吴 脉虚伤暑，得汗身凉，头眩神疲，懈言不食，溺少而痛，
生脉散合六一散主之。潞参（五钱）、麦冬（三钱）、五味（五分）、赤苓（二钱）、滑石、甘草（各六分）
荷叶（一张）、灯心（三分）、玉竹（钱半）。二服效。
族某 感暑头晕，微热额汗，左胁痞硬，汤饮格拒不下，脉濡涩，此中焦气阻湿聚。用香薷饮加减，香薷、
浓朴、杏仁、枳壳、栝蒌、橘白、半夏（姜制）、薄荷梗。二服痞硬除，热眩减。去朴、枳、蒌、夏，加栀子、
丹皮、苓、薏米、灯心，再剂而瘳。
厉氏 暑热伤气，劳倦食少，烦满口干，下部骨蒸，足心如烙，仿清暑益气汤加减。潞参、麦冬、五味、
陈皮、神曲、当归、生地、沙参、地骨皮，数服效。
李 暑症，用伤寒六经治法，致壮热烦冤，头目重胀，喉梗气窒，呼吸不利，舌白不饥。夫暑 所伤，
必脉虚少气，自汗面垢，纵有兼症，大异伤寒浮紧脉象，岂堪例治。迨失治而症加重，本症尚自显然。何者？
暑入心，故烦冤；暑挟湿，故重胀；暑犯肺，故气窒不利。叶氏所谓暑由鼻吸，必伤上焦气分，每引经义云∶
自上受者治其上，法宜辛凉微苦，廓清上焦气分，自愈。黄芩（酒炒八分）、黑山栀、橘白、郁金（磨汁。
各一钱）、栝蒌仁（麸炒）、赤苓（各二钱）、薄荷梗（八分）、沙参、薏仁（各三钱）、新荷梗（五钱）。
二服头清咽爽，烦热大减。去黄芩、郁金，加麦冬、鲜藕，渴热退而思食矣。
族某 有年，力农中 ，恶热无汗，腹痛自利，唇干肌槁，舌焦而燥，脉小数，乃热烁肌消，阳津阴液
俱涸也。经曰∶热淫于内，治以咸寒，佐以苦甘。用花粉、麦冬，沙参、黄芩（酒炒）、枳壳、白芍、丹皮、
鲜石斛、甘草，三服舌润利稀，腹不痛，身热减。去沙参、黄芩、枳壳，加青蒿、知母（酒炒）、滑石、赤苓、
生地、车前子、灯心。数服热退利止，呃逆间作，少寐，此胃虚有痰。用淡竹茹、杏仁、潞参、茯神、当归、
白芍、柿蒂、橘红、枣仁，二服呃止熟寐，又调补乃平。
族某 禀赋素弱，中年暑热伤气，神倦嗜卧，食少肢麻，闻腥欲呕，脉右虚左促。按东垣论长夏湿热损伤元
气，肢倦神少，足痿软，早晚发寒厥，日午热如火，乃阴阳气血俱不足也。此症虽未至甚，然热伤元气，
久则水不胜火，发为骨痿。先服清暑益气汤，苍术改生白术，去泽泻、升麻、干葛，加归、芍、半夏、
石斛、茯神。后服生脉散，又服大补元煎，加橘络、桑枝膏，丸服而安。
张 暑热作劳，汗泄面垢，初起吐蛔，厥阴受病，已非浅恙。消导表散，延至谵妄神昏，舌心灰而尖绛，
齿燥鼻煤，津液告涸，脉虚细涩数，邪陷营络。治者徒知下焦火亢，用黄柏、知母，苦寒直降，与心包袭入
暑邪全不相涉。更医，用羚羊角、陈海 ，泄胆热而降肺火。究竟治不中病，使热邪漫布，神明渐昏。昔人
治邪入心包，每用芳香宣窍逐秽，如至宝丹之类。若得痰热净扫，如清风卷雾，神识稍开，方不至内闭外脱。
然症险难挽，姑据理论治而已。犀角尖（磨汁冲）、连翘心、赤芍、丹皮、佩兰叶、琥珀、石菖蒲（捣汁冲）、
鲜荷梗煎服。明晨颇觉神气清爽，更酌加梨皮、灯心、麦冬、银花。煎送至宝丹，乃穷乡一时竟同返魂香，
无觅处矣。
