安昌娄 阳不交阴，寤不成寐，脉数右劲，舌尖赤，咳嗽气逆，胃馁。姑宜清肺、安神
、化痰。（三月七号壬寅十九日。）
北沙参（三钱） 霍石斛（三钱） 炒枣仁（三钱） 丹参（二钱） 天冬（三钱） 光杏仁（三
钱）
夜交藤（三钱） 生米仁（四钱） 紫菀（钱半） 茯神（四钱，辰砂拌） 橘红（一钱，盐水炒）
清煎四帖。
介按∶胃为六腑之海，其气以下行为顺。兹以阳明气逆冲肺，以致咳嗽不寐，故治以肃
肺养胃而安神。
渔庄沈 肝阳未静，夜寐少安，脉右尚弦，左细数，呛咳，舌色如前。还宜柔肝肾以和
阳为妥（杏月初四日。）
生首乌（三钱） 紫菀（钱半） 炙龟板（四钱） 南沙参（三钱） 茯神（三钱） 参贝陈皮（
钱半） 光杏仁（三钱） 生米仁（四钱） 桑椹子（三钱） 生牡蛎（四钱） 炒杜仲（三钱）
清煎四帖。
介按∶（肝阴已虚，而阳不潜藏，且肝藏魂而肺藏魄。今以魂魄不安，则夜不安寐，肝
逆乘肺，则为呛咳。故治以潜阳育阴，柔肝清肺为主。）
黄公 某 呛咳心悸，夜不安寐，脉虚细，胃钝恶心。宜温胆和胃，清肺安神。
仙半夏（钱半） 枳壳（钱半） 紫菀（钱半） 栝蒌皮（三钱） 陈皮（钱半） 炒枣仁（三钱）
川贝（三钱） 炒谷芽（四钱） 茯神（四钱） 白前（钱半） 蔻壳（钱半） （引）鲜竹肉（一丸）
三帖。
介按∶罗东逸云∶胆为中正之官，清净之腑，喜宁谧，恶烦扰，喜柔和，不喜壅郁。盖
东方
之腑，以郁久而不谧也。痰气上逆者，土家湿热反乘，而木不得遂其条达也。故是者首当清热及
解利三焦。据是以观，则此症纯系少阳未得温和之气，以致诸证并起。此方治法，深得罗氏
安昌相 心惕如悬，夜寐不安，脉虚细，左关细劲。舌红，偶然语蹙，姑宜补心丹加减治之。（辛亥十二月念九日。）
丹参（三钱） 生地（四钱） 柏子仁（钱半） 甘菊（二钱） 麦冬（二钱，去心） 炒枣仁（
三钱
灯心（七支）
四帖。
介按∶心血不足，神志不宁，而致心惕如悬，夜不安寐，故治以补益心神为主。用生地
以滋
气，酸枣仁以补心，茯神、远志以安心神，钗斛滋液，甘菊养肝。又用预知子之固肾，灯心
以为引导。此方诚治心虚不寐之专剂。
安昌王 晕眩并作，心悸少寐，脉劲，舌色透明，力怯跗肿。宜柔肝肾以安神。（四月
生首乌（三钱） 炒枣仁（三钱） 炒杜仲（三钱） 生牡蛎（四钱） 杞子（三钱） 茯神（四
，辰砂拌） 炒狗脊（三钱） 泽泻（三钱） 甘菊（二钱） 远志肉（八分炒） 生米仁（四钱）
清煎四帖。
又 晕眩已减，夜寐稍安，睡中汗出，脉虚，力怯，仍遵前法加减为妥。（二月念三日）
生首乌（三钱） 炒枣仁（三钱） 煨天麻（八分） 怀山药（三钱） 杞子（三钱） 茯神（四
钱） 白蒺藜（三钱） 杜仲（三钱） 甘菊（钱半） 生牡蛎（四钱） 桑椹子（三钱）
清煎八帖。
介按∶肝阴已亏而不藏魂，则晕眩少寐，心神不安则心悸力怯。更兼湿热滞于下焦而致
跗肿，故于补养肝肾之中，而佐牡蛎、泽泻以祛湿。用药既已双方兼顾，投剂自然得效。次诊又
形寝汗，仍是阴液未固而外泄之候，但此时跗肿已除，故只以柔肝补肾而安神为治。
西庄沈 胃气仍钝，夜不安寐，脉濡细，舌黄滑，湿犹未罢，宜温胆汤加减。（元月十
姜半夏（钱半） 枳壳（钱半） 绵茵陈（三钱） 鸡内金（三钱） 新会皮（钱半） 枣仁（三
钱） 生米仁（四钱） 炒谷芽（四钱） 茯神（四钱，辰砂拌） 通草（钱半） 蔻壳（钱半）
清煎三帖。
介按∶胆为清静之腑，兹以痰湿未清，胸膈之余热未退，而致夜寐不安，胃纳尚纯。治
以温胆汤加减，兼清湿热而养胃。
安昌徐 湿热较减，胃纳略增，脉右弦濡，左虚细。夜寐少安，大便艰涩。宜和胃安神
为妥。（六月六号乙巳二十日。）
仙半夏（钱半） 炒川连（六分） 柏子仁（三钱） 夜交藤（三钱） 新会皮（钱半） 炒枣仁
（三钱） 炒远志（八分） 通草（钱半） 茯神（四钱，辰砂拌） 丹参（三钱） 谷芽（四钱）
五帖。
介按∶湿热方退，肾液已耗，未能上注于心，是以夜寐不安，胃津未复，是以大便艰涩
，故治以和胃安神，补心滋肾，略佐渗湿，俾胃气得和，则卧寐自安。
Mr. Lou of Anchang: Yang fails to interact with Yin, resulting in insomnia (inability to fall asleep). The pulse is rapid and forceful on the right side; the tip of the tongue is red; accompanied by cough, rebellious Qi, and deficient Stomach Qi. Tentatively suitable for clearing Lung Qi, calming the Shen (Spirit), and resolving phlegm. (March 7th, Renyin 19th day.)
* Glehniae Radix (Beishashen) - 3 qian
* Dendrobii Caulis (Huoshihu) - 3 qian
* Ziziphi Spinosae Semen (Chao Zaoren) - 3 qian
* Salviae Miltiorrhizae Radix et Rhizoma (Danshen) - 2 qian
