治寤不成寐。胃中有湿热者。
姜半夏（一两）水五升。煎至三升。去滓。入秫米（三合）煎至二升。分作两次而服。
治肝虚不寐。
茯神（三钱） 炙甘草（五分） 知母（一钱） 枣仁（炒一钱五分） 川芎（八分）
如有痰加姜半夏（一钱）橘红（七分）水煎。
治木旺致惊。兼治小儿惊风。
龙骨（二钱） 石菖蒲（五分） 枣仁（炒一钱） 石决明（生八钱） 琥珀（一钱）
青黛（五分
分）姜汁（一匙冲）
脉候肝经之脉要弦长。弦直因知木势张。尺内遇弦腰带病。子来乘母水多妨。新
象肝真露。虽有良医曷可康。寸口浮弦风木上。关中得此土为戕。肝家病脉。
数风热。弦迟肾伤。弦牢痼疾。弦革难康。若能和缓。正复邪
难下药。勿药为方。
脾经病 肿胀 泄泻 虫积
脾为仓廪之官。属后天也。如先天不足。全赖后天以补之。后天一病。关系大焉。脾胃
之论
脾属
益其
以制
矣。
肿由
古
不
即阴水也。又治不内外因者。即仲景之开鬼门洁净府之法也。若夫泄泻之症。亦由脾虚不能
制水。胃虚不能纳水所致。治泻亦必制木。木不戕土。水曷由侵。书云。治泻不利小溲。非
其治也。虫积之由。因土虚不能胜湿。湿化热而蕴蓄蒸变。其虫生矣。故治虫必当先清湿热
。继温脾肾。仲景有安蛔丸以化虫安胃。最为雄伟。后人之治虫者。莫不就其范围也。胃痛
一症。古方甚多。并无确效。何也。因胃属中宫。肺心肝肾诸可侵伐。故变幻杂至。都是
阳大虚。不能灌溉其水。水停乃痛。仲景以小半夏汤治其停水。以泻心汤和其脾胃。又有苓
姜术桂汤以补其中土。治法不外乎此矣。若妄用攻击之法。胃土戕贼。则呕吐嗳哕。悉由此
出
痰
二曰悬饮。三曰溢饮。四曰支饮。如其人素盛今瘦。水走肠间。沥沥有声者。痰饮也。饮后
水流胁下咳唾引痛。水为气吸而难以下流。谓之悬饮。饮邪流散于四肢身体疼重。不能由汗
而解。以致饮邪旁溢。名曰溢饮。倚息不得卧。气分上迫。形肿谓之支饮。以上诸病。悉责
于脾。考金匮自无遗漏矣。
治疗因睡眠觉醒节律紊乱导致的失眠。若胃中有湿热者，可用此方：
姜半夏（一两）用水五升煎煮，浓缩至三升，滤去药渣。加入秫米（三合），继续煎煮至二升，分两次服用。
治疗因肝虚导致的失眠：
茯神（三钱）、炙甘草（五分）、知母（一钱）、枣仁（炒制一钱五分）、川芎（八分）。
如果伴有痰湿，可加姜半夏（一钱）、橘红（七分），用水煎服。
治疗因肝木亢盛导致的心惊，兼治小儿惊风：
龙骨（二钱）、石菖蒲（五分）、枣仁（炒制一钱）、石决明（生用八钱）、琥珀（一钱）、青黛（五分）、姜汁（一匙冲服）。
脉象方面，肝经的脉象应当弦长。脉象弦直说明肝木之势张盛。尺部脉象出现弦象且伴有腰带部位的病症，是因为子病（肝病）乘袭母脏（肾病），导致肾水受损。新出现的脉象显露出肝脏真脏脉的特征，即使有良医也难以治愈。寸口脉浮弦表示风木之气上逆；关部和寸部出现这种脉象，说明脾胃（土）受到损伤。肝病的脉象特征包括：数脉主风热，弦迟脉主肾伤，弦牢脉主久病痼疾，弦革脉主病情危重难愈。如果脉象能和缓，说明正气恢复，邪气难以深入，此时不宜轻易用药，以不服药为最佳治疗方案。
脾被称为仓廪之官，属于后天之本。如果先天不足，完全依赖后天脾胃来补充。一旦后天脾胃生病，关系非常重大。关于脾胃的论述：脾属土，通过补益脾气可以制约肝木（木克土，实则泻其子或虚则补其母，此处语境似指培土抑木或健脾制水等综合调理，原文“益其...以制...”语句略有残缺，依文意理解为通过补脾来制约相关病理因素）。
肿胀多由阴水引起。另外治疗不内外因引起的疾病，即采用张仲景提出的“开鬼门”（发汗）和“洁净府”（利小便）的方法。至于泄泻的症状，也是由于脾虚不能制约水湿，胃虚不能正常受纳水液所致。治疗泄泻也必须制约肝木，肝木不侵犯脾土，水湿又怎能侵凌？书上说：“治疗泄泻如果不通利小便，就不是正确的治疗方法。”虫积的形成，是因为脾土虚弱不能胜湿，湿气化热而蕴蓄蒸变，从而生出寄生虫。所以治疗虫积必须先清除湿热，继而温补脾肾。张仲景有安蛔丸用来化虫安胃，效果最为显著。后世治疗虫积的方法，都没有超出这个范围。胃痛这一症状，古方很多，但并没有确切疗效，为什么呢？因为胃位于中焦，肺、心、肝、肾诸脏的病邪都可侵犯它，所以病情变幻复杂。这大多是因为阳气大虚，不能灌溉津液，导致水饮停聚而引起疼痛。张仲景用小半夏汤治疗水饮停聚，用泻心汤调和脾胃，又有苓姜术桂汤来补益中焦脾土。治疗方法都不外乎这些原则。如果妄用攻伐之法，损伤胃土，那么呕吐、嗳气、呃逆等症状都会由此产生。