王 脉不鼓指，渴不多饮，舌尖绛，身热语谵，肢冷溺浑赤，伏暑晚发，热深厥深之象。川连（酒制三分）、
元参、连翘、山栀、麦冬（各钱半）、石斛、梨肉、赤苓（各二钱）、灯心、滑石（各四分）。一服而手足
温，谵语息。去川连加生地，再服再汗而解。
幼儿 伏暑秋发，头痛壮热，燥渴引饮，自汗，手足心如烙，脉洪而疾，溺赤而浊。由素禀阴虚，伏邪内烁，
仲景所谓阴气先伤，阳气独发，不寒痹热，令人肌肉消烁者也。宜甘寒生津，以解热烦。用生地、知母、麦冬、
石斛、丹皮、花粉、甘草、鲜芦根、鲜荷梗，一服汗彻身凉。越日再发，觉热气由腹背上蒸，顷刻如焚，一
日夜渴饮唇干。前方去丹皮、荷梗，加石膏，一服热退。越日又发，一日两夜汗出热不解。去石膏，加鲜地黄、
绿豆皮、车前穗，又服又退。越二日，夜分又发热，势较轻，原方再加通草、滑石、青蒿，半夜热退，调理
而安。（暑必挟湿，此症历四五发，于清暑中必兼利湿，方得热退凉解。）按暑湿伤人，随发者浅，迟至秋
后为伏气，晚发者深，其候脉色必滞，口舌必腻，或微寒，或单热，头重脘痞，渴烦溺浊，午则甚，暮尤剧。
一次汗则邪一次散，比伤寒势较缓，比疟疾发无时，秋来此症最多，名曰伏暑晚发，不似风寒之邪，一汗辄解。
温热之症，投凉即安。以暑湿为熏蒸粘腻之邪，故难骤 耳。
汤氏 灼热无汗，下泻后重，舌干少润，脉缓大，乃湿热交蒸。用六一散加薄荷、青蒿、麦冬、藿香、
赤苓、石斛、绿豆皮、车前穗、灯心。一啜热退，去首四味，加猪苓、枳壳，泻止。
吴姓患者：脉象虚弱，因伤暑致病，出汗后身体转凉，但出现头晕、精神疲倦、言语懈怠且不想进食，小便量少且疼痛。治疗以生脉散（益气生津方剂）合六一散（清暑利湿方剂）为主。处方：潞党参（五钱）、麦冬（三钱）、五味子（五分）、赤茯苓（二钱）、滑石、甘草（各六分）、荷叶（一张）、灯心草（三分）、玉竹（一钱半）。服用两剂后见效。
同族某患者：感受暑邪导致头晕，额头微热出汗，左侧胁肋部痞塞坚硬，汤药饮食格拒无法下咽，脉象濡涩。这是中焦气机阻滞、湿气聚集所致。使用香薷饮（解表化湿方剂）加减治疗，药物包括：香薷、厚朴、杏仁、枳壳、瓜蒌、橘白、姜制半夏、薄荷梗。服用两剂后痞硬消除，发热头晕减轻。去掉厚朴、枳壳、瓜蒌、半夏，加入栀子、牡丹皮、茯苓、薏苡仁、灯心草，再服一剂而痊愈。
厉氏家族患者：暑热损伤元气，劳累倦怠、饮食减少，心中烦闷胀满、口干，下部骨骼有蒸热感，脚心像被火烫一样。仿照清暑益气汤（清暑益气方剂）加减治疗。药物包括：潞党参、麦冬、五味子、陈皮、神曲、当归、生地、沙参、地骨皮。服用数剂后见效。
李某：暑症，医生误用治疗伤寒的六经治法，导致高热烦躁冤郁，头目沉重胀痛，咽喉梗阻气息窒塞，呼吸不畅，舌苔白且不知饥饿。大凡暑邪所伤，必然脉虚少气，自汗且面部污垢，即使有兼夹症状，也与伤寒的浮紧脉象大不相同，怎能按常规例治？等到失治导致症状加重，本症依然明显。为何如此？暑邪入心，所以烦躁冤郁；暑邪挟带湿气，所以身体沉重胀痛；暑邪侵犯肺脏，所以气机窒塞不利。叶天士所说暑气由鼻吸入，必伤上焦气分，常引用经义说：“自上受者治其上”，治法宜用辛凉微苦之品，廓清上焦气分，自然痊愈。处方：酒炒黄芩（八分）、黑山栀、橘白、郁金（磨汁，各一钱）、麸炒瓜蒌仁、赤茯苓（各二钱）、薄荷梗（八分）、沙参、薏苡仁（各三钱）、新荷梗（五钱）。服用两剂后头脑清醒、咽喉爽利，烦热大减。去掉黄芩、郁金，加入麦冬、鲜藕，口渴热退并开始思食。
