论曰胆虚不得眠者,胆为中正之官,足少阳其经也,若其经不足,复受风邪则胆寒,故
虚烦而寝卧不安也。
治肝虚胆寒,夜间少睡,睡即惊觉,心悸神思不安,目昏心躁,肢节痿弱,补肝,去胆
寒,和气。五补汤方
黄 (三分) 附子(炮裂去皮脐) 人参 槟榔 白术 百合 酸枣仁(微炒研) 白
茯苓(去粗皮)
上一十味。除酸枣仁外,细锉分为十帖,每帖水两盏,入生姜五片,同煎至一盏,去滓
空心温服、日二。
治胆寒虚烦不得眠。温胆汤方
半夏(汤洗七遍焙干) 竹茹 枳实(去瓤麸炒各二两) 陈橘皮(汤浸去白焙三两) 甘
草(炙一
上五味。粗捣筛,每服五钱匕,以水一盏半,入生姜半分切,煎取七分,去滓温服。
治胆寒虚烦不得眠。千里流水汤方
半夏(汤洗七遍焙干) 麦门冬(去心焙各三两) 白茯苓(去黑皮四两) 酸枣仁(炒)
甘草(炙锉)
上一十味。粗捣筛,每服五钱匕,先以千里流水五盏,入秫米半合,煮候沸,扬之千遍,
澄清取一盏半,入药并生姜半分切,再煎取一盏,去滓温服。
治胆虚睡卧不安,精神恐怯。酸枣仁丸方
酸枣仁(二两微炒捣研) 人参 白术 白茯苓(去粗皮) 半夏(汤洗七遍去滑切焙)
干姜(炮各一两半) 陈橘皮(去白焙) 榆白皮(锉) 旋覆花 前胡(锉各一两) 槟
榔(五枚椎碎)
上一十一味。捣罗为末,炼蜜丸如梧桐子大。空心食前,煎枣汤下二十丸,日再服,加
至三十丸。
治胆虚冷,头痛心中惊悸,睡卧不安,常如人将捕之,精神不守。五味子汤方
五味子 白茯苓(去黑皮) 人参 芎 远志(去心) 酸枣仁(微炒) 熟干地黄
(焙) 麦门冬
上九味。粗捣筛,每服三钱匕,水一盏,枣二枚,同煎至七分,去滓温服,空心食前。
治胆气虚热不睡。酸枣仁丸方
酸枣仁(炒) 地榆(各一两和苗用) 丹砂(研) 茯神(去木) 人参 菖蒲(锉
各半两)
上六味。除丹砂外,捣罗为细末,入丹砂令匀,蜜和丸如梧桐子大。每服米饮下二十丸,
不拘时候。
治胆虚冷,精神不守,寝卧不宁,头目昏眩,恐畏不能独处。山芋丸方
山芋 酸枣仁(微炒各一两) 柏子仁(研) 茯神(去木) 山茱萸(各三分)
上五味,捣罗为末,炼蜜和丸,如梧桐子大,每服三十丸,温酒下,米饮亦得,不拘时
候。
治胆虚睡卧不安,多惊悸。人参散方
人参 白茯苓(去黑皮各一两) 丹砂(别研) 茯神(去木各半两)
上四味。捣研为细散,每服一钱匕,粥饮调下,不拘时候。
治胆虚不得眠睡。酸枣仁丸方
酸枣仁(微炒) 地榆(并苗用) 茯神(去木各一两)
上三味。捣罗为末,炼蜜和丸,如梧桐子大。每服二十丸,米饮下,不拘时候。
治胆风不得眠睡。精神恍惚。乳香散方
乳香(研) 马头脑骨灰(研各一两) 酸枣仁(二两微炒研)
上三味。研令细和匀,每服二钱匕,温酒调下,不拘时候。
论述说:胆气虚弱导致无法安睡的原因在于,胆被称为“中正之官”,其经脉为足少阳经。如果该经脉气血不足,又受到风邪侵袭,就会导致胆寒,从而出现虚烦、睡眠不安的症状。
治疗肝虚胆寒,夜间睡眠减少,睡着即惊醒,心悸且神思不宁,眼睛昏花、心中烦躁,肢体关节痿弱无力。此方旨在补肝、祛除胆寒、调和气机。五补汤方:
黄(三分) 附子(炮制裂开,去皮和脐) 人参 槟榔 白术 百合 酸枣仁(微炒后研碎) 白茯苓(去除粗皮)
以上十味药。除酸枣仁外,其余药材细切分为十帖。每帖用水两盏,加入生姜五片,共同煎煮至一盏,去渣后空腹温服,每日两次。
治疗胆寒引起的虚烦不得安眠。温胆汤方:
半夏(用热水洗七遍,焙干) 竹茹 枳实(去除瓤麸炒,各二两) 陈橘皮(热水浸泡去除白色内层,焙干三两) 甘草(炙制一两)
