夫卫气昼行于阳。夜行于阴。阴主夜夜主卧。谓阳气尽。阴气盛。则目瞑矣。今热气未
散。与诸阳并。所以阳独盛。阴偏虚。今病后不得睡者。阴气未复故也。荣卫之气。昼行于
阳则寤。夜行于阴则寐。伤寒瘥后。脏腑皆虚。荣卫出入不能循常。缘热邪未散。与阳气并。
卫
歌曰。不眠肾证利而烦。大热膀胱胃里干。吐汗出下余懊 。热多热少数般看。
经云。胃不和。卧不安。不和者。津液干焦。邪热烦躁。阳独盛而阴偏虚故尔。盖夜以
阴为主。阴气则目闭而卧安。惟夫阴为所盛。故终夜烦扰而不得宁。所谓阴虚则夜净者此也。
若阳虚而阴盛焉。又有夜静昼烦之证耳。少阴不利而渴。不得眠。猪苓汤。此停水也。若二
三日以上。心烦不得眠。黄连阿胶汤主之。甚良。太阳发汗多。或大汗出。胃中干。烦热不
得眠。欲饮水者与之。胃和即愈矣。若脉浮。小便不利。渴可与五苓散。吐汗下后。心中懊
虚烦。颠倒不得眠。栀子豉汤。或酸枣汤。大热干呕。呻吟错语。不得眠。黄连解毒汤。
凡阳毒热病。皆不得眠。下后发汗。无大热。脉微沉。不呕渴。无表证。夜静昼烦而不得眠。
可与干姜附子汤。阳胜阴。则狂眠乱梦。可用栀子豉汤。阴胜阳则惊悸昏沉。宜用酸枣汤。
瘥后不得眠者。热气与诸阳相并。阴气未复故也。宜用栀子乌梅汤。或易简温胆汤加竹茹。
此可通用。
又多眠歌。多眠神思若沉昏。自汗风温默默然。狐惑唇疮沉细肾。太阳浮细亦痴眠。
阴虚阳盛。人多昏昏闭目者。阴司合也。默默不言者。阴主静也。多眠四证。二者病在
经。若太阳恶寒。其脉浮细。是阳气未尽复也。若狐惑淹沉。素得之下利。则不忌阳可知矣。
此所以为阳盛与风温证。尺寸俱浮。自汗喘息。体重不收。默默然欲眠。不可发汗。可与葳
蕤汤。病在少阴、厥阴二经。狐惑。觉四肢沉重。咽干声哑。上下唇疮。害人甚急。有本条。
少阴证。尺寸俱沉细。目欲寐。急与四逆汤。复其阳气。又少阴欲吐不吐。烦而多寐。
五六日。自利而渴。张氏无治法。若是小便白者。可用四逆汤甚妙。张氏又云。少阴病。脉
微沉
变难活。贵乎详而审之可也。太阳证。头项痛。恶寒嗜卧。脉浮细。或胸胁满者。宜用小柴
胡汤。脉且浮。宜麻黄汤。胃伤风。发黄嗜卧。自有本条。
瘥后昏沉歌。差后昏沉似降妖。或时寒热或时潮。语言错谬精神少。毒在心胸汗未消。
伤寒瘥后。半月以来。终不能惺惺。错谬言语。精神短少。或寒或热似疟。或潮热。颊赤色
者。若以风魅治之。非也。是由发汗不尽。余毒在心。热气内蕴。炮络开致之然也。瘥后昏
沉不醒。可与知母麻黄汤。再取微汗。瘥后劳复食复。见下后有热条。瘥后胃脘余热。虚烦
而吐。用竹叶汤加生姜瘥后喜睡。膈上有寒。宜用理中丸。瘥后从腰以下有水气。宜用牡蛎
泽泻散。瘥后日暮微烦。以其病方瘥。强与谷食而不消也。节食饮则可愈矣。
方
麦门冬散（出圣惠方）治伤寒后体虚烦热。不得睡卧。少思饮食。宜服。
麦门冬（去心） 黄芩（各三分） 茯神 熟干地黄 人参（去芦头） 黄 （锉各一
两）
甘草（炙半两微赤锉） 上捣筛为散。每服五钱。以水一大盏。入生姜半分。枣三枚。粳米
五
十粒
治伤寒后虚烦。不得眠睡。心中懊 。宜服栀子乌梅汤。（出活人书）
甘草（炙微赤） 栀子仁 黄芩（各半两） 乌梅肉（十四枚微炒） 柴胡（一两去苗）
上捣
筛为散。每服四钱。以水一中盏。入生姜半分。竹叶二十七片。豉五十粒。煎至六分。去渣。
不
熟干地黄散（出圣惠方）治伤寒后体虚心烦。不得眠卧。四肢少力。
熟干地黄（一两半） 白芍药 羚羊角屑 茯神 黄 （锉） 麦门冬（去心） 酸枣
仁（微
炒） 人参（去芦头各一两） 上捣筛为散。每服四钱。以水一中盏。煎六分。去滓。入鸡
子
清一枚。搅令均。温服。
又方（出圣惠方）
半夏（三分汤洗七遍去滑） 白茯苓（一两半） 黄芩（一两） 上捣筛为散。每服五
钱。以
水一
酸枣仁散（出圣惠方）治伤寒后体虚乏力。筋脉拘急。四肢疼痛。不得睡卧。
宜服。
酸枣仁（一两微炒） 麦门冬（去心） 防风（去芦头） 芎 （各半两） 当归（微
炒锉） 白
茯苓 羚羊角屑 人参（去芦头） 黄 （锉各三两） 上捣筛为散。每服四钱。以水一中
