有长夏五六月湿热之时。人困倦。四肢不收。精神短少。胸满短气。肢节疼痛。气促而喘。身
热而烦。或大便泄利而黄。或白泔色。或渴。或不渴。或不饮食。或小便频数而黄。治用清暑益气
汤。(方见前)
【五苓散】治中暑烦渴。身热头痛。霍乱吐泻。小便赤少。或饮水即吐。亦宜服之。
泽泻(二十五两) 白术(十五两) 赤茯苓(去皮。十五两) 猪苓(去皮。十五两
)
肉桂(去粗皮。十两)
上为细末。每服二钱。热汤调下。不拘时服。
【缩脾饮】解伏热。除烦渴。消暑毒。止吐利。霍乱之后。服热药太多致烦躁者。并宜服
之。
缩砂仁 干葛 乌梅肉 白扁豆(各二两)
草果(煨。去壳) 甘草(炙。各四两)
上 咀。每服五钱。水二盏。煎至一盏。不拘时。任意代熟水饮之。极妙。
【枇杷叶散】治中暑伏热。引饮太过。脾胃伤冷。饮食不化。胸膈痞闷。呕哕恶心。头目
昏眩。口干烦渴。肢体
困倦。全不思食。或阴阳不和。致成霍乱。吐利转筋。烦躁引饮。
枇杷叶(去毛。炙半两) 香薷(三分) 白茅根 麦门冬(各一两。去心)
丁香 甘草(炙) 干木瓜(各一两) 陈皮(去白焙。半两)
浓朴(去皮。姜汁炙。各半两)
上为末。每服二钱。温水调下。烦躁用新汲水调下。不拘时服。小儿亦可服。量岁数减少与之
。
【桂苓甘露饮】治伏暑引饮过度。肚腹膨胀。霍乱泻利。并皆治之。
白术 猪苓(去皮) 白茯苓(去皮) 滑石(研。各二两)
甘草(炙) 寒水石(研) 泽泻(各一两) 肉桂(去皮。半两)
上为末。每服三钱。热汤或冷水调下。不拘时服。入蜜少许亦好。
【黄连香薷汤】治伏暑引饮。口燥咽干。或吐或泻。及治脏腑冷热不调。饮食不节。或食
腥脍生冷过度。或起居不节。或露卧湿地。或当风取凉。而风冷之气。归于三焦。传于脾胃。脾胃
得冷。不能消化水谷。致令真邪相干。肠胃虚弱。饮食变乱于肠胃之间。便致吐利。心腹疼痛。霍
乱气逆。有心痛而先吐者。有腹痛而先利者。有吐利俱发者。有发热头痛体疼。而复吐利虚烦者。
或但吐利心腹刺痛者。或转筋拘急疼痛。或但呕而无物出。或四肢逆冷而脉欲绝。或烦闷昏塞而欲
死者。此药悉能主之。
黄连(四两) 香薷(一斤) 白扁豆(微炒。半斤) 浓朴(去皮。姜汁炙熟。半
斤)
上 咀。每服五钱。水二盏。入酒少许。煎至一盏。沉冷。不拘时服。
【消暑十全饮】消暑气。进饮食。
人参 浓朴(姜制) 白术 香薷
木瓜 白扁豆 黄 陈皮
白茯苓 甘草(各等分)
上 咀。每服五钱。水二盏。生姜三片。煎至一盏。不拘时服。
【六和汤】治心脾不调。气不升降。霍乱轻筋。呕吐泄泻。寒热交作。痰喘咳嗽。胸膈痞
满。头目昏痛。肢体浮肿。嗜卧怠惰。小便赤涩。并伤寒阴阳不分。冒暑伏热、烦闷。或成痢疾。
中酒烦渴。畏食。妇人胎前产后。并宜服之。
半夏 杏仁 缩砂仁 人参
甘草(各一两) 赤茯苓 藿香 木瓜
白扁豆(各二两) 香薷 浓朴(各四两)
上 咀。每服五钱。水二盏。生姜三片。枣一枚。煎至一盏。不拘时服。
【大顺散】治冒暑伏热。引饮过多。脾胃受湿。水谷不分。清浊相干。阴阳气逆。霍乱呕
吐。脏腑不调。
甘草(三斤) 干姜(四斤) 杏仁(去皮尖炒。四斤) 肉桂(去粗皮。四斤)
上为末。每服三钱。白汤调下。不拘时服。
【益元散】治中暑身热。小便不利。此药性凉。除胃脘积热。
滑石(六两) 甘草(一两)
上为细末。每服三钱。用热汤或冷水调下。如欲发汗。以葱白、豆豉调汤下。不拘时服。
在长夏五、六月湿热交蒸的时节,人们常感到困倦乏力,四肢松弛无力,精神萎靡不振,胸部胀满且呼吸短促,肢体关节疼痛,气急而喘息,身体发热并伴有烦躁感。或者出现大便泄泻且颜色发黄,或呈白色米泔水样;或者口渴,或不渴;或者不想进食;或者小便频数且颜色黄。治疗应使用清暑益气汤。(方剂见前文)