同族老年患者：年事已高，从事农业劳动中暑，怕热无汗，腹痛且自行腹泻，嘴唇干燥、肌肉消瘦，舌面焦燥，脉象细数。这是热邪灼烧肌肉消耗津液，阳气津液和阴液都枯竭了。《内经》说：“热淫于内，治以咸寒，佐以苦甘。”使用天花粉、麦冬、沙参、酒炒黄芩、枳壳、白芍、牡丹皮、鲜石斛、甘草，服用三剂后舌面湿润、大便稀溏通畅，腹部不痛，身热减退。去掉沙参、黄芩、枳壳，加入青蒿、酒炒知母、滑石、赤茯苓、生地、车前子、灯心草。服用数剂后热退泻止，但呃逆间作、睡眠少，这是胃虚有痰。使用淡竹茹、杏仁、潞党参、茯神、当归、白芍、柿蒂、橘红、酸枣仁，服用两剂后呃逆停止、熟睡，再调理补益才平复。
同族某患者：禀赋素来虚弱，中年时暑热损伤元气，精神疲倦嗜睡，饮食减少、四肢麻木，闻到腥味想呕吐，脉象右部虚弱左部急促。按照李东垣论述长夏湿热损伤元气，肢体疲倦精神不足，足部痿软无力，早晚发冷厥逆，中午热如火焰，这是阴阳气血都不足的表现。此症虽然未至严重，但热伤元气，日久则水不胜火，会发展为骨痿。先服用清暑益气汤，将苍术改为生白术，去掉泽泻、升麻、干葛，加入当归、白芍、半夏、石斛、茯神。后服用生脉散，又服用大补元煎，加入橘络、桑枝膏，制成丸药服用而安。
张某：暑热劳作，汗出面部污垢，初起吐蛔虫，病在厥阴经受邪，已非轻微病症。使用消导和解表散的方法，延误病情导致谵妄神昏，舌中心灰暗而舌尖绛红，牙齿干燥、鼻孔煤黑，津液告竭，脉象虚细涩数，邪气陷入营分和络脉。医者只知道下焦火亢盛，使用黄柏、知母，苦寒直降，这与心包袭入暑邪完全不相干。换医生后，使用羚羊角、陈海螵蛸，泄胆热而降肺火。终究治疗不对症，使热邪漫布全身，神明逐渐昏迷。古人治疗邪入心包，常用芳香宣窍逐秽的药物，如至宝丹之类。如果能使痰热净扫，像清风卷雾一样，神识稍开，才不至于内闭外脱。然而症险难救，姑且根据理论进行治疗而已。处方：犀角尖（磨汁冲服）、连翘心、赤芍、牡丹皮、佩兰叶、琥珀、石菖蒲（捣汁冲服）、鲜荷梗煎服。次日清晨觉得神气清爽，酌情加入梨皮、灯心草、麦冬、金银花。煎送服至宝丹，但这穷乡僻壤一时竟找不到这种“返魂香”了。
王某：脉象不鼓指（沉伏），口渴但不多饮，舌尖绛红，身热谵语，四肢冰冷、小便浑浊赤色，这是伏暑晚间发作，热深厥深的征象。处方：酒制川黄连（三分）、玄参、连翘、山栀、麦冬（各一钱半）、石斛、梨肉、赤茯苓（各二钱）、灯心草、滑石（各四分）。服用一剂后手足变暖，谵语停止。去掉川黄连加入生地，再服一次出汗而解。
