其证身热头痛，微寒拘急，舌燥生苔，前板齿燥，大渴烦躁，乃热伤膀胱经也。
主方 石膏（二钱） 知母（一钱） 人参（五分） 麦冬 香薷 栀子 芍药 茯苓 白
术扁豆（各一钱） 陈皮（八分） 甘草（五分）上加乌梅（一个），莲肉（七个），水煎服。
腹痛、胸满、吐泻忌石膏。
因火热之气克制肺金，不能平木，搐搦卒倒，不省人事，名曰暑风。亦有因痰火气郁而倒者，
宜吐痰（法见中风）清火。
主方 羌活（二钱） 黄连（姜炒，一钱） 香薷（一钱） 扁豆 浓朴 陈皮 茯苓（各八分）
水煎服。痰加南星、半夏；气加枳壳、桔梗。
夏初头眩身倦，五心烦热，神昏多睡，口苦舌干，饮食减少，胸膈不利，脉数无力。乃阴虚血少，元气不足。
主方 人参（五分） 白术 茯苓 当归 白芍 熟地 麦冬（各一钱） 黄柏（酒炒）
知母 陈皮（各七分） 甘草（三分） 五味子（十粒） 上加枣二枚、乌梅一个，水煎服。
少食、呕吐加藿香、砂仁、白蔻，去当、芍、地、柏、知；泄泻加山药、泽泻，去当、柏等；
行动无力加牛膝、杜仲；有汗、少睡加黄 、枣仁。煎成，调朱砂一钱服。
（附∶身重）
经曰∶诸湿肿满，皆属脾土。又曰∶湿胜则濡泄。又曰∶地之湿气，感则害人皮肉筋骨。盖湿
气侵人，有从外入，有自内生。外入者，感山岚之瘴气，受阴雨之湿润，江海地卑，居处泥地，履
之则湿气客于腠理，渗走皮肤，泛溢经络。致头痛目眩，自汗拘急，骨节酸疼，四肢困倦，其脉浮
缓。治宜渗湿为主，而略兼发散。内生者，酒醪浓味，瓜果生冷，湿面乳酪，多饮汤液，留积于胃
，脾土虚弱，土不制水，浸渍肌肉。致面目浮肿，胸满喘急，大便溏泄，小便短涩，腿膝 肿，其
脉沉缓，治宜理脾为主而兼利水。所谓治湿不利小便，非其治也。
主方 （治外感） 苍术 紫苏 羌活 干葛 防风 川芎 本 柴胡（各八分） 升麻
甘草（各三分） 上加生姜三片，黑枣一枚，水煎服。微散外邪。有内邪，后参用。
利水实脾汤 治湿由内生，通利小便。
苍术 白术 茯苓 陈皮 猪苓 泽泻 滑石 香附 抚芎 浓朴 砂仁（各八分） 甘草（三分）
上加生姜三片，灯心二十枝，水煎，食前服。发肿、气急加腹皮、枳壳、苏子、桑皮、萝卜子
，去白术、甘草；面目虚浮加山药、芍药，去抚芎。实人先以神佑丸下之（方见痰门。）
二术四苓汤 治诸湿肿满，一身尽痛，发热烦闷，二便不利。
白术 苍术 茯苓 猪苓 泽泻 羌活 芍药 栀子（各等分） 甘草（减半）
上加姜三片，灯心二十枝，水煎服。
除湿汤 治中湿身体重着，腰腿酸疼，大便溏，小便或涩或利。
苍术 半夏曲 浓朴 茯苓（各钱半） 陈皮（七分） 藿香 炙甘草（各五分）
上加姜七片、枣二枚，水二盏，煎八分，食远服。
羌活胜湿汤 治脊痛项强，腰如折，项如拔，上冲头痛，乃足太阳经不行，此药主之。
羌活 独活（各二钱） 本 防风（各钱半） 蔓荆子 川芎 炙甘草（各四分）
上水二盏，煎八分，食后温服。
渗湿汤 治坐卧湿地，雨露所袭，身重脚弱，关节疼痛，发热恶寒，小便不利，大便溏泄等证。
人参 白术 茯苓 甘草 附子（炮） 干姜（炮） 桂枝 芍药（等分）
上加姜三片、枣一枚，水煎，不拘时服。
简便方 感湿鼻塞，脑痛黄肿。
甜瓜蒂为末，口含水，吹三分入鼻中，流出黄水，效。
又方 治一切风湿痹，四肢拘急疼痛。
苍耳子去刺为末，三两，水二钟半，煮二钟，去渣呷服。
又 治风湿。
樟木皮屑 煎水洗。
又 小便不利。
茵陈蒿、木通煎服。
又方 煮赤小豆连汁吃，一日勿饮食，效。
又方 寒湿疼痛，用姜汁半碗，米醋一盏，水胶四两熬稠，用肉桂、花椒、皂角末各一两，搅成
膏，绢布摊贴患处，包暖烘热痛止。
其症状表现为身体发热、头痛，轻微恶寒且肢体拘急不舒，舌面干燥并生有苔垢，前门牙齿燥，极度口渴伴烦躁不安，这是热邪损伤膀胱经所致。
主方：石膏（二钱）、知母（一钱）、人参（五分）、麦冬、香薷、栀子、芍药、茯苓、白术、扁豆（各一钱）、陈皮（八分）、甘草（五分），上方加入乌梅（一个）、莲肉（七个），加水煎煮后服用。
若出现腹痛、胸中胀满、呕吐腹泻者，忌用石膏。
因火热之气克制肺金，导致无法平抑肝木，从而出现抽搐痉挛、突然昏倒、不省人事的症状，名为暑风。也有因痰火气郁而突然昏倒的，应当采用催吐法祛除痰涎（方法见中风章节）以清泻火邪。
