删繁疗胆腑实热精神不守。泻热栀子煎方。
栀子（二十一枚） 甘竹茹（一两熬） 香豉（六合熬绵裹） 大青 橘皮（去脉各二
两） 赤
蜜（三合）
上六味细切。以水六升。煮取一升七合去滓。下蜜。更微火上煎两三沸。分再服。（出
第四卷中）
千金疗胆腑实热。精神不守。泻热半夏千里水汤方。
半夏（洗） 宿姜（各三两） 酸枣（五合） 黄芩（一两） 远志（去心） 茯苓（各
二两） 生
地黄（五两） 秫米（一斗）
上八味细切。取流水五斗。煮秫米。令蟹目沸。扬之三千下。澄清取五升。煮药取二升
半。分为三服。忌羊肉饧酢物芜荑。（出第十二卷中）
删繁论曰∶髓虚者。脑痛不安。髓实者勇悍。凡髓虚实之应。主于肝胆。若其腑脏有病
从髓生热则应藏。寒则应腑。（千金同出第三卷中）
千金疗髓虚脑痛不安。胆腑中寒。羌活补髓丸方。
羌活 芎 当归（各三两） 桂心（二两） 人参（四两） 酥（一升） 枣肉（一
斤研为脂） 牛髓（一升） 羊髓（一升） 大麻仁（二升熬研为脂）
上十味。先捣五种干药为散。下枣膏麻仁。又捣相濡为一家。下二髓并酥。纳铜钵中。
重汤煎之取好。为丸如梧子。酒服三十丸。日再。加至四十丸。忌生葱。
又疗髓实勇悍惊热。主肝热。柴胡发泄汤方。
柴胡 升麻 黄芩 细辛 枳实（炙） 栀子仁 芒硝（各三两） 泽泻（四两） 淡
竹叶（
切一升） 生地黄（切一升）
上十味切。以水九升。煮取三升。去滓。下芒硝。分为三服。忌生菜芜荑。（并出第十
二卷中）
【删繁】治疗胆腑实热导致的精神不能守舍。泻热栀子煎方。
栀子（二十一枚） 甘竹茹（一两，熬制） 香豉（六合，熬制后用绵布包裹） 大青 橘皮（去脉，各二两） 赤蜜（三合）
以上六味药细切。用水六升。煮取一升七合，去渣。加入蜂蜜。再用微火煎煮两三沸。分两次服用。（出自第四卷中）
《千金方》治疗胆腑实热。精神不能守舍。泻热半夏千里水汤方。
半夏（洗） 宿姜（各三两） 酸枣（五合） 黄芩（一两） 远志（去心） 茯苓（各二两） 生地黄（五两） 秫米（一斗）
以上八味药细切。取流水五斗。煮秫米。令其像蟹眼一样沸腾。扬之三千下。澄清后取五升。煮药取二升半。分为三次服用。忌食羊肉、饴糖、醋物、芜荑。（出自第十二卷中）
【删繁】论述说：髓虚的人，脑痛且不安宁。髓实的人，勇猛强悍。凡是髓虚实的变化，主要取决于肝胆。如果脏腑有病，从髓生热则应归属于脏；寒则应归属于腑。（《千金方》同样出自第三卷中）
《千金方》治疗髓虚导致的脑痛不安。胆腑中寒。羌活补髓丸方。
羌活 川芎 当归（各三两） 桂心（二两） 人参（四两） 酥（一升） 枣肉（一斤，研为脂状） 牛髓（一升） 羊髓（一升） 大麻仁（二升，熬制后研为脂状）
以上十味药。先将五种干药捣碎成散剂。加入枣膏和麻仁。又捣匀使其融合为一。再加入两种髓和酥。放入铜钵中。隔水炖煮至适宜程度。制成梧桐子大小的丸药。酒送服三十丸。每日两次。加量至四十丸。忌食生葱。
又治疗髓实导致的勇悍惊热。主治肝热。柴胡发泄汤方。
柴胡 升麻 黄芩 细辛 枳实（炙） 栀子仁 芒硝（各三两） 泽泻（四两） 淡竹叶（切，一升） 生地黄（切，一升）
以上十味药切碎。用水九升。煮取三升。去渣。加入芒硝。分为三次服用。忌食生菜、芜荑。（均出自第十二卷中）
[Shanfan] Treats the spirit failing to remain in its place due to excess-heat of the Gallbladder Fu organ. Xiere Zhizi Decoction (Heat-Draining Gardenia Decoction).
