论曰胆热多睡者,胆腑清净,决断所自出。今肝胆俱实,营卫壅塞,则清净者浊而扰,
故精神昏愦,常欲寝卧也。
治胆热精神不守,昏困多睡。半夏汤方
半夏(汤洗七遍去滑焙三两) 生地黄(五两) 远志(去心) 赤茯苓(去黑皮各
二两) 黄芩(去黑心一两) 酸枣仁(生用一两半)
上六味。锉如麻豆,每服先以长流水三盏,入秫米半合,煎取一盏半,去米扬之千遍,
入药五钱匕,煎取八分,去滓温服。
治营卫气涩,精神不爽,胆热多睡,头目昏塞。麦门冬汤方
麦门冬(去心焙) 天门冬(去心焙) 羚羊角(镑各三分) 木通(锉) 前胡(去
芦头) 大黄(锉炒各四钱) 半夏(汤洗七遍去滑焙干) 甘草(炙锉) 防风(去叉各
半两)
上九味。粗捣筛,每服三钱匕,以水一盏,入生姜三片,煎至六分,去滓温服,食后。
治胆气昏多睡,昼夜不足。远志丸方
远志(去心) 人参 山芋 防风(去叉 玄参(各二两半) 苦参 铁粉(细研) 乌
头(存性烧灰各
上八味。捣罗为末,炼蜜为丸,如梧桐子大。食后米饮下二十丸,日再,渐加至三十丸
治胆热口苦,神昏多睡。黄连汤方
黄连(去须) 黄芩(去黑心) 赤茯苓(去黑皮) 麦门冬(去心焙) 升麻(各一
分)
上五味。粗捣筛,每服三钱匕,水一盏,煎至七分,去滓放温,食后服。
治胆风毒瓦斯,虚实不调,昏困多睡。酸枣仁汤方
酸枣仁(研生用一两) 腊茶(以生姜汁涂炙令微黄二两)
上二味。粗捣筛,每服二钱匕,水一盏,煎至七分,去滓温服,不计时候。
论述说:胆热导致多睡的原因在于,胆腑本性清净,是决断力产生的根源。如今肝胆都呈现实证状态,营气和卫气运行壅塞不通,那么原本清净的胆腑变得浑浊并受到干扰,因此精神昏沉糊涂,总是想睡觉躺卧。
治疗胆热导致精神不能内守、昏沉困倦多睡的方剂:半夏汤。
药材:半夏(用热水洗七遍,去掉滑腻感,焙干,三两)、生地黄(五两)、远志(去掉心)、赤茯苓(去掉黑皮,各二两)、黄芩(去掉中心黑腐部分,一两)、酸枣仁(生用,一两半)。
以上六味药。切碎如麻豆大小,每次服用时,先用长流水三盏,加入秫米半合,煎煮取出一盏半的药液,去掉米粒并将药液扬动一千遍(以去其燥性),加入五钱匕的药末,再煎煮至八分满,去掉药渣,温服。
治疗营卫之气涩滞、精神不清爽、胆热多睡、头目昏沉堵塞的方剂:麦门冬汤。
药材:麦门冬(去掉心,焙干)、天门冬(去掉心,焙干)、羚羊角(镑成薄片,各三分)、木通(切碎)、前胡(去掉芦头)、大黄(切碎炒制,各四钱)、半夏(用热水洗七遍,去掉滑腻感,焙干)、甘草(炙烤后切碎)、防风(去掉叉枝,各半两)。
以上九味药。粗捣筛过,每次服用三钱匕,用水一盏,加入生姜三片,煎煮至六分满,去掉药渣,温服,饭后服用。
治疗胆气昏沉多睡,昼夜睡眠不足的问题:远志丸。
药材:远志(去掉心)、人参、山芋(即山药)、防风(去掉叉枝)、玄参(各二两半)、苦参、铁粉(细研)、乌头(存性烧成灰,各...原文此处似有缺漏,依常理推断为各等量或特定剂量,但按原文提取实体即可)。
以上八味药。捣碎过罗成为粉末,用炼蜜制作成丸药,大小如梧桐子。饭后用米饮送下二十丸,每日两次,逐渐增加至三十丸。
治疗胆热导致口苦、神志昏沉多睡的方剂:黄连汤。
药材:黄连(去掉须)、黄芩(去掉黑心)、赤茯苓(去掉黑皮)、麦门冬(去掉心,焙干)、升麻(各一分)。
以上五味药。粗捣筛过,每次服用三钱匕,用水一盏,煎煮至七分满,去掉药渣,放温后,饭后服用。
治疗胆受风毒邪气,虚实不调,昏沉困倦多睡的方剂:酸枣仁汤。
药材:酸枣仁(研碎,生用,一两)、腊茶(用生姜汁涂抹后炙烤至微黄,二两)。
以上二味药。粗捣筛过,每次服用二钱匕,用水一盏,煎煮至七分满,去掉药渣,温服,不限时候。
Commentary states: The reason for excessive sleepiness due to Gallbladder Heat lies in the fact that the Gallbladder organ is inherently pure and clear, serving as the source of decision-making. Currently, both the Liver and Gallbladder present with Excess patterns, causing the circulation of Ying (Nutritive Qi) and Wei (Defensive Qi) to become obstructed and stagnant. Consequently, what was originally pure becomes turbid and disturbed, leading to mental confusion and drowsiness, resulting in a constant desire to sleep or lie down.
