《巢氏病源》曰∶心烦不得眠者，心热也；但虚烦不得眠者，胆寒也。虚烦者，心胸烦
扰而不宁也。
加味温胆汤 治病后虚烦不得卧及心胆虚怯，触事易惊，短气悸乏。
半夏（泡七次，三钱半） 竹茹 枳实（麸炒，各一钱半） 陈皮（二钱二分） 茯苓 甘草（各一钱
一分） 酸枣仁（炒） 远志（去心） 五味子 人参 熟地黄（各一钱）
上锉一剂。姜、枣煎服。
竹叶石膏汤 治大病后，表里俱虚，内无津液，烦渴心躁及诸虚烦热与伤寒相似，但不
恶寒，身不疼痛，不可汗下，宜服之（方见伤寒）。
健忘惊悸、怔忡失志、不寐心风，皆从痰涎沃心，以致心气不足。若用凉剂太过则心火
愈微、痰涎愈盛而病益深，宜理痰气。
高枕无忧散 治心胆虚怯，昼夜不睡。
陈皮 半夏（姜制） 白茯苓（去皮） 枳实（麸炒） 竹茹 麦门冬（去心） 龙眼肉 石膏
（各一钱半） 人参（五钱） 甘草（一钱半）
上锉一剂。水煎服。
酸枣仁汤 治多睡及不睡。
酸枣仁（和皮微炒） 人参（去芦） 白茯苓（去皮，各等分）
上锉一剂。水煎，如不要睡，即热服；如要睡，即冷服。
胆虚不眠，寒也。用酸枣仁（炒），为末，竹叶煎汤调服。胆实多睡，热也。用酸枣仁（
生）为末，茶、姜汁调服。
一小儿十五岁，因用心太过，少寐惊悸、怔忡恶寒。先用补中益气汤、茯苓、酸枣、远
志，恶寒渐止；又用加味归脾汤，惊悸少安；又用养心汤而痊。
《巢氏病源》中说：心烦且无法入睡的，是心热所致；仅有虚烦且无法入睡的，是胆寒所致。所谓虚烦，是指心胸部位烦乱扰攘而不得安宁。
加味温胆汤（Modified Wendan Decoction）用于治疗大病之后出现的虚烦不卧，以及心胆气虚怯弱、遇事容易受惊、气息短促、心悸乏力等症状。
药物组成：半夏（经过七次水泡，三钱半）、竹茹、枳实（麸皮炒，各一钱半）、陈皮（二钱二分）、茯苓、甘草（各一钱一分）、酸枣仁（炒制）、远志（去除心部）、五味子、人参、熟地黄（各一钱）。
竹叶石膏汤（Zhuye Shigao Tang / Lophatherum and Gypsum Decoction）用于治疗大病之后，表里俱虚，体内津液枯竭，出现烦渴、心中躁扰以及各种虚性烦热，症状与伤寒相似，但不恶寒、身体不疼痛，此时不可使用发汗或攻下法，适宜服用此方（方剂详情见伤寒章节）。
健忘、易惊心悸、怔忡（心跳剧烈伴惊恐感）、神志失守、失眠及心风等症，皆因痰涎壅盛蒙蔽心窍，导致心气不足所致。如果使用寒凉药物太过，会使心火更加微弱、痰涎更加旺盛，从而使病情加深，适宜调理痰气。
高枕无忧散（Gaozhen Wuyou San）用于治疗心胆气虚怯弱，昼夜无法入睡。
药物组成：陈皮、半夏（姜汁制）、白茯苓（去皮）、枳实（麸皮炒）、竹茹、麦门冬（去除心部）、龙眼肉、石膏（各一钱半）、人参（五钱）、甘草（一钱半）。
以上药材锉碎为一剂。加水煎服。
酸枣仁汤（Suanzaoren Tang / Sour Jujube Seed Decoction）用于治疗嗜睡及失眠。
药物组成：酸枣仁（带皮微炒）、人参（去除芦头）、白茯苓（去皮，各等分）。
以上药材锉碎为一剂。加水煎煮，如果不想睡觉，就趁热服用；如果想睡觉，就放凉后服用。
胆虚导致的失眠，属于寒证。使用炒制的酸枣仁研为细末，用竹叶煎汤调服。胆实导致的嗜睡，属于热证。使用生酸枣仁研为细末，用茶水和姜汁调服。
有一个十五岁的男孩，因为用心过度，出现睡眠少、易惊悸、怔忡、怕冷等症状。先用补中益气汤（Buzhong Yiqi Tang / Tonify the Middle and Augment Qi Decoction），配合茯苓、酸枣仁、远志，怕冷症状逐渐停止；又用加味归脾汤（Jiawei Guipi Tang / Modified Guipi Decoction），惊悸症状稍安；最后用养心汤（Yangxin Tang / Nourish Heart Decoction）而痊愈。
According to *Chao Shi Bing Yuan* (Source of Diseases of the Chao Family): Restlessness with inability to sleep is caused by Heart Heat; mere deficiency restlessness with inability to sleep is caused by Gallbladder Cold. "Deficiency restlessness" refers to a state of mental agitation and unrest in the chest and heart region.
