治痰盛夜不得寐。
秫米(一升,即小米之糯者) 半夏(五合)
用千里水八升,扬之万遍,取清五升,入前药煮一升半,每服一杯,日进三服,以
知为度。病新发者,覆杯即卧,汗出则已,久者,三服而已。
歧伯曰∶卫气行于阳,阳气满不得入于阴,阴气虚故目不得瞑,阳者,动也,辟
也。阴者,静也,合也。故行于阳则动而醒,行于阴则静而卧,阳光亢上,则气有余
而膈有痰。《经》曰∶合夜至鸡鸣,天之阴,阴中之阴也。气行于阴而阴不足,则阳愈狂
而阴愈格,静反为动,合反为辟,神气散而不守,故目不得瞑。秫米甘平益阴气而利大
肠;半夏辛温通痰窍而泄小便,二便俱通,气可立降,阳不乘阴卧可立至,经曰∶阳强
不能密,阴气乃绝,阴平阳秘,精神乃至,此之谓也。
一方
解郁清火消痰。
天冬(去心) 黄芩(酒炒) 海粉(另研) 栝蒌(另研) 橘红(各一两) 桔
梗,香附子(捶碎盐水浸,炒) 连翘(各五钱) 青黛(另研,二钱) 芒硝(另研,三钱)
为末,炼蜜入姜汁少许,和丸,龙眼大。或噙化一丸;或嚼烂清汤细咽之;或为细
丸,淡盐汤送下五六十丸。
本门诸方内有未备者,悉于咳嗽、喘哮、颠狂,凡属痰病诸门参看。
治疗痰湿壅盛导致夜间无法入睡。
秫米(一升,即糯性的小米) 半夏(五合)
使用千里水八升,反复扬洒一万遍,取澄清的水五升,加入上述药物煮至剩余一升半,每次服用一杯,每日服用三次,以见效为限度。病情新发的,喝完药杯即可入睡,出汗则病愈;病程久的,服用三次即可痊愈。
岐伯说:卫气运行于阳分,阳气满盛不能进入阴分,因阴气虚弱所以眼睛无法闭合入睡。阳,代表动,代表开散;阴,代表静,代表闭合。所以卫气行于阳分时人就会活动而清醒,行于阴分时人就会安静而入睡。如果阳光(此处指阳气)亢盛于上,则气有余而在膈部形成痰浊。《内经》说:从黄昏到鸡鸣时分,是天的阴时,属于阴中之阴。气运行于阴分但阴气不足,则阳气更加狂越而阴气更加格拒,静反而变为动,合反而变为开,神气涣散而不能固守,所以眼睛无法闭合入睡。秫米味甘性平,能补益阴气并通利大肠;半夏味辛性温,能疏通痰窍并通利小便,大小便都通畅后,气机可以立刻下降,阳气不再乘袭阴分,睡眠可以立刻到来。《内经》说:阳气过强不能固密,阴气就会枯竭;只有阴气平和、阳气固秘,精神才能充沛,说的就是这个道理。
另一个方子
用于解郁结、清火热、消痰浊。
天冬(去除心) 黄芩(酒炒) 海粉(单独研磨) 栝蒌(单独研磨) 橘红(各一两) 桔梗、香附子(捶碎后用盐水浸泡,再炒制) 连翘(各五钱) 青黛(单独研磨,二钱) 芒硝(单独研磨,三钱)
研成细末,用炼蜜加入少许姜汁,调和做成丸药,大小如龙眼核。或者含化一丸;或者嚼烂后用清汤细细咽下;或者制成小丸,用淡盐汤送服五六十丸。
本门其他方剂中若有未涵盖的,请全部在咳嗽、喘哮、癫狂,以及所有属于痰病的门类中参考查看。
Treats insomnia at night due to excessive phlegm accumulation.
Shumi (Glutinous Millet, one sheng, which refers to the glutinous variety of millet) Banxia (Pinelliae Rhizoma, five he)
Use eight sheng of water from a thousand-mile journey, agitate it ten thousand times, and take five sheng of the clear water. Add the aforementioned herbs and decoct until one and a half sheng remains. Take one cup per dose, administered three times daily, with the cessation of symptoms as the endpoint. For newly onset cases, sleep is achieved immediately after finishing the cup, and sweating indicates recovery; for chronic cases, three doses are sufficient.
Qibo stated: When Wei Qi (Defensive Qi) circulates in the Yang aspect, the fullness of Yang Qi prevents its entry into Yin, and due to deficiency of Yin Qi, the eyes cannot close for sleep. Yang represents movement and opening; Yin represents stillness and closing. Therefore, when circulating in Yang, one is active and awake; when circulating in Yin, one is still and asleep. If Yang Light (Yang Qi) becomes hyperactive and rises upward, there is an excess of Qi and phlegm forms in the diaphragm. The Classic states: From dusk to the crowing of the rooster is the Yin time of heaven, specifically Yin within Yin. When Qi circulates in Yin but Yin is insufficient, Yang becomes increasingly erratic while Yin becomes increasingly obstructed; stillness turns into movement, closing turns into opening, Shen Qi (Spirit Qi) scatters and fails to remain anchored, thus the eyes cannot close for sleep. Shumi is sweet and neutral, benefiting Yin Qi and promoting bowel movements; Banxia is acrid and warm, unblocking phlegm orifices and promoting urination. With both bowels and urine unblocked, Qi can descend immediately, Yang no longer invades Yin, and sleep can be attained instantly. The Classic states: "When Yang is strong and cannot secure itself, Yin Qi will perish." It is only when Yin is peaceful and Yang is secreted that Spirit can thrive; this is what is meant here.
Another prescription
Used to resolve stagnation, clear fire, and eliminate phlegm.
Tiandong (Asparagi Radix, heart removed) Huangqin (Scutellariae Radix, stir-fried with wine) Haifen (Natrii Chloridum, ground separately) Gualou (Trichosanthis Fructus, ground separately) Juhong (Citri Reticulatae Pericarpium Rubrum, each one liang) Jiegeng (Platycodonis Radix), Xiangfuzi (Cyperi Rhizoma, crushed, soaked in salt water, then stir-fried) Lianqiao (Forsythiae Fructus, each five qian) Qingdai (Indigo Naturalis, ground separately, two qian) Mangxiao (Natrii Sulfas, ground separately, three qian)
Grind into powder, refine honey, add a small amount of ginger juice, and mix to form pills the size of longan seeds. Alternatively, hold one pill in the mouth to dissolve; or chew thoroughly and swallow slowly with clear water; or make fine pills and take fifty to sixty pills with light salt water.
For any prescriptions within this category not covered herein, please refer to the sections on cough, asthma/wheezing, mania/epilepsy, and all categories pertaining to phlegm diseases.