忽然手足搐挛，厉声呻吟，角弓反张，如中恶状，为暑风。亦有先病热后甚，渐成风者，谵语狂呼浪走，气力
百倍，此阳风也。治法以寒凉攻劫之，与阴风不同，皆宜解散化痰，不宜汗下，有日久而脾胃弱者，宜温补。
霖按∶暑风即痉也。痉甚则厥，近世虽严寒温之防，而取重于安宫、至宝、清营、紫雪之类，全是温病伏气，治
法与中暑之痉厥，究隔一间。经言先夏至为病温，后夏至为病暑，盖夏至阴生，太阴湿土用事，湿热火三气交蒸，合
而为暑，异乎春夏木火司令，触发伏气之温热也。夫暑邪由口鼻吸入，直逼血络，鼓动内风，风火盘旋，势不可遏，
此少阳相火，太阴湿土，厥阴风木，三气合邪，奔窜无常，故为痉为厥也。盖手少阳三焦相火，与手厥阴包络相
通，暑热之邪内袭，招引相火，火动风生，则肝木失养，故筋挛脉急，风煽火识，则包络受邪，故神识昏迷，身中
之气，随风火上炎，而有升无降，常度尽失，由是而形若尸厥矣，正《内经》所谓血之与气，并走于上，则为暴厥者是
也。外窜经络则成痉，内逼膻中则为厥，其治速宜熄风泄火，达络疏肝，急折其势，以平其暴，不令其煎熬胃液，甚
则用釜下抽薪法，以白头翁汤消息治之，直折其厥少之盛，待势稍衰，再议清通包络，渐进化痰养阴清湿之剂，
此正治也。更有暑邪热极，脉微而躁，肢冷肤冷，面赤气短，大汗不止而舌润，或手拘挛，瞀乱昏迷者，乃邪热逼
汗，为阳越之证，急宜参附加童便以回阳，俟苏后再以清暑养阴，以善其后。否则亡阳不救，然苟非脉微足冷，汗出
舌润，则仍是热证，误用参附即死。若无真知灼见，不可轻试，要亦不可不知也。
忽然出现手足抽搐挛急，大声呻吟，身体向后反折如弓状（角弓反张），症状如同被恶邪所中，这称为暑风。也有先患热病随后加重，逐渐演变成风证的，表现为胡言乱语、狂呼乱跑，力气比平时大百倍，这属于阳风。治疗方法应采用寒凉药物进行攻逐劫夺，这与阴风的治疗不同，两者都适宜采用解散表邪、化痰的方法，不宜使用发汗或泻下的疗法；如果病程日久导致脾胃虚弱，则适宜采用温补法。
霖按：暑风就是痉病。痉病严重时会出现厥逆。近代虽然重视用温热方法防治严寒引起的病症，但在治疗上更侧重于安宫牛黄丸、至宝丹、清营汤、紫雪丹这类方药，这些主要针对的是温病中的伏气致病，其治法与中暑引起的痉厥相比，终究是有区别的。《内经》说：“夏至之前发生的病称为温病，夏至之后发生的病称为暑病。”大概是因为夏至时阴气开始生长，太阴湿土主令，湿、火、热三气交蒸，合而为暑，这与春夏季节木火当令、触发伏气温热的情况不同。暑邪从口鼻吸入，直接逼迫血络，鼓动内风，风火盘旋，势头不可遏制，这是少阳相火、太阴湿土、厥阴风木三气合而为邪，奔窜无常，所以导致痉病和厥逆。手少阳三焦的相火与手厥阴心包络相通，暑热之邪内袭，招引相火，火动则风生，肝木失去滋养，所以筋脉拘挛、经脉紧急；风煽动火势，心包络受邪，所以神识昏迷；体内的气随着风火上炎，只有上升没有下降，正常的生理规律完全丧失，因此形体看起来像尸厥一样，这正是《内经》所说的“血与气并走于上，就会发生暴厥”。邪气外窜经络就形成痉病，内逼膻中就形成厥逆，治疗必须迅速熄风泄火，通达经络、疏理肝气，急切地折服病势，以平息暴烈之气，不让它煎熬胃液，严重时采用釜底抽薪的方法，根据情况使用白头翁汤治疗，直接折服厥少的盛势，待病势稍衰后，再议清通心包络，逐渐进服化痰、养阴、清湿的药剂，这是正治法。更有暑邪热极，脉象微细而躁动，四肢冰冷、皮肤寒冷，面色红赤、气短，大汗不止但舌面湿润，或者手部拘挛、神志昏乱者，这是邪热逼迫出汗，属于阳气外越的证候，急需用人参、附子配合童便来回阳救逆，等患者苏醒后，再用清暑养阴的药物善后。否则会导致亡阳而无法救治。然而，如果不是脉微、足冷、汗出、舌润的情况，则仍然是热证，误用人参、附子就会导致死亡。如果没有真知灼见，不可轻易尝试，但这点也是必须知道的。
Suddenly, the limbs undergo spasmodic convulsions and contracture, accompanied by loud groaning, opisthotonos (body bent backward like a bow), resembling the state of being struck by malignant evil; this is termed Summerheat Wind. There are also cases where heat disease precedes and worsens, gradually evolving into wind syndrome, characterized by delirious speech, manic shouting, and aimless running, with strength exceeding that of normal times by a hundredfold; this is Yang Wind. The treatment method involves using cold-natured drugs to attack and purge the pathogen, which differs from Yin Wind. Both types should be treated with methods that resolve the exterior and transform phlegm, avoiding sweating and purging therapies. If the disease persists for a long time leading to Spleen-Stomach deficiency, warm tonification is appropriate.
