黄 （汗少减五分） 苍术（泔浸，去皮） 升麻（以上各一钱） 人参（去芦） 泽泻 神曲（
炒黄） 橘皮 白术（以上各五分） 麦门冬（去心） 当归身 炙甘草（以上各三分） 青皮（去白，
二分半） 黄柏（酒洗，去皮，二分或三分） 葛根（二分） 五味子（九枚）
上件同 咀。都作一服，水二大盏，煎至一盏，去渣，大温服，食远。剂之多少
，临病斟酌。
此病皆由饮食劳倦，损其脾胃，乘天暑而病作也，但药中犯泽泻、猪苓、茯苓、灯心、
通草、木通，淡渗利小便之类，皆从时令之旺气，以泻脾胃之客邪，而补金水之不及也。此
正方已是从权而立之，若于无时病湿热脾旺之证，或小便已数，肾肝不受邪者误用之，必大
泻真阴，竟绝肾水，先损其两目也，复立变证加减法于后。
心火乘脾，乃血受火邪，而不能升发，阳气伏于地中；地者，人之脾也。必用当归和血
，少用黄柏以益真阴。
脾胃不足之证，须少用升麻，乃足阳明、太阴引经之药也。使行阳道，自脾胃中右迁，
少阳行春令，生万化之根蒂也。更少加柴胡，使诸经右迁，生发阴阳之气，以滋春之和气也
。
脾虚，缘心火亢甚而乘其土也；其次肺气受邪，为热所伤，必须用黄 最多，甘草次之
，人参又次之，三者皆甘温之阳药也。脾始虚，肺气先绝，故用黄 之甘温，以益皮毛之气
，而闭腠理，不令自汗而损其元气也。上喘气短懒语，须用人参以补之。心火乘脾，须用炙
甘草以泻火热，而补脾胃中元气；甘草最少，恐资满也。若脾胃之急痛，并脾胃大虚，腹中
急缩，腹皮急缩者，却宜多用之。经云∶急者缓之。若从权，必加升麻以引之，恐左迁之邪
坚盛，卒不肯退，反致项上及肾尻肉消而反行阴道，故使引之以行阳道，使清气之出地，上
迁而上行，以和阴阳之气也。若中满者，去甘草；咳甚者，去人参。如口干嗌干者，加干
葛。
脾胃既虚，不能升浮，为阴火伤其生发之气，营血大亏，营气伏于地中，阴火炽盛，日
渐煎熬，血气亏少；且心包与心主血，血减则心无所养，致使心乱而烦，病名曰 ；
者，心惑而烦闷不安也。是清气不升，浊气不降，清浊相干，乱于胸中，使周身血逆
行而乱。《内经》云∶从下上者，引而去之。故当加辛温、甘温之剂生阳，阳生则阴长。已
有甘温三味之论。或曰∶甘温何能生血，又非血药也？仲景之法，血虚以人参补之，阳旺则
能生阴血也。更加当归和血。又宜少加黄柏，以救肾水。盖甘寒泻热火，火减则心气得平而
安也。如烦乱犹不能止，少加黄连以去之，盖将补肾水，使肾水旺而心火自降，扶持地中
阳气矣。
如气浮心乱，则以朱砂安神丸镇固之。得烦减，勿再服，以防泻阳气之反陷也。如心下
痞，亦少加黄连。气乱于胸，为清浊相干，故以橘皮理之，又能助阳气之升而散滞气，又助
诸甘辛为用也。
长夏湿土客邪大旺，可从权加苍术、白术、泽泻，上下分消其湿热之气也。湿气大胜，
主食不消化，故食减，不知谷味，加炒曲以消之。复加五味子、麦门冬、人参，泻火益肺气
，助秋损也，此三伏中长夏正旺之时药也。
黄（汗出少者减五分）苍术（用米泔水浸泡，去皮）升麻（以上各一钱）人参（去掉芦头）泽泻神曲（炒至微黄）橘皮白术（以上各五分）麦门冬（去掉心）当归身炙甘草（以上各三分）青皮（去掉白色内层，二分半）黄柏（酒洗，去皮，二分或三分）葛根（二分）五味子（九枚）
以上药物共同捣碎成粗末。全部作为一剂服用，加水两大盏，煎煮至一盏，去渣滓，趁大温热服，在饭后较远的时候服用。剂量的多少，根据病情临时斟酌。
这种病都是由饮食不节和劳倦过度，损伤了脾胃，再加上受天暑侵袭而发病的。但是用药中如果犯了使用泽泻、猪苓、茯苓、灯心草、通草、木通等淡渗利小便的药物，这些都是顺应时令旺盛之气，用来泻除脾胃中的客邪，并补益金（肺）和水（肾）不足的。这个正方已经是权宜之计设立的，如果在没有时令湿热、脾旺的证候，或者小便已经频数，肾肝不受邪气的情况下误用此方，必定会大大泻伤真阴，彻底枯竭肾水，首先损害双眼视力，随后在后面列出变证的加减法。
心火侵犯脾土，这是血液受到火邪侵害，而不能升发，阳气潜伏在地中；地，指的是人的脾脏。必须用当归来调和血液，少量使用黄柏来补益真阴。
脾胃不足的证候，需要少量使用升麻，它是足阳明胃经、足太阴脾经的引经药。使气行于阳道，从脾胃中向右迁移，少阳施行春令，产生万物变化的根本。再稍微加一点柴胡，使各条经脉向右迁移，生发阴阳之气，以滋养春天的和气。
脾虚，是因为心火亢盛而乘袭脾土；其次是肺气受邪，被热邪所伤，必须最多使用黄芪，甘草次之，人参又次之，这三者都是甘温性质的阳药。脾刚开始虚弱时，肺气先绝，所以用黄芪的甘温，来补益皮毛之气，并闭合腠理，不让其自汗从而损耗元气。上气喘促、气短懒言，必须用人参来补益。心火乘袭脾土，必须用炙甘草来泻火热，并补益脾胃中的元气；甘草用量最少，恐怕会导致胀满。如果是脾胃急痛，以及脾胃极度虚弱，腹中拘急收缩，腹皮紧急收缩的情况，却应该多用甘草。《内经》说：急迫的症状要用缓和方法治疗。如果是权宜之计，必须加升麻来引导它，恐怕左迁的邪气坚固强盛，突然不肯退去，反而导致颈部及腰尻肌肉消瘦而反行阴道，所以引导它行于阳道，使清气出于地面，向上迁移而行，以调和阴阳之气。如果有中满症状的，去掉甘草；咳嗽严重的，去掉人参。如口干咽干的，加干葛。
脾胃既然虚弱，不能升浮，被阴火伤害了生发之气，营血大亏，营气潜伏在地中，阴火炽盛，日渐煎熬，气血亏少；而且心包与心主血，血减少则心无所养，致使心乱而烦闷，病名叫做“”；“”，就是心惑而烦闷不安。这是清气不升，浊气不降，清浊相互干扰，混乱于胸中，使周身血液逆行而紊乱。《内经》说：病势从下向上的，用引而越之的方法祛除。所以应当加辛温、甘温的药剂来生发阳气，阳生则阴长。前面已有甘温三味的论述。有人说：甘温怎么能生血，又不是补血药呢？张仲景的方法，血虚用人参补益，阳气旺盛就能生阴血。再加当归调和血液。又适宜少量加黄柏，来救补肾水。因为甘寒能泻热火，火减则心气得平而安宁。如果烦乱仍然不能停止，少量加黄连来去除它，大概是为了补肾水，使肾水旺盛而心火自然下降，扶持地中的阳气。