【五苓散】主治中暑引起的烦渴,身体发热、头痛,霍乱导致的呕吐泄泻,小便赤红且量少,或者喝水后立即呕吐的情况,也适宜服用此方。
泽泻(二十五两) 白术(十五两) 赤茯苓(去皮,十五两) 猪苓(去皮,十五两)
肉桂(去除粗皮,十两)
将上述药材研成细末,每次服用二钱,用热开水调服,不限时间服用。
【缩脾饮】用于解除潜伏的热邪,消除烦渴,消暑毒,止住呕吐和泄泻。对于霍乱之后,因服用过多热性药物而导致烦躁的人,都适宜服用。
缩砂仁 干葛根 乌梅肉 白扁豆(各二两)
草果(煨制,去壳) 甘草(炙制,各四两)
将药材切碎,每次服用五钱,加水两盏,煎煮至一盏,不限时间,随意代替熟水饮用,效果极佳。
【枇杷叶散】主治中暑潜伏热邪,饮水过多导致脾胃受寒,饮食不消化,胸膈部痞闷堵塞,恶心呕吐,头晕目眩,口干烦渴,肢体困倦,完全不想吃东西。或者因阴阳不和,导致霍乱,出现呕吐泄泻、转筋(肌肉痉挛)、烦躁引饮等症状。
枇杷叶(去毛,炙制半两) 香薷(三分) 白茅根 麦门冬(各一两,去心)
丁香 甘草(炙制) 干木瓜(各一两) 陈皮(去白焙干,半两)
厚朴(去皮,姜汁炙制,各半两)
将药材研成粉末,每次服用二钱,用温水调服。若烦躁不安,可用新汲凉水调服,不限时间服用。小儿也可以服用,需根据年龄减少剂量给予。
【桂苓甘露饮】主治伏暑导致饮水过度,腹部膨胀,霍乱泄泻,均能治疗。
白术 猪苓(去皮) 白茯苓(去皮) 滑石(研碎,各二两)
甘草(炙制) 寒水石(研碎) 泽泻(各一两) 肉桂(去皮,半两)
将药材研成粉末,每次服用三钱,用热开水或冷水调服,不限时间服用。加入少许蜂蜜也很好。
【黄连香薷汤】主治伏暑导致饮水,口燥咽干,或者呕吐或者泄泻。以及治疗脏腑冷热不调,饮食不节制,或者食用过多腥腻生冷食物,或者起居无节制,或者露天睡在潮湿地方,或者对着风取凉,导致风寒之气归于三焦,传入脾胃。脾胃受冷,不能消化水谷,致使正气与邪气相干扰,肠胃虚弱,饮食在肠胃之间变乱,从而导致呕吐泄泻,心腹疼痛,霍乱气逆。有的心痛先吐,有的腹痛先泻,有的吐泻同时发作,有的发热头痛身痛,继而吐泻虚烦。或者只是吐泻伴有心腹刺痛,或者转筋拘急疼痛,或者只呕吐而无物吐出,或者四肢厥冷而脉搏微弱欲绝,或者烦闷昏塞几乎要死亡。此药都能主治。
黄连(四两) 香薷(一斤) 白扁豆(微炒,半斤) 厚朴(去皮,姜汁炙熟,半斤)
将药材切碎,每次服用五钱,加水两盏,加入少许酒,煎煮至一盏,放凉后不拘时间服用。
【消暑十全饮】清除暑气,增进食欲。
人参 厚朴(姜制) 白术 香薷
木瓜 白扁豆 黄芪 陈皮
白茯苓 甘草(各等分)
将药材切碎,每次服用五钱,加水两盏,生姜三片,煎煮至一盏,不拘时间服用。
【六和汤】主治心脾不调,气机升降失常,霍乱轻症筋脉不适,呕吐泄泻,寒热交替发作,痰喘咳嗽,胸膈痞满,头目昏痛,肢体浮肿,嗜睡怠惰,小便赤涩。以及伤寒导致阴阳不分,冒暑伏热、烦闷,或者形成痢疾,饮酒后烦渴,畏食。妇女怀孕前后及产后,都适宜服用。
半夏 杏仁 缩砂仁 人参
甘草(各一两) 赤茯苓 藿香 木瓜
白扁豆(各二两) 香薷 厚朴(各四两)
将药材切碎,每次服用五钱,加水两盏,生姜三片,大枣一枚,煎煮至一盏,不拘时间服用。
【大顺散】主治冒暑伏热,饮水过多,脾胃受湿,水谷不分,清浊相干扰,阴阳之气逆乱,霍乱呕吐,脏腑不调。
甘草(三斤) 干姜(四斤) 杏仁(去皮尖炒,四斤) 肉桂(去粗皮,四斤)
将药材研成粉末,每次服用三钱,用白开水调服,不拘时间服用。
【益元散】主治中暑身体发热,小便不利。此药性质凉,可清除胃脘部的积热。
滑石(六两) 甘草(一两)
将药材研成细末,每次服用三钱,用热开水或冷水调服。如果想要发汗,可用葱白、豆豉调汤送下,不拘时间服用。