盏。
入生姜半分。枣三枚。煎六分。去滓。不计时候。温服。
麦门冬散（出圣惠方）治伤寒后胃气虚乏。不思饮食。四肢少力。心神烦闷。
不得睡卧。
麦门冬（去心） 黄 （锉） 人参（去芦头各三分） 白术 白茯苓（各一两） 酸
枣仁 甘
草（炙微赤锉） 芎 桂心 半夏（汤洗七次去滑各半两） 陈橘皮（三分汤浸去白瓤焙）
上
捣筛为散。每服四钱。以水一中盏。入生姜半分。竹叶七片。枣三枚。煎六分。去滓。不计
时候。温服。
茵陈散（出圣惠方）治伤寒后伏热在心中。恍惚多惊。不得睡卧。宜服。
茵陈 犀角屑 赤芍药 麦门冬 黄芩 栀子仁 甘草（各半两炙微赤锉） 柴胡（去
苗）
茯神（各一两） 上捣筛为末。每服四钱。以水一中盏。入生姜半分。竹叶二十七片。生地
黄
一分。煎至六分。去滓。不计时候。温服。
栀子豉汤（出德生堂方）治伤寒汗后虚烦。不得眠卧。剧者必反复颠倒。心中
懊 。感冒发为寒热。头疼体痛。并皆治之。
栀子（十四枚） 香豉（四合） 上 咀麻豆大。每服三钱。水一盏。煎至七分。去滓。
温服。一二服得吐。止后服。一方有薤白一握。一方黑砂糖一小块。嚼下。用服以浆水投之
即吐。
酸枣仁汤（出活人书）治伤寒吐下后。心烦气乏。昼夜不得眠。
酸枣仁（炒一两） 麦门冬（去心焙二合） 甘草（一分炙） 知母（切焙） 白茯苓
（去黑皮）
芎 干姜（各半两） 上 咀如麻豆大。每服四钱。水一盏半。煎至一盏。温服。
酸枣仁甘草汤（出圣济总录）治伤寒后劳损。烦躁不得眠。
酸枣仁（微炒四两） 甘草（炙锉） 当归（切焙） 桂枝 人参 白茯苓（去黑皮） 石
膏
（碎） 芎 （各三两） 远志（去心一分） 上粗捣筛。每服五钱。水一盏半。煎至一盏。
去滓。
温服。不拘时。
酸枣仁汤（出圣济总录）治伤寒汗后。不得眠睡。
酸枣仁（微炒二两） 人参（一两） 石膏（碎） 桂枝 知母（切焙） 甘草（炙各
半两） 赤
茯苓（去黑皮三分） 上粗捣筛。每服五钱。水一盏半。煎至八分。去滓。温服。不拘时。
酸枣仁黄芩汤（出圣济总录）治伤寒余热未散。不得眠睡。
酸枣仁（微炒一两） 黄芩（去黑心） 麦门冬（去心焙） 甘草（炙各半两） 远志
（去心）
萆（各一两） 人参（切） 茯神（去木各一两） 桂枝（去粗皮三分） 上粗捣筛。每
服五钱。
水一盏半。生姜五片。煎至一盏。去滓。食前温服。日再。
栀子仁汤（出圣济总录）治伤寒后虚烦。不得眠睡。吐逆。
栀子仁 豉（炒各一两） 酸枣仁（炒一两） 芎 陈橘皮（去白焙） 人参（去芦
头） 白
茯苓（去黑皮各半两） 上粗捣筛。每服三钱。水一大盏。生姜三片。煎至七分。去滓。食
前
温服。日再。
人参汤（出圣济总录）治伤寒后虚劳。不得眠。烦闷。四肢乏力。
柴胡汤（出圣济总录）治伤寒后虚烦热惊悸。不得眠睡。
麦门冬茯苓饮（出圣济总录）治伤寒后烦满。心神恍惚。不得眠睡。（方见
麦
门冬饮）
地骨皮饮（出圣济总录）治伤寒后虚烦客热。累夜不得眠。头疼眼疼。迷闷。
地骨皮（洗） 麦门冬（去心各二两） 酸枣仁（炒三两） 上粗捣筛。每服五钱。水
一盏半。
入生姜五片。煎七分。去滓。食后温服。
梅实丸（出圣济总录）治伤寒后胆冷。不得睡。
梅实肉 大枣肉 酸枣仁（炒等分） 上同捣成膏。丸如弹子大。每服一丸。卧含化服。
酸枣仁汤（出圣济总录）治大病后。及虚劳不得眠。
酸枣仁（炒） 榆皮（切各三两） 上粗捣筛。每服三钱。水一盏。煎至七分。去滓。
温服。
黄连阿胶汤（出肘后方）治伤寒少阴病。得之二三日以上者。心中烦。不得卧
。
黄连（一两） 阿胶（三分） 鸡子黄（半个） 黄芩（一分） 芍药（半两） 上锉
散。每服四
钱。水二盏。煎取一盏。去滓。纳胶消尽。鸡子黄搅令和。温服。日二服。
半夏茯苓汤（出肘后方）治差后虚烦不得眠。眼中疼痛。懊 。
半夏（三两洗） 秫米（一升） 茯苓（四两） 上切。以千里流水一石。扬之万遍。
澄取二
斗。合煮诸药。得五升。去滓。温分五服。忌羊肉、饧、酢、等物。
治差后虚烦不得眠。眼中痛疼。懊 。（出肘后方）