如果气浮心乱，就用朱砂安神丸镇固它。得到烦乱减轻后，不要继续服用，以防泻伤阳气反而陷入。如果心下痞塞，也少量加黄连。气乱于胸中，是因为清浊相互干扰，所以用橘皮来调理它，又能帮助阳气升发而疏散滞气，又辅助各种甘辛药发挥作用。
长夏湿土客邪大旺，可以权宜加入苍术、白术、泽泻，上下分消其湿热之气。湿气大胜，主要影响食物消化，所以食欲减退，不知道谷物的味道，加炒神曲来消食。再添加五味子、麦门冬、人参，泻火益肺气，助益秋季的不足，这是三伏中长夏正气旺盛时的用药。
Huangqi (Astragali Radix) - reduce by 0.5 fen if sweating is scanty; Cangzhu (Atractylodis Rhizoma) - soaked in rice water, skin removed; Shengma (Cimicifugae Rhizoma) - each of the above 1 qian; Renshen (Ginseng Radix) - radix tip removed; Zexie (Alismatis Rhizoma); Shenqu (Massa Medicata Fermentata) - stir-fried until yellow; Chenpi (Citri Reticulatae Pericarpium); Baizhu (Atractylodis Macrocephalae Rhizoma) - each of the above 0.5 fen; Maidong (Ophiopogonis Radix) - heart removed; Danggui (Angelicae Sinensis Radix), Zhi Gancao (Glycyrrhizae Radix et Rhizoma Preparata with honey) - each of the above 0.3 fen; Qingpi (Citri Reticulatae Pericarpium Viride) - white pith removed, 0.25 fen; Huangbai (Phellodendri Cortex) - washed with wine, skin removed, 0.2 or 0.3 fen; Gegen (Puerariae Lobatae Radix) - 0.2 fen; Wuweizi (Schisandrae Chinensis Fructus) - nine pieces.
All ingredients are coarsely crushed together. Prepare as a single dose, add two large cups of water, decoct until one cup remains, strain, and take warm when very hot, long after meals. The dosage should be adjusted according to the condition.
This disease arises from dietary irregularities and overwork damaging the Spleen and Stomach, compounded by summer heat pathogen. However, using herbs such as Zexie, Zhuling (Polypori Umbellati), Fuling (Poria), Dengxincao (Junci Medulla), Tongcao (Tetrapanacis Medulla), Mutong (Akebiae Caulis), which are bland and promote urination, follows the vigorous qi of the season to drain guest pathogens from the Spleen and supplement the deficiency of Metal (Lung) and Water (Kidney). This main formula is established as an expedient measure. If used mistakenly in cases without seasonal damp-heat or Spleen excess, or where urination is already frequent and Kidney/Liver are not affected by pathogens, it will severely drain True Yin, exhaust Kidney Water, and first damage the eyesight. Variations for altered syndromes are listed below.
When Heart Fire invades the Spleen, blood is affected by fire and cannot ascend; Yang Qi lies dormant underground. "Underground" refers to the human Spleen. One must use Danggui to harmonize blood and a small amount of Huangbai to nourish True Yin.
For Spleen and Stomach insufficiency, a small amount of Shengma should be used, as it is the guiding herb for the Foot-Yangming and Foot-Taiyin meridians. It guides Qi to move along the Yang pathways, migrating rightward from the Spleen and Stomach. Shaoyang executes the Spring command, generating the root of all transformations. Adding a little Chaihu (Bupleuri Radix) allows the meridians to migrate rightward, generating Yin and Yang Qi to nourish the harmonious Qi of Spring.
Spleen deficiency occurs because Heart Fire is hyperactive and attacks Earth (Spleen); secondarily, Lung Qi is affected by pathogens and injured by heat. One must use Huangqi (Astragali Radix) in the largest quantity, followed by Gancao (Glycyrrhizae Radix et Rhizoma), then Renshen (Ginseng Radix). These three are sweet-warm Yang herbs. When the Spleen is initially deficient, Lung Qi is often the first to fail. Therefore, the sweet-warm nature of Huangqi is used to benefit the Qi of the skin and hair, closing the Couli (pores) to prevent spontaneous sweating and loss of Yuan Qi. For upper asthma, shortness of breath, and reluctance to speak, Renshen is necessary to tonify. When Heart Fire attacks the Spleen, Zhi Gancao is used to drain fire and tonify Yuan Qi in the Spleen and Stomach; however, Gancao should be used sparingly to avoid causing fullness. In cases of urgent Spleen/Stomach pain, severe Spleen/Stomach deficiency, abdominal cramping, or tight abdominal wall, Gancao should be used in larger amounts. As the Classic says: "Urgency requires soothing." If using this expedient method, Shengma must be added to guide the Qi. Otherwise, left-migrating pathogens may become entrenched, leading to wasting of muscles in the neck and lower back, and causing Qi to descend improperly. Thus, Shengma guides Qi to ascend along the Yang pathway, bringing clear Qi upward to harmonize Yin and Yang. If there is chest fullness, remove Gancao; if cough is severe, remove Renshen. If there is dry mouth and throat, add Gegen (Puerariae Lobatae Radix).
Since the Spleen and Stomach are deficient, they cannot ascend and float, and their generating Qi is damaged by Yin Fire. Ying Blood is greatly depleted, and Ying Qi lies dormant underground. Yin Fire blazes, gradually simmering and depleting Qi and Blood. Since the Pericardium and Heart govern Blood, reduced blood means the Heart lacks nourishment, resulting in mental confusion and vexation, termed "Xin Fan" (Heart Vexation). "Fan" denotes mental confusion and restlessness. This is due to Clear Qi failing to ascend and Turbid Qi failing to descend, causing them to interfere with each other and chaos in the chest, leading to reversed and chaotic blood flow throughout the body. The Neijing states: "For conditions rising from below, use methods to draw them out." Therefore, acrid-warm and sweet-warm agents should be added to generate Yang. When Yang generates, Yin grows. The discussion on the three sweet-warm herbs has already been presented. Some ask: "How can sweet-warm herbs generate blood? They are not blood-tonifying herbs?" Zhang Zhongjing's method states that for blood deficiency, Renshen is used to tonify; when Yang is vigorous, it can generate Yin Blood. Add Danggui to harmonize blood. A small amount of Huangbai should also be added to rescue Kidney Water. Bitter-cold herbs drain fire and heat; when fire decreases, Heart Qi becomes calm and peaceful. If vexation persists, add a small amount of Huanglian (Coptidis Rhizoma) to eliminate it, aiming to tonify Kidney Water so that abundant Kidney Water naturally descends Heart Fire, supporting the Yang Qi underground.
If Qi floats and the Heart is chaotic, use Zhusha Anshen Wan (Cinnabar Calming the Spirit Pill) to stabilize it. Once vexation decreases, discontinue use to prevent draining Yang Qi and causing sinking. If there is epigastric stuffiness, add a small amount of Huanglian. Qi chaos in the chest is due to interference between Clear and Turbid Qi; thus, Chenpi is used to regulate it, assisting Yang Qi ascent and dispersing stagnant Qi, while aiding the action of various sweet and acrid herbs.
During late summer, when damp-earth guest pathogens are vigorous, Cangzhu, Baizhu, and Zexie may be added expediently to distribute and eliminate damp-heat from above and below. When dampness prevails significantly, digestion of food is impaired, leading to poor appetite and loss of taste for grains; add stir-fried Shenqu to digest food. Further add Wuweizi, Maidong, and Renshen to drain fire, benefit Lung Qi, and assist the Autumn deficiency. This is the prescription for the period of Sanfu (Dog Days) when late summer earth qi is at its peak.