夫胆是肝之府。若肝气有余。胆实。实则生热。热则精神惊悸不安。起卧不定。胸中冒
闷。身体习习。眉头倾萎。口吐苦汁。心烦咽干。此是胆实热之候。
治胆实热。胸中冒闷。精神不守。宜服泻热麦门冬散方。
麦门冬（半两去心） 地骨皮（半两） 黄芩（半两） 茯神（半两） 川大黄（半两
锉微炒）
川升麻（半两） 甘草（半两炙微赤锉） 羚羊角屑（半两）
上件药。捣筛为散。每服三钱。以水一中盏。入竹茹一分。煎至六分。去滓。每于食后
温服。忌炙爆物。
治胆实热。精神不守。宜服栀子散方。
栀子仁（二十一枚） 川升麻（三分） 黄芩（三分） 大青（三分） 茯神（三分） 甘
草（半
两炙微赤锉）
上件药。筛捣为散。每服三钱。以水一中盏。入豉五十粒。煎至六分。去滓。入蜜半合
。更煎三二沸。每于食后温服。忌热面炙爆等。
治胆实热。心神惊悸。小便不利。宜服人参散方。
人参（半两去芦头） 甘草（半两炙微赤锉） 葵子（半两） 黄芩（三分） 赤茯苓
（三分）
枳壳（三分麸炒微黄去瓤）
上捣筛为散。每服三钱。以水一中盏。入生姜半分。同煎至六分。去滓。不计时候温服
治胆实。久有伏热。精神惊悸不安。宜服甘菊花散方。
甘菊花（一两） 牛黄（半两细研如粉） 犀角屑〔三（二）分〕 铁粉（半两） 麦
门冬（半
两去心焙） 黄连（三分去须） 铅霜（半两） 人参（一两去芦头） 甘草（一分炙微赤
锉）
上捣细罗为散。入牛黄。更同研令匀。每于食后。以竹沥调下一钱。或金银煎汤。调下
亦得。
治胆实热。精神不安。起卧不定。口中多苦。宜服胡黄连丸方。
胡黄连（一两） 青羊角屑（半两） 熊胆（一分） 蛇黄（半两捣碎细研如粉） 青
黛（一分
别研）
上件药。捣罗为末。更同研令匀。用黄牛胆汁和丸。如无黄牛胆。即用大羊胆和丸。如
绿豆大。每于食后。煎竹叶汤下七丸。忌炙爆壅热物。
胆是肝的腑。如果肝气有余，导致胆实，实证则产生热邪，热邪会导致精神惊恐、心悸不安，坐卧不宁，胸中闷胀，身体感觉不适（习习），眉头下垂萎软，口吐苦水，心烦意乱，咽喉干燥，这是胆实热的证候。
治疗胆实热，胸中闷胀，精神不能守舍，适宜服用泻热麦门冬散方。
麦门冬（半两，去心） 地骨皮（半两） 黄芩（半两） 茯神（半两） 川大黄（半两，锉碎后微炒）
川升麻（半两） 甘草（半两，炙至微赤，锉碎） 羚羊角屑（半两）
以上药物，捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入竹茹一分，煎煮至六分，滤去药渣。每次在饭后温服。忌食烤炸食物。
治疗胆实热，精神不能守舍，适宜服用栀子散方。
栀子仁（二十一枚） 川升麻（三分） 黄芩（三分） 大青（三分） 茯神（三分） 甘草（半两，炙至微赤，锉碎）
以上药物，筛捣制成散剂。每次服用三钱，用水一中盏，加入豆豉五十粒，煎煮至六分，滤去药渣，加入蜂蜜半合，再煎煮两三沸。每次在饭后温服。忌食热面及烤炸等食物。
治疗胆实热，心神惊恐心悸，小便不利，适宜服用人参散方。
人参（半两，去芦头） 甘草（半两，炙至微赤，锉碎） 葵子（半两） 黄芩（三分） 赤茯苓（三分）
枳壳（三分，麸炒至微黄，去瓤）
以上药物捣碎过筛制成散剂。每次服用三钱，用水一中盏，加入生姜半分，同煎至六分，滤去药渣。不拘时候，温服。
治疗胆实，久有伏热，精神惊恐不安，适宜服用甘菊花散方。
甘菊花（一两） 牛黄（半两，细研如粉） 犀角屑（二至三分） 铁粉（半两） 麦门冬（半两，去心焙干） 黄连（三分，去须） 铅霜（半两） 人参（一两，去芦头） 甘草（一分，炙至微赤，锉碎）
以上药物捣细罗过筛制成散剂，加入牛黄，再共同研磨均匀。每次在饭后，用竹沥调服一钱。或者用金银煎汤调服也可以。
治疗胆实热，精神不安，坐卧不宁，口中多苦，适宜服用胡黄连丸方。
胡黄连（一两） 青羊角屑（半两） 熊胆（一分） 蛇黄（半两，捣碎细研如粉） 青黛（一分，别研）
以上药物，捣罗制成末，再共同研磨均匀。用黄牛胆汁和丸，如果没有黄牛胆，就用大羊胆和丸，如绿豆大小。每次在饭后，煎竹叶汤送服七丸。忌食烤炸及壅滞生热的食物。
The Gallbladder is the Fu-organ of the Liver. If there is an excess of Liver Qi, it leads to Gallbladder Excess (Gallbladder Shi). Excess generates Heat. Heat causes mental fright, palpitations, and restlessness; inability to sit or lie still; chest oppression and fullness; a sensation of bodily discomfort (Xi Xi); drooping and withering of the eyebrows; spitting of bitter fluid; vexation and dryness of the throat. These are the manifestations of Gallbladder Excess-Heat.