豉（七合） 乌梅（十七枚） 上以水四升。先煮梅。取二升半。纳豉。取一升半。分
再服。
无乌梅。用栀子十四枚亦得。
温胆汤（出易简方）治大病后。虚烦不得眠。兼治心胆虚怯。触事易惊。或梦
寐不祥。或异象眩惑。遂致心惊胆慑。气郁生涎。涎与气搏变生诸证。或短气悸乏。或
\x复自汗。或四肢浮
半夏 枳实（各一两） 橘红（一两半） 甘草（四钱） 茯苓（三分） 上 咀。每
服四钱。
水一盏半。生姜七片。枣七枚。竹茹一块如钱大。煎至六分。去滓。食前热服。竹茹即刮竹
青也。此药大治伤寒后。及一切病后虚烦。夜睡不宁者。并宜用之。若伤寒后尚有余热。并
热在上焦。兼汗下后。表里俱虚。不可攻者。宜用竹叶石膏汤。下利发热。竹叶汤中去石膏。
加熟附子。名既济汤。呕者二陈汤。一法治伤寒坏证。时或发消渴。燥烦。用新罗参不拘多
少。煎汤。浸令水冷后。盛渴之时与之。顿服。热则随去。大抵伤寒渴者。不可多与之水。
水积胸中。便为结胸。然亦须濡沫之可也。结胸治法。见于理中汤方中。伤寒后咳逆。其证
最为危。当用半夏一两。生姜一两半。白水煎服。其他病亦恶咳逆。当用丁香十粒。干柿蒂
一十五枚。煎汤半盏。乘热顿服。
卫气在白天运行于阳分，在夜晚运行于阴分。阴分主夜间，夜间主睡眠。当阳气耗尽、阴气旺盛时，人就会闭眼入睡。现在热邪尚未消散，与诸阳经之气相并，导致阳气独盛，阴气偏虚。所以病后无法入睡，是因为阴气尚未恢复的缘故。营卫之气，白天行于阳分则清醒，夜晚行于阴分则入睡。伤寒病愈后，脏腑皆虚弱，营卫之气的出入不能遵循常态。因为热邪未散，与阳气相并，（导致阴阳失衡）。
歌诀说：不眠的肾证表现为下利且心烦；大热证见于膀胱和胃中干燥；呕吐、发汗、攻下之后出现的懊恼烦闷，需根据热多或热少来辨别看待。
经文说：“胃不和，卧不安。”所谓“不和”，是指津液干枯焦灼，邪热导致烦躁，阳气独盛而阴气偏虚所致。大概夜间以阴为主，阴气充足则眼睛闭合而安睡。只有当阴气被阳热所压制（或阴气不足），才会整夜烦扰而无法安宁。这就是所谓的“阴虚则夜间清净（指因阴虚导致的虚性亢奋或不适，此处原文语境略有歧义，通常指阴虚火旺扰动心神）”。如果是阳虚而阴盛，又有夜间安静、白天烦躁的症状。少阴病不利且口渴、不得眠，用猪苓汤治疗，这是水饮停聚所致。如果两三天以上，心烦不得眠，主治方为黄连阿胶汤，效果很好。太阳病发汗过多，或大汗出，导致胃中干燥，烦热不得眠，想喝水的就给他喝，胃气和顺就好了。如果脉浮，小便不利，口渴，可用五苓散。吐、汗、下法之后，心中懊恼虚烦，颠倒不得眠，用栀子豉汤，或者酸枣仁汤。大热干呕，呻吟错语，不得眠，用黄连解毒汤。
凡是阳毒热病，都不得眠。攻下后再发汗，没有大热，脉微沉，不呕吐不口渴，无表证，夜间安静白天烦躁不得眠，可用干姜附子汤。阳胜阴，则狂躁乱梦，可用栀子豉汤。阴胜阳，则惊悸昏沉，宜用酸枣仁汤。病愈后不得眠，是热气与诸阳相并，阴气未复的缘故。宜用栀子乌梅汤，或者易简温胆汤加竹茹。这些可以通用。
又多眠歌诀：多眠者神思若沉昏，自汗风温默默然。狐惑病见唇疮，脉沉细属肾虚。太阳病脉浮细亦呈痴眠状。
阴虚阳盛，人多昏昏闭目，这是因为阴主合（闭合）。默默不言，是因为阴主静。多眠有四证：其中两种病在经络。如太阳病恶寒，脉浮细，这是阳气未尽复。如狐惑病淹滞沉重，素来有下利，那么不禁忌阳可知了。这所以称为阳盛与风温证。尺寸脉俱浮，自汗喘息，身体重不能收持，默默欲眠，不可发汗，可与葳蕤汤。病在少阴、厥阴二经。狐惑病，觉四肢沉重，咽干声哑，上下唇生疮，害人很急，有本条记载。少阴证，尺寸脉俱沉细，眼睛想睡，急与四逆汤，以回复其阳气。又少阴病欲吐不吐，烦而多寐。五六日，自利而渴，张氏无治法。若是小便白色者，可用四逆汤甚妙。张氏又说，少阴病，脉微沉变难活，贵在详细审察即可。太阳证，头项痛，恶寒嗜卧，脉浮细，或胸胁满者，宜用小柴胡汤。脉且浮，宜麻黄汤。胃伤风，发黄嗜卧，自有本条记载。
瘥后昏沉歌诀：差后昏沉似降妖，或时寒热或时潮。语言错谬精神少，毒在心胸汗未消。