幼儿：伏暑秋季发作，头痛高热，燥渴引饮，自汗，手足心像被火烫一样，脉象洪大而疾速，小便赤浊。由于素体阴虚，伏邪在内灼烁，正如仲景所说阴气先伤，阳气独发，不寒而痹热，使人肌肉消烁。宜用甘寒生津之法，以解热烦。使用生地、知母、麦冬、石斛、牡丹皮、天花粉、甘草、鲜芦根、鲜荷梗，服用一剂后汗透身凉。第二天再次发作，感觉热气从腹背向上蒸腾，顷刻如火烧，一天一夜口渴唇干。前方去掉牡丹皮、荷梗，加入石膏，服用一剂热退。又过两天再次发作，一天两夜出汗热不解。去掉石膏，加入鲜地黄、绿豆皮、车前穗，又服又退。再过两天，半夜又发热，势头较轻，原方再加通草、滑石、青蒿，半夜热退，调理而安。（注：暑必挟湿，此症历经四五次发作，在清暑中必须兼利湿，才能热退凉解。）按语：暑湿伤人，随发者病位浅，迟至秋后为伏气，晚发者病位深，其候脉色必滞涩，口舌必腻，或微恶寒，或单发热，头重脘痞，口渴心烦、小便浑浊，午时加重，傍晚更剧。一次发汗则邪气一次消散，比伤寒势态较缓，比疟疾发作无定时，秋季此类病症最多，名为伏暑晚发，不像风寒之邪，一汗即解。温热之症，投用凉药即安。因为暑湿是熏蒸粘腻之邪，所以难以骤然解除。
汤氏家族患者：灼热无汗，下痢后重，舌干少润，脉象缓大，这是湿热交蒸。使用六一散加薄荷、青蒿、麦冬、藿香、赤茯苓、石斛、绿豆皮、车前穗、灯心草。喝一付后热退，去掉前四味药，加入猪苓、枳壳，泻止。
Wu: The pulse is deficient, indicating summerheat injury. After sweating, the body cools, but dizziness and mental fatigue persist, with reluctance to speak or eat. Urine is scanty and painful. Treatment is primarily Shengmai San (Life-Preserving Pulse Decoction) combined with Liuyi San (Six-to-One Powder). Ingredients: Radix Codonopsis Pilosae (Luparenshen, 潞参) 5 qian, Fructus Schisandrae Chinensis (Wuweizi, 五味) 5 fen, Radix Ophiopogonis Japonici (Maidong, 麦冬) 3 qian, Poria Cocos (Fuling, 茯苓) 2 qian, Talcum (Huashi, 滑石), Radix Glycyrrhizae Uralensis (Gancao, 甘草) 6 fen each, Lotus Leaf (Heye, 荷叶) 1 piece, Juncus Effusus (Dengxin, 灯心) 3 fen, Rhizoma Polygonati Odorati (Yuzhu, 玉竹) 1.5 qian. Two doses yielded results.
