脉虚身热伤暑病，暑入口齿心主应，大渴倦怠背恶寒，自汗毛松心烦闷，四肢微冷吐泻
兼，
之。
加上柴胡因热身，元气不足共参 ，呕加半夏须姜炒，渴用天花此最宜。小水不利或短
赤，泽泻山栀加入欤，或自汗兮或水泻，升麻白术总相宜。头痛川芎石膏好，痰闷栝蒌枳实
随，俱可益元散常服，热渴虚烦效更奇。（古香茹散，惟茹朴豆。后加连，后又加合君子，
名八味。加黄连、 、木瓜，名十味）
藿香正气散（见霍乱）
消暑丸 半夏（醋煮）一斤 甘草（生） 茯苓（去皮）各八两姜汁煮糊丸，如桐子大。
热汤五十丸，中暑药下即苏。伤暑发热头疼尤效。夏月常服止渴利小便，诸方概不及此，痰
饮停积，并用姜汤下。
水葫芦
治暑毒，解烦渴。
川百药煎三两 麦冬 乌梅肉 白梅肉 干葛 甘草各五钱 人参二钱面糊丸，如芡实
大。夏月出行，一丸可度一日。
余论
伤暑酷似伤寒，盖亦有头痛身热者，庸医以真伤治之，每致斑毒发黄，小便不通，闷乱
而死
紧者，用五积散主之（方见中寒）。若多食冷物，致伤脾胃，止用温脾消食，利小便药而已。
又调养法 夏月间居，恒用白术一钱五分，麦冬（去心）一钱。煎以代茶。或用人参、
麦冬、五味子，名生脉散。或用辰砂六一散，可以永无伤暑之恙。
一方 用不蛀皂角，不拘多少，刮去黑皮，烧烟将尽，用盆合于地上，勿令透烟，每灰
一两入甘草末六钱，和匀服一钱，新汲水调下。如气虚人，温浆水调下。昏迷不醒者，不过
两服。
注夏
阴虚不足元气亡，气虚血弱热因伤，脉无力者四肢倦，心烦食少脚郎当。好卧口干不长
肉，治用补中益气汤，参 甘草固元本，白术陈皮五味尝。黄柏升麻归养血，柴苓知母麦门
冬，盗汗须加浮小麦，便赤山栀与木通。头疼川芎并白芷，渴用天花粉乌梅。大便不实砂仁
好，嗽加白虎杏仁随，倘然泄泻加苍术，根据斯调理病无危。
补中益气汤（详内伤）
余论
注夏似无伤大体，不知因气虚而受病，因病而气益虚，忽而不治，身体由之伤矣。人人
恐犯，岁岁有之，故吾友特为歌括，余嘉其意，因不忍略。
脉象虚浮、身体发热，这是伤暑病。暑邪从口鼻进入，首先影响心脏（心主夏气）。患者表现为极度口渴、疲倦乏力、背部怕冷、自然出汗、毛发松散、心中烦躁闷乱，四肢轻微发凉并伴有呕吐腹泻，服用益元散（滑石、甘草、朱砂组成的方剂）即可治愈。如果加上柴胡以退热，再配合人参补益元气；若出现呕吐，需加入半夏并用姜汁炒制；若口渴严重，使用天花粉最为适宜。若小便不利或短少色赤，可加入泽泻和山栀。无论是自汗还是水样腹泻，升麻和白术总是适宜的。头痛可用川芎和石膏治疗，痰多胸闷则随证选用栝蒌和枳实。以上情况均可常服益元散，对于热、渴、虚、烦等症状疗效更为神奇。（古香茹散，最初只有香薷、厚朴、扁豆三味药。后来加入黄连，称为五味香薷饮；后又加入陈皮、大腹皮，名为八味香薷饮。再加入黄连、茯苓、木瓜，名为十味香薷饮。）
消暑丸：半夏（醋煮）一斤，甘草（生用）、茯苓（去皮）各八两。用姜汁煮成糊状制成丸药，大小如梧桐子。中暑时，用热汤送服五十丸，服药后患者即刻苏醒。对于伤暑引起的发热、头痛尤其有效。夏季常服可止渴、利小便，其他方剂大多不及此方。若有痰饮停积，均应用姜汤送服。
水葫芦（此处指一种草药或制剂名，非植物学意义上的水葫芦）
治疗暑毒，解除烦躁口渴。
川百药煎三两，麦冬、乌梅肉、白梅肉、干葛（葛根）、甘草各五钱，人参二钱。用面糊制成丸药，大小如芡实。夏季外出时，含服一丸可度过一天。
余论
伤暑症状酷似伤寒，也有头痛、身热的表现。庸医误用治疗真伤寒的方法（如强力发汗），往往导致斑疹毒发、发黄、小便不通、神志昏乱而死。若脉象紧束，应用五积散主治（方剂见中寒章节）。如果因多吃生冷食物，损伤脾胃，只需使用温脾消食、利小便的药物即可。
另外有调养方法：夏季居住期间，常用人术一钱五分，麦冬（去心）一钱。煎水代茶饮用。或者用人参、麦冬、五味子，名为生脉散。或者使用辰砂六一散，可以永远避免伤暑的病症。
一方：使用不蛀的皂角，数量不限，刮去黑皮，烧至烟将尽时，用盆扣在地上，不要漏烟。每取灰一两，加入甘草末六钱，混合均匀。每次服用一钱，用新汲取的凉水调下。如果是气虚的人，用温浆水调下。昏迷不醒的患者，不过两服即可见效。
注夏
阴虚不足，元气耗亡，气虚血弱，因热邪而受伤。脉象无力，四肢倦怠，心烦、食欲减退、双腿软弱无力。喜欢躺卧，口干，不长肌肉。治疗应使用补中益气汤。人参、甘草固护元气根本，白术、陈皮、五味子常用。黄柏、升麻、当归养血，柴胡、茯苓、知母、麦冬同用。盗汗须加浮小麦，小便赤涩加山栀与木通。头痛加川芎和白芷，口渴用天花粉和乌梅。大便不成形用好砂仁，咳嗽加杏仁随证处理，倘若泄泻加苍术，根据这些原则调理，疾病便无危险。
