【胆火不得卧之症】膈寒不利，胁肋胀满，胆火乘脾也。心烦躁乱，恍惚不宁，胆涎沃
心也，甚则目黄目赤，夜不能寐。此胆火不得卧之症也。
【胆火不得卧之因】或因肝胆怫郁，木不条达，或酒食不节，湿热聚于胆家，或恼怒伤
肝，胆气上逆， 炼胃汁，成痰成饮，则夜不得卧也。
【胆火不得卧之脉】右关弦大，胆火乘脾，左关弦数，胆火不宁，寸关弦滑，胆涎沃心。
【胆火不得卧之治】胆火乘脾者，清胆竹茹汤。左关独大，龙胆泻肝汤，加胆星。胆涎
沃心者，胆星汤合泻心汤、牛黄清心丸。
清胆竹茹汤
柴胡 黄芩 半夏 陈皮 甘草 竹茹
龙胆泻肝汤 见前肝火胀。
胆星汤
陈胆星 橘红 苏子 钩藤 石菖蒲 甘草
泻心汤 见前肺热肿门。
牛黄清心丸
真牛黄 犀角 羚羊角 辰砂 陈胆星 天竺黄 麝香 薄荷叶 雄黄 防风 冰片
【肺壅不得卧之症】喘咳气逆，时吐痰涎，右胁缺盆，牵引作痛，甚则喘息倚肩，卧下气
逆。此肺壅不得卧之症也。
【肺壅不得卧之因】或肺素有热，金被火刑，或肺家有痰，肺气闭塞，或肺燥液干，肺
热焦满，或肺家有寒，肺气不利，凡此皆成肺壅不得卧之症也。
【肺壅不得卧之脉】右寸数大，金被火刑。若见沉滑，肺痰内停。寸口细数，肺液干枯
。寸脉沉迟，肺受寒凝。
【肺壅不得卧之治】肺素有热者，家秘泻白散。痰壅肺窍者，苏子杏子汤，加半夏、栝
蒌仁。肺燥液干者，家秘润肺饮。肺有寒者，家秘温肺汤。
家秘泻白散
桑白皮 地骨皮 甘草 黄芩 山栀 川黄连
苏子杏子汤
苏子 杏仁 半夏 栝蒌仁 枳壳 桔梗
家秘润肺饮
米仁 百合 杏仁 人参 天门冬 麦冬 知母 五味子
家秘温肺汤
款冬花 生姜 陈皮 百部 苏子 桔梗
【胆火导致失眠的症状】胸膈部寒冷且气机不畅，胁肋部位胀满，这是胆火侵犯脾胃所致。心中烦躁混乱，神志恍惚不安，严重时出现眼睛发黄或发红，夜间无法入睡。这就是胆火导致失眠的症状。
【胆火导致失眠的原因】可能是因为肝胆气机郁结，木气不能舒展条达；或者饮酒进食不节制，湿热积聚在胆腑；或者因恼怒损伤肝脏，导致胆气上逆，煎熬胃中津液，形成痰饮，从而导致夜间无法安睡。
【胆火导致失眠的脉象】右关脉弦大，表示胆火侵犯脾胃；左关脉弦数，表示胆火扰动不安；寸部和关部脉象弦滑，表示胆中涎沫上泛侵扰心神。
【胆火导致失眠的治疗】对于胆火侵犯脾胃的情况，使用清胆竹茹汤。如果仅左关脉独大，使用龙胆泻肝汤，并加入胆南星。对于胆中涎沫上泛侵扰心神的情况，使用胆星汤合用泻心汤、牛黄清心丸。
牛黄清心丸
真牛黄 犀角 羚羊角 辰砂 陈胆星 天竺黄 麝香 薄荷叶 雄黄 防风 冰片
【肺气壅滞导致失眠的症状】气喘咳嗽，气机上逆，时常吐出痰涎，右侧胁肋及缺盆穴部位牵引作痛，严重时喘息需要倚靠肩膀呼吸，平卧时气逆加重。这就是肺气壅滞导致失眠的症状。
【肺气壅滞导致失眠的原因】或者是肺本有热邪，金（肺）被火（心/热）克制；或者是肺中有痰，肺气闭塞不通；或者是肺燥津液干枯，肺热焦灼胀满；或者是肺中有寒邪，肺气运行不利。凡此种种，都形成肺气壅滞导致失眠的症状。
【肺气壅滞导致失眠的脉象】右寸脉数大，表示金被火刑。如果见到沉滑脉，表示肺痰内停。寸口脉细数，表示肺液干枯。寸脉沉迟，表示肺受寒邪凝滞。
【肺气壅滞导致失眠的治疗】肺本有热邪的，使用家秘泻白散。痰浊壅塞肺窍的，使用苏子杏子汤，加入半夏、瓜蒌仁。肺燥津液干枯的，使用家秘润肺饮。肺有寒邪的，使用家秘温肺汤。
[Symptoms of Insomnia Caused by Gallbladder Fire] Coldness and obstruction in the chest and diaphragm, distension and fullness in the hypochondrium, are caused by Gallbladder Fire invading the Spleen. Restlessness and confusion of the Heart, mental vagueness and uneasiness, and in severe cases, yellowing or reddening of the eyes with inability to sleep at night, constitute the symptoms of insomnia caused by Gallbladder Fire.
[Causes of Insomnia Caused by Gallbladder Fire] These may arise from stagnation of Liver and Gallbladder Qi, where Wood Qi fails to flow smoothly; or from irregular diet and alcohol consumption, leading to accumulation of Damp-Heat in the Gallbladder; or from anger injuring the Liver, causing Gallbladder Qi to rebel upward, refining Stomach fluids into Phlegm and Fluid retention, thereby preventing sleep at night.
