冒暑者,偶然感冒暑邪,较伤暑之证,稍为轻浅耳。夫暑热之邪,初冒于肌表者,即有头晕、寒热、汗
出、咳嗽等证,宜以清凉涤暑法加杏仁、蒌壳治之。其证虽较伤暑为轻,然失治入里,此又不可以不知也。如
入于肉分者,则周身烦躁,头胀体烧,或身如针刺,或有赤肿等证,宜以祛暑解毒法治之。如入
于肠胃者,则有腹痛水泻,小便短赤,口渴欲饮,呕逆等证,宜以增损胃苓法佐黄连治之。然
冒暑之证,虽谓为轻,亦必须防微杜渐耳。
(即中 附∶暑厥)
洁古曰∶静而得之为中暑。东垣曰∶避暑乘凉得之者,名曰中暑。其实二说皆是阴暑之证,而无中字
情形,似不可以中暑名之。考中暑即系中 ,中 之证,可以不必另分。盖中暑忽然而发,如矢石之中人也,
不似伤暑初则寒热无汗,或壮热蒸汗之可比。是病忽然闷倒,昏不知人,躯热汗微,气喘不语,牙关微紧,亦
或口开,状若中风,但无口眼 斜之别,其脉洪濡,或滑而数。缘其人不辞劳苦,赤日中行,酷暑之气,鼓动
其痰,痰阻心包所致,宜清暑开痰法治之。如果手足厥冷,名曰暑厥,宜苏合香丸化开灌之,或以来复丹研末
白汤灌之,或以蒜水灌之,或剥蒜肉入鼻中,皆取其通窍也。俟其人事稍苏,继进却暑调元法为治。
冒暑,是指偶然感受暑邪,相较于伤暑的病证,病情较为轻浅。暑热之邪,初起侵犯肌表时,就会出现头晕、寒热往来、出汗、咳嗽等症状,适宜用清凉涤暑汤加杏仁、瓜蒌壳来治疗。虽然这种病证比伤暑轻,但如果失治导致病邪入里,这一点也是不可不知的。如果病邪侵入肌肉分肉之间,则会出现周身烦躁、头胀身体发热,或者身体感觉像针刺一样,或有红肿等症状,适宜用祛暑解毒法治疗。如果病邪侵入肠胃,则会出现腹痛水样腹泻、小便短少色赤、口渴想喝水、呕吐逆气等症状,适宜用增损胃苓汤佐以黄连治疗。然而冒暑的病证,虽然说是轻症,但也必须防微杜渐。
(即中暑 附:暑厥)
李东垣说:静处而得的是中暑。张元素说:避暑乘凉而得的,名叫中暑。其实这两种说法都是阴暑的病证,而没有“中”字的情形,似乎不可以称为中暑。考证中暑即是中暍,中暍的病证,可以不必另外区分。因为中暑是忽然发作的,就像被箭石射中一样,不像伤暑起初有寒热无汗,或高热蒸腾出汗的情况可比。这个病忽然使人昏倒,昏迷不省人事,躯干发热但汗出很少,气喘说不出话,牙关微微紧闭,或者口开,症状像中风,但没有口眼歪斜的区别,其脉象洪大濡软,或滑数。这是因为患者不辞劳苦,在烈日下行走,酷暑之气鼓动体内的痰湿,痰阻心包所致,适宜用清暑开痰法治疗。如果出现手足厥冷,名叫暑厥,适宜用苏合香丸化开后灌服,或者以来复丹研末用白开水灌服,或者用蒜水灌服,或者将蒜肉放入鼻中,这些都是为了取通窍的作用。等到病人稍微苏醒后,接着进服却暑调元汤进行治疗。
Mao Shu (Exposure to Summerheat) refers to the occasional contraction of summerheat pathogenic factors. Compared with the syndrome of Shang Shu (Damage by Summerheat), Mao Shu is relatively mild and superficial. When summerheat-warmth pathogens initially invade the muscle-surface, symptoms such as dizziness, alternating chills and fever, sweating, and coughing appear. It is appropriate to treat this with Qing Liang Di Shu Tang (Clearing and Cooling Summerheat Decoction) added with Xing Ren (Armeniacae Semen Amarum) and Lou Qiao (Benincasae Pericarpium). Although this syndrome is lighter than Shang Shu, one must be aware that if treatment is neglected and the pathogen enters the interior, serious consequences may follow. If the pathogen penetrates into the flesh layers, symptoms include general restlessness, head distension, body heat sensation, or a pricking pain throughout the body, possibly accompanied by redness and swelling. This should be treated with Qu Shu Jie Du Fa (Removing Summerheat and Detoxifying Method). If the pathogen enters the stomach and intestines, symptoms include abdominal pain with watery diarrhea, scanty dark urine, thirst with desire to drink, and vomiting or regurgitation. This is appropriately treated with Zeng Sun Wei Ling Fang (Modified Wei Ling Formula) assisted by Huang Lian (Coptidis Rhizoma). However, although Mao Shu is considered a mild condition, one must still guard against minor issues becoming major ones.
(That is, Zhong Shu [Struck by Summerheat] — Appendix: Shu Jue [Summerheat Syncope])
Li Dongyuan stated: "Obtained while at rest, it is called Zhong Shu." Zhang Yuansu stated: "Obtained while avoiding heat and enjoying coolness, it is named Zhong Shu." In fact, both descriptions refer to Yin Shu (Yin Summerheat) syndromes and lack the characteristics implied by the character "Zhong" (Strike/Hit), so they should not strictly be termed Zhong Shu. Research indicates that Zhong Shu is synonymous with Zhong Yue (Struck by Heatstroke); thus, the syndrome of Zhong Yue need not be separately classified. Zhong Shu occurs suddenly, like being struck by an arrow or stone, unlike Shang Shu which initially presents with chills, fever, and no sweat, or high fever with steaming sweat. This disease causes sudden fainting and unconsciousness; the body is hot with minimal sweating, there is panting and inability to speak, the jaw is slightly tight or possibly open. The presentation resembles Wind-Stroke but lacks facial deviation. The pulse is surging and soggy, or slippery and rapid. This occurs because the patient, enduring hardship, walks under the scorching sun; the intense summerheat stirs up phlegm within, causing phlegm to obstruct the Pericardium. It is appropriate to treat with Qing Shu Kai Tan Fa (Clearing Summerheat and Opening Phlegm Method). If cold limbs occur, it is named Shu Jue (Summerheat Syncope). It is appropriate to administer Su He Xiang Wan (Styrax Pill) dissolved and灌ed, or Lai Fu Dan (Reviving Pill) powdered and灌ed with plain water, or灌ed with garlic water, or inserting garlic flesh into the nostrils; all these methods aim to open the orifices. Once the patient regains slight consciousness, proceed with Que Shu Tiao Yuan Tang (Eliminating Summerheat and Regenerating Origin Decoction) for treatment.