Relative: Summerheat sensation caused dizziness, slight fever, and sweating on the forehead. There was fullness and hardness in the left hypochondrium, with rejection of food and drink. The pulse was soggy and choppy. This indicates obstruction of Qi and accumulation of dampness in the Middle Jiao. Treatment used Xiangru Yin (Elsholtzia Decoction) modified. Ingredients: Herba Elsholtziae (Xiangru, 香薷), Cortex Magnolia Officinalis (Houpo, 浓朴), Semen Pruni Armeniacae (Xingren, 杏仁), Pericarpium Aurantii (Zhike, 枳壳), Fructus Trichosanthis (Gualou, 栝蒌), Pericarpium Citri Reticulatae (Jubai, 橘白), Rhizoma Pinelliae Ternatae (Banxia, 半夏), Caulis Menthae Haplocalycis (Boheteng, 薄荷梗). Two doses resolved the fullness and hardness, reducing fever and dizziness. Houpo, Zhike, Gualou, and Banxia were removed; Fructus Gardeniae Jasminoidis (Zhizi, 栀子), Cortex Moutan (Danpi, 丹皮), Poria Cocos (Ling, 苓), Semen Coicis (Yimi, 薏米), and Juncus Effusus (Dengxin, 灯心) were added. One more dose led to recovery.
Li family member: Summerheat damaged Qi, accompanied by fatigue, poor appetite, irritability, fullness, dry mouth, bone-steaming heat in the lower body, and burning soles. Modeled after Qingshu Yiqi Tang (Clear Summerheat and Boost Qi Decoction) modified. Ingredients: Radix Codonopsis Pilosae (Luparenshen, 潞参), Fructus Schisandrae Chinensis (Wuweizi, 五味), Radix Ophiopogonis Japonici (Maidong, 麦冬), Pericarpium Citri Reticulatae (Chenpi, 陈皮), Massae Fermentatae Medicinales (Shenqu, 神曲), Radix Angelicae Sinensis (Danggui, 当归), Radix Rehmanniae Preparata (Shengdi, 生地), Radix Glehniae (Shashen, 沙参), Cortex Lycii (Digupi, 地骨皮). Several doses yielded results.
Li: Summerheat syndrome was treated incorrectly using the Six Meridians approach for Cold Damage, resulting in high fever, irritability, heavy and distended head and eyes, throat obstruction, difficulty breathing, white tongue coating, and loss of appetite. Summerheat injury typically presents with a deficient pulse, shortness of breath, spontaneous sweating, and a greasy face. Even with concurrent symptoms, it differs significantly from the floating-tight pulse of Cold Damage. Neglecting proper treatment worsened the condition, though the primary symptoms remained clear. Why? Summerheat entering the Heart causes irritability; summerheat carrying dampness causes heaviness and distension; summerheat invading the Lung causes Qi obstruction and breathing difficulty. As Ye Tianshi stated, summerheat enters via the nose and damages the Qi aspect of the Upper Jiao. The principle is "treat the upper if affected from above," using acrid-cool and slightly bitter methods to clear the Upper Jiao Qi aspect. Prescription: Radix Scutellariae Baicalensis (Huangqin, 黄芩), Fructus Gardeniae Jasminoidis (Heishanzhi, 黑山栀), Pericarpium Citri Reticulatae (Jubai, 橘白), Radix Curcumae Longae (Yujin, 郁金), Semen Trichosanthis (Gualouren, 栝蒌仁), Poria Cocos (Chiling, 赤苓), Caulis Menthae Haplocalycis (Boheteng, 薄荷梗), Radix Glehniae (Shashen, 沙参), Semen Coicis (Yiren, 薏仁), Caulis Nelumbinis Speciosi (Xinhegeng, 新荷梗). Two doses cleared the head and throat, greatly reducing irritability and heat. Huangqin and Yujin were removed; Maidong and fresh lotus root were added. Thirst and heat subsided, and appetite returned.