余论
注夏看似不伤大体，但不知这是因为气虚而受病，因病又使气更虚。如果忽视不治，身体就会因此受损。人人恐怕犯病，年年都有发生，所以我的朋友特意编写了歌诀，我赞赏他的心意，因此不忍心省略。
Pulse is deficient, body is hot; this is heatstroke (Shangshu). Summer-heat enters through the mouth and teeth, corresponding to the Heart (Zang organ governing summer). There is extreme thirst, fatigue, aversion to cold on the back, spontaneous sweating, loose hair, mental restlessness, slight coldness of the four limbs, vomiting, and diarrhea. Yi Yuan San (Benefit Origin Powder) cures it. If Chai Hu (Bupleuri Radix) is added for fever, and Renshen (Ginseng Radix et Rhizoma) is used together to tonify Yuan Qi (Primary Qi); if vomiting occurs, Banxia (Pinelliae Rhizoma) fried with ginger juice should be added; if thirst is severe, Tianhuafen (Trichosanthis Radix) is most suitable. If urination is difficult or scanty and red, Zexie (Alismatis Rhizoma) and Shanzhi (Gardeniae Fructus) can be added. Whether there is spontaneous sweating or watery diarrhea, Shengma (Cimicifugae Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) are always appropriate. For headache, Chuanxiong (Ligustici Chuanxiong Rhizoma) and Shigao (Gypsum Fibrosum) are good; for phlegm and chest oppression, Gualou (Trichosanthis Fructus) and Zhishi (Aurantii Fructus Immaturus) follow suit. All these conditions can be treated by frequently taking Yi Yuan San, which has miraculous effects on heat, thirst, deficiency, and irritability. (The ancient Xiangru San (Artemisiae Scopariae Herba Decoction) originally contained only Xiangru (Moslae Herba), Houpo (Magnoliae Officinalis Cortex), and Doudou (Sojae Semen Praeparatum). Later, Huanglian (Coptidis Rhizoma) was added. Then Chenpi (Citri Reticulatae Pericarpium) and Fupingzi (Trogopterori Faeces) were added, named Bawei (Eight Ingredients). Adding Huanglian, Fuling (Poria), and Mugua (Chaenomelis Fructus) makes it Shiwei (Ten Ingredients).)