伤寒病愈后，半月以来，始终不能清醒，言语错谬，精神短少，或寒或热似疟疾，或潮热，脸颊赤色者，如果用风魅治疗，是不对的。这是由于发汗不尽，余毒在心，热气内蕴，炮络开致之然也。瘥后昏沉不醒，可与知母麻黄汤，再取微汗。瘥后劳复食复，见下后有热条。瘥后胃脘余热，虚烦而吐，用竹叶汤加生姜。瘥后喜睡，膈上有寒，宜用理中丸。瘥后从腰以下有水气，宜用牡蛎泽泻散。瘥后日暮微烦，因为病刚愈，强行进食谷物而不消化。节制饮食则可痊愈。
麦门冬散（出自《圣惠方》）：治疗伤寒后体虚烦热，不得睡卧，食欲减退，宜服用。
药材：麦门冬（去心）、黄芩（各三分）、茯神、熟干地黄、人参（去芦头）、黄芪（锉，各一两）、甘草（炙，半两，微赤，锉）。
制法：上药捣筛为散。每服五钱，用水一大盏，入生姜半分，枣三枚，粳米五十粒。
治伤寒后虚烦，不得眠睡，心中懊恼，宜服栀子乌梅汤。（出自《活人书》）
药材：甘草（炙，微赤）、栀子仁、黄芩（各半两）、乌梅肉（十四枚，微炒）、柴胡（一两，去苗）。
制法：上药捣筛为散。每服四钱，用水一中盏，入生姜半分，竹叶二十七片，豆豉五十粒，煎至六分，去渣。
熟干地黄散（出自《圣惠方》）：治疗伤寒后体虚心烦，不得眠卧，四肢少力。
药材：熟干地黄（一两半）、白芍药、羚羊角屑、茯神、黄芪（锉）、麦门冬（去心）、酸枣仁（微炒）、人参（去芦头，各一两）。
制法：上药捣筛为散。每服四钱，用水一中盏，煎六分，去滓。入鸡蛋清一枚，搅令均匀，温服。
又方（出自《圣惠方》）：
药材：半夏（三分，汤洗七遍去滑）、白茯苓（一两半）、黄芩（一两）。
制法：上药捣筛为散。每服五钱，用水一...（原文此处截断，推测为常规煎煮法）。
酸枣仁散（出自《圣惠方》）：治疗伤寒后体虚乏力，筋脉拘急，四肢疼痛，不得睡卧，宜服。
药材：酸枣仁（一两，微炒）、麦门冬（去心）、防风（去芦头）、川芎（各半两）、当归（微炒，锉）、白茯苓、羚羊角屑、人参（去芦头）、黄芪（锉，各三两）。
制法：上药捣筛为散。每服四钱，用水一中盏，入生姜半分，枣三枚，煎六分，去滓，不计时候，温服。
麦门冬散（出自《圣惠方》）：治疗伤寒后胃气虚乏，不思饮食，四肢少力，心神烦闷，不得睡卧。
药材：麦门冬（去心）、黄芪（锉）、人参（去芦头，各三分）、白术、白茯苓（各一两）、酸枣仁、甘草（炙，微赤，锉）、川芎、桂心、半夏（汤洗七次去滑，各半两）、陈橘皮（三分，汤浸去白瓤焙）。
制法：上药捣筛为散。每服四钱，用水一中盏，入生姜半分，竹叶七片，枣三枚，煎六分，去滓，不计时候，温服。
茵陈散（出自《圣惠方》）：治疗伤寒后伏热在心中，恍惚多惊，不得睡卧，宜服。
药材：茵陈、犀角屑、赤芍药、麦门冬、黄芩、栀子仁、甘草（各半两，炙，微赤，锉）、柴胡（去苗）、茯神（各一两）。
制法：上药捣筛为末。每服四钱，用水一中盏，入生姜半分，竹叶二十七片，生地黄一分，煎至六分，去滓，不计时候，温服。
栀子豉汤（出自《德生堂方》）：治疗伤寒汗后虚烦，不得眠卧。剧者必反复颠倒，心中懊恼。感冒发为寒热，头疼体痛，并皆治之。
药材：栀子（十四枚）、香豉（四合）。
制法：上药切碎如麻豆大。每服三钱，水一盏，煎至七分，去滓，温服。一二服得吐，止后服。一方有薤白一握，一方黑砂糖一小块，嚼下，用浆水送服即吐。
酸枣仁汤（出自《活人书》）：治疗伤寒吐下后，心烦气乏，昼夜不得眠。
药材：酸枣仁（炒，一两）、麦门冬（去心，焙，二合）、甘草（一分，炙）、知母（切，焙）、白茯苓（去黑皮）、川芎、干姜（各半两）。
制法：上药切碎如麻豆大。每服四钱，水一盏半，煎至一盏，温服。
酸枣仁甘草汤（出自《圣济总录》）：治疗伤寒后劳损，烦躁不得眠。
药材：酸枣仁（微炒，四两）、甘草（炙，锉）、当归（切，焙）、桂枝、人参、白茯苓（去黑皮）、石膏（碎）、川芎（各三两）、远志（去心，一分）。
制法：上药粗捣筛。每服五钱，水一盏半，煎至一盏，去滓，温服，不拘时。
酸枣仁汤（出自《圣济总录》）：治疗伤寒汗后，不得眠睡。
药材：酸枣仁（微炒，二两）、人参（一两）、石膏（碎）、桂枝、知母（切，焙）、甘草（炙，各半两）、赤茯苓（去黑皮，三分）。