Formula for treating Gallbladder Heat causing mental instability, lethargy, and excessive sleepiness: Banxia Tang (Pinellia Decoction).
Herbs: Pinelliae Rhizoma Preparatum (Banxia, 半夏) [washed seven times in hot water to remove slipperiness, dried by roasting, 3 liang], Rehmanniae Radix Recens (Shengdihuang, 生地黄) [5 liang], Polygalae Radix (Yuanzhi, 远志) [core removed], Poria Cocos with Red Bark (Chifuling, 赤茯苓) [black skin removed, each 2 liang], Scutellariae Radix (Huangqin, 黄芩) [black heart removed, 1 liang], Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁) [used raw, 1.5 liang].
The above six herbs. Crushed to the size of hemp seeds. For each dose, first take three cups of running water, add half he of Shumi (Sorghum vulgare), decoct until one and a half cups remain. Remove the grain and agitate the liquid a thousand times. Add five qianbi (approx. 5-7 grams depending on era/measure) of the herbal powder, decoct until eight-tenths remains. Strain and take warm.
Formula for treating stagnation of Ying and Wei Qi, lack of mental clarity, Gallbladder Heat with excessive sleepiness, and heaviness/obstruction in the head and eyes: Maimendong Tang (Ophiopogon Decoction).
Herbs: Ophiopogonis Radix (Maimendong, 麦门冬) [core removed, dried by roasting], Asparagi Radix (Tianmendong, 天门冬) [core removed, dried by roasting], Cornu Saigae Tataricae (Lingyangjiao, 羚羊角) [sliced, each 3 fen], Akebiae Caulis (Mutong, 木通) [crushed], Peucedani Radix (Qianhu, 前胡) [rhizome removed], Rhei Radix et Rhizoma (Dahuang, 大黄) [crushed and stir-fried, each 4 qian], Pinelliae Rhizoma Preparatum (Banxia, 半夏) [washed seven times in hot water to remove slipperiness, dried], Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) [roasted and crushed], Saposhnikoviae Radix (Fangfeng, 防风) [forks removed, each 0.5 liang].
The above nine herbs. Coarsely crushed and sieved. For each dose, take 3 qianbi, add one cup of water and three slices of fresh ginger. Decoct until six-tenths remains. Strain and take warm after meals.
Pill for treating dullness of Gallbladder Qi with excessive sleepiness and insufficient sleep day and night: Yuanzhi Wan (Polygala Pill).
Herbs: Polygalae Radix (Yuanzhi, 远志) [core removed], Ginseng Radix et Rhizoma (Renshen, 人参), Dioscoreae Rhizoma (Shanyu/Shanyao, 山芋), Saposhnikoviae Radix (Fangfeng, 防风) [forks removed], Scrophulariae Radix (Xuanshen, 玄参) [each 2.5 liang], Sophorae Flavescentis Radix (Kushen, 苦参), Ferrum (Tiefen, 铁粉) [finely ground], Aconiti Lateralis Radix Praeparata (Wutou, 乌头) [processed to retain nature, burned to ash, dosage implied equal or specific but text truncated].
The above eight herbs. Pulverized and sieved. Form pills with refined honey, sized like wutong tree seeds. Take 20 pills with rice broth after meals, twice daily, gradually increasing to 30 pills.
Formula for treating Gallbladder Heat causing bitter taste in the mouth, mental confusion, and excessive sleepiness: Huanglian Tang (Coptis Decoction).
Herbs: Coptidis Rhizoma (Huanglian, 黄连) [fibers removed], Scutellariae Radix (Huangqin, 黄芩) [black heart removed], Poria Cocos with Red Bark (Chifuling, 赤茯苓) [black skin removed], Ophiopogonis Radix (Maimendong, 麦门冬) [core removed, dried by roasting], Cimicifugae Rhizoma (Shengma, 升麻) [each 1 fen].
The above five herbs. Coarsely crushed and sieved. For each dose, take 3 qianbi, add one cup of water. Decoct until seven-tenths remains. Strain, let cool to warm, and take after meals.
Formula for treating Wind-toxin affecting the Gallbladder, imbalance of Deficiency and Excess, lethargy, and excessive sleepiness: Suanzaoren Tang (Ziziphus Decoction).
Herbs: Ziziphi Spinosae Semen (Suanzaoren, 酸枣仁) [ground, used raw, 1 liang], Lac Tea (Lachá, 腊茶) [coated with fresh ginger juice, roasted until slightly yellow, 2 liang].
The above two herbs. Coarsely crushed and sieved. For each dose, take 2 qianbi, add one cup of water. Decoct until seven-tenths remains. Strain and take warm at any time.