主方：羌活（二钱）、黄连（姜炒，一钱）、香薷（一钱）、扁豆、厚朴、陈皮、茯苓（各八分），加水煎煮后服用。若有痰，加天南星、半夏；若气滞，加枳壳、桔梗。
夏初时节出现头晕目眩、身体疲倦，五心烦热，神志昏蒙嗜睡，口苦舌干，饮食减少，胸膈部不适，脉象数而无力。这是阴虚血少、元气不足所致。
主方：人参（五分）、白术、茯苓、当归、白芍、熟地黄、麦冬（各一钱）、黄柏（酒炒）、知母、陈皮（各七分）、甘草（三分）、五味子（十粒），上方加入大枣二枚、乌梅一个，加水煎煮后服用。
若食欲不振、呕吐，加藿香、砂仁、白豆蔻，去掉当归、白芍、熟地黄、黄柏、知母；若泄泻，加山药、泽泻，去掉当归、黄柏等；若行动无力，加牛膝、杜仲；若多汗、睡眠少，加黄芪、酸枣仁。煎好后，调入朱砂一钱服用。
（附注：身体沉重）
经典记载：“各种湿邪导致的肿胀和腹部胀满，都归属于脾土。”又说：“湿气过盛则导致濡泄（大便稀溏）。”还说：“地面的湿气，侵袭人体则伤害皮肉筋骨。”大概湿气侵入人体，有从外部进入的，也有从内部产生的。从外进入的，是感受山间瘴气，遭受阴雨湿润，或居住在海边低洼之地、泥地之中，踩踏时湿气客居于腠理，渗透皮肤，泛溢于经络。导致头痛目眩，自汗出且肢体拘急，骨节酸痛，四肢困倦，脉象浮缓。治疗应以渗湿为主，略微兼用发散之法。从内部产生的，是因饮酒、浓味食物、瓜果生冷、湿面乳酪，以及过多饮用汤液，留积在胃中，加上脾土虚弱，土不能制水，浸渍肌肉。导致面目浮肿，胸中胀满气喘急促，大便溏泄，小便短少涩滞，腿膝肿胀，脉象沉缓，治疗应以调理脾土为主，兼以利水。所谓治疗湿病如果不通利小便，就不是正确的治疗方法。
主方（治疗外感湿邪）：苍术、紫苏、羌活、干葛、防风、川芎、藁本、柴胡（各八分）、升麻、甘草（各三分），上方加入生姜三片、黑枣一枚，加水煎煮后服用。微微发散外邪。若有内邪，随后参考使用。
利水实脾汤：治疗湿气由内生，通利小便。
苍术、白术、茯苓、陈皮、猪苓、泽泻、滑石、香附、抚芎、厚朴、砂仁（各八分）、甘草（三分），上方加入生姜三片、灯心草二十枝，加水煎煮，饭前服用。若发肿、气急，加腹皮、枳壳、苏子、桑白皮、萝卜子，去掉白术、甘草；若面目虚浮，加山药、芍药，去掉抚芎。体质壮实者先用神佑丸攻下（方剂见痰门章节）。
二术四苓汤：治疗各种湿邪导致的肿胀胀满，全身疼痛，发热烦闷，大小便不利。
白术、苍术、茯苓、猪苓、泽泻、羌活、芍药、栀子（各等分）、甘草（减半），上方加入生姜三片、灯心草二十枝，加水煎煮后服用。
除湿汤：治疗中湿导致身体沉重，腰腿酸痛，大便溏薄，小便或涩滞或通畅。
苍术、半夏曲、厚朴、茯苓（各一钱半）、陈皮（七分）、藿香、炙甘草（各五分），上方加入生姜七片、大枣二枚，水两盏，煎至八分，饭后远服。
羌活胜湿汤：治疗脊痛项强，腰部像折断一样，颈部像被拔起一样，向上冲逆头痛，这是足太阳经气血运行不畅所致，此药主治。
羌活、独活（各二钱）、藁本、防风（各一钱半）、蔓荆子、川芎、炙甘草（各四分），以上药材用水两盏，煎至八分，饭后温服。
渗湿汤：治疗坐卧湿地，受雨露侵袭，身体沉重脚弱，关节疼痛，发热恶寒，小便不利，大便溏泄等症状。
人参、白术、茯苓、甘草、附子（炮制）、干姜（炮制）、桂枝、芍药（等分），上方加入生姜三片、大枣一枚，加水煎煮，不拘时间服用。
简便方：感受湿邪导致鼻塞，脑痛黄肿。
甜瓜蒂研为粉末，口中含水，吹入三分到鼻中，流出黄水，有效。
又一方：治疗一切风湿痹症，四肢拘急疼痛。
苍耳子去刺研为粉末，三两，水二钟半，煮至二钟，去渣慢慢服用。
又一方：治疗风湿。
樟木皮屑煎水清洗。
又一方：小便不利。
茵陈蒿、木通煎服。
又一方：煮赤小豆连汁吃，一天不要进食其他食物，有效。
又一方：寒湿疼痛，用姜汁半碗，米醋一盏，水胶四两熬稠，加入肉桂、花椒、皂角末各一两，搅拌成膏，用绢布摊贴患处，包裹保暖烘热则疼痛停止。
The symptoms present as feverish body, headache, slight aversion to cold with limb stiffness and tension, dry tongue with coating, dryness of the anterior teeth, extreme thirst accompanied by irritability. This is caused by heat pathogen damaging the Bladder Meridian (Taiyang channel).
Main Formula: Shigao (Gypsum Fibrosum, 2 qian), Zhimu (Anemarrhenae Rhizoma, 1 qian), Renshen (Ginseng Radix et Rhizoma, 0.5 qian), Maidong (Ophiopogonis Radix), Xiangru (Elsholtziae Herba), Zhizi (Gardeniae Fructus), Shaoyao (Paeoniae Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma), Bian Dou (Lablab Album Seed, each 1 qian), Chenpi (Citri Reticulatae Pericarpium, 0.8 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian). Add Wumei (Mume Fructus, one piece) and Lian Rou (Nelumbinis Semen, seven pieces) to the above, decoct with water and take orally.
Contraindicated for those with abdominal pain, chest fullness, vomiting, or diarrhea: do not use Shigao.
When Fire-Heat Qi restrains Lung Metal, failing to subdue Liver Wood, it leads to convulsions, sudden collapse, and loss of consciousness, named Shu Feng (Summerheat Wind). Some cases of sudden collapse are due to Phlegm-Fire and Qi stagnation; these should be treated by inducing vomiting to expel phlegm (method see Stroke chapter) and clearing fire.
Main Formula: Qianghuo (Notopterygii Rhizoma et Radix, 2 qian), Huanglian (Coptidis Rhizoma, stir-fried with ginger juice, 1 qian), Xiangru (Elsholtziae Herba, 1 qian), Bian Dou (Lablab Album Seed), Houpo (Magnoliae Officinalis Cortex), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria, each 0.8 fen). Decoct with water and take orally. Add Nanting (Arisaematis Cum Bile Rhizoma) and Banxia (Pinelliae Rhizoma) if there is phlegm; add Zhike (Aurantii Fructus Immaturus) and Jiegeng (Platycodonis Radix) if there is Qi stagnation.
In early summer, symptoms include dizziness, physical fatigue, five-palm heat (heat in palms, soles, and chest), mental confusion with excessive sleepiness, bitter taste in mouth, dry tongue, reduced appetite, discomfort in the chest and diaphragm, and a rapid yet forceless pulse. This indicates Yin deficiency and Blood insufficiency, along with Yuan Qi (Original Qi) deficiency.
Main Formula: Renshen (Ginseng Radix et Rhizoma, 0.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shudi (Rehmanniae Radix Preparata), Maidong (Ophiopogonis Radix, each 1 qian), Huangbai (Phellodendri Cortex, wine-fried), Zhimu (Anemarrhenae Rhizoma), Chenpi (Citri Reticulatae Pericarpium, each 0.7 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 fen), Wuweizi (Schisandrae Fructus, ten grains). Add two dates and one Wumei (Mume Fructus) to the above, decoct with water and take orally.
For poor appetite and vomiting, add Huoxiang (Agastaches Herba), Sharen (Amomi Fructus), Baiko (Tsaoko Cardamomi Fructus); remove Danggui, Baishao, Shudi, Huangbai, Zhimu. For diarrhea, add Shanyao (Dioscoreae Rhizoma), Zexie (Alismatis Rhizoma); remove Danggui, Huangbai, etc. For weakness in movement, add Niuxi (Achyranthis Bidentatae Radix), Duzhong (Eucommiae Cortex). For sweating and insomnia, add Huangqi (Astragali Radix), Zaoren (Ziziphi Spinosae Semen). After decoction, mix in Zhusha (Cinnabar, 1 qian) and take.
(Attachment: Heaviness of Body)
The Classics state: "All dampness-induced swelling and fullness belong to Spleen Earth." It also says: "Excessive dampness leads to loose stools (Ru Xie)." And again: "Earth's dampness, when invading the human body, harms the skin, flesh, sinews, and bones." Generally, dampness invades the body either from the outside or generates from within. External invasion occurs through sensing mountain miasma, enduring rainy humidity, living in low-lying areas near rivers/seas or on muddy ground; stepping into such environments allows dampness to lodge in the Cou Li (interstices of skin and muscles), seep into the skin, and overflow into the meridians. This causes headache, dizziness, spontaneous sweating with limb stiffness, bone and joint soreness, four-limb fatigue, and a floating-slow pulse. Treatment should primarily focus on leaching out dampness, slightly combined with dispersing methods. Internal generation results from drinking alcohol, consuming rich flavors, raw/cold fruits and vegetables, wet noodles, dairy products, and excessive intake of soups/liquids, which accumulate in the Stomach. Combined with weak Spleen Earth, where Earth fails to control Water, dampness infiltrates the muscles. This causes facial and ocular edema, chest fullness with panting, loose stools, scanty and difficult urination, leg and knee swelling, and a deep-slow pulse. Treatment should primarily regulate the Spleen, combined with promoting urination. It is said that treating dampness without promoting urination is not the correct method.
Main Formula (for external dampness): Cangzhu (Atractylodis Rhizoma), Zisu (Perillae Folium), Qianghuo (Notopterygii Rhizoma et Radix), Gange (Puerariae Radix), Fangfeng (Saposhnikoviae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Ben Cao (Ligustici Wallichii Rhizoma), Chaihu (Bupleuri Radix, each 0.8 fen), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, each 0.3 fen). Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and one black date to the above, decoct with water and take orally. To mildly disperse external pathogens. If internal pathogens exist, refer subsequently.
Lishui Shipi Tang (Diuretic and Spleen-Strengthening Decoction): Treats internally generated dampness, promoting urination.
Cangzhu (Atractylodis Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Huashi (Talcum), Xiangfu (Cyperi Rhizoma), Fuxiong (Chuanxiong), Houpo (Magnoliae Officinalis Cortex), Sharen (Amomi Fructus, each 0.8 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 fen). Add three slices of Shengjiang (Zingiberis Rhizoma Recens) and twenty stems of Dengxin Cao (Junci Medulla), decoct with water, take before meals. For edema and shortness of breath, add Fupi (Tangerine Peel / Citri Reticulatae Pericarpium - specifically Qingpi or similar depending on context, here likely referring to specific peel variant), Zhike (Aurantii Fructus Immaturus), Suzi (Perillae Fructus), Sangbai (Mori Cortex), Luobozhongzi (Raphani Semen); remove Baizhu, Gancao. For puffy face and eyes, add Shanyao (Dioscoreae Rhizoma), Shaoyao (Paeoniae Radix); remove Fuxiong. For robust constitutions, first administer Shenyou Wan to purge (formula see Phlegm section).
Ershu Siling Tang (Two Atractylodes and Four Poria Decoction): Treats various dampness-induced swelling and fullness, whole-body pain, fever with irritability, and difficulty in urination and defecation.
Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Fuling (Poria), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Shaoyao (Paeoniae Radix), Zhizi (Gardeniae Fructus, equal parts), Gancao (Glycyrrhizae Radix et Rhizoma, half dose). Add three slices of ginger and twenty stems of Dengxin Cao (Junci Medulla), decoct with water and take orally.
Chushi Tang (Dampness-Removing Decoction): Treats dampness obstruction causing heavy body, soreness and pain in waist and legs, loose stools, and urine that is either obstructed or free-flowing.
Cangzhu (Atractylodis Rhizoma), Banxia Qu (Pinelliae Fermented Paste), Houpo (Magnoliae Officinalis Cortex), Fuling (Poria, each 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 0.7 fen), Huoxiang (Agastaches Herba), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, each 0.5 fen). Add seven slices of ginger and two dates, two cups of water, decoct to eight-tenths, take long after meals.
Qianghuo Shengshi Tang (Notopterygium Victory-over-Dampness Decoction): Treats spinal pain and neck stiffness, waist feeling like breaking, neck feeling like being pulled upward, ascending headache. This is due to dysfunction of the Foot-Taiyang Meridian; this formula governs it.
Qianghuo (Notopterygii Rhizoma et Radix), Duohuo (Angelicae Pubescentis Radix, each 2 qian), Ben Cao (Ligustici Wallichii Rhizoma), Fangfeng (Saposhnikoviae Radix, each 1.5 qian), Manjingzi (Viticis Fructus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Zhigancao (Prepared Glycyrrhizae Radix et Rhizoma, each 0.4 fen). Use two cups of water, decoct to eight-tenths, take warm after meals.
Shenshi Tang (Dampness-Leaching Decoction): Treats sitting/lying on wet ground, exposure to rain/dew, heavy body, weak legs, joint pain, fever with aversion to cold, difficult urination, loose stools, etc.
Renshen (Ginseng Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Ganjiang (Zingiberis Rhizoma, processed), Guizhi (Cinnamomi Ramulus), Shaoyao (Paeoniae Radix, equal parts). Add three slices of ginger and one date, decoct with water, take at any time.
Simple Prescription: For nasal congestion and brain pain/yellow swelling due to dampness.
Tianguadi (Melonis Fructus Seed) powdered, hold water in mouth, blow 0.3 fen into the nose; yellow fluid flows out, effective.
Another Prescription: Treats all wind-damp Bi syndrome, limb stiffness and pain.
Cangerzi (Xanthii Fructus), thorns removed, powdered, 3 liang, water 2.5 zhong, boil to 2 zhong, remove dregs and sip slowly.
Another Prescription: Treats wind-damp.
Zhangmupi (Cupressi Cortical Fragments) decocted water for washing.
Another Prescription: Difficult urination.
Yinchenhao (Artemisiae Scopariae Herba), Mutong (Akebiae Caulis) decocted and taken.
Another Prescription: Boil Xiaochidou (Vigna Angularis Seed) and drink the liquid; abstain from other food and drink for one day, effective.
Another Prescription: Cold-damp pain. Use half bowl of Jiangzhi (Zingiberis Juice), one cup of rice vinegar, 4 liang of Shuijiao (Animal Glue), boil until thick. Add Rougui (Cinnamomi Cortex), Huajiao (Zanthoxyli Pericarpium), Zaojiao Mo (Gleditsiae Sinensis Spina Powder), each 1 liang. Stir into a paste, spread on silk cloth, apply to affected area, wrap warmly and bake with heat until pain stops.