制法：上药粗捣筛。每服五钱，水一盏半，煎至八分，去滓，温服，不拘时。
酸枣仁黄芩汤（出自《圣济总录》）：治疗伤寒余热未散，不得眠睡。
药材：酸枣仁（微炒，一两）、黄芩（去黑心）、麦门冬（去心，焙）、甘草（炙，各半两）、远志（去心）、萆薢（各一两）、人参（切）、茯神（去木，各一两）、桂枝（去粗皮，三分）。
制法：上药粗捣筛。每服五钱，水一盏半，生姜五片，煎至一盏，去滓，食前温服，日再。
栀子仁汤（出自《圣济总录》）：治疗伤寒后虚烦，不得眠睡，吐逆。
药材：栀子仁、豉（炒，各一两）、酸枣仁（炒，一两）、川芎、陈橘皮（去白，焙）、人参（去芦头）、白茯苓（去黑皮，各半两）。
制法：上药粗捣筛。每服三钱，水一大盏，生姜三片，煎至七分，去滓，食前温服，日再。
人参汤（出自《圣济总录》）：治疗伤寒后虚劳，不得眠，烦闷，四肢乏力。
（注：原文此处仅列方名及主治，未列具体药材组成，可能承接上文或下文，或原文缺失，依原文翻译）
柴胡汤（出自《圣济总录》）：治疗伤寒后虚烦热惊悸，不得眠睡。
（注：原文此处仅列方名及主治，未列具体药材组成）
麦门冬茯苓饮（出自《圣济总录》）：治疗伤寒后烦满，心神恍惚，不得眠睡。（方见麦门冬饮）
地骨皮饮（出自《圣济总录》）：治疗伤寒后虚烦客热，累夜不得眠，头疼眼疼，迷闷。
药材：地骨皮（洗）、麦门冬（去心，各二两）、酸枣仁（炒，三两）。
制法：上药粗捣筛。每服五钱，水一盏半，入生姜五片，煎七分，去滓，食后温服。
梅实丸（出自《圣济总录》）：治疗伤寒后胆冷，不得睡。
药材：梅实肉、大枣肉、酸枣仁（炒，等分）。
制法：上药同捣成膏，丸如弹子大。每服一丸，卧含化服。
酸枣仁汤（出自《圣济总录》）：治疗大病后，及虚劳不得眠。
药材：酸枣仁（炒）、榆皮（切，各三两）。
制法：上药粗捣筛。每服三钱，水一盏，煎至七分，去滓，温服。
黄连阿胶汤（出自《肘后方》）：治疗伤寒少阴病，得之二三日以上者，心中烦，不得卧。
药材：黄连（一两）、阿胶（三分）、鸡子黄（半个）、黄芩（一分）、芍药（半两）。
制法：上药锉散。每服四钱，水二盏，煎取一盏，去滓，纳胶消尽，鸡子黄搅令和，温服，日二服。
半夏茯苓汤（出自《肘后方》）：治疗差后虚烦不得眠，眼中疼痛，懊恼。
药材：半夏（三两，洗）、秫米（一升）、茯苓（四两）。
制法：上药切。以千里流水一石，扬之万遍，澄取二斗，合煮诸药，得五升，去滓，温分五服。忌羊肉、饧、酢等物。
治差后虚烦不得眠，眼中痛疼，懊恼。（出自《肘后方》）
药材：豉（七合）、乌梅（十七枚）。
制法：上药以水四升，先煮梅，取二升半，纳豉，取一升半，分再服。无乌梅，用栀子十四枚亦得。
温胆汤（出自《易简方》）：治疗大病后，虚烦不得眠。兼治心胆虚怯，触事易惊。或梦寐不祥，或异象眩惑，遂致心惊胆慑，气郁生涎，涎与气搏变生诸证。或短气悸乏，或复自汗，或四肢浮肿。
药材：半夏、枳实（各一两）、橘红（一两半）、甘草（四钱）、茯苓（三分）。
制法：上药切碎。每服四钱，水一盏半，生姜七片，枣七枚，竹茹一块如钱大，煎至六分，去滓，食前热服。竹茹即刮竹青也。此药大治伤寒后，及一切病后虚烦，夜睡不宁者，并宜用之。若伤寒后尚有余热，并热在上焦，兼汗下后，表里俱虚，不可攻者，宜用竹叶石膏汤。下利发热，竹叶汤中去石膏，加熟附子，名既济汤。呕者二陈汤。一法治伤寒坏证，时或发消渴，燥烦，用新罗参不拘多少，煎汤，浸令水冷后，盛渴之时与之，顿服。热则随去。大抵伤寒渴者，不可多与之水，水积胸中，便为结胸。然亦须濡沫之可也。结胸治法，见于理中汤方中。伤寒后咳逆，其证最为危，当用半夏一两，生姜一两半，白水煎服。其他病亦恶咳逆，当用丁香十粒，干柿蒂一十五枚，煎汤半盏，乘热顿服。