[Pulse Signs of Insomnia Caused by Gallbladder Fire] A wiry and large pulse at the Right Guan position indicates Gallbladder Fire invading the Spleen; a wiry and rapid pulse at the Left Guan position indicates restless Gallbladder Fire; a wiry and slippery pulse at the Cun and Guan positions indicates Gallbladder Saliva flooding the Heart.
[Treatment for Insomnia Caused by Gallbladder Fire] For cases where Gallbladder Fire invades the Spleen, use Qing Dan Zhu Ru Tang (Clear the Gallbladder Bamboo Shavings Decoction). If only the Left Guan pulse is enlarged, use Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver) with added Dan Xing (Arisaema Cum Bile). For cases where Gallbladder Saliva floods the Heart, combine Dan Xing Tang (Arisaema Decoction), Xie Xin Tang (Drain the Heart Decoction), and Niu Huang Qing Xin Wan (Calculus Bovis Pill to Clear the Heart).
Qing Dan Zhu Ru Tang (Clear the Gallbladder Bamboo Shavings Decoction)
Chai Hu (Bupleuri Radix), Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Zhu Ru (Bambusae Caulis in Taenia)
Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver) See previous section on Liver Fire Distension.
Dan Xing Tang (Arisaema Decoction)
Chen Dan Xing (Arisaema Cum Bile aged), Ju Hong (Citri Reticulatae Pericarpium Rubrum), Su Zi (Perillae Fructus), Gou Teng (Uncariae Ramulus cum Uncis), Shi Chang Pu (Acori Tatarinowii Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma)
Xie Xin Tang (Drain the Heart Decoction) See previous section on Lung Heat Swelling.
Niu Huang Qing Xin Wan (Calculus Bovis Pill to Clear the Heart)
Zhen Niu Huang (Calculus Bovis), Xi Jiao (Rhinocerotis Cornu), Ling Yang Jiao (Capricornis Cornu), Chen Sha (Cinnabaris), Chen Dan Xing (Arisaema Cum Bile aged), Tian Zhu Huang (Bambusae Responsum), She Xiang (Moschus), Bo He Ye (Menthae Haplocalycis Folium), Xiong Huang (Realgar), Fang Feng (Saposhnikoviae Radix), Bing Pian (Borneolum Syntheticum)
[Symptoms of Insomnia Caused by Lung Obstruction] Panting, coughing, and rebellious Qi, frequent expectoration of phlegm and saliva, pulling pain in the right hypochondrium and Quepen area, and in severe cases, panting requiring leaning on shoulders for support with aggravated rebellious Qi when lying flat, constitute the symptoms of insomnia caused by Lung Obstruction.
[Causes of Insomnia Caused by Lung Obstruction] These may arise from pre-existing heat in the Lung, where Metal is punished by Fire; or from phlegm in the Lung causing obstruction of Lung Qi; or from dryness of the Lung with dried-up fluids, resulting in scorching heat and fullness in the Lung; or from cold in the Lung causing impaired movement of Lung Qi. All these conditions result in insomnia caused by Lung Obstruction.
[Pulse Signs of Insomnia Caused by Lung Obstruction] A rapid and large pulse at the Right Cun position indicates Metal being punished by Fire. A deep and slippery pulse indicates internal retention of Lung Phlegm. A fine and rapid pulse at the Cun Kou position indicates dryness and depletion of Lung fluids. A deep and slow pulse at the Cun position indicates Lung cold coagulation.
[Treatment for Insomnia Caused by Lung Obstruction] For pre-existing heat in the Lung, use Jia Mi Xie Bai San (Secret Family Powder to Drain the White/Lung). For phlegm obstructing the Lung orifices, use Su Zi Xing Zi Tang (Perilla Seed and Apricot Kernel Decoction) with added Ban Xia (Pinelliae Rhizoma) and Gua Lou Ren (Trichosanthis Semen). For dryness of the Lung with dried-up fluids, use Jia Mi Run Fei Yin (Secret Family Decoction to Moisten the Lung). For cold in the Lung, use Jia Mi Wen Fei Tang (Secret Family Decoction to Warm the Lung).
Jia Mi Xie Bai San (Secret Family Powder to Drain the White/Lung)
Sang Bai Pi (Mori Cortex), Di Gu Pi (Lycii Cortex), Gan Cao (Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix), Shan Zhi (Gardeniae Fructus), Chuan Lian Lian (Coptidis Rhizoma - *Note: Text says Chuan Huang Lian, usually Coptidis Rhizoma*)
Su Zi Xing Zi Tang (Perilla Seed and Apricot Kernel Decoction)
Su Zi (Perillae Fructus), Xing Ren (Armeniacae Semen Amarum), Ban Xia (Pinelliae Rhizoma), Gua Lou Ren (Trichosanthis Semen), Zhi Ke (Aurantii Fructus Immaturus), Jie Geng (Platycodonis Radix)
Jia Mi Run Fei Yin (Secret Family Decoction to Moisten the Lung)
Mi Yi Yi Ren (Coicis Semen), Bai He (Lilii Bulbus), Xing Ren (Armeniacae Semen Amarum), Ren Shen (Ginseng Radix), Tian Men Dong (Asparagi Radix), Mai Dong (Ophiopogonis Radix), Zhi Mu (Anemarrhenae Rhizoma), Wu Wei Zi (Schisandrae Chinensis Fructus)
Jia Mi Wen Fei Tang (Secret Family Decoction to Warm the Lung)
Kuan Dong Hua (Farflos Flos), Sheng Jiang (Zingiberis Rhizoma Recens), Chen Pi (Citri Reticulatae Pericarpium), Bai Bu (Stemonae Radix), Su Zi (Perillae Fructus), Jie Geng (Platycodonis Radix)