Zhizi (Gardeniae Fructus, 21 pieces) Ganzhuru (Bambusae Caulis in Taeniam, 1 liang, decocted) Xiangchi (Sojae Semen Praeparatum, 6 he, decocted and wrapped in silk) Daqing (Isatidis Radix) Jupi (Citri Reticulatae Pericarpium, de-veined, each 2 liang) Chimi (Red Honey, 3 he)
The above six herbs are finely cut. Add 6 sheng of water. Boil until 1.7 sheng remains. Strain out the dregs. Add honey. Simmer over a mild fire for two or three boils. Divide into two doses. (From Volume 4)
Qianjin Fang treats excess-heat of the Gallbladder Fu organ. The spirit fails to remain in its place. Xiere Banxia Qianli Shui Tang (Heat-Draining Pinellia Thousand-Mile Water Decoction).
Banxia (Pinelliae Rhizoma, washed) Sujiang (Old Ginger, each 3 liang) Suanzao (Ziziphi Spinosae Semen, 5 he) Huangqin (Scutellariae Radix, 1 liang) Yuanzhi (Polygalae Radix, heart removed) Fuling (Poria, each 2 liang) Shengdihuang (Rehmanniae Radix Recens, 5 liang) Shumi (Milii Frumentum, 1 dou)
The above eight herbs are finely cut. Take 5 dou of flowing water. Boil the Shumi until it bubbles like crab eyes. Stir and lift three thousand times. Clarify and take 5 sheng. Boil the herbs until 2.5 sheng remains. Divide into three doses. Avoid mutton, maltose, vinegar foods, and Elsholtzia. (From Volume 12)
Shanfan states: Those with deficiency of Marrow suffer from headache and restlessness. Those with excess of Marrow are brave and fierce. The manifestation of Marrow deficiency or excess is primarily governed by the Liver and Gallbladder. If the Zang-Fu organs have disease, heat arising from the Marrow corresponds to the Zang organs; cold corresponds to the Fu organs. (Qianjin Fang also cites Volume 3)
Qianjin Fang treats headache and restlessness due to Marrow deficiency. Cold in the Gallbladder Fu organ. Qianghuo Buisui Wan (Notopterygii Root Marrow-Nourishing Pill).
Qianghuo (Notopterygii Rhizoma et Radix) Xiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, each 3 liang) Guixin (Cinnamomi Ramulus, 2 liang) Renshen (Ginseng Radix, 4 liang) Su (Butyrum, 1 sheng) Zaorou (Date Flesh, 1 jin, ground into paste) Niushui (Ovis Medulla, 1 sheng) Yangsui (Caprae Medulla, 1 sheng) Damaoren (Cannabis Fructus, 2 sheng, decocted and ground into paste)
The above ten ingredients. First, pound the five dry herbs into powder. Add the date paste and hemp seeds. Pound again until they blend into one mass. Add the two types of medulla and butter. Place in a copper bowl. Steam-cook over boiling water until ready. Form pills the size of Sophora seeds. Take 30 pills with wine, twice daily. Increase to 40 pills. Avoid raw green onions.
Also treats bravery, fierceness, fright, and heat due to Marrow excess. Mainly treats Liver heat. Chaihu Faxie Tang (Bupleuri Evacuating Decoction).
Chaihu (Bupleuri Radix) Shengma (Cimicifugae Rhizoma) Huangqin (Scutellariae Radix) Xixin (Asari Radix et Rhizoma) Zhishi (Aurantii Fructus Immaturus, roasted) Zhiziren (Gardeniae Semen, each 3 liang) Mangxiao (Natrii Sulfas, 3 liang) Zexie (Alismatis Rhizoma, 4 liang) Danzhuye (Lophatheri Herba, cut, 1 sheng) Shengdihuang (Rehmanniae Radix Recens, cut, 1 sheng)
The above ten herbs are cut. Add 9 sheng of water. Boil until 3 sheng remains. Strain out the dregs. Add Mangxiao. Divide into three doses. Avoid raw vegetables and Elsholtzia. (Both from Volume 12)