肾气充盛则产生寒象。肾气虚弱则寒气在体内动扰。心气虚弱则热邪收敛于内。我认为此症，如果是由于肝脾血虚引起的，使用四物汤合用人参、白术；如果是肝脾郁结愤怒导致的，用小柴胡汤合用四物汤。
脾胃气虚，使用补中益气汤。肝脾血虚，使用加味逍遥散。肝经风热，使用加味小柴胡汤。心经血虚，使用天王补心丹。肺经气虚，使用人参补肺汤。肝经血虚，使用加味四物汤。
大致而言，午前发热属于气分病变，使用清心莲子饮。午后发热属于血分病变，使用四物汤加入人参、白术、牡丹皮。热感从左侧发起，是肝火所致。实证则在四物汤中加入龙胆草、山栀；虚证则在四物汤中加入人参、白术、黄芪。热感从脐下发起，是阴火所致，使用四物汤加入人参、白术、知母、黄柏，并用酒拌炒。
When Kidney Qi is abundant, cold sensations arise. When Kidney Qi is deficient, cold moves within the interior. When Heart Qi is deficient, heat is retained inside. I propose that for this syndrome, if it arises from Liver and Spleen Blood deficiency, Siwu Tang (Four Substances Decoction) combined with Renshen (Ginseng Root) and Baizhu (Atractylodes Rhizome) should be used. If it results from Liver and Spleen depression and anger, Xiaochaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang (Four Substances Decoction) is indicated.
For Spleen and Stomach Qi deficiency, Buzhong Yiqi Tang (Decoction to Tonify the Middle and Augment the Qi) is used. For Liver and Spleen Blood deficiency, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) is applied. For Wind-Heat in the Liver Channel, Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction) is prescribed. For Blood deficiency in the Heart Channel, Tianwang Buxin Dan (Emperor of Heaven’s Pill to Nourish the Heart) is given. For Qi deficiency in the Lung Channel, Renshen Bufei Tang (Ginseng Decoction to Tonify the Lungs) is used. For Blood deficiency in the Liver Channel, Jiawei Siwu Tang (Modified Four Substances Decoction) is administered.
Generally speaking, fever occurring before noon belongs to the Qi level; Qingxin Lianzi Yin (Decoction to Clear the Heart and Nourish the Lotus Seed) is used. Fever occurring after noon belongs to the Blood level; Siwu Tang (Four Substances Decoction) is modified by adding Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), and Mudanpi (Moutan Cortex). Heat originating from the left side indicates Liver Fire. In excess patterns, Longdancao (Gentian Root) and Shanzhi (Gardeniae Fructus) are added to Siwu Tang (Four Substances Decoction); in deficiency patterns, Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), and Huangqi (Astragali Radix) are added. Heat originating from below the umbilicus indicates Deficient Fire (Yin Fire); Siwu Tang (Four Substances Decoction) is modified by adding Renshen (Ginseng Root), Baizhu (Atractylodes Rhizome), Zhimu (Anemarrhenae Rhizoma), and Huangbai (Phellodendri Cortex), stir-fried with wine.