其三兼暑，病名暑温，一名暑热。初起一二日，身大热，背微恶寒，与伤寒略同。但伤寒先恶寒而后发热，
虽热甚亦周身恶寒。暑温则先发大热，热极而后背恶寒。继则但热无寒，口大渴，汗大出，且必有面垢齿燥，
心烦懊 ，便闭溺涩，或泻不爽等兼症。脉则右洪数，左脉反小，甚则厥深热深，手足逆冷，脉滑而厥。治法
宜察病势。势轻者，但先轻宣上焦，如桔梗汤加苦杏仁、青蒿露，或五叶芦根汤加西瓜翠衣、银花露之类；势
重者，必整肃上中二焦，如荷杏石甘汤、竹叶石膏汤之类，甚则三黄石膏汤去麻黄；加薄荷、青蒿。若热深肢厥，
神识昏迷者，热厥也，即热气闭塞空窍所致，必须辛凉重剂兼芳香开窍，如白虎汤加鲜竹叶、童桑枝，瓜霜紫
雪丹之类，挟痰者，加竹沥、竺黄、石菖蒲、川贝、白薇，新定牛黄清心丸，犀珀至宝丹等选用。若肝风内动，
手足发痉，必须熄风清火，凉血透络，如犀羚白虎汤重加桑叶、丹皮、菊花、钩藤、童便等之类。若热盛烁肺，
络仿咯血者，必须凉血降火，整肃络热，如白虎汤重加鲜竹茹、鲜茅根、童便等之类；血再不止，加鲜生地、
犀角汁，若热盛伤气，脉大而芤者，必须清热扶气，白虎加人参汤主之。若喘喝欲脱，汗多脉散者，必须敛津益
气，千金生脉散主之。惟其间挟酒湿食滞，肌热无汗，胸膈痞满者，最忌白虎法清凉寒润，必须苦辛开泄∶小陷
胸加枳实，合泻心法最效；间有表见身痛宜参用香薷、秦艽，里见腹满宜参用苍术、浓朴者，正不必以寒凉逆
折其邪也。虽然，伏邪兼风、兼寒四时皆有，至若兼暑一症，惟长夏有之，故温热症总以风温、冷温为最多。
第三种兼夹暑邪的情况，病名叫做暑温，又称暑热。发病初起的一两天内，身体高热，背部微微怕冷，这与伤寒症状大致相同。但是，伤寒是先出现怕冷然后才发热，即使热度很高也是全身都怕冷；而暑温则是先出现高热，热势达到极点之后才出现背部怕冷。随后则只有发热而没有怕冷，表现为大口口渴、大汗淋漓，并且一定伴有面部油腻污垢、牙齿干燥、心中烦闷懊恼、大便闭塞不通或小便涩痛，或者腹泻但排出不爽利等兼夹症状。脉象方面，右手脉洪大且数，左手脉反而细小，严重时会出现厥逆深重而热邪深伏（即真热假寒），手足逆冷，脉象滑利却伴有四肢厥冷。治疗法则应当观察病势的轻重。病势较轻的，只需先用轻清宣透上焦的方法，例如桔梗汤加入苦杏仁、青蒿露，或者五叶芦根汤加入西瓜翠衣、金银花露之类；病势较重的，必须全面调理上焦和中焦，例如荷杏石甘汤、竹叶石膏汤之类，病情极重的，可用三黄石膏汤去掉麻黄，再加入薄荷、青蒿。如果热邪深入导致四肢厥冷，神志昏迷的，属于热厥，这是由热气闭塞清窍所致，必须使用辛凉重剂配合芳香开窍的药物，例如白虎汤加入鲜竹叶、童桑枝，以及瓜霜紫雪丹之类；如果兼夹痰浊的，加入竹沥、竺黄、石菖蒲、川贝母、白薇，选用新定牛黄清心丸、犀珀至宝丹等。如果肝风内动，手足发生痉挛抽搐，必须熄风清火，凉血通络，例如犀羚白虎汤中加重桑叶、牡丹皮、菊花、钩藤、童便等。如果热邪炽盛灼伤肺络，导致咳血的，必须凉血降火，清理络脉热邪，例如白虎汤中加重鲜竹茹、鲜茅根、童便等；如果出血仍不止，加入鲜生地黄、犀角汁。如果热邪炽盛损伤元气，脉象大而中空（芤脉）的，必须清热益气，以白虎加人参汤为主治方。如果出现气喘喝促欲脱、汗多脉散乱的，必须收敛津液、补益元气，以千金生脉散为主治方。只是其中如果兼夹酒湿和食积停滞，肌肤发热无汗，胸膈部痞塞胀满的，最忌讳使用白虎法的清凉寒润，必须用苦辛开泄的方法：小陷胸汤加入枳实，合用泻心法最为有效；间或有表证见身体疼痛的，宜参用香薷、秦艽；里有腹满的，宜参用苍术、厚朴的，正不必用寒凉药强行遏制邪气。虽然如此，伏邪兼夹风邪、兼夹寒邪在四季都有，至于兼夹暑邪这一种病症，只有在长夏季节才有，所以温热病总体以风温、冷温为最多。
The third type involves a concurrent pathogenic factor of summerheat, named Shu Wen (Summerheat Warmth), also known as Shu Re (Summerheat Heat). In the initial one or two days of onset, there is high fever throughout the body with slight aversion to cold on the back, which is slightly similar to Shang Han (Cold Damage). However, in Shang Han, aversion to cold precedes fever; even when the heat is severe, the entire body feels cold. In contrast, Shu Wen presents first with high fever, and only after the heat reaches its peak does aversion to cold appear on the back. Subsequently, there is only heat without cold, accompanied by intense thirst, profuse sweating, and necessarily signs such as a greasy face, dry teeth, mental restlessness and vexation (Xin Fan Ao Nao), constipation, dysuria, or unsatisfactory diarrhea. The pulse is typically surging and rapid on the right side, while the left pulse may be surprisingly small. In severe cases, deep jue (Jue Shen Re Shen - deep cold limbs with deep heat) occurs, characterized by cold extremities and a slippery pulse despite the cold limbs. The treatment method should assess the severity of the disease progression. For mild cases, light dispersal of the Upper Jiao (Upper Burner) is sufficient, such as Jie Geng Tang (Platycodon Decoction) added with Ku Xing Ren (Bitter Apricot Seed) and Qing Hao Lu (Artemisia Annua Dew), or Wu Ye Lu Gen Tang (Five-Leaf Reed Root Decoction) added with Xi Gua Cui Yi (Watermelon Rind) and Yin Hua Lu (Honeysuckle Dew). For severe cases, both the Upper and Middle Jiaos must be regulated, using formulas like He Xing Shi Gan Tang (Lotus Leaf, Apricot Seed, Gypsum, and Licorice Decoction) or Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction). In extreme cases, San Huang Shi