For treating Gallbladder Excess-Heat, chest oppression, and mental instability, it is appropriate to take Xiere Maidong San (Cooling Heat Ophiopogon Powder).
Ophiopogonis Radix (Maidong) (half tael, heart removed), Periplocae Radix (Digupi) (half tael), Scutellariae Radix (Huangqin) (half tael), Poria Cum Ramo et Ligno (Fushen) (half tael), Rheum Radix et Rhizoma (Dahuang) (half tael, sliced and slightly stir-fried),
Cimicifugae Rhizoma (Shengma) (half tael), Glycyrrhizae Radix et Rhizoma (Gancao) (half tael, honey-fried until slightly reddish-brown, sliced), Cornu Saigae Tataricae (Lingyangjiao) (half tael).
Crush and sieve the above herbs into a powder. Take three qian per dose. Add one zhong of water and one fen of Bambusae Caulis in Succedaneum (Zhuru). Decoct until reduced to six parts. Strain. Take warm after meals. Avoid roasted and fried foods.
For treating Gallbladder Excess-Heat, mental instability, it is appropriate to take Zhizi San (Gardenia Powder).
Gardeniae Fructus (Zhizi) (twenty-one kernels), Cimicifugae Rhizoma (Shengma) (three qian), Scutellariae Radix (Huangqin) (three qian), Isatidis Folium (Daqing) (three qian), Poria Cum Ramo et Ligno (Fushen) (three qian), Glycyrrhizae Radix et Rhizoma (Gancao) (half tael, honey-fried until slightly reddish-brown, sliced).
Sieve and crush the above herbs into a powder. Take three qian per dose. Add one zhong of water and fifty grains of Fabae Semen Preparatum (Chidou). Decoct until reduced to six parts. Strain. Add half he of honey. Boil for two or three boils. Take warm after meals. Avoid hot noodles, roasted, and fried foods.
For treating Gallbladder Excess-Heat, mental fright and palpitations, and difficult urination, it is appropriate to take Renshen San (Ginseng Powder).
Ginseng Radix (Renshen) (half tael, radix removed), Glycyrrhizae Radix et Rhizoma (Gancao) (half tael, honey-fried until slightly reddish-brown, sliced), Abutili Semen (Kuizi) (half tael), Scutellariae Radix (Huangqin) (three qian), Poria (Chifuling) (three qian), Aurantii Fructus (Zhiqiao) (three qian, bran-fried until slightly yellow, placenta removed).
Crush and sieve the above herbs into a powder. Take three qian per dose. Add one zhong of water and half ban of Zingiberis Rhizoma Recens (Shengjiang). Decoct together until reduced to six parts. Strain. Take warm at any time.
For treating Gallbladder Excess with latent heat over a long period, causing mental fright and restlessness, it is appropriate to take Ganjuhua San (Chrysanthemum Powder).
Chrysanthemi Flos (Ganjuhua) (one liang), Bovis Calculus (Niuhuang) (half tael, finely ground into powder), Rhinocerotis Cornu (Xijiao) (two to three qian), Ferrum (Tiefen) (half tael), Ophiopogonis Radix (Maidong) (half tael, heart removed and baked), Coptidis Rhizoma (Huanglian) (three qian, fibrous roots removed), Plumbum Subacetatum (Qianshuang) (half tael), Ginseng Radix (Renshen) (one liang, radix removed), Glycyrrhizae Radix et Rhizoma (Gancao) (one qian, honey-fried until slightly reddish-brown, sliced).
Finely grind and sieve the above herbs into a powder. Add Bovis Calculus (Niuhuang) and grind together until uniform. After meals, take one qian mixed with Bambusae Caulis in Succedaneum juice (Zhulv). Alternatively, it can be taken with decoction of gold and silver.
For treating Gallbladder Excess-Heat, mental unrest, inability to sit or lie still, and excessive bitterness in the mouth, it is appropriate to take Huhuanglian Wan (Coptis Pill).
Coptidis Rhizoma (Huhuanglian) (one liang), Capris Cornu (Qingyangjiao) (half tael), Ursi Fel (Xiongdan) (one fen), Reptilis Corneus (Shehuang) (half tael, crushed and finely ground into powder), Indigo Naturalis (Qingdai) (one fen, separately ground).
Grind and sieve the above herbs into powder, then mix thoroughly. Bind with bile from a yellow cow. If yellow cow bile is unavailable, use bile from a large sheep. Form pills the size of mung beans. After meals, take seven pills with decoction of Phyllostachys nigra leaves (Zhuye). Avoid roasted, fried, and cloying/heat-producing foods.