Elderly Relative: An elderly farmer suffered summerheat while working, experiencing aversion to heat, anhidrosis, abdominal pain, diarrhea, dry lips, emaciation, scorched and dry tongue, and a fine-rapid pulse. This indicates heat consuming muscle and fluid, exhausting both Yang fluids and Yin essence. Following the classic principle "for excessive heat within, treat with salty-cold, assisted by bitter-sweet," the prescription included Radix Trichosanthis (Huafen, 花粉), Radix Ophiopogonis Japonici (Maidong, 麦冬), Radix Glehniae (Shashen, 沙参), Radix Scutellariae Baicalensis (Huangqin, 黄芩), Pericarpium Aurantii (Zhike, 枳壳), Radix Paeoniae Alba (Baishao, 白芍), Cortex Moutan (Danpi, 丹皮), Rhizoma Dendrobii Nobile (Xianshihu, 鲜石斛), Radix Glycyrrhizae Uralensis (Gancao, 甘草). Three doses moistened the tongue, regulated stool, stopped abdominal pain, and reduced fever. Shashen, Huangqin, and Zhike were removed; Herba Artemisiae Annuae (Qinghao, 青蒿), Radix Anemarrhenae Asphodeloides (Zhimu, 知母), Talcum (Huashi, 滑石), Poria Cocos (Chiling, 赤苓), Radix Rehmanniae Preparata (Shengdi, 生地), Semen Plantaginis (Cheqianzi, 车前子), and Juncus Effusus (Dengxin, 灯心) were added. Several doses stopped fever and diarrhea, but hiccups and insomnia appeared, indicating Stomach deficiency with phlegm. Treatment used Bamboo Shavings (Zhuru, 竹茹), Semen Pruni Armeniacae (Xingren, 杏仁), Radix Codonopsis Pilosae (Luparenshen, 潞参), Poria Cocos Cum Lignum (Fushen, 茯神), Radix Angelicae Sinensis (Danggui, 当归), Radix Paeoniae Alba (Baishao, 白芍), Persimmon Calyx (Shidi, 柿蒂), Pericarpium Citri Reticulatae (Juhong, 橘红), Semen Ziziphi Spinosae (Zaoren, 枣仁). Two doses stopped hiccups and restored sleep; further tonification led to stability.
Relative: Constitutionally weak, this middle-aged patient suffered summerheat damaging Qi, causing mental fatigue, lethargy, poor appetite, limb numbness, and nausea at the smell of fish. The right pulse was deficient, the left rapid. According to Li Dongyuan, damp-heat in late summer damages Yuan Qi, causing limb fatigue, weakness, cold extremities in morning/evening, and intense heat at noon, indicating deficiency of Yin-Yang and Qi-Blood. Although not severe, prolonged heat damage to Yuan Qi can lead to Water failing to control Fire, resulting in bone痿 (Guwei, 骨痿). First, Qingshu Yiqi Tang was given, replacing Cangzhu with Baizhu, removing Ze Xie, Shengma, and Gegen, adding Danggui, Baishao, Banxia, Shihu, and Fushen. Subsequently, Shengmai San and Dabu Yuanyin Jian were taken, plus Juluo and Sangzhigao, prepared as pills for safety.