第二种是悬饮，第三种是溢饮，第四种是支饮。如果一个人原本身体强壮现在却消瘦，水流在肠间，发出沥沥声响的，称为痰饮。饮水后水流停滞在胁下，咳嗽吐唾时牵引作痛，水被气机吸住而难以向下流动，称为悬饮。饮邪流散于四肢，身体沉重疼痛，不能通过汗解，导致饮邪旁溢，称为溢饮。倚靠呼吸才能平卧，气机上迫，形体浮肿，称为支饮。以上各种病症，都要责之于脾。考察《金匮要略》，对此没有遗漏。
Treats insomnia (insomnia) resulting from disrupted sleep-wake rhythms. If there is damp-heat (Damp-Heat) in the Stomach, use this formula:
Jiang Banxia (Pinelliae Rhizoma Preparatum, 1 liang) with five sheng of water. Decoct until three sheng remain, remove the dregs. Add Shumi (Sorghum Vulgare, 3 he), decoct until two sheng remain. Divide into two doses and take.
Treats insomnia caused by Liver deficiency (Liver Deficiency):
Fushen (Poria with Hostwood, 3 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma, 5 fen), Zhimu (Anemarrhenae Rhizoma, 1 qian), Zaoren (Ziziphi Spinosae Semen, stir-fried 1.5 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 8 fen).
If phlegm (Phlegm) is present, add Jiang Banxia (Pinelliae Rhizoma Preparatum, 1 qian) and Juhong (Citri Reticulatae Pericarpium Rubrum, 7 fen), decoct with water.
Treats palpitations/fright caused by hyperactive Liver Wood (Hyperactive Liver Wood), also treating infantile convulsions (Infantile Convulsions):
Longgu (Fossilized Bones, 2 qian), Shichangpu (Acori Tatarinowii Rhizoma, 5 fen), Zaoren (Ziziphi Spinosae Semen, stir-fried 1 qian), Shijueming (Haliotidis Concha, raw 8 qian), Hupo (Amber, 1 qian), Qingdai (Indigo Naturalis, 5 fen), Jiangzhi (Ginger Juice, 1 spoon to be mixed in).
Regarding pulse diagnosis, the pulse of the Liver Meridian should be Xian (Wiry) and Chang (Long). A Xian (Wiry) and straight pulse indicates that Liver Wood energy is expansive. If a Xian (Wiry) pulse is encountered at the Chi position accompanied by symptoms related to the belt vessel, it suggests that the Child (Liver/Wood) is attacking the Mother (Kidney/Water), causing damage to Kidney Water. The appearance of a new pulse revealing the true Liver pulse (True Organ Pulse) indicates that even a skilled physician may not be able to cure it. A floating and Xian (Wiry) pulse at the Cun position indicates upward movement of Wind-Wood. If this pulse is found at the Guan or Cun positions, it indicates that Earth (Spleen/Stomach) is being damaged. Characteristics of Liver disease pulses include: Shu (Rapid) indicates Wind-Heat; Xian Chi (Wiry and Slow) indicates Kidney injury; Xian Lao (Wiry and Firm) indicates chronic stubborn disease; Xian Ge (Wiry and Leathery) indicates difficult-to-cure conditions. If the pulse can become He Huan (Harmonious and Gentle), it signifies the restoration of Zheng Qi (Upright Qi) and difficulty for pathogenic factors to invade. In such cases, medication should be avoided, and abstaining from medicine is the best prescription.
Liver Meridian diseases mainly include: Swelling (Edema), Diarrhea (Diarrhoea), and Parasitic Accumulation (Intestinal Parasites).
The Spleen is called the "Official of Granaries" and belongs to the Postnatal Foundation. If the Prenatal Essence is insufficient, it relies entirely on the Postnatal Spleen and Stomach for supplementation. Once the Postnatal Spleen and Stomach are diseased, the consequences are significant. Regarding the discussion of Spleen and Stomach: The Spleen belongs to Earth. By benefiting [the Spleen], one can control [Wood/Dampness]... (Note: Original text has fragmented sentences here, interpreted as strengthening Spleen to control pathological factors). Swelling is often due to Yin Water (Yin Edema). Furthermore, treating diseases not caused by internal or external factors refers to Zhang Zhongjing's methods of "Opening the Ghost Gate" (diaphoresis/sweating) and "Cleaning the Fu Organs" (diuresis). As for diarrhea, it is also caused by Spleen deficiency failing to control Water and Stomach deficiency failing to receive Water. Treating diarrhea must also involve controlling Liver Wood. If Liver Wood does not attack Earth, how can Water invade? It is said in books: "Treating diarrhea without promoting urination is not the correct treatment." Parasitic accumulation arises because weak Earth cannot overcome Dampness; when Dampness transforms into Heat and accumulates, parasites are generated. Therefore, treating parasites requires first clearing Damp-Heat, followed by warming the Spleen and Kidney. Zhang Zhongjing had Anhui Wan (Ascaris-Calming Pill) to dissolve parasites and calm the Stomach, which was most effective. Later treatments for parasites did not go beyond this scope. Gastralgia (Stomach Pain) is a symptom with many ancient formulas, yet lacking definite efficacy. Why? Because the Stomach resides in the Middle Jiao, and pathogens from the Lung, Heart, Liver, and Kidney can invade it, leading to complex variations. This is mostly due to severe Yang deficiency, unable to irrigate fluids, causing fluid retention and pain. Zhang Zhongjing used Xiaobanxia Tang (Minor Pinellia Decoction) to treat fluid retention, Xiexin Tang (Drain the Epigastrium Decoction) to harmonize the Spleen and Stomach, and Lingjiangshugui Tang (Poria, Ginger, Atractylodes, and Cinnamon Twig Decoction) to tonify the Middle Earth. Treatment methods do not exceed these principles. If aggressive attacking methods are used recklessly, damaging Stomach Earth, vomiting, belching, and hiccups will all result.
The second type is Xuanyin (Suspension Fluid Retention), the third is Yiyin (Overflowing Fluid Retention), and the fourth is Zhiyin (Supporting Fluid Retention). If a person who was previously robust now becomes thin, with water flowing between the intestines making a gurgling sound, it is called Tanyin (Phlegm-Fluid Retention). After drinking, if water flows under the hypochondrium and coughing/sputum causes pulling pain, where water is sucked by Qi and difficult to flow downward, it is called Xuanyin. When fluid pathogens scatter to the four limbs, causing heavy body pain that cannot be resolved through sweating, leading to fluid overflow sideways, it is called Yiyin. When one must lean to breathe and cannot lie flat, with Qi forcing upward and physical swelling, it is called Zhiyin. All the above diseases are attributed to the Spleen. Examining the *Jinkui Yaolue*, there are no omissions.