不寐之证不一，有劳病虚烦不得眠者，缘土湿胃逆，相火浮动，以扰乱神魂而不得安，以酸枣仁
汤主之。又卫气昼行于阳，夜行于阴，以司昼夜之开阖。今有厥逆之气，客于五脏六腑，抗卫气于外，使
之行于阳，不得入于阴，故目不得瞑，以半夏秫米汤主之。又有水气停滞于胸中，郁成湿痞，近而欺
凌宫城，心神烦扰而不得眠者，以小半夏加茯苓汤主之。
酸枣仁汤
酸枣仁（八钱生用不研） 甘草（一钱半） 知母（三钱） 茯苓（三钱） 芎 （一钱半）
水三杯，先煮酸枣仁至二杯，入诸药，再煎至八分服。
半夏秫米汤
半夏（五钱） 秫米（一茶杯） 以长流水扬数百遍，煎大半杯，温服。
小半夏加茯苓汤
（方见喘促）
怔忡者，心下跳动不安也。即惊悸之类，缘土湿木郁，相火浮动，逼扰宫城，以致心神震荡不安
也。以金鼎汤主之。如因水气凌心，而成怔忡者，以小半夏加茯苓汤主之。重者以桂枝茯苓大枣甘草汤
主之。再重者以真武汤主之。如因奔豚而成怔忡者，当于奔豚门求方治之。
金鼎汤
（方见神惊）
小半夏加茯苓汤
（方见喘促）
桂枝茯苓大枣甘草汤
茯苓（八钱） 桂枝（四钱） 甘草（二钱） 大枣（二枚） 取水扬三百遍，名甘
澜水，三杯，先煮茯苓至二杯，入诸药煎至七分，温服。
真武汤
（方见痰饮）
不寐（失眠）的证候有多种情况。有的是因劳损导致虚烦而无法入睡，这是由于脾土湿气重、胃气上逆，相火浮动，扰乱了神魂而不得安宁，用酸枣仁汤主治。另外，卫气白天行于阳分，夜晚行于阴分，以此掌管昼夜的开阖。如今有厥逆之气，客居于五脏六腑，抗拒卫气使其停留在外，导致卫气只能行于阳分而不能进入阴分，所以眼睛无法闭合入睡，用半夏秫米汤主治。还有的是水气停滞在胸中，郁结形成湿痞，进而欺凌心神所在之处（宫城），使心神烦扰而无法入睡，用小半夏加茯苓汤主治。
酸枣仁汤
酸枣仁（八钱，生用，不研磨） 甘草（一钱半） 知母（三钱） 茯苓（三钱） 川芎（一钱半）
用水三杯，先煮酸枣仁至剩余二杯，加入其他药物，再煎至八分满时服用。
半夏秫米汤
半夏（五钱） 秫米（一茶杯）
用长流水扬动数百遍，煎取大半杯，温服。
小半夏加茯苓汤
（方剂见“喘促”章节）
怔忡（心中悸动不安），是指心下部跳动不安的症状。这属于惊悸的一类，是由于脾土湿气重、肝木郁结，相火浮动，逼迫扰乱心神所在之处，导致心神震荡不安。用金鼎汤主治。如果是因水气凌心而形成的怔忡，用小半夏加茯苓汤主治。病情较重者，用桂枝茯苓大枣甘草汤主治。病情更重者，用真武汤主治。如果是因奔豚气而引发怔忡的，应当在奔豚门中寻找方剂治疗。
金鼎汤
（方剂见“神惊”章节）
小半夏加茯苓汤
（方剂见“喘促”章节）
桂枝茯苓大枣甘草汤
茯苓（八钱） 桂枝（四钱） 甘草（二钱） 大枣（两枚）
取水扬动三百遍，称为甘澜水，用量为三杯，先煮茯苓至剩余二杯，加入其他药物煎至七分满，温服。
真武汤
（方剂见“痰饮”章节）
Insomnia (Bu Mei) presents with various syndromes. Some cases involve deficiency heat and vexation due to overwork, resulting in inability to sleep; this is caused by dampness of the Spleen Earth and rebellious Stomach Qi, with ministerial fire floating upward, disturbing the Hun and Shen spirits, thereby preventing peace. It is treated primarily with Suanzaoren Tang (Sour Jujube Seed Decoction). Furthermore, Wei Qi (Defensive Qi) travels through the Yang aspects during the day and the Yin aspects at night, governing the opening and closing of day and night. Currently, if there is rebellious Qi lodging in the Five Zang and Six Fu organs, it resists Wei Qi, keeping it outside and causing it to travel only through the Yang aspects without entering the Yin aspects; thus, the eyes cannot close for sleep. This is treated primarily with Banxia Shumi Tang (Pinellia and Millet Decoction). In other cases, Water Qi stagnates in the chest, condensing into damp obstruction, which then encroaches upon the "Palace City" (the Heart), disturbing the Heart Shen and causing insomnia. This is treated primarily with Xiaobanxia Ji Fuling Tang (Minor Pinellia Formula plus Poria).