During the humid and hot period of mid-summer (the fifth and sixth lunar months), people often feel fatigued and lethargic, with limbs that are flaccid and weak, lacking spirit and energy. They may experience chest fullness and shortness of breath, pain in the joints, rapid breathing accompanied by asthma, fever with irritability. Alternatively, they may suffer from diarrhea with yellow stools, or stools resembling rice wash water; thirst or no thirst; loss of appetite; or frequent urination with yellow urine. The treatment should employ Qing Shu Yi Qi Tang (Clear Summerheat and Boost Qi Decoction). (Formula see previous section)
[Wu Ling San (Five-Ling Powder)] Indicated for summerheat stroke causing irritability and thirst, fever with headache, cholera-like vomiting and diarrhea, red and scanty urine, or immediate vomiting after drinking water. It is also suitable for these conditions.
Alisma Rhizoma (Zexie, 泽泻) - 25 liang
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) - 15 liang
Poria Cocos (Chifuling, 赤茯苓) - 15 liang (peeled)
Polyporus (Zhuling, 猪苓) - 15 liang (peeled)
Cinnamomi Cortex (Rougui, 肉桂) - 10 liang (coarse bark removed)
Grind the above herbs into a fine powder. Take 2 qian per dose, mixed with hot boiled water. Take at any time.
[Suo Pi Yin (Spleen-Shrinking Drink)] Used to resolve latent heat, relieve irritability and thirst, clear summerheat toxicity, and stop vomiting and diarrhea. It is suitable for cases following cholera where excessive intake of warm/hot medicines has led to irritability.