Wei Qi (Defensive Qi) circulates in the Yang aspect during the day and in the Yin aspect at night. The Yin aspect governs the night, and the night governs sleep. When Yang Qi is exhausted and Yin Qi is abundant, the eyes close and sleep occurs. Currently, the pathogenic heat has not yet dissipated; it merges with the Qi of the various Yang meridians, causing Yang to be exclusively excessive and Yin to be relatively deficient. Therefore, the inability to sleep after illness is due to the fact that Yin Qi has not yet recovered. Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi), when circulating in the Yang aspect during the day, result in wakefulness; when circulating in the Yin aspect at night, they result in sleep. After recovery from Shanghan (Cold Damage disease), the Zang-Fu organs are all deficient, and the entry and exit of Ying and Wei Qi cannot follow their normal patterns. Because pathogenic heat has not dissipated and merges with Yang Qi, (leading to an imbalance of Yin and Yang).
The verse states: For insomnia associated with Kidney syndrome, there is diarrhea accompanied by vexation; excessive heat manifests in the Bladder and dryness in the Stomach; after vomiting, sweating, or purging, the resulting ao nao (restless discomfort) should be judged based on whether the heat is predominant or minor.
The classic says: "When the Stomach is disharmonious, sleep is uneasy." By "disharmonious," it means that body fluids are dried up and scorched, pathogenic heat causes vexation, Yang is exclusively excessive, and Yin is relatively deficient. Generally, the night is governed by Yin; if Yin Qi is sufficient, the eyes close and one sleeps peacefully. Only when Yin Qi is suppressed by Yang heat (or Yin is insufficient) does one become restless throughout the night without