Zhang: Summerheat exertion caused sweating and a greasy face. Initial vomiting of roundworms indicated Jueyin involvement, a serious condition. Digestive resolving and exterior-releasing treatments delayed care, leading to delirium, coma, gray tongue center, crimson tip, dry teeth, black nostrils, exhausted fluids, and a deficient-thin-choppy-rapid pulse, indicating pathogen sinking into Ying and Collaterals. Physicians mistakenly focused on Lower Jiao fire, using bitter-cold herbs like Huangbai and Zhimu, irrelevant to Summerheat invading the Pericardium. Another physician used Antelope Horn and Sepia Shell to drain Gallbladder heat and descend Lung fire, failing to address the core issue, allowing heat to spread and consciousness to fade. Ancient texts recommend aromatic orifices-opening agents like Zhibao Dan for pathogen entering the Pericardium. If phlegm-heat is cleared, consciousness may return. However, the case was critical. Prescription: Rhinoceros Horn Tip (Xijiaojian, 犀角尖), Forsythia Fruit (Lianqiaoxin, 连翘心), Red Peony Root (Chishao, 赤芍), Cortex Moutan (Danpi, 丹皮), Herba Eupatorii Fortunei (Peilan, 佩兰), Succinum (Hupo, 琥珀), Rhizoma Acori Tatarinowii (Shichangpu, 石菖蒲), Caulis Nelumbinis Speciosi (Xinhegeng, 鲜荷梗). Next morning, spirit refreshed. Pear skin, Dengxin, Maidong, and Jinnyinhua were added. Zhibao Dan was administered but unavailable.
Wang: Pulse did not beat strongly against fingers, thirst with little desire to drink, crimson tongue tip, fever, delirium, cold limbs, turbid red urine. This is latent summerheat manifesting in the evening, indicating deep heat with deep cold extremities. Prescription: Radix Coptidis Chinensis (Chuanlian, 川连), Radix Scrophulariae Ningpoensis (Yuanshen, 元参), Forsythia Fruit (Lianqiao, 连翘), Fructus Gardeniae Jasminoidis (Shanzhi, 山栀), Radix Ophiopogonis Japonici (Maidong, 麦冬), Rhizoma Dendrobii Nobile (Shihu, 石斛), Pear Flesh (Lirou, 梨肉), Poria Cocos (Chiling, 赤苓), Juncus Effusus (Dengxin, 灯心), Talcum (Huashi, 滑石). One dose warmed limbs and stopped delirium. Chuanlian was removed, Shengdi added. Second dose induced sweating and resolution.
Toddler: Latent summerheat manifested in autumn with headache, high fever, dry thirst, spontaneous sweating, burning soles/palms, and rapid-large pulse with turbid red urine. Due to innate Yin deficiency, latent pathogen scorched internally. As Zhang Zhongjing stated, Yin is injured first, Yang acts alone, causing non-chill bi-heat and muscle wasting. Sweet-cold methods to generate fluids were used. Prescription: Radix Rehmanniae Preparata (Shengdi, 生地), Radix Anemarrhenae Asphodeloides (Zhimu, 知母), Radix Ophiopogonis Japonici (Maidong, 麦冬), Rhizoma Dendrobii Nobile (Shihu, 石斛), Cortex Moutan (Danpi, 丹皮), Radix Trichosanthis (Huafen, 花粉), Radix Glycyrrhizae Uralensis (Gancao, 甘草), Fresh Reed Rhizome (Xianlugen, 鲜芦根), Caulis Nelumbinis Speciosi (Xianhegeng, 鲜荷梗). One dose stopped fever with sweat. Recurrence next day with steaming heat from abdomen/back. Gypsum was added to the formula, stopping fever. Further recurrences required adjustments with fresh Rehmannia, mung bean peel, and plantago spikes. Finally, Tongcao, Huashi, and Qinghao were added, resolving fever by midnight. Note: Summerheat always carries dampness; clearing summerheat must include draining dampness. Summer-damp pathogens are sticky and hard to resolve quickly compared to wind-cold.
Tang family member: Burning heat without sweat, dysentery with tenesmus, dry tongue, slow-large pulse. This is damp-heat steaming. Prescription: Liuyi San (Six-to-One Powder) with Mint, Qinghao, Maidong, Huoxiang, Chiling, Shihu, mung bean peel, Cheqiansui, and Dengxin. One dose stopped fever. First four herbs removed; Zhu Ling and Zhike added to stop diarrhea.