俗名心嘈。其证似饥，急欲得食，心中扰扰不宁，如酸如辣，似慌张。由肝火
乘于脾胃，土虚不禁木摇，故烦扰不安。火盛则谷易消，食已则饥，得食则安，少
顷又饥，又复嘈矣，此为火嘈，宜清火。若有痰饮停聚，似饥非饥，欲食而不能多
食，脉滑，为痰嘈，宜化痰。若兼吞吐酸水，乃痰饮与火所为，清火去饮兼治。总
以补土为主，六君子汤（见气）加减。久不愈者，养血，以火盛则血亏也。故思虑血虚五
更嘈者，及妇人嘈杂，恒用四物（见血）加减。
卧属阴、属静。阴虚有火则动扰，故心烦而不得卧也。《经》谓∶卫气日行于阳
则寤，夜行于阴则寐，因厥气（逆气也。诸逆冲上皆属于火，即阴火也。）客于脏腑，
则卫气不得
入于阴，（不得入息）故目不瞑。又曰∶胃不和（或热或痰）则卧不安。皆此义也。虚劳虚烦
不得卧，酸枣仁汤。骨蒸烦心不得眠，酸枣仁一两，水一大盏半，研绞取汁，
下米二合煮粥，候熟，下地黄汁一合，更煮过，不拘时服。（以上补血。）温胆汤（见惊），治
大病后虚烦不得眠。流水千里外者八升，扬之万遍，取其清者五升，煮以苇薪火。
沸，入秫米一升，（北人谓之黄米，可以酿酒。）制半夏五合，炊熟去滓，饮一小杯，日
三。（以上
去痰）不寐有二∶有大病虚烦，及高年人阴虚阳孤不寐；有痰舍心经，神不归舍不寐。
虚者，六君子汤（见气）加炒酸枣仁、炙黄 各一钱。痰者，温胆汤减竹茹一半，加南
星、酸枣仁各一钱，下清灵丹。或导痰汤（见痰）加石菖蒲五分。喘不得卧，治其喘。
厥不得卧，治其厥。咳嗽不得卧，左属肝胀，宜清肝；右属肺胀，宜清肺。
俗称为心嘈。这种症状感觉像饥饿，急切地想要进食，心中烦乱不安，感觉像酸又像辣，似乎有些慌张。这是由于肝火侵犯脾胃，脾气虚弱无法承受肝木的克制，所以感到烦扰不安。火势旺盛则谷物容易消化，吃完饭后就感到饥饿，吃东西后暂时缓解，但过了一会儿又感到饥饿，再次出现嘈杂感，这属于火嘈，应当清泻火热。如果有痰饮停滞积聚，感觉像饥饿但又不是真正的饥饿，想吃却不能吃多，脉象滑，这是痰嘈，应当化痰。如果同时伴有吞酸或吐酸水，则是痰饮与火热共同作用的结果，需要清火和祛除痰饮同时进行治疗。总的原则是以补益脾胃为主，使用六君子汤（见气）进行加减。久治不愈的，需要养血，因为火热旺盛会导致血虚。因此，因思虑导致血虚、五更时分出现嘈杂的人，以及妇女出现的嘈杂，经常使用四物汤（见血）进行加减。
睡眠属于阴、属于静。阴虚而有火则会躁动扰乱，所以心烦而睡不着觉。《内经》说：卫气白天运行于阳经则清醒，夜晚运行于阴经则入睡。如果逆气（即逆乱之气。各种向上冲逆的症状都归属于火，也就是阴火。）客居于脏腑，那么卫气就不能进入阴分，（不能入息）所以眼睛闭不上。又说：胃气不和（无论是热邪还是痰湿）就会睡不安稳。都是这个意思。虚劳导致的虚烦睡不着觉，用酸枣仁汤。骨蒸潮热、心烦睡不着觉，用酸枣仁一两，水一大盏半，研磨绞取汁液，加入米二合煮粥，等熟了之后，加入地黄汁一合，再煮一下，不拘时间服用。（以上为补血法。）温胆汤（见惊），治疗大病后虚烦睡不着觉。取千里之外的流水八升，反复扬洒一万遍，取其澄清的五升，用芦苇做燃料烧火煮。水开后，放入秫米一升（北方人称之为黄米，可以用来酿酒）、制半夏五合，蒸熟后去渣滓，每次饮用一小杯，每天三次。（以上为祛痰法。）不寐有两种情况：一种是大病后的虚烦，以及高龄之人阴虚阳亢导致的不寐；另一种是痰邪舍于心经，神志不能归位导致的不寐。属于虚证的，用六君子汤（见气）加炒酸枣仁、炙黄芪各一钱。属于痰证的，用温胆汤减去一半竹茹，加南星、酸枣仁各一钱，送服清灵丹。或者用导痰汤（见痰）加石菖蒲五分。气喘导致不能平卧，治疗其气喘。厥逆导致不能平卧，治疗其厥逆。咳嗽导致不能平卧，左侧属于肝胀，宜清肝；右侧属于肺胀，宜清肺。
Colloquially known as *xin cao* (Heart Clamor). The symptoms resemble hunger, with an urgent desire to eat, a restless and unsettled feeling in the heart, sensations of sourness or spiciness, and a sense of panic. This arises from Liver Fire invading the Spleen and Stomach; due to Spleen Earth deficiency failing to withstand Liver Wood's restraint, one feels disturbed and uneasy. When Fire is excessive, grains digest easily; after eating, hunger returns quickly. Eating provides temporary relief, but soon hunger and clamor recur. This is classified as Fire Clamor (*Huo Cao*), which should be treated by clearing Fire. If Phlegm-Fluids are stagnant and accumulated, there is a sensation resembling hunger but not true hunger, an inability to eat much despite wanting to, and a slippery pulse; this is Phlegm Clamor (*Tan Cao*), which should be treated by resolving Phlegm. If accompanied by belching or vomiting acid water, it is caused by both Phlegm-Fluids and Fire, requiring simultaneous treatment to clear Fire and eliminate Fluids. The general principle is to tonify Earth (Spleen/Stomach), primarily using Liu Jun Zi Tang (Six Gentlemen Decoction) with modifications. For chronic cases that do not heal, nourish Blood, as excessive Fire depletes Blood. Therefore, for those with Blood deficiency due to overthinking who experience clamor at dawn, and for women suffering from clamor, Si Wu Tang (Four Substance Decoction) is frequently used with modifications.