* Asparagi Radix (Tiandong) - 3 qian
* Armeniacae Semen Amarum (Guang Xingren) - 3 qian
* Polygoni Multiflori Caulis (Yejiaoteng) - 3 qian
* Coicis Semen (Sheng Yiyiren) - 4 qian
* Asteris Radix (Ziwan) - 1.5 qian
* Poria Cum Radix Pini (Fushen, mixed with Cinnabar) - 4 qian
* Citri Reticulatae Pericarpium (Juhong, stir-fried with salt water) - 1 qian
Decoct in clear water, four doses.
Commentary by Jie: The Stomach is the sea of the six fu organs; its Qi should descend smoothly. Here, Yangming Qi rebels upward and attacks the Lung, causing cough and insomnia. Therefore, treatment focuses on descending Lung Qi, nourishing Stomach Qi, and calming the Shen.
Mr. Shen of Yuzhuang: Liver Yang is unsettled; night sleep is slightly improved. The pulse is still wiry on the right, and fine-rapid on the left; there is harsh cough; tongue color remains as before. It is appropriate to soften the Liver and Kidney to harmonize Yang. (First day of the fourth lunar month.)
* Polygoni Multiflori Preparata Radix (Sheng Shouwu) - 3 qian
* Asteris Radix (Ziwan) - 1.5 qian
* Testudinis Carapax et Plastrum Praeparatum (Zhi Guiban) - 4 qian
* Glehniae Radix (Nanshashen) - 3 qian
* Poria Cum Radix Pini (Fushen) - 3 qian
* Ginseng Radix et Platycodonis Radix et Citri Reticulatae Pericarpium (Shenbei Chenpi) - 1.5 qian
* Armeniacae Semen Amarum (Guang Xingren) - 3 qian
* Coicis Semen (Sheng Yiyiren) - 4 qian
* Mori Fructus (Sangshenzi) - 3 qian
* Ostreae Concha (Sheng Muli) - 4 qian
* Eucommiae Cortex (Chao Duzhong) - 3 qian
Decoct in clear water, four doses.
Commentary by Jie: Liver Yin is deficient, and Yang fails to submerge. The Liver stores the Hun (Ethereal Soul), and the Lung stores the Po (Corporeal Soul). Now that Hun and Po are unsettled, one cannot sleep peacefully at night. Liver Qi rebels and overacts on the Lung, causing harsh cough. Thus, treatment primarily focuses on submerging Yang, nourishing Yin, softening the Liver, and clearing the Lung.
Mr. Huang: Harsh cough, palpitations, inability to sleep at night. Pulse is deficient and fine. Stomach Qi is dull with nausea. Suitable for warming the Gallbladder, harmonizing the Stomach, clearing the Lung, and calming the Shen.
* Pinelliae Rhizoma Praeparatum (Xian Banxia) - 1.5 qian
* Aurantii Fructus Immaturus (Zhike) - 1.5 qian
* Asteris Radix (Ziwan) - 1.5 qian
* Trichosanthis Pericarpium (Gualou Pi) - 3 qian
* Citri Reticulatae Pericarpium (Chenpi) - 1.5 qian
* Ziziphi Spinosae Semen (Chao Zaoren) - 3 qian
* Fritillariae Thunbergii Bulbus (Chuanbei) - 3 qian
* Hordeum Vulgare Germinatum (Chao Guya) - 4 qian
* Poria Cum Radix Pini (Fushen) - 4 qian
* Petasitis Radix (Baiqian) - 1.5 qian
* Amomi Fructus (Keqiao) - 1.5 qian
* Guide: Fresh Bamboo Meat (Xian Zhurou) - 1 pill
Three doses.
Commentary by Jie: Luo Dongyi stated: The Gallbladder is the official of uprightness, a pure and quiet organ. It prefers tranquility and abhors disturbance; it prefers gentleness and dislikes stagnation. This is because the Wood organ, due to long-term stagnation, fails to achieve tranquility. When Phlegm-Qi rebels upward, it is due to damp-heat from the Earth element counter-attacking, preventing the Wood Qi from flowing freely. Therefore, such cases must first clear heat and resolve obstruction in the Sanjiao (Triple Burner). Observing this, this condition is purely due to Shaoyang failing to receive gentle warmth, leading to various symptoms arising together. This prescription's method deeply aligns with Luo's principles.
Mr. Xiang of Anchang: Heart feels fearful and anxious as if hanging in the air; night sleep is uneasy. Pulse is deficient and fine; the Left Guan position is fine and forceful. Tongue is red; occasionally speaks hastily. Tentatively suitable for Buxin Dan (Heart-Nourishing Pill) modified. (December 29th, Xinhai year.)
* Salviae Miltiorrhizae Radix et Rhizoma (Danshen) - 3 qian
* Rehmanniae Radix (Shengdi) - 4 qian
* Biota Semen (Baizi Ren) - 1.5 qian
* Chrysanthemi Flos (Ganju) - 2 qian
* Ophiopogonis Radix (Maidong, heart removed) - 2 qian
* Ziziphi Spinosae Semen (Chao Zaoren) - 3 qian
* Junci Medulla (Dengxin) - 7 strands
Four doses.
Commentary by Jie: Heart Blood is insufficient, and the Shen (Spirit) is restless, leading to feelings of fear and anxiety as if hanging, and insomnia. Thus, treatment focuses on tonifying Heart Shen. Using Shengdi to nourish Yin fluids, Suanzaoren to tonify the Heart, Fushen and Yuanzhi to calm the Shen, Chihu (Dendrobium) to moisten fluids, and Ganju to nourish the Liver. Also using Puzhisu (Akebia Fruit) to secure the Kidney, and Dengxin as a guide. This formula is indeed a specific agent for treating insomnia due to Heart deficiency.
Mr. Wang of Anchang: Vertigo occurs frequently, palpitations, little sleep. Pulse is forceful. Tongue color is transparent. Physical strength is weak with edema on the dorsum of the foot. Suitable for softening the Liver and Kidney to calm the Shen. (April)
* Polygoni Multiflori Preparata Radix (Sheng Shouwu) - 3 qian
* Ziziphi Spinosae Semen (Chao Zaoren) - 3 qian
* Eucommiae Cortex (Chao Duzhong) - 3 qian
* Ostreae Concha (Sheng Muli) - 4 qian
* Lycii Fructus (Qizi) - 3 qian
* Poria Cum Radix Pini (Fushen, mixed with Cinnabar) - 4 qian
* Cibotii Rhizoma (Chao Gouji) - 3 qian
* Alismatis Rhizoma (Zexie) - 3 qian
* Chrysanthemi Flos (Ganju) - 2 qian
* Polygalae Radix (Yuanzhi Rou, stir-fried) - 0.8 fen
* Coicis Semen (Sheng Yiyiren) - 4 qian
Decoct in clear water, four doses.
