叶石膏汤。王回顾不见。如是者三。遂买见成药两帖。付童使煎。即尽其半。先时头不能举。若戴物千斤。倏
尔轻清。唇亦渐暖。咽膈通畅。
无所碍。悉服之。少顷。汗出如洗。径就睡。及平旦脱然如常时。自正为人谨饬。常茹素。与人斋醮尽诚。故
为神所 如此。
病患脉已解。而日暮微烦。以病新瘥。人强与谷。脾胃气尚弱。不能消谷。故令微烦。损谷则愈。（病患。
玉函。作伤寒。）
〔喻〕脉已解者。阴阳和适。其无表里之邪可知也。日暮微烦者。日中卫气行阳。其不烦可知也。乃因脾
胃气弱。不能消谷所致。损谷则脾胃渐趋于旺。而自愈矣。注家牵扯日暮为阳明之王时。故以损谷为当小下。
（成注）不知此论瘥后之证。非论六经转阳明之证也。（方注）日暮。即内经日西而阳气已衰之意。所以不能
消谷也。损谷。当是减损谷食。以休养脾胃。不可引前条宿食例。轻用大黄。重伤脾胃也。〔魏〕损其谷数。
每食一升者。食七合。食五合者。食三合。俟胃脾渐壮。谷渐增益。亦节饮食防病复之一道也。
玉函经。病后劳复。发热者。麦门冬汤主之。方与金匮要略咳嗽篇所载同。○此条今本遗脱。当是仲景旧文。
Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) was administered. Wang looked back but could not see anyone. This occurred three times. Consequently, two doses of ready-made patent medicine were purchased and given to a boy servant for decoction. The servant immediately consumed half of it. Previously, the patient's head was too heavy to lift, feeling as if bearing a thousand jin of weight. Suddenly, the body felt light and clear, the lips gradually warmed, and the throat and diaphragm became unobstructed. After consuming the remainder, shortly thereafter, profuse sweating occurred like a bath, followed by immediate sleep. By dawn, the patient recovered completely, returning to normal. This person was originally cautious and dignified, had been vegetarian for years, and performed zhaijiao (fasting rituals) with utmost sincerity, thus receiving such divine protection.
The patient's pulse had resolved, yet slight restlessness appeared at dusk. This is because the illness had just healed, people forced food upon the patient, and the Qi of the Spleen and Stomach was still weak, unable to digest the food, hence causing slight restlessness. Reducing food intake will lead to recovery. ("Patient" in some texts is written as "Shanghan".)
[Yu Jiayan] The resolution of the pulse indicates that Yin and Yang are harmonious, implying the absence of exterior or interior pathogenic factors. The slight restlessness at dusk occurs because Wei Qi (Defensive Qi) travels through the Yang channels during the day; thus, restlessness should not occur then. It is caused by weak Spleen and Stomach Qi failing to digest food. Reducing food intake allows Spleen and Stomach Qi to gradually strengthen, leading to spontaneous recovery. Commentators erroneously link dusk to the peak time of the Yangming channel, suggesting the use of Xiao Chengqi Tang (Minor Order the Commandant Decoction) for purging. [Cheng Wuji] Fails to realize this discusses post-illness conditions, not the transmission of Six Channels to Yangming. [Fang Youzhi] Dusk refers to the concept in Neijing that "when the sun sets, Yang Qi declines," hence the inability to digest food. "Reducing grain" means decreasing dietary intake to nourish and rest the Spleen and Stomach. One should not cite the previous case of retained food to lightly employ Rhizoma Rhei Preparata (Dahuang), which would severely damage the Spleen and Stomach. [Wei Litong] Reduce the quantity of grain: if one sheng per meal, reduce to seven he; if five he, reduce to three he. Wait for the Stomach and Spleen to gradually strengthen before incrementally increasing food intake. This is also a method of regulating diet to prevent disease recurrence.
Yuhan Jing records: For labor relapse after illness with fever, Mai Men Dong Tang (Ophiopogon Decoction) is the primary treatment. This formula is identical to that recorded in the Cough section of Jin Gui Yao Lue. ○ This paragraph is missing in current editions but is likely original text by Zhang Zhongjing.