Amomi Fructus (Suosharen, 缩砂仁)
Puerariae Radix (Gange, 干葛)
Mume Fructus (Wumei, 乌梅肉)
Dolichos Lablab Seed (Baibiandou, 白扁豆) - 2 liang each
Tsaoko Cardamomum Fructus (Caoguo, 草果) - roasted, husked
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - honey-fried, 4 liang each
Cut the herbs into small pieces. Take 5 qian per dose, add two zhan of water, decoct to one zhan. Take at any time, replacing regular drinking water. This is extremely effective.
[Pipa Ye San (Loquat Leaf Powder)] Indicated for latent summerheat due to summerheat stroke, excessive drinking leading to cold injury of the Spleen and Stomach, indigestion, chest and diaphragm stuffiness, nausea and vomiting, dizziness, dry mouth with irritability and thirst, limb fatigue, complete anorexia. Or due to disharmony of Yin and Yang causing cholera, with vomiting, diarrhea, muscle cramps (zhuanjin), irritability, and excessive thirst.
Loquat Leaf (Pi Pa Ye, 枇杷叶) - half liang (de-haired, fried)
Moslae Herba (Xiangru, 香薷) - 3 fen
Imperatae Rhizoma (Baimaogen, 白茅根)
Ophiopogonis Tuber (Maidong, 麦门冬) - 1 liang each (heart removed)
Syzygii Arillatus Flos (Dingxiang, 丁香)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - fried
Dried Chaenomelis Fructum (Gan Mugua, 干木瓜) - 1 liang each
Citri Reticulatae Pericarpium (Chenpi, 陈皮) - half liang (white pith removed, baked)
Magnoliae Officinalis Cortex (Houpo, 浓朴) - half liang each (bark removed, ginger juice fried)
Grind into powder. Take 2 qian per dose, mixed with warm water. For irritability, mix with fresh cool water. Take at any time. Children may also take it, adjusting the dose according to age.
[Gui Ling Gan Lu Yin (Cinnamon Twig, Poria, and Cold Water Stone Drink)] Indicated for latent summerheat causing excessive drinking, abdominal distension, cholera, and diarrhea. It treats all these conditions.
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Polyporus (Zhuling, 猪苓) - peeled
Poria Cocos (Baifuling, 白茯苓) - peeled
Talcum (Huashi, 滑石) - ground, 2 liang each
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - fried
Metalli Gypsum Fibrosum (Hanshuishi, 寒水石) - ground
Alisma Rhizoma (Zexie, 泽泻) - 1 liang each
Cinnamomi Cortex (Rougui, 肉桂) - half liang (bark removed)
Grind into powder. Take 3 qian per dose, mixed with hot water or cold water. Take at any time. Adding a little honey is also good.
[Huang Lian Xiang Ru Tang (Coptis and Mosla Decoction)] Indicated for latent summerheat with drinking, dry mouth and throat, vomiting or diarrhea. Also treats disharmony of cold and heat in the Zang-Fu organs, irregular diet, excessive consumption of raw/cold or greasy foods, irregular lifestyle, sleeping on damp ground, or seeking coolness in the wind. This causes wind-cold qi to return to the San Jiao (Triple Burner) and transmit to the Spleen and Stomach. The Spleen and Stomach become cold and fail to digest food and fluids, leading to conflict between healthy qi and pathogenic factors, weakness of the intestines and stomach, and chaotic digestion within the gut, resulting in vomiting and diarrhea, heart and abdominal pain, cholera with rebellious qi. Cases may include heart pain preceding vomiting, abdominal pain preceding diarrhea, simultaneous vomiting and diarrhea, fever with headache and body ache followed by vomiting/diarrhea and deficiency irritability. Or only vomiting/diarrhea with stabbing heart/abdominal pain, muscle cramps and painful stiffness, only vomiting without expulsion, cold extremities with faint pulse, or severe irritability and stupor nearing death. This medicine can treat all such conditions.
Coptidis Rhizoma (Huanglian, 黄连) - 4 liang
Moslae Herba (Xiangru, 香薷) - 1 jin
Dolichos Lablab Seed (Baibiandou, 白扁豆) - lightly stir-fried, half jin
Magnoliae Officinalis Cortex (Houpo, 浓朴) - half jin (bark removed, ginger juice fried until cooked)
Cut into pieces. Take 5 qian per dose, add two zhan of water and a little wine, decoct to one zhan. Cool down completely. Take at any time.
[Xiao Shi Shi Quan Yin (Summerheat-Relieving Ten-Perfection Drink)] Clears summerheat qi, promotes appetite.
Ginseng Radix et Rhizoma (Renshen, 人参)
Magnoliae Officinalis Cortex (Houpo, 浓朴) - ginger processed
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Moslae Herba (Xiangru, 香薷)
Chaenomelis Fructum (Mugua, 木瓜)
Dolichos Lablab Seed (Baibiandou, 白扁豆)
Astragali Radix (Huangqi, 黄芪)
Citri Reticulatae Pericarpium (Chenpi, 陈皮)
Poria Cocos (Baifuling, 白茯苓)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - equal parts
Cut into pieces. Take 5 qian per dose, add two zhan of water and three slices of fresh ginger, decoct to one zhan. Take at any time.
[Liu He Tang (Six-Harmony Decoction)] Treats disharmony between Heart and Spleen, failure of Qi ascending and descending, mild cholera with tendon issues, vomiting and diarrhea, alternating chills and fever, phlegm-wheezing and cough, chest and diaphragm fullness, dizziness and headache, limb edema, lethargy and laziness, red and difficult urination. Also treats Taiyang disease with indistinct Yin and Yang, summerheat invasion with latent heat and irritability, or progression to dysentery, alcohol-induced irritability and thirst, aversion to eating. Suitable for women before and after childbirth.
Pinelliae Rhizoma Preparatum (Banxia, 半夏)
Prunus Armeniaca Semen (Xingren, 杏仁)
Amomi Fructus (Suosharen, 缩砂仁)
Ginseng Radix et Rhizoma (Renshen, 人参)
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - 1 liang each
Poria Cocos (Chifuling, 赤茯苓)
Agastaches Herba (Huoxiang, 藿香)
Chaenomelis Fructum (Mugua, 木瓜)
Dolichos Lablab Seed (Baibiandou, 白扁豆) - 2 liang each
Moslae Herba (Xiangru, 香薷)
Magnoliae Officinalis Cortex (Houpo, 浓朴) - 4 liang each
Cut into pieces. Take 5 qian per dose, add two zhan of water, three slices of fresh ginger, and one jujube, decoct to one zhan. Take at any time.
[Da Shun San (Great Harmony Powder)] Treats summerheat invasion with latent heat, excessive drinking, dampness affecting the Spleen and Stomach, inability to separate clear and turbid fluids, conflict between clear and turbid, rebellion of Yin and Yang Qi, cholera with vomiting, and disharmony of Zang-Fu organs.
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - 3 jin
Zingiberis Rhizoma Recens (Shengjiang, 干姜 - note: text says Gan Jiang/Dried Ginger) - 4 jin
Prunus Armeniaca Semen (Xingren, 杏仁) - peeled, tips removed, fried, 4 jin
Cinnamomi Cortex (Rougui, 肉桂) - 4 jin (coarse bark removed)
Grind into powder. Take 3 qian per dose, mixed with plain boiled water. Take at any time.
[Yi Yuan San (Benefit Primordial Powder)] Treats summerheat stroke with fever and difficult urination. This medicine is cooling in nature and clears accumulated heat in the epigastrium.
Talcum (Huashi, 滑石) - 6 liang
Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) - 1 liang
Grind into a fine powder. Take 3 qian per dose, mixed with hot water or cold water. If sweating is desired, mix with decoction of Allii Fistulosi Bulbus (Congbai) and Fermented Soybean (Douchi). Take at any time.