以上五味药。粗捣筛过,每次服用五钱匕,用水一盏半,加入生姜半分(切块),煎取七分,去渣温服。
治疗胆寒引起的虚烦不得安眠。千里流水汤方:
半夏(用热水洗七遍,焙干) 麦门冬(去除心,焙干,各三两) 白茯苓(去除黑皮四两) 酸枣仁(炒) 甘草(炙制锉碎)
以上十味药。粗捣筛过,每次服用五钱匕。先用千里流水五盏,加入秫米半合,煮沸后,反复扬动一千遍,澄清后取一盏半,加入药物及生姜半分(切块),再次煎煮至一盏,去渣温服。
治疗胆虚导致的睡眠不安,精神恐惧怯懦。酸枣仁丸方:
酸枣仁(二两,微炒后捣碎研细) 人参 白术 白茯苓(去除粗皮) 半夏(热水洗七遍,去除滑腻感,切片焙干) 干姜(炮制,各一两半) 陈橘皮(去除白色内层焙干) 榆白皮(锉碎) 旋覆花 前胡(锉碎,各一两) 槟榔(五枚,敲碎)
以上十一味药。捣碎筛选成粉末,用炼蜜制成如梧桐子大小的丸剂。空腹饭前,用枣汤送服二十丸,每日两次,可加量至三十丸。
治疗胆虚冷,头痛,心中惊悸,睡眠不安,常感觉像有人要抓捕自己,精神不能守持。五味子汤方:
五味子 白茯苓(去除黑皮) 人参 川芎 远志(去除心) 酸枣仁(微炒) 熟干地黄(焙干) 麦门冬
以上九味药。粗捣筛过,每次服用三钱匕,用水一盏,大枣两枚,共同煎煮至七分,去渣温服,空腹饭前服用。
治疗胆气虚热导致的失眠。酸枣仁丸方:
酸枣仁(炒) 地榆(各一两,带苗使用) 丹砂(研细) 茯神(去除木心) 人参 石菖蒲(锉碎,各半两)
以上六味药。除丹砂外,其余捣碎筛选成细末,加入丹砂混合均匀,用蜂蜜调和制成如梧桐子大小的丸剂。每次用米饮送服二十丸,不限时间。
治疗胆虚冷,精神不能守持,寝卧不宁,头目昏眩,恐惧害怕不能独处。山芋丸方:
山药(山芋) 酸枣仁(微炒,各一两) 柏子仁(研细) 茯神(去除木心) 山茱萸(各三分)
以上五味药,捣碎筛选成粉末,用炼蜜调和制成如梧桐子大小的丸剂。每次服用三十丸,用温酒送服,米饮也可以,不限时间。
治疗胆虚导致的睡眠不安,多惊悸。人参散方:
人参 白茯苓(去除黑皮,各一两) 丹砂(单独研细) 茯神(去除木心,各半两)
以上四味药。捣碎研成细散,每次服用一钱匕,用粥饮调下,不限时间。
治疗胆虚导致的不得安眠。酸枣仁丸方:
酸枣仁(微炒) 地榆(并苗使用) 茯神(去除木心,各一两)
以上三味药。捣碎筛选成粉末,用炼蜜调和制成如梧桐子大小的丸剂。每次服用二十丸,用米饮送服,不限时间。
治疗胆风导致的不得安眠,精神恍惚。乳香散方:
乳香(研细) 马头脑骨灰(研细,各一两) 酸枣仁(二两,微炒研细)
以上三味药。研细混合均匀,每次服用二钱匕,用温酒调下,不限时间。
It is stated that the inability to sleep due to Gallbladder deficiency stems from the fact that the Gallbladder is regarded as the "Official of Justice and Impartiality," and its meridian is the Foot-Shaoyang (Gallbladder) Meridian. If this meridian is deficient and simultaneously affected by Wind pathogenic factors, it leads to Cold in the Gallbladder, resulting in deficiency-related irritability and restless sleep.
