（脉二首 方九首 灸法二首）
胆实热
左手关上脉阳实者，足少阳经也。病苦腹中气满，饮食不下，咽干头痛，洒洒恶寒，胁
痛，名曰胆实热也。
治胆腑实热精神不守泻热方。
半夏 宿姜（各三两） 黄芩（一两） 生地黄（五两） 远志 茯苓（各二两） 秫
米（一升） 酸枣仁（五合）
上八味 咀，以千里长流水五斗煮秫米，令蟹目沸扬之千余遍，澄清，取九升煮药，取
三升半分三服。（《集验方》治虚烦闷不得眠，无地黄、远志，有麦门冬、桂心各三两，甘
草、人参各二两。）
胆虚寒
左手关上脉阳虚者，足少阳经也。病苦眩厥痿，足趾不能摇 不能起，僵仆目黄，失
精 ，名曰胆虚寒也。
治大病后虚烦不得眠，此胆寒故也，宜服之方。
半夏 竹茹 枳实（各二两） 橘皮（三两） 甘草（一两） 生姜（四两）
上六味 咀，以水八升煮取二升，分三服。（一本有茯苓二两、红枣十二枚）
治虚烦不得眠方。
麦门冬、半夏（各三两） 茯苓（四两） 酸枣仁（二升） 甘草 桂心 黄芩 远志 萆
上十二味 咀，以千里流水一斛煮米，令蟹目沸扬万遍澄清，取一斗煮药取二升半，分
三服。
治虚劳烦搅，奔气在胸中，不得眠方。
酸枣仁（三升） 人参 桂心 生姜（各二两） 石膏（四两） 茯苓 知母（各三两）
甘草
（一两半）
上八味 咀，以水一斗先煮枣仁取七升，去滓，下药煮取三升，分三服，日三。
治虚劳烦闷不得眠方∶
大枣（二七枚） 葱白（七茎）
上二味以水三升煮取一升，去滓顿服。
(Two sections on pulse diagnosis, nine prescriptions, two sections on moxibustion)
Gallbladder Excess-Heat Syndrome
When the yang aspect of the pulse at the left guan position is full and forceful, it indicates a disease of the Foot-Shaoyang (Lesser Yang) channel. The patient suffers from abdominal distension and fullness, inability to swallow food and drink, dry throat, headache, aversion to cold with shivering, and hypochondriac pain. This is termed Gallbladder Excess-Heat syndrome.
Prescription for clearing heat in cases of Gallbladder Fu excess-heat causing loss of mental possession:
Banxia (Pinelliae Rhizoma), Shengjiang (Zingiberis Rhizoma Recens) [each 3 liang], Huangqin (Scutellariae Radix) [1 liang], Shengdihuang (Rehmanniae Radix) [5 liang], Yuanzhi (Polygalae Radix), Fuling (Poria) [each 2 liang], Shumi (Sorghum vulgare grain) [1 sheng], Suanzaoren (Ziziphi Spinosae Semen) [5 he].
The above eight ingredients are coarsely crushed. Boil Shumi in 5 dou of flowing water from a long river until it boils vigorously like crab eyes for over a thousand times, then clarify the liquid. Take 9 sheng of this clarified water to decoct the remaining herbs. Obtain 3 sheng of the final decoction and divide into three doses. (Jiyan Fang treats deficiency-empty vexation and chest oppression with insomnia; this version excludes Shengdihuang and Yuanzhi, adding Maidong (Ophiopogonis Radix) and Guixin (Cinnamomi Ramulus) each 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma) and Renshen (Panacis Ginseng Radix) each 2 liang.)
Gallbladder Deficiency-Cold Syndrome
When the yang aspect of the pulse at the left guan position is deficient, it indicates a disease of the Foot-Shaoyang (Lesser Yang) channel. The patient suffers from vertigo, syncope, flaccidity, inability to move the toes or stand up, rigid collapse, yellow eyes, and seminal emission. This is termed Gallbladder Deficiency-Cold syndrome.
Prescription suitable for treating deficiency-empty vexation and insomnia following a major illness, caused by Gallbladder cold:
Banxia (Pinelliae Rhizoma), Zhuru (Bambusae Caulis in Taeniam), Zhishi (Aurantii Fructus Immaturus) [each 2 liang], Chupi (Citri Reticulatae Pericarpium) [3 liang], Gancao (Glycyrrhizae Radix et Rhizoma) [1 liang], Shengjiang (Zingiberis Rhizoma Recens) [4 liang].
The above six ingredients are coarsely crushed. Decoct in 8 sheng of water to obtain 2 sheng, divided into three doses. (Another version includes Fuling (Poria) 2 liang and Hongzao (Jujubae Fructus) 12 pieces.)
Prescription for treating deficiency-empty vexation and insomnia:
Maidong (Ophiopogonis Radix), Banxia (Pinelliae Rhizoma) [each 3 liang], Fuling (Poria) [4 liang], Suanzaoren (Ziziphi Spinosae Semen) [2 sheng], Gancao (Glycyrrhizae Radix et Rhizoma), Guixin (Cinnamomi Ramulus), Huangqin (Scutellariae Radix), Yuanzhi (Polygalae Radix), Bixie (Dioscoreae Hypoglaucae Rhizoma).
The above twelve ingredients are coarsely crushed. Boil rice in 1 hu of flowing water from a long river until it boils vigorously like crab eyes for ten thousand times, then clarify. Take 1 dou of this clarified water to decoct the herbs. Obtain 2.5 sheng of the final decoction and divide into three doses.
Prescription for treating deficiency-wasting vexation and agitation, with qi rushing to the chest, causing insomnia:
Suanzaoren (Ziziphi Spinosae Semen) [3 sheng], Renshen (Panacis Ginseng Radix), Guixin (Cinnamomi Ramulus), Shengjiang (Zingiberis Rhizoma Recens) [each 2 liang], Shigao (Gypsum Fibrosum) [4 liang], Fuling (Poria), Zhimu (Anemarrhenae Rhizoma) [each 3 liang], Gancao (Glycyrrhizae Radix et Rhizoma) [1.5 liang].
The above eight ingredients are coarsely crushed. Decoct Suanzaoren first in 1 dou of water to obtain 7 sheng, remove the dregs, add the remaining herbs, and decoct to obtain 3 sheng. Divide into three doses, taken three times daily.
Prescription for treating deficiency-wasting vexation and oppression with insomnia:
Dazao (Jujubae Fructus) [14 pieces], Congbai (Allii Fistulosi Bulbus) [7 stems].
The above two ingredients are decocted in 3 sheng of water to obtain 1 sheng. Remove the dregs and take as a single dose.