**Jiawei Wendan Tang** (Modified Wendan Decoction) treats deficiency restlessness and inability to lie down after a major illness, as well as deficiency and timidity of the Heart and Gallbladder, easily startled by events, shortness of breath, palpitations, and fatigue.
Ingredients: Banxia (Pinelliae Rhizoma, soaked seven times, 3.5 qian), Zhuru (Bambusae Caulis in Taeniam), Zhishi (Aurantii Fructus Immaturus, stir-fried with bran, each 1.5 qian), Chenpi (Citri Reticulatae Pericarpium, 2.2 qian), Fuling (Poria), Gancao (Glycyrrhizae Radix et Rhizoma, each 1.1 qian), Suanzaoren (Ziziphi Spinosae Semen, stir-fried), Yuanzhi (Polygalae Radix, dehearted), Wuweizi (Schisandrae Chinensis Fructus), Renshen (Ginseng Radix et Rhizoma), Shudihuang (Rehmanniae Radix Praeparata, each 1 qian).
Crush these ingredients for one dose. Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus) and take orally.
**Zhuye Shigao Tang** (Lophatherum and Gypsum Decoction) treats cases after a major illness where both exterior and interior are deficient, internal fluids are depleted, resulting in irritability, thirst, mental restlessness, and various deficiency-type heat conditions resembling Shaoyang disease or Taiyang disease, but without aversion to cold or body pain. Sweating and purging methods are contraindicated; this decoction is appropriate (see the Treatise on Cold Damage for the formula details).
Forgetfulness, palpitations due to fright, Zhengchong (severe palpitations accompanied by fear), loss of willpower, insomnia, and Xin Feng (Wind affecting the Heart) all stem from phlegm-saliva flooding the Heart, leading to insufficiency of Heart Qi. If cooling agents are used excessively, Heart Fire becomes weaker, phlegm-saliva increases, and the disease deepens. It is appropriate to regulate Phlegm-Qi.
**Gaozhen Wuyou San** (High Pillow Without Worries Powder) treats deficiency and timidity of the Heart and Gallbladder, with inability to sleep day or night.
Ingredients: Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma, processed with ginger juice), Baifuling (Poria, peeled), Zhishi (Aurantii Fructus Immaturus, stir-fried with bran), Zhuru (Bambusae Caulis in Taeniam), Maimendong (Ophiopogonis Radix, dehearted), Longyanrou (Longan Aril), Shigao (Gypsum Fibrosum, each 1.5 qian), Renshen (Ginseng Radix et Rhizoma, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1.5 qian).
Crush these ingredients for one dose. Decoct with water and take orally.
**Suanzaoren Tang** (Sour Jujube Seed Decoction) treats hypersomnia and insomnia.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, stir-fried slightly with skin), Renshen (Ginseng Radix et Rhizoma, removed rhizome), Baifuling (Poria, peeled, equal parts).
Crush these ingredients for one dose. Decoct with water. If one does not wish to sleep, take it hot; if one wishes to sleep, take it cold.
Insomnia due to Gallbladder Deficiency is a Cold syndrome. Use stir-fried Suanzaoren (Ziziphi Spinosae Semen), grind into powder, and take mixed with Zhu Ye (Phyllostachys nigra leaf) decoction. Hypersomnia due to Gallbladder Excess is a Heat syndrome. Use raw Suanzaoren (Ziziphi Spinosae Semen), grind into powder, and take mixed with tea and Jiangzhi (Zingiberis Rhizoma Recens juice).
A fifteen-year-old boy, due to excessive mental exertion, suffered from little sleep, palpitations due to fright, Zhengchong (severe palpitations), and aversion to cold. Initially, **Buzhong Yiqi Tang** (Tonify the Middle and Augment Qi Decoction) was used with Fuling (Poria), Suanzao (Sour Jujube Seed), and Yuanzhi (Polygalae Radix), and the aversion to cold gradually ceased. Then, **Jiawei Guipi Tang** (Modified Guipi Decoction) was used, and the palpitations due to fright subsided. Finally, he recovered after taking **Yangxin Tang** (Nourish Heart Decoction).