424 浏览一位热射病患者，当然这个病名是西医给的，在经过全身物理降温和输液后抢救失败了。热射病是中暑里面最严重的情况，我们来看看中华文化里是如何辩证医治的（未经实际应用，仅供研究参考）。
张仲景《伤寒论》里面这样讲中暑：太阳中暍（ye），发热恶寒，身重而疼痛，其脉弦细芤迟，小便已，洒洒然毛耸，手足逆冷，小有劳，身即热，口开前板齿燥；若发其汗，则恶寒甚；加温针，则发热甚；数下之， 则淋甚。
此时测病人体温，会超过40℃，但是病人实际是畏寒的。这就是中华文化和西方的不同之处。西方思维是对抗思维，我们的思维是“阴极生阳，阳极生阴”，病人因为大热所以必然会寒。九香联想到2021年5月22日甘肃景泰县的黄河石林山地马拉松赛发生的湿温致死的惨案，失温者大都会脱掉衣服，这个原因就是寒极生热。人体阴阳如同一个圆形时钟，中间是阴阳鱼的状态，我们可以把阴极看成24点也就是0点位置，把阳极看成是中午12点位置，这其实是同一个位置，也就是说“阴极生阳，阳极生阴”的临界点只有一个，只是方向不同。热射病属于中暑里面的“阳极”，要让阴回来，最好的方式就是再推它一把，也就是给出更热的方案。
所以一般的中暑，用“白虎加人参汤方” 即可，对于热射病，非得用到附子，生附子的作用趋势是从里向外打（少阴到太阳），炮附子的作用趋势是从外往里收（太阳到少阴），对于热射病这种极危险的情况，需要生附子和炮附子共用才能有救。等附子用下去体温有些降下来后，再用“白虎加人参汤方” 补足血里面丧失的津液，才能达到救人治愈目的。
A patient with heat radiation sickness, of course, was given the name by western medicine. After physical cooling and infusion, the rescue failed. Heat stroke is the most serious case of heatstroke. Let's take a look at how Chinese culture treats it dialectically.
At this time, the patient's temperature will exceed 40 ℃, but the patient is actually afraid of cold. This is the difference between Chinese culture and the West. Western thinking is confrontational thinking. Our thinking is that "the cathode generates Yang, and the anode generates Yin". The patient must be cold because of the great heat. Steve Kiang thought of the tragic case of death caused by wet temperature in the Yellow River Shilin Mountain Marathon in Jingtai County, Gansu Province on May 22, 2021. Most of the people who lost their temperature would take off their clothes. The reason was that the cold generated heat. Yin and Yang of the human body are like a circular clock, with Yin and yang fish in the middle. We can regard the cathode as the position of 24 o'clock, that is, 0 o'clock, and the anode as the position of 12 o'clock at noon. This is actually the same position. That is to say, there is only one critical point of "cathode generates Yang and anode generates Yin", but the directions are different. Heat stroke belongs to the "anode" of heat stroke. The best way to bring back Yin is to push it again, that is, to give a hotter scheme.
Therefore, for general heatstroke, the "white tiger plus Ginseng Decoction" can be used. For heat stroke, it is necessary to use aconite. The function trend of raw aconite is to hit from the inside out (less Yin to the sun), and the function trend of dried aconite is to receive from the outside in (sun to less Yin). For the extremely dangerous situation of heat stroke, it is necessary to share raw aconite and dried aconite. After the temperature of aconite drops down, the "white tiger plus ginseng soup" can be used to replenish the body fluid lost in the blood, so as to achieve the goal of saving and curing.