For the treatment of Liver deficiency with Gallbladder Cold, characterized by reduced sleep at night, awakening easily upon falling asleep, palpitations with mental unrest, blurred vision, inner restlessness, and flaccidity and weakness of the limbs and joints, this formula aims to tonify the Liver, dispel Gallbladder Cold, and harmonize Qi. Formula for Five Tonifications (Wubu Tang):
Huangqi (Astragali Radix) (3 fen) Fuzi (Prepared, cracked, skin and umbilicus removed) Renshen (Ginseng Radix et Rhizoma) Binglang (Arecae Semen) Baizhu (Atractylodis Macrocephalae Rhizoma) Baihe (Lilii Bulbus) Suanzaoren (Ziziphi Spinosae Semen) (lightly stir-fried and ground) Baifuling (Poria) (coarse skin removed)
The above ten medicinal materials. Excluding Suanzaoren, finely cut and divided into ten doses. For each dose, add two cups of water and five slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together until one cup remains, remove the dregs, and take warm on an empty stomach, twice daily.
For the treatment of deficiency irritability and insomnia caused by Gallbladder Cold. Formula for Warming the Gallbladder (Wendan Tang):
Banxia (Pinelliae Rhizoma) (washed seven times with hot water and dried) Zhuru (Bambusae Caulis in Taeniam) Zhishi (Aurantii Fructus Immaturus) (pulp removed, bran-stir-fried, each 2 liang) Chenjupi (Citri Reticulatae Pericarpium) (soaked in hot water, white pith removed, dried, 3 liang) Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried, 1 liang)
The above five medicinal materials. Coarsely crushed and sieved. Take 5 qianbi per dose, add 1.5 cups of water and half a qianbi of chopped Shengjiang (Zingiberis Rhizoma Recens), decoct to obtain 0.7 cups, remove the dregs, and take warm.
For the treatment of deficiency irritability and insomnia caused by Gallbladder Cold. Formula for Thousand-Mile Flowing Water (Qianli Liushui Tang):
Banxia (Pinelliae Rhizoma) (washed seven times with hot water and dried) Maidong (Ophiopogonis Radix) (core removed, dried, each 3 liang) Baifuling (Poria) (black skin removed, 4 liang) Suanzaoren (Ziziphi Spinosae Semen) (stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma) (honey-fried and cut)
The above ten medicinal materials. Coarsely crushed and sieved. Take 5 qianbi per dose. First, take five cups of Qianli Liushui (Thousand-Mile Flowing Water), add half he of Shumi (Sorghum Vulgare Concretio), boil, stir vigorously one thousand times, clarify, and take 1.5 cups. Add the medicinal materials and half a qianbi of chopped Shengjiang (Zingiberis Rhizoma Recens), decoct again to obtain one cup, remove the dregs, and take warm.
For the treatment of restless sleep and mental fearfulness due to Gallbladder deficiency. Pill of Sour Jujube Seed (Suanzaoren Wan):
Suanzaoren (Ziziphi Spinosae Semen) (2 liang, lightly stir-fried, pounded and ground) Renshen (Ginseng Radix et Rhizoma) Baizhu (Atractylodis Macrocephalae Rhizoma) Baifuling (Poria) (coarse skin removed) Banxia (Pinelliae Rhizoma) (washed seven times with hot water, slime removed, sliced and dried) Ganjiang (Zingiberis Rhizoma) (prepared, each 1.5 liang) Chenjupi (Citri Reticulatae Pericarpium) (white pith removed, dried) Yubaipi (Ulmus Cornea Cortex) (cut) Xuanfuhua (Inulae Flos) Qianhu (Peucedani Radix) (cut, each 1 liang) Binglang (Arecae Semen) (5 pieces, smashed)
The above eleven medicinal materials. Pounded, sifted into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills before meals on an empty stomach with Decoction of Zao (Jujubae Fructus), twice daily; dosage may be increased to 30 pills.