Lin's Commentary: Summerheat Wind is essentially Jing Syndrome (Spasm). When Jing Syndrome is severe, it leads to Jue Syndrome (Cold Extremities/Coma). In recent times, although there is emphasis on warming treatments for cold-induced conditions, greater importance is placed on formulas such as Angong Niuhuang Wan (Calculus Bovis Pill for Opening the Orifices), Zhibao Dan (Precious Treasure Pill), Qingying Tang (Clear the Nutritive Level Decoction), and Zixue San (Purple Snow Powder). These primarily address latent qi in Warm Diseases, and their treatment principles differ significantly from those for Spasm and Jue caused by Summerheat. The Classic states, "Diseases occurring before the Summer Solstice are called Warm diseases, while those occurring after are called Summerheat diseases." This is likely because at the Summer Solstice, Yin Qi begins to grow, and the Taiyin Damp Earth phase dominates. The interaction of Dampness, Fire, and Heat combines to form Summerheat, which differs from the Wood and Fire phases of Spring and Summer that trigger latent heat-warmth pathogens. Summerheat pathogenic factors enter through the mouth and nose, directly forcing the blood collaterals, stirring up internal wind. Wind and fire swirl together, creating an unstoppable momentum. This involves the combination of Shaoyang Ministerial Fire, Taiyin Damp Earth, and Jueyin Wind Wood. As these three pathogens rush erratically, they cause Spasm and Jue. The Hand-Shaoyang Sanjiao Ministerial Fire connects with the Hand-Jueyin Pericardium. When Summerheat-heat pathogens invade internally, they attract Ministerial Fire; when fire moves, wind arises, causing Liver Wood to lose nourishment, resulting in tendon contracture and vessel tension. When wind fans the flames, the Pericardium suffers evil, leading to mental confusion and coma. The body's Qi follows the wind and fire upward, rising without descending, losing its normal rhythm, thus appearing like Corpse Jue. This corresponds to what the Neijing describes: "When blood and Qi rush together to the upper part, sudden Jue occurs." External invasion of meridians results in Spasm, while internal pressure on the Danzhong (Chest) results in Jue. Treatment must quickly extinguish wind and drain fire, unblock collaterals, and soothe the Liver, urgently curbing the momentum to calm the violence, preventing the consumption of Stomach fluids. In severe cases, the method of "drawing firewood from under the cauldron" (treating the root cause) should be used, employing Baitouweng Tang (Pulsatilla Decoction) according to the situation to directly suppress the excess of Jue and Shao. Once the momentum subsides slightly, one should consider clearing and unblocking the Pericardium, gradually administering agents that transform phlegm, nourish Yin, and clear dampness. This is the standard treatment. Furthermore, if Summerheat pathogenic factors reach extreme heat, presenting with a faint yet restless pulse, cold limbs and skin, red face, shortness of breath, continuous profuse sweating but a moist tongue, or hand contracture and mental clouding/coma, this indicates that pathogenic heat is forcing sweat, constituting a syndrome of Yang floating outward. Urgent treatment with Renshen (Ginseng Root) and Fuzi (Prepared Aconite Root) combined with Tongbian (Child's Urine) is required to restore Yang. After recovery, Summerheat-clearing and Yin-nourishing agents should be used to conclude the treatment. Otherwise, Yang collapse will be incurable. However, if the symptoms do not include a faint pulse, cold feet, sweating, and a moist tongue, it remains a heat syndrome; misusing Renshen and Fuzi will lead to death. Without true insight, one must not experiment lightly, though this knowledge is essential.