Suanzaoren Tang (Sour Jujube Seed Decoction)
Suanzaoren (Ziziphi Spinosae Semen, 8 qian, raw, not ground) Gancao (Glycyrrhizae Radix et Rhizoma, 1.5 qian) Zhimu (Anemarrhenae Rhizoma, 3 qian) Fuling (Poria, 3 qian) Xiong [Chuanxiong] (Ligustici Chuanxiong Rhizoma, 1.5 qian)
Use three cups of water. First decoct Suanzaoren until two cups remain. Add the remaining herbs and decoct again until eight-tenths full. Take warm.
Banxia Shumi Tang (Pinellia and Millet Decoction)
Banxia (Pinelliae Rhizoma, 5 qian) Shumi (Milii Indicae Semen, one tea cup)
Use long-flowing water that has been stirred hundreds of times. Decoct until slightly more than half a cup remains. Take warm.
Xiaobanxia Ji Fuling Tang (Minor Pinellia Formula plus Poria)
(See formula under "Wheezing and Shortness of Breath")
Zhengchong (Palpitations) refers to a sensation of beating and unease in the epigastric region. It belongs to the category of Jingji (Fright Palpitations). It arises from dampness of the Spleen Earth and stagnation of Liver Wood, with ministerial fire floating upward, forcing and disturbing the Palace City (Heart), leading to agitation and unrest of the Heart Shen. It is treated primarily with Jinding Tang (Golden Tripod Decoction). If Zhengchong is caused by Water Qi overwhelming the Heart, treat primarily with Xiaobanxia Ji Fuling Tang (Minor Pinellia Formula plus Poria). For severe cases, treat primarily with Guizhi Fuling Dazao Gancao Tang (Cinnamon Twig, Poria, Jujube, and Licorice Decoction). For even more severe cases, treat primarily with Zhenwu Tang (True Warrior Decoction). If Zhengchong is caused by Ben Tun (Rushing Pig) syndrome, seek treatment formulas from the Ben Tun section.
Jinding Tang (Golden Tripod Decoction)
(See formula under "Divine Fright")
Xiaobanxia Ji Fuling Tang (Minor Pinellia Formula plus Poria)
(See formula under "Wheezing and Shortness of Breath")
Guizhi Fuling Dazao Gancao Tang (Cinnamon Twig, Poria, Jujube, and Licorice Decoction)
Fuling (Poria, 8 qian) Guizhi (Cinnamomi Ramulus, 4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian) Dazao (Zizyphi Fructus, two pieces)
Take water and stir it three hundred times, naming it Ganlan Shui (Sweet Ripple Water). Use three cups. First decoct Fuling until two cups remain. Add the remaining herbs and decoct until seven-tenths full. Take warm.
Zhenwu Tang (True Warrior Decoction)
(See formula under "Phlegm-Fluids")