peace. This is what is meant by "Yin deficiency leads to nighttime disturbance" (referring to the restlessness caused by Yin deficiency and hyperactive fire disturbing the Shen). If Yang is deficient and Yin is excessive, there are symptoms of quietness at night and vexation during the day. Shaoyin syndrome with difficulty urinating, thirst, and insomnia is treated with Zhuling Tang (Poria Decoction), which indicates water retention. If for two to three days or more, there is vexation and insomnia, the primary formula is Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction), which is very effective. In Taiyang syndrome, excessive sweating or profuse sweating leads to dryness in the Stomach, vexation, heat, and insomnia; if the patient desires water, give it to them, and once the Stomach Qi harmonizes, the condition resolves. If the pulse is floating, there is difficulty urinating, and thirst, Wuling San (Five-Ingredient Powder with Poria) can be used. After vomiting, sweating, or purging, if there is internal ao nao (restless discomfort) and empty vexation, leading to tossing and turning and inability to sleep, use Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) or Suanzaoren Tang (Sour Jujube Seed Decoction). With excessive heat, dry retching, groaning, and confused speech, along with insomnia, use Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity).
In all cases of Yang toxicity and heat diseases, insomnia occurs. After purging followed by sweating, if there is no significant heat, the pulse is faint and deep, there is no vomiting or thirst, and no exterior syndrome, but there is quietness at night and vexation during the day preