论曰中 之病，令人闷绝者，热毒伤脏也。盖心脏神而恶热，若冒触暑毒，蕴蓄于五脏
，则阴阳不能升降，经络不得宣通，故奄然闷绝，然真脏未坏，救疗有方，得气宣通即苏，
亦不可待其自苏，又不可犯冷，若外犯冷，则与热气相拒，气愈不通而毙矣。
治热 欲死闷乱方
生地黄（洗捣取汁一盏）
上一味。旋旋灌之。
治中暑毒热 不省方
白面不拘多少
上一味。用热汤调二钱匕灌之。
治中热 不省方
大蒜（不拘多少去皮捣烂）
上一味。用新水调匀灌之。
治中热 不省方
上以泥周绕 人脐，使三四人溺其中，亦可屈革带，或扣漆碗底，或脱车 ，安着脐上
，令溺不使流去。然此谓路途无汤可用，乃令人溺取温，若有汤不必溺也。仲景云泥及车
，盖此物必冷。 人忌冷，若得热汤和泥，及火烧车 ，方可用也。
又方
上取生菖蒲，不拘多少，捣绞取汁，微温一盏灌之。
又方
上先掘地作坑，取蜜半盏倾坑中，以新汲水两盏投之，搅匀澄取浆一盏灌之。
又方
上以物斡开口，暖汤徐徐灌之，仍少举其头，令汤入腹即苏。
又方
上取生蓼不拘多少，用水浓煮，绞汁一二盏灌之。
治中热 死方
上取路上热尘土，以壅其心，冷复易，候气通乃止。
治热 欲死闷乱方
上以口嘘其心上，便捣地黄汁一盏灌之，仍灸两乳头各七壮。
治中热 垂死。陈橘皮汤方
陈橘皮（汤浸去白焙） 干姜（炮） 甘草（炙）
上三味各等分，粗捣筛，每服三钱匕，以水一盏，煎五七沸去滓，稍稍令咽，勿顿与之
，以苏为度。
治中 垂死。备急救生丸方
干姜（炮） 甘草（炙） 黄药子 板蓝根（各四两） 犀角（镑一两）
上五味。为细末，炼蜜丸如弹子大，每服一丸，热汤化服、立效。
治中热则精神冒闷。黄连散方
黄连（鸡爪者不拘多少去须）
上一味，为细散，每服二钱匕，浓煎灯心汤调下，得溲则愈。盖心恶热，苦入心，热传
小肠，则气下通，故得溲则愈，灯心通利小便故也。
治中暑 毒，闷乱昏沉。凝水石丸方
凝水石（瓶子内烧过如粉） 干姜（烧灰各一两） 甘草（炙三钱） 甜硝（半两）
上四味。捣罗为末，炼蜜丸如弹子大，每服一丸，生姜汤化下。
治中暑毒，闷乱不省人事。万金散方
硫黄（研） 蛤粉（各一两）
上二散。研为细末，每服一钱匕，新汲水调下。
治中 冒闷吐逆头痛，出冷汗。玉珠散方
硫黄（舶上者） 滑石（色白者） 凝水石（烧各一两）
上三味。捣研为散，每服二钱匕，艾汤调下。
论述说：中闷绝之病，使人突然昏厥不省人事的，是因为热毒损伤了内脏。心脏主神明而厌恶热邪，如果冒犯暑热毒气，蕴结蓄积在五脏之中，就会导致阴阳之气不能升降，经络不得宣通，因此突然昏厥不省人事。然而只要真脏之气未败坏，救治治疗有方法，一旦气机宣通即可苏醒，也不可等待其自行苏醒，更不可触犯冷物。如果外受寒冷，则与体内热气相互抗拒，气机更加不通畅而导致死亡。
治疗热闷欲死、烦乱不安的方剂：
生地黄（洗净捣碎取汁一盏）
以上一味药。缓缓灌服。
治疗中暑毒热、不省人事的方剂：
白面 不拘多少
以上一味药。用热水调成糊状，取二钱匕灌服。
治疗中热、不省人事的方剂：
大蒜（不拘多少，去皮捣烂）
以上一味药。用新汲水调匀灌服。
治疗中热、不省人事的方剂：
以上用泥土围绕人的肚脐周围，让三四个人在小便池中小便，也可以用弯曲的革带，或者扣住漆碗底，或者脱下的车轮，安置在肚脐上，让人小便其中，使尿液不要流走。然而这说的是路途上没有热水可用，才让人小便取温，如果有热水就不必用人尿了。张仲景说用泥土和车轮，大概是因为这些物体必然性冷。人忌讳冷，如果用热水调和泥土，以及用火加热车轮，才可以应用。
又一方：
以上取生石菖蒲，不拘多少，捣碎绞取汁液，微温后取一盏灌服。
又一方：
以上先挖掘地面做成坑，取蜂蜜半盏倒入坑中，加入新汲水两盏投入其中，搅拌均匀后澄清取浆液一盏灌服。
又一方：
以上用物品撬开患者的口，用温水徐徐灌服，同时稍微抬起其头部，令汤药进入腹部后即苏醒。
又一方：
以上取生蓼草不拘多少，用水浓煮，绞取汁液一二盏灌服。
治疗中热致死方的方剂：
以上取路上热的尘土，堆积在心胸部位，冷了再更换，等到气机通畅才停止。
治疗热闷欲死、烦乱不安的方剂：
以上用口向患者心部呵气，随即捣取地黄汁一盏灌服，并灸两侧乳头各七壮。
治疗中热垂死。陈橘皮汤方：
陈橘皮（热水浸泡去白瓤焙干） 干姜（炮制） 甘草（炙）
以上三味药各等分，粗捣筛过，每次服用三钱匕，用水一盏，煎煮五到七沸后去渣滓，慢慢让患者咽下，不要一次性给予，以苏醒为度。
治疗中热垂死。备急救生丸方：
干姜（炮制） 甘草（炙） 黄药子 板蓝根（各四两） 犀角（镑片一两）
以上五味药。研为细末，炼蜜制成如弹子大的丸药，每次服用一丸，用热水化开服下，立即见效。
治疗中热导致精神昏蒙烦闷。黄连散方：
黄连（鸡爪形者不拘多少，去须）
以上一味药，研为细散，每次服用二钱匕，用浓煎的灯心草汤调服，得到小便排出即痊愈。因为心脏厌恶热邪，苦味入心，热邪传至小肠，则气机向下通达，所以得到小便排出即愈，这是因为灯心草能通利小便的缘故。
治疗中暑毒，烦乱昏沉。凝水石丸方：
凝水石（在瓶子内烧过如粉末状） 干姜（烧成灰各一两） 甘草（炙三钱） 甜硝（半两）
以上四味药。捣罗为末，炼蜜制成如弹子大的丸药，每次服用一丸，用生姜汤化服。
治疗中暑毒，烦乱不省人事。万金散方：
硫黄（研细） 蛤粉（各一两）
以上两种药。研为细末，每次服用一钱匕，用新汲水调服。
治疗中热昏闷、呕吐逆气、头痛、出冷汗。玉珠散方：
硫黄（舶上来者） 滑石（色白者） 凝水石（烧过各一两）
以上三味药。捣研为散剂，每次服用二钱匕，用艾叶汤调服。
Commentary states: The disease of "Zhong Men Jue" (sudden collapse due to heat stroke), which causes sudden fainting and loss of consciousness, is caused by heat-toxin damaging the Zang organs. The Heart governs the Shen (Spirit) and dislikes heat. If one is exposed to summer-heat toxin, which accumulates within the Five Zang Organs, it prevents the ascending and descending of Yin and Yang Qi, and obstructs the unimpeded flow through the Meridians. Consequently, there is sudden collapse and unconsciousness. However, as long as the True Zang Qi has not been destroyed, there are methods for rescue and treatment; once Qi circulation is restored, the patient will regain consciousness. One must not wait for spontaneous recovery, nor should cold be introduced. If external cold is encountered, it will conflict with internal heat, causing Qi obstruction to worsen, leading to death.
Formula for treating severe heat-induced collapse, restlessness, and confusion:
Sheng Di Huang (Fresh Rehmanniae Radix, washed, pounded, and juice extracted, one cup).
Take the above single herb. Administer slowly by灌 (pouring into the mouth).
Formula for treating summer-heat toxin heat and unconsciousness:
Bai Mian (White Flour), any quantity.
Take the above single herb. Mix with hot water to form a paste, take two Qian Bi (approx. 6g) and administer.
Formula for treating Zhong Re (Heat Stroke) and unconsciousness:
Da Suan (Garlic Bulb), any quantity, peeled and pounded.
Take the above single herb. Mix with fresh well-water and administer.
Formula for treating Zhong Re (Heat Stroke) and unconsciousness:
Apply mud around the person's umbilicus. Have three or four persons urinate into it. Alternatively, use a curved leather belt, the bottom of a lacquer bowl, or a removed cart wheel placed over the umbilicus to collect urine without letting it flow away. This method applies when no hot water is available on the road, requiring urine to be warmed by body heat. If hot water is available, human urine is unnecessary. Zhang Zhongjing mentioned using mud and carts because these objects are naturally cold. Humans fear cold; therefore, if mud is mixed with hot water, or the cart wheel is heated by fire, they can be used.
Another formula:
Take Sheng Chang Pu (Fresh Acori Tatarinowii Rhizome), any quantity, pound and squeeze to extract juice. Warm slightly and administer one cup.
Another formula:
First dig a pit in the ground. Pour half a cup of honey into the pit. Add two cups of fresh well-water, stir evenly, let settle, and extract one cup of the clear liquid for administration.
Another formula:
Use an object to pry open the mouth. Slowly administer warm water. Slightly elevate the head so that upon swallowing, the patient regains consciousness.
Another formula:
Take Sheng Liao (Fresh Polygoni Orientalis Herba), any quantity. Boil strongly in water, squeeze out the juice, and administer one to two cups.
Formula for treating fatal Zhong Re (Heat Stroke):
Take hot dust from the road and pile it over the heart region. Replace when cool. Stop when Qi circulation resumes.
Formula for treating severe heat-induced collapse, restlessness, and confusion:
Blow air onto the patient's heart region. Then pound Sheng Di Huang (Fresh Rehmanniae Radix) to extract one cup of juice and administer. Moxibustion should be applied to both nipples, seven moxa cones each.
Formula for treating critical Zhong Re (Heat Stroke). Chen Ju Pi Tang (Aged Tangerine Peel Decoction):
Chen Ju Pi (Aged Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried) Gan Jiang (Dried Zingiberis Rhizoma, processed) Gan Cao (Licorice Root, honey-fried).
Take the above three herbs in equal parts. Coarsely crush and sieve. Each dose is three Qian Bi (approx. 9g). Add one cup of water, boil for five to seven boils, remove dregs. Allow the patient to swallow slowly, do not give all at once. Continue until the patient recovers.
Formula for treating critical Zhong Re (Heat Stroke). Bei Ji Jiu Sheng Wan (Emergency Rescue Pill):
Gan Jiang (Dried Zingiberis Rhizoma, processed) Gan Cao (Licorice Root, honey-fried) Huang Yao Zi (Dioscoreae Hypoglaucae Rhizoma) Ban Lan Gen (Isatidis Radix) Xi Jiao (Rhinocerotis Cornu, sliced).
The first four herbs are each four Liang (approx. 120g); Xi Jiao is one Liang (approx. 30g). Grind all into fine powder. Refine honey to make pills the size of a bullet. Each dose is one pill, dissolved in hot water and taken. Effect is immediate.
Formula for treating Zhong Re (Heat Stroke) causing mental cloudiness and oppression. Huang Lian San (Coptis Powder):
Huang Lian (Coptidis Rhizoma, chicken-claw shape preferred, any quantity, remove roots).
Grind the above single herb into fine powder. Each dose is two Qian Bi (approx. 6g). Take with thick decoction of Deng Xin Cao (Junci Medullae) prepared tea. Recovery occurs upon urination. This is because the Heart dislikes heat, bitter flavor enters the Heart, and heat transmitting to the Small Intestine allows Qi to descend. Thus, urination indicates recovery, as Deng Xin Cao promotes diuresis.
Formula for treating summer-heat toxin, restlessness, and lethargy. Ning Shui Shi Wan (Halloysitum Pill):
Ning Shui Shi (Halloysitum, calcined in a bottle until powdery) Gan Jiang (Dried Zingiberis Rhizoma, burned to ash, each one Liang) Gan Cao (Licorice Root, honey-fried, three Qian) Tian Xiao (Sal Nitri, half Liang).
Grind the above four herbs into powder. Refine honey to make pills the size of a bullet. Each dose is one pill, dissolved in Ginger Decoction.
Formula for treating summer-heat toxin, restlessness, and unconsciousness. Wan Jin San (Ten Thousand Gold Powder):
Liu Huang (Sulfur, ground) Ge Fen (Margarita Pulvis, each one Liang).
Grind the above two substances into fine powder. Each dose is one Qian Bi (approx. 3g). Take with fresh well-water.
Formula for treating Zhong Re (Heat Stroke) with coma, vomiting, headache, and cold sweat. Yu Zhu San (Jade Pearl Powder):
Liu Huang (Sulfur, imported) Hua Shi (Talcum, white color) Ning Shui Shi (Halloysitum, calcined, each one Liang).
Grind the above three herbs into powder. Each dose is two Qian Bi (approx. 6g). Take with Ai Ye Decoction (Artemisia Argyi Leaf Decoction).