Huoxiang Zhengqi San (see Cholera section)
Xiaoshu Wan (Summer-Heat Relieving Pill): Banxia (Pinelliae Rhizoma, boiled in vinegar) one jin, Gancao (Glycyrrhizae Radix et Rhizoma, raw), Fuling (Poria) each eight liang. Boil in ginger juice to make a paste, form pills the size of paulownia seeds. Take fifty pills with hot water when suffering from heatstroke; the patient will revive immediately. It is especially effective for heatstroke causing fever and headache. Taking it regularly in summer stops thirst and promotes urination; other formulas generally cannot compare. For retained fluid and phlegm, take with ginger decoction.
Shui Hulu (Water Gourd - herbal preparation name)
Treats summer-toxin, relieves irritability and thirst.
Chuan Bai Yao Jian (Fermented Tea Cake) three liang, Maidong (Ophiopogonis Radix), Wumei (Mume Fructus flesh), Bai Mei (White Plum) flesh, Gange (Puerariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) each five qian, Renshen (Ginseng Radix et Rhizoma) two qian. Make pills with flour paste, size of euryale seed. One pill taken during travel in summer lasts a day.
Additional Remarks
Heatstroke resembles Taiyang disease (Cold Damage), as both may present with headache and fever. Quack doctors treat it as true Cold Damage, often leading to toxic rashes, jaundice, urinary retention, delirium, and death. If the pulse is tight, use Wuji San (Five Accumulations Powder) as the main formula (see Cold Damage section). If excessive consumption of cold food damages the Spleen and Stomach, simply use herbs that warm the Spleen, digest food, and promote urination.
Another conditioning method: During summer residence, constantly use Baizhu (Atractylodis Macrocephalae Rhizoma) 1.5 qian and Maidong (Ophiopogonis Radix, heart removed) 1 qian. Decoct and drink as tea. Or use Renshen (Ginseng Radix et Rhizoma), Maidong (Ophiopogonis Radix), and Wuweizi (Schisandrae Chinensis Fructus), named Shengmai San (Generate Pulse Powder). Or use Chen Sha Liuyi San (Cinnabar Six-One Powder), which can permanently prevent heatstroke.
One Formula: Use non-worm-eaten Zaojiao (Gleditsiae Sinensis Spina), any amount. Scrape off black skin, burn until smoke is almost gone. Cover with a basin on the ground without letting smoke escape. For every one liang of ash, add six qian of Gancao (Glycyrrhizae Radix et Rhizoma) powder, mix well. Take one qian, mixed with fresh cool water. For people with Qi deficiency, mix with warm grain water. For those unconscious, two doses are sufficient.
Zhuxia (Summer Complaint / Seasonal Weakness)
Yin deficiency and insufficient Yuan Qi (Primary Qi) loss; Qi deficiency and Blood weakness caused by Heat. Pulse is powerless, four limbs are fatigued, mental irritability, poor appetite, legs feel weak. Likes lying down, dry mouth, fails to gain flesh. Treatment uses Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). Renshen (Ginseng Radix et Rhizoma) and Gancao (Glycyrrhizae Radix et Rhizoma) solidify the root of Yuan Qi; Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), and Wuweizi (Schisandrae Chinensis Fructus) are commonly used. Huangbai (Phellodendri Cortex), Shengma (Cimicifugae Rhizoma), Danggui (Angelicae Sinensis Radix) nourish Blood; Chai Hu (Bupleuri Radix), Fuling (Poria), Zhimu (Anemarrhenae Rhizoma), and Maidong (Ophiopogonis Radix) are used together. For night sweats, add Xiaomai (Tritici Fructus); for red urine, add Shanzhi (Gardeniae Fructus) and Mutong (Akebiae Caulis). For headache, add Chuanxiong (Ligustici Chuanxiong Rhizoma) and Baizhi (Angelicae Dahuricae Radix); for thirst, use Tianhuafen (Trichosanthis Radix) and Wumei (Mume Fructus). For loose stools, Shaoren (Amomi Fructus) is good; for cough, add Xingren (Prunus Armeniacae Semen) following the pattern; if diarrhea occurs, add Cangzhu (Atractylodis Rhizoma). Following these principles for regulation ensures no danger to the illness.
Buzhong Yiqi Tang (see Internal Injury section)
Additional Remarks
Zhuxia seems not to affect the major system, but one does not know that it is contracted due to Qi deficiency, and the illness further depletes Qi. If ignored and untreated, the body suffers. Everyone fears contracting it, and it happens year after year. Therefore, my friend specially composed a rhyme for it. I appreciate his intent and could not bear to omit it.