Sleep belongs to Yin and stillness. Yin deficiency with Fire causes agitation, leading to restlessness and insomnia. The *Classic* states: "Wei Qi circulates in the Yang meridians during the day, resulting in wakefulness; it circulates in the Yin meridians at night, resulting in sleep." If rebellious Qi (i.e., counterflow Qi. All upward counterflow symptoms belong to Fire, specifically Yin Fire) lodges in the Zang-Fu organs, Wei Qi cannot enter Yin, causing the eyes to remain open. It also states: "If the Stomach is disharmonious (whether due to Heat or Phlegm), sleep will be unrestful." Both passages convey this meaning. For insomnia due to deficiency exhaustion and empty heat restlessness, use Suan Zao Ren Tang. For bone-steaming fever, restlessness, and insomnia, take 1 liang of Suan Zao Ren (Ziziphi Spinosae Semen), add 1.5 large bowls of water, grind and extract the juice, add 2 he of rice, and cook into porridge. Once cooked, add 1 he of Di Huang Zhi (Rehmanniae Radix Juice), boil again, and consume at any time. (Above: Method for nourishing Blood.) Wen Dan Tang (Warm the Gallbladder Decoction) treats insomnia with empty heat restlessness following severe illness. Take 8 sheng of flowing water from a thousand miles away, splash it ten thousand times, collect five sheng of the clarified water, and boil using reed fire. When boiling, add 1 sheng of Shu Mi (Panicomi Fructus, known in the North as yellow millet, used for brewing wine) and 5 he of Zhi Ban Xia (Pinelliae Rhizoma Preparatum). Steam until cooked, strain, and drink one small cup three times a day. (Above: Method for eliminating Phlegm.) Insomnia has two types: one is empty heat restlessness after severe illness, and insomnia in the elderly due to Yin deficiency and isolated Yang; the other is insomnia caused by Phlegm lodging in the Heart Meridian, preventing the Shen (Spirit) from returning to its residence. For deficiency patterns, use Liu Jun Zi Tang (Six Gentlemen Decoction) plus 1 qian of Chao Suan Zao Ren (Fried Ziziphi Spinosae Semen) and 1 qian of Zhi Huang Qi (Prepared Astragali Radix). For Phlegm patterns, use Wen Dan Tang (Warm the Gallbladder Decoction) with half the amount of Zhu Ru (Bambusae Caulis in Taenia) reduced, plus 1 qian of Nan Xing (Arisaematis Cum Bile Rhizoma) and 1 qian of Suan Zao Ren (Ziziphi Spinosae Semen), taken with Qing Ling Dan. Alternatively, use Dao Tan Tang (Guide Out Phlegm Decoction) plus 0.5 fen of Shi Chang Pu (Acori Tatarinowii Rhizoma). For dyspnea preventing lying down, treat the dyspnea. For Jue (Cold/Heat extremity reversal) preventing lying down, treat the Jue. For coughing preventing lying down, if on the left it belongs to Liver distension, clear the Liver; if on the right it belongs to Lung distension, clear the Lung.