Gao Tang (Three-Yellow and Gypsum Decoction) is used, removing Ma Huang (Ephedrae Herba) and adding Bo He (Menthae Haplocalycis Herba) and Qing Hao (Artemisiae Annuae Herba). If heat penetrates deeply causing limb coldness and unconsciousness, it is classified as Re Jue (Heat Jue Syndrome), caused by heat blocking the orifices of the mind. It requires heavy辛凉 (Acrid-Cool) agents combined with aromatic orifice-opening drugs, such as Bai Hu Tang (White Tiger Decoction) added with fresh Zhu Ye (Bamboo Leaf) and Tong Sang Zhi (Child Mulberry Twig), along with Gua Shuang Zi Xue Dan (Melon Frost Purple Snow Pill). If phlegm is involved, add Zhu Li (Bamboo Sap), Zhu Huang (Processed Bamboo Pith), Shi Chang Pu (Acori Tatarinowii Rhizoma), Chuan Bei Mu (Fritillariae Cirrhosae Bulbus), and Bai Wei (Cynanchi Atrati Radix), selecting from Xin Ding Niu Huang Qing Xin Wan (Newly Formulated Calculus Bovis Clear Heart Pill) or Xi Po Zhi Bao Dan (Rhinoceros Horn and Amber Treasure Pill). If internal stirring of Liver Wind occurs, leading to spasms and convulsions of the limbs, wind-extinguishing and fire-clearing methods are required, along with cooling blood and unblocking collaterals, such as Xi Ling Bai Hu Tang (Rhinoceros Horn and Antelope Horn White Tiger Decoction) heavily supplemented with Sang Ye (Mori Folium), Dan Pi (Moutan Cortex), Ju Hua (Chrysanthemi Flos), Gou Teng (Uncariae Ramulus cum Uncis), and Tong Bian (Human Urine). If excessive heat scorches the Lung collaterals causing hemoptysis, cooling blood and descending fire is necessary to clear collateral heat, such as Bai Hu Tang heavily supplemented with fresh Zhu Ru (Bambusae Caulis in Taeniam), fresh Mao Gen (Imperatae Rhizoma), and Tong Bian. If bleeding persists, add fresh Sheng Di Huang (Rehmanniae Radix) and Xi Jiao Zhi (Rhinocerotis Cornu). If excessive heat injures Qi, presenting with a large and hollow (Kou) pulse, clearing heat and supporting Qi is required, primarily using Bai Hu Jia Ren Shen Tang (White Tiger Decoction plus Ginseng). If panting and gasping threaten collapse with profuse sweating and a scattered pulse, preserving fluids and benefiting Qi is essential, primarily using Qian Jin Sheng Mai San (Thousand Gold Pulse-Nourishing Powder). However, if there is concurrent dampness from alcohol and food stagnation, manifesting as skin heat without sweat and chest/diaphragm fullness, the cooling and moistening method of Bai Hu Tang is strictly contraindicated. Instead, bitter-acrid opening and draining methods must be used: Xiao Xian Xiong Tang (Small Trap in the Chest Decoction) added with Zhi Shi (Aurantii Fructus) combined with the Xie Xin method (Draining the Epigastrium method) is most effective. Occasionally, if exterior symptoms include body pain, Xiang Ru (Elsholtziae Herba) and Qin Jiao (Gentianae Macrophyllae Radix) may be referenced; if interior symptoms include abdominal fullness, Cang Zhu (Atractylodis Rhizoma) and Hou Po (Magnoliae Officinalis Cortex) may be referenced. It is not necessary to forcefully suppress the pathogen with cold-cooling herbs. Although latent pathogens concurrent with Wind or Cold occur in all seasons, the concurrent Summerheat syndrome occurs only in Late Summer. Therefore, among warm diseases, Feng Wen (Wind Warmth) and Leng Wen (Cold Warmth) are the most common.