Second Visit: Vertigo has decreased, night sleep is slightly better, sweating during sleep. Pulse is deficient, physical weakness persists. Still appropriate to follow previous methods with modifications. (February 23rd)
* Polygoni Multiflori Preparata Radix (Sheng Shouwu) - 3 qian
* Ziziphi Spinosae Semen (Chao Zaoren) - 3 qian
* Gastrodiae Rhizoma (Wei Tianma) - 0.8 fen
* Dioscoreae Rhizoma (Huai Shanyao) - 3 qian
* Lycii Fructus (Qizi) - 3 qian
* Poria Cum Radix Pini (Fushen) - 4 qian
* Tribuli Fructus (Bajili) - 3 qian
* Eucommiae Cortex (Duzhong) - 3 qian
* Chrysanthemi Flos (Ganju) - 1.5 qian
* Ostreae Concha (Sheng Muli) - 4 qian
* Mori Fructus (Sangshenzi) - 3 qian
Decoct in clear water, eight doses.
Commentary by Jie: Liver Yin is depleted and fails to store the Hun, causing vertigo and little sleep. Heart Shen is unsettled, causing palpitations and weakness. Additionally, damp-heat stagnates in the Lower Jiao, causing edema on the dorsum of the foot. Therefore, within the context of nourishing Liver and Kidney, Muli and Zexie are added to dispel dampness. Since the medication addresses both aspects, efficacy is naturally achieved. At the second visit, nocturnal sweating indicates that Yin fluids are still not secured and are leaking outward. However, since the edema has resolved, treatment now focuses solely on softening the Liver, tonifying the Kidney, and calming the Shen.
Mr. Shen of Xizhuang: Stomach Qi remains dull; unable to sleep at night. Pulse is soggy and fine. Tongue coating is yellow and slippery; dampness has not yet cleared. Suitable for Wendan Tang (Warm the Gallbladder Decoction) modified. (January 10th)
* Pinelliae Rhizoma Praeparatum (Jiang Banxia) - 1.5 qian
* Aurantii Fructus Immaturus (Zhike) - 1.5 qian
* Artemisiae Scopariae Herba (Mian Yinchen) - 3 qian
* Gymnosporiae Fructus (Jineijin) - 3 qian
* Citri Reticulatae Pericarpium (Xinhui Pi) - 1.5 qian
* Ziziphi Spinosae Semen (Zaoren) - 3 qian
* Coicis Semen (Sheng Yiyiren) - 4 qian
* Hordeum Vulgare Germinatum (Chao Guya) - 4 qian
* Poria Cum Radix Pini (Fushen, mixed with Cinnabar) - 4 qian
* Tectonae Herba (Tongcao) - 1.5 qian
* Amomi Fructus (Keqiao) - 1.5 qian
Decoct in clear water, three doses.
Commentary by Jie: The Gallbladder is a pure and quiet organ. Here, Phlegm-dampness has not cleared, and residual heat in the chest and diaphragm has not subsided, causing insomnia. Stomach appetite remains intact. Treatment uses Wendan Tang modified, simultaneously clearing damp-heat and nourishing the Stomach.
Mr. Xu of Anchang: Damp-heat has reduced slightly, stomach appetite has increased somewhat. Pulse is wiry-soggy on the right, deficient-fine on the left. Night sleep is slightly better, but defecation is difficult. Suitable for harmonizing the Stomach and calming the Shen. (June 6th, Yisi 20th day.)
* Pinelliae Rhizoma Praeparatum (Xian Banxia) - 1.5 qian
* Coptidis Rhizoma (Chao Chuanlian) - 0.6 fen
* Biota Semen (Baizi Ren) - 3 qian
* Polygoni Multiflori Caulis (Yejiaoteng) - 3 qian
* Citri Reticulatae Pericarpium (Xinhui Pi) - 1.5 qian
* Ziziphi Spinosae Semen (Chao Zaoren) - 3 qian
* Polygalae Radix (Chao Yuanzhi) - 0.8 fen
* Tectonae Herba (Tongcao) - 1.5 qian
* Poria Cum Radix Pini (Fushen, mixed with Cinnabar) - 4 qian
* Salviae Miltiorrhizae Radix et Rhizoma (Danshen) - 3 qian
* Hordeum Vulgare Germinatum (Guya) - 4 qian
Five doses.
Commentary by Jie: Damp-heat is retreating, but Kidney fluids have been consumed and fail to ascend to nourish the Heart, hence insomnia. Stomach fluids have not recovered, hence constipation. Thus, treatment focuses on harmonizing the Stomach and calming the Shen, tonifying the Heart and nourishing the Kidney, with slight assistance from diuretics to leach out dampness. Once Stomach Qi is harmonized, sleep will naturally become peaceful.