论日间发寒热
天师曰∶日治者,病重于日间,而发寒发热,较夜尤重,此等症必须从天未明而先截之。方用
柴胡三钱,当归三钱,黄 五钱,人参一钱,陈皮一钱,半夏一钱,青皮一钱。枳壳一钱,白术五钱,
甘草一钱,干姜五分,水煎服。(〔批〕补正逐邪汤。)此方妙在加柴胡于参、 、归、术之中。盖邪
之敢在日间作祟者,欺正气之衰也。今用祛邪之品同补正之药,共相攻邪,则正气有余,邪自退舍。譬
如贼人白昼操戈入室。明欺主人软弱,故肆无忌惮。倘主人退缩潜形,则贼势更张,必大恣 掠,席卷资
囊而去。正气日消,病安能愈也,妙在全用补正为君,则主人无惧,指挥如意,号召家人,奋勇格斗,前
后左右,无不执耒而来,负锄而至,争先捍御,贼人自然胆落,惟恐去之不速矣。况方中有柴胡、半夏
之类,各各消邪,又譬如主人既勇,奴仆无非勇士,则贼不奔逃,必被擒获。此方之用于日间,实有妙
用也。
张公曰∶妙绝。日闻之病,以此治之,最妙。余尚有一法,治日间之症,尤易奏功。方用人参一
钱,白术五钱,甘草一钱,陈皮一钱,柴胡二钱,熟地一两,白芥子一钱,水煎服。(〔批〕阴阳兼治
汤。)天师之方,乃治阳虚之症,余方乃治阳虚而兼阴虚之症,二方彼此参用,何愁日间之病棘手哉。
华君曰∶同。
雷公曰∶日间发热,乃邪在于阳分也。补阳气而邪自退。方用人参三钱,甘草一钱,白术五钱,
当归三钱,陈皮一钱,柴胡二钱,水煎服。有痰,加半夏一钱;有食,加山楂一钱。方名助正汤。
助其正,邪不祛而自祛也。
Chen Shiduo stated: The so-called "Day Treatment Method" refers to conditions that worsen during the day, with chills and fever (Fever and Chills) manifesting more severely than at night. Such syndromes must be intercepted before dawn. The prescription consists of Chai Hu (Bupleuri Radix) 3 qian, Dang Gui (Angelicae Sinensis Radix) 3 qian, Huang Qin (Scutellariae Radix) 5 qian, Ren Shen (Ginseng Radix et Rhizoma) 1 qian, Chen Pi (Citri Reticulatae Pericarpium) 1 qian, Ban Xia (Pinelliae Rhizoma) 1 qian, Qing Pi (Citri Reticulatae Pericarpium Viride) 1 qian, Zhi Ke (Aurantii Fructus) 1 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, and Gan Jiang (Zingiberis Rhizoma) 0.5 qian, decocted in water and taken orally. (Annotation: Bu Zheng Zhu Xie Tang [Supplement Uprightness and Expel Pathogen Decoction].) The brilliance of this formula lies in adding Chai Hu among Ren Shen, Huang Qin, Dang Gui, and Bai Zhu. Generally, pathogens dare to wreak havoc during the day because they exploit the deficiency of Zheng Qi (Upright Qi/Healthy Qi). Now, by using pathogen-expelling herbs together with herbs that tonify Zheng Qi to jointly attack the pathogen, Zheng Qi becomes sufficient, and the pathogen naturally retreats. This is akin to thieves breaking into a house with weapons during the daytime, openly bullying the weak master and thus acting without restraint. If the master shrinks back and hides, the thieves' arrogance will increase, leading to rampant plundering and the theft of all wealth. As Zheng Qi diminishes daily, how can the disease heal? The妙 (marvelous aspect) is entirely relying on herbs that tonify Zheng Qi as the sovereign drugs; thus, the master has no fear, commands at will, summons family members to fight bravely, and everyone comes from front, back, left, and right wielding farming tools, competing to defend. The thieves naturally lose their courage, fearing only that they cannot escape quickly enough. Moreover, the formula contains herbs like Chai Hu and Ban Xia, each eliminating pathogens. This is further likened to a situation where the master is brave and the servants are all warriors; if the thieves do not flee, they will surely be captured. The application of this formula for daytime treatment indeed possesses marvelous efficacy.
Master Zhang said: Marvelous. For diseases manifesting during the day, treating them with this method is most effective. I have another method for treating daytime syndromes, which yields results even more easily. The prescription uses Ren Shen 1 qian, Bai Zhu 5 qian, Gan Cao 1 qian, Chen Pi 1 qian, Chai Hu 2 qian, Shu Di Huang (Rehmanniae Radix Praeparata) 1 liang, Bai Jie Zi (Sinapis Semen) 1 qian, decocted in water and taken orally. (Annotation: Yin Yang Jian Zhi Tang [Yin-Yang Simultaneous Treatment Decoction].) Master Chen's formula treats Yang Xu (Yang Deficiency) syndromes, whereas my formula treats Yang Xu combined with Yin Xu (Yin Deficiency). By referencing and using both formulas mutually, why worry about daytime diseases being difficult to treat?
Master Hua said: Agreed.
Master Lei said: Fever during the day indicates that the pathogen resides in the Yang portion of the body. Tonifying Yang Qi causes the pathogen to recede spontaneously. The prescription uses Ren Shen 3 qian, Gan Cao 1 qian, Bai Zhu 5 qian, Dang Gui 3 qian, Chen Pi 1 qian, and Chai Hu 2 qian, decocted in water and taken orally. If there is Phlegm (Tan), add Ban Xia 1 qian; if there is Food Stagnation (Shi), add Shan Zha (Crataegi Fructus) 1 qian. The formula is named Zhu Zheng Tang (Assist Uprightness Decoction). By assisting Zheng Qi, the pathogen is expelled spontaneously without direct expulsion efforts.