论曰胆实则为有余，有余则生热，故其证若腹中气满，饮食不下，咽干心胁痛，不能转
侧，足外反热，是为阳厥。及头痛目锐 痛，缺盆中肿痛，腋下肿，马刀侠瘿，皆谓胆气实
，足少阳经壅滞故也。
治胆经有余，腹中冒冒，气满不安，咽干头重。枳壳汤方
枳壳（去瓤麸炒一两） 人参 葵子 甘草（炙锉各半两） 赤茯苓（去黑皮） 黄芩
（去黑心各三分
上六味。粗捣筛，每服三钱匕，水一盏，入生姜三片，煎至七分，去滓温服不计时。
治足少阳经伏热积久，腹中气满，睡卧不安，头昏口苦，小便不利。升麻汤方
升麻 麦门冬（去心焙） 黄芩（去黑心） 茯神（去木） 大黄（锉炒） 地骨皮
（锉焙） 羚羊角（镑） 甘草（炙锉各等分）
上八味。粗捣筛，每服三钱匕，水一盏，入青竹茹少许，煎至七分，去滓温服，食后卧
服。
治胆经实热，心神惊悸，小便不利。楝实丸方
楝实（三两以童子小便浸一宿文火煮烂去核焙干） 大黄（锉炒） 栀子仁（炒各一两）
人参 赤茯苓（去黑皮） 酸枣仁（半炒用半生用别研） 蛇黄（烧令赤酒中淬五度别研各
一两） 金牙石（捣碎一两一分）
上八味。除别研者外，捣罗为末，再一处拌匀，炼蜜丸如梧桐子大。每日早食后及夜卧，
用熟水下十五丸，至二十丸。
治邪热干胆，神思不宁，喜怒狂躁，口苦舌干。山栀子饮方
山栀子仁（一两半） 甜竹茹（微炒一两） 豉（一升） 大青（八钱） 陈橘皮（汤
浸去白焙一两）
上五味。粗捣筛，每服三钱匕，水一盏，入蜜少许，煎至七分，去滓温服，食后夜卧各
一。
治胆实生热，腹中气满，饮食不下，咽干头重，洒洒恶寒，两胁胀痛。半夏东流水汤方
半夏（汤洗七遍去滑炒一两半） 酸枣仁（二两别研入） 黄芩（去黑心半两） 远志
（去心） 赤茯苓
上六味。除别研外，粗捣筛，再拌匀，每五钱匕，用东流水二盏，入秫米半合，生姜五
片，煎至一盏去滓，分温二服，空腹食后各一服。
治胆实热口苦，冒冒气满，食饮不下，咽干心胁痛，不能转侧，头目连缺盆皆痛。半夏
汤方
半夏（为末生姜汁和作饼曝干） 酸枣仁（各一两半） 黄芩（去黑心半两） 远志（去
心） 山栀子（去
上七味。粗捣筛，每服五钱匕，水一盏半，生姜五片，生地黄半分切，煎至八分，去滓
食后温服。
治胆热精神不安，卧起不定，口中常苦。胡黄连丸方
胡黄连（一两） 青羊角（镑屑一两） 熊胆（一分） 蛇黄（火 去火毒半两） 青
黛（别研一分）
上五味。捣罗为末，研令匀，用黄牛胆搜和为丸，如绿豆大，每服七丸，煎竹叶汤下，
晚间再服，无牛胆以羊胆代。
治胆伏热，精神惊悸不安。菊花散方
甘菊花（一两） 牛黄（研半两） 犀角（镑屑三分） 铁粉（半两） 麦门冬（去心
焙半两） 黄连（去须三
上九味。捣罗为细散，研和匀，每服二钱匕，食后淡竹沥调下，或金银煎汤下，亦得。
治胆实热，精神不安。泻热汤方
龙骨 酸枣仁（微炒） 黄芩（去黑心） 茯神（去木） 伏龙肝 升麻 竹茹 甘草
（炙各等分）
上八味。粗捣筛，每服三钱匕，水一盏，煎至七分，去滓食后温服、日三。
论述说：胆气实盛则表现为有余，有余就会产生热邪，所以其症状表现为腹部胀满，饮食难以下咽，咽喉干燥，心部和胁肋部疼痛，身体不能转动侧身，足外侧发热，这被称为阳厥。以及头痛、目锐眦疼痛，缺盆中肿痛，腋下肿胀，马刀侠瘿（颈部淋巴结肿大），都称为胆气实盛，这是足少阳经气机壅滞的缘故。
治疗胆经气有余，腹部昏闷不适，气机胀满不安，咽喉干燥，头部沉重。枳壳汤方
枳壳（去除瓤，麸皮炒，一两） 人参 葵子 甘草（炙后锉碎，各半两） 赤茯苓（去除黑皮） 黄芩（去除黑心，各三分）
以上六味药。粗捣筛碎，每次服用三钱匕，用水一盏，加入生姜三片，煎煮至七分，去渣温服，不拘时间。
治疗足少阳经伏热积聚日久，腹部气机胀满，睡眠卧息不安，头晕口苦，小便不利。升麻汤方
升麻 麦门冬（去除心，焙干） 黄芩（去除黑心） 茯神（去除木心） 大黄（锉碎炒制） 地骨皮（锉碎焙干） 羚羊角（镑成屑） 甘草（炙后锉碎，各等分）
以上八味药。粗捣筛碎，每次服用三钱匕，用水一盏，加入少许青竹茹，煎煮至七分，去渣温服，饭后睡前服用。
治疗胆经实热，心神惊悸，小便不利。楝实丸方
楝实（三两，用童子尿浸泡一夜，文火煮烂，去核，焙干） 大黄（锉碎炒制） 栀子仁（炒，各一两） 人参 赤茯苓（去除黑皮） 酸枣仁（一半炒用，一半生用，另研细） 蛇黄（烧红后在酒中淬炼五次，另研细，各一两） 金牙石（捣碎，一两一分）
以上八味药。除需另研的药物外，捣碎过罗成末，再混合均匀，炼蜜为丸，如梧桐子大。每日早饭后至夜间睡前，用温水送服十五丸，增至二十丸。
治疗邪热干扰胆腑，神思不宁，喜怒狂躁，口苦舌干。山栀子饮方
山栀子仁（一两半） 甜竹茹（微炒，一两） 豉（一升） 大青（八钱） 陈橘皮（汤浸去白，焙干，一两）
以上五味药。粗捣筛碎，每次服用三钱匕，用水一盏，加入少许蜂蜜，煎煮至七分，去渣温服，饭后及夜间睡前各服一次。
治疗胆实生热，腹部气机胀满，饮食难以下咽，咽喉干燥，头部沉重，洒洒然恶寒，两胁胀痛。半夏东流水汤方
半夏（汤洗七遍去滑，炒，一两半） 酸枣仁（二两，另研入药） 黄芩（去除黑心，半两） 远志（去除心） 赤茯苓
以上六味药。除需另研的药物外，粗捣筛碎，再混合均匀，每次五钱匕，用东流水二盏，加入秫米半合，生姜五片，煎煮至一盏，去渣，分两次温服，空腹及饭后各服一次。
治疗胆实热导致口苦，昏闷不适，气机胀满，饮食难以下咽，咽喉干燥，心胁部疼痛，身体不能转侧，头目连缺盆皆痛。半夏汤方
半夏（为末，用生姜汁和作饼，晒干） 酸枣仁（各一两半） 黄芩（去除黑心，半两） 远志（去除心） 山栀子（去... [原文此处似有缺漏，依前文逻辑推测可能指去心或类似处理，但严格按原文仅提取可见部分]
以上七味药。粗捣筛碎，每次服用五钱匕，用水一盏半，生姜五片，生地黄半分切，煎煮至八分，去渣，饭后温服。
治疗胆热导致精神不安，卧起不定，口中常苦。胡黄连丸方
胡黄连（一两） 青羊角（镑成屑，一两） 熊胆（一分） 蛇黄（火制去火毒，半两） 青黛（另研细，一分）
以上五味药。捣碎过罗成末，研磨均匀，用黄牛胆汁搜和为丸，如绿豆大，每次服用七丸，煎竹叶汤送下，晚间再服，若无牛胆可用羊胆代替。
治疗胆伏热，精神惊悸不安。菊花散方
甘菊花（一两） 牛黄（研细，半两） 犀角（镑成屑，三分） 铁粉（半两） 麦门冬（去除心，焙干，半两） 黄连（去除须，三... [原文此处似有缺漏，依前文逻辑推测可能为重量单位，但严格按原文仅提取可见部分]
以上九味药。捣碎过罗成细散，研磨均匀，每次服用二钱匕，饭后用淡竹沥调服，或用金银煎汤送服亦可。
治疗胆实热，精神不安。泻热汤方
龙骨 酸枣仁（微炒） 黄芩（去除黑心） 茯神（去除木心） 伏龙肝 升麻 竹茹 甘草（炙，各等分）
以上八味药。粗捣筛碎，每次服用三钱匕，用水一盏，煎煮至七分，去渣，饭后温服，每日三次。
It is stated that when the Gallbladder Qi is excess, it manifests as surplus; surplus generates heat. Therefore, its symptoms include abdominal fullness, inability to swallow food, dry throat, pain in the heart and hypochondrium, inability to turn or change position, and heat on the lateral aspect of the foot, which is termed Yang Jue (Yang Reversal). Additionally, headache, pain at the outer canthus, swelling and pain in the Supraclavicular Fossa (Quepen), axillary swelling, and "Madao" and "Xiaying" (types of scrofula/lymphadenopathy) are all referred to as Gallbladder Qi excess, caused by stagnation of the Foot-Shaoyang Meridian.
Zhiqiao Tang (Bitter Orange Decoction) for treating excess in the Gallbladder Meridian, characterized by abdominal dizziness/discomfort, Qi fullness with restlessness, dry throat, and heavy head.
Zhiqiao (Bitter Orange Fruit, pulp removed, bran-fried, 1 liang) Renshen (Ginseng Root) Kuizi (Abelmoschus Seed) Gancao (Licorice Root, honey-fried and chopped, each 0.5 liang) Chifuling (Red Poria, black skin removed) Huangqin (Scutellaria Root, black heart removed, each 3 qian)
The above six herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi (approx. 9g), boiled in one sheng (approx. 200ml) of water with three slices of Shengjiang (Fresh Ginger) until reduced to 70%. Strain and take warm, at any time.
Shengma Tang (Cimicifuga Decoction) for treating latent heat accumulating over a long period in the Foot-Shaoyang Meridian, characterized by abdominal Qi fullness, restless sleep, dizziness, bitter taste in the mouth, and difficult urination.
Shengma (Cimicifuga Rhizome) Maimendong (Ophiopogon Tuber, core removed and dried) Huangqin (Scutellaria Root, black heart removed) Fushen (Poria with Hostwood, wood removed) Dahuang (Rhubarb Root, chopped and fried) Digupi (Lycium Bark, chopped and dried) Lingyangjiao (Antelope Horn, shaved) Gancao (Licorice Root, honey-fried and chopped, equal parts)
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one sheng of water with a small amount of Qingzhuru (Green Bamboo Shavings) until reduced to 70%. Strain and take warm after meals and before lying down.
Lianshi Wan (Melia Pill) for treating excess-heat in the Gallbladder Meridian, characterized by mental palpitations and fright, and difficult urination.
Lianshi (Melia Fruit, 3 liang, soaked overnight in urine of an uncircumcised boy, cooked slowly until soft, pitted and dried) Dahuang (Rhubarb Root, chopped and fried) Zhiziren (Gardenia Seed, fried, each 1 liang) Renshen (Ginseng Root) Chifuling (Red Poria, black skin removed) Suanzaoren (Sour Jujube Seed, half fried, half raw, separately ground) Shehuang (Snake Yellow/Gallstone, heated red and quenched in wine five times, separately ground, each 1 liang) Jinya Shi (Gold Tooth Stone, crushed, 1 liang 1 fen)
The above eight herbs, except those requiring separate grinding, are crushed, sieved into powder, mixed thoroughly, and bound with refined honey into pills the size of Sophora seeds. Take 15–20 pills with warm water after morning meal and before night sleep.
Shanzhizi Yin (Gardenia Drink) for treating pathogenic heat interfering with the Gallbladder, characterized by unsettled mind, irritability, mania, bitter taste in the mouth, and dry tongue.
Shanzhiziren (Gardenia Seed, 1.5 liang) Tianzhuru (Sweet Bamboo Shavings, lightly fried, 1 liang) Chi (Fermented Soybean, 1 sheng) Daqing (Isatis Leaf, 8 qian) Chenjuapi (Aged Tangerine Peel, soaked in water, white pith removed, dried, 1 liang)
The above five herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one sheng of water with a little honey until reduced to 70%. Strain and take warm, once after meal and once before night sleep.
Banxia Donglianshui Tang (Pinellia East-Flowing Water Decoction) for treating Gallbladder excess generating heat, characterized by abdominal Qi fullness, inability to swallow food, dry throat, heavy head, aversion to cold with chills, and distending pain in both hypochondria.
Banxia (Pinellia Tuber, washed seven times in hot water to remove slipperiness, fried, 1.5 liang) Suanzaoren (Sour Jujube Seed, 2 liang, separately ground and added) Huangqin (Scutellaria Root, black heart removed, 0.5 liang) Yuanzhi (Polygala Root, core removed) Chifuling (Red Poria)
The above six herbs, except those requiring separate grinding, are coarsely crushed, sifted, and mixed. Each dose uses 5 qianbi, boiled in two shengs of Donglianshui (East-flowing water) with half he of Shumi (Sorghum) and five slices of Shengjiang (Fresh Ginger) until reduced to one sheng. Strain and divide into two warm doses, taken empty stomach and after meal.
Banxia Tang (Pinellia Decoction) for treating Gallbladder excess-heat causing bitter taste, dizziness/discomfort, Qi fullness, inability to swallow food/drink, dry throat, heart/hypochondriac pain, inability to turn body, and pain extending from head and eyes to the Supraclavicular Fossa.
Banxia (Pinellia Tuber, made into powder, mixed with Fresh Ginger Juice to form cakes, dried) Suanzaoren (Sour Jujube Seed, each 1.5 liang) Huangqin (Scutellaria Root, black heart removed, 0.5 liang) Yuanzhi (Polygala Root, core removed) Shanzhizi (Gardenia Fruit, ... [text incomplete])
The above seven herbs are coarsely crushed and sifted. Each dose consists of 5 qianbi, boiled in 1.5 shengs of water with five slices of Shengjiang (Fresh Ginger) and 0.5 fen of Shengdihuang (Rehmannia Root, sliced fresh) until reduced to 80%. Strain and take warm after meals.
Huhuanglian Wan (Coptis Rhizome Pill) for treating Gallbladder heat causing mental unrest, irregular sleep/wake cycles, and constant bitter taste in the mouth.
Huhuanglian (Picrorhiza Rhizome, 1 liang) Qingyangjiao (Black Goat Horn, shaved, 1 liang) Xiongdan (Bear Bile, 1 fen) Shehuang (Snake Gallstone, fire-treated to remove toxicity, 0.5 liang) Qingdai (Indigo Naturalis, separately ground, 1 fen)
The above five herbs are crushed, sieved into powder, and mixed evenly. Bind with bile from a yellow cow to form pills the size of mung beans. Take 7 pills with decoction of Zhu Ye (Bamboo Leaves), and again in the evening. If cow bile is unavailable, sheep bile may be substituted.
Juhua San (Chrysanthemum Powder) for treating latent heat in the Gallbladder causing mental fright and unrest.
Ganjuhua (Chrysanthemum Flower, 1 liang) Niuhuang (Calculus Bovis, ground, 0.5 liang) Xijiao (Rhino Horn, shaved, 3 qian) Tiefen (Iron Powder, 0.5 liang) Maimendong (Ophiopogon Tuber, core removed and dried, 0.5 liang) Huanglian (Coptis Rhizome, whiskers removed, 3... [text incomplete])
The above nine herbs are crushed, sieved into fine powder, and mixed evenly. Take 2 qianbi after meals, mixed with Dan Zhuli (Light Bamboo Sap) or taken with decoction of Jin Yin (Gold and Silver).
Xiere Tang (Drain Heat Decoction) for treating Gallbladder excess-heat causing mental unrest.
Longgu (Dragon Bone) Suanzaoren (Sour Jujube Seed, lightly fried) Huangqin (Scutellaria Root, black heart removed) Fushen (Poria with Hostwood, wood removed) Fulonggan (Dried Earth from Cooking Hearth) Shengma (Cimicifuga Rhizome) Zhuru (Bamboo Shavings) Gancao (Licorice Root, honey-fried, equal parts)
The above eight herbs are coarsely crushed and sifted. Each dose consists of 3 qianbi, boiled in one sheng of water until reduced to 70%. Strain and take warm after meals, three times daily.