aucklandiae Radix) [Envoy] Gegen (Puerariae Lobatae Radix) [Assistant]
Zhizhong Tang
Chenpi (Citri Reticulatae Pericarpium) [Assistant] Qingpi (Citri Reticulatae Pericarpium Viride) [Assistant] Renshen (Ginseng Radix et Rhizoma) [Monarch] Baizhu (Atractylodis Macrocephalae Rhizoma) [Minister] Ganjiang (Zingiberis Rhizoma, processed) [Envoy] Gancao (Licorice Root) [Minister]