For the treatment of Gallbladder deficiency-cold, headache, inner palpitations, restless sleep, feeling as if being pursued, and loss of mental hold. Decoction of Schisandra Berry (Wuweizi Tang):
Wuweizi (Schisandrae Chinensis Fructus) Baifuling (Poria) (black skin removed) Renshen (Ginseng Radix et Rhizoma) Xiongqiong (Ligustici Chuanxiong Rhizoma) Yuanzhi (Polygalae Radix) (core removed) Suanzaoren (Ziziphi Spinosae Semen) (lightly stir-fried) Shudihuang (Rehmanniae Radix Praeparata) (dried) Maidong (Ophiopogonis Radix)
The above nine medicinal materials. Coarsely crushed and sieved. Take 3 qianbi per dose, add one cup of water and two Zao (Jujubae Fructus), decoct together to obtain 0.7 cups, remove the dregs, and take warm on an empty stomach before meals.
For the treatment of insomnia due to Gallbladder Qi deficiency-heat. Pill of Sour Jujube Seed (Suanzaoren Wan):
Suanzaoren (Ziziphi Spinosae Semen) (stir-fried) Diyu (Sanguisorbae Radix) (each 1 liang, used with herb) Dansha (Cinnabaris) (ground) Fushen (Poria cum Radice Pinus) (wood core removed) Renshen (Ginseng Radix et Rhizoma) Changpu (Acori Tatarinowii Rhizoma) (cut, each 0.5 liang)
The above six medicinal materials. Except for Dansha (Cinnabaris), pound and sift into fine powder, mix evenly with Dansha (Cinnabaris), and blend with honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose with Mi Yin (Rice Drink), at any time.
For the treatment of Gallbladder deficiency-cold, loss of mental hold, restless sleep, dizziness of head and eyes, and fear preventing solitude. Pill of Yam (Shanyu Wan):
Shanyu (Dioscoreae Rhizoma) Suanzaoren (Ziziphi Spinosae Semen) (lightly stir-fried, each 1 liang) Baiziren (Platycladi Semen) (ground) Fushen (Poria cum Radice Pinus) (wood core removed) Shanzhuyu (Corni Fructus) (each 3 fen)
The above five medicinal materials. Pound and sift into powder, mix with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills per dose with warm Jiǔ (Alcohol); Mi Yin (Rice Drink) is also acceptable, at any time.
For the treatment of restless sleep and frequent palpitations due to Gallbladder deficiency. Powder of Ginseng (Renshen San):
Renshen (Ginseng Radix et Rhizoma) Baifuling (Poria) (black skin removed, each 1 liang) Dansha (Cinnabaris) (separately ground) Fushen (Poria cum Radice Pinus) (wood core removed, each 0.5 liang)
The above four medicinal materials. Pound and grind into fine powder. Take 1 qianbi per dose, mixed with Zhou Yin (Porridge Drink), at any time.
For the treatment of insomnia due to Gallbladder deficiency. Pill of Sour Jujube Seed (Suanzaoren Wan):
Suanzaoren (Ziziphi Spinosae Semen) (lightly stir-fried) Diyu (Sanguisorbae Radix) (used with herb) Fushen (Poria cum Radice Pinus) (wood core removed, each 1 liang)
The above three medicinal materials. Pound and sift into powder, mix with refined honey to form pills the size of Sophora japonica seeds. Take 20 pills per dose with Mi Yin (Rice Drink), at any time.
For the treatment of insomnia and mental trance due to Wind affecting the Gallbladder. Powder of Frankincense (Ruxiang San):
Ruxiang (Olibanum) (ground) Ma Toutao Guhui (Ash of Horse Brain Bone) (ground, each 1 liang) Suanzaoren (Ziziphi Spinosae Semen) (2 liang, lightly stir-fried and ground)
The above three medicinal materials. Grind finely and mix evenly. Take 2 qianbi per dose, mixed with warm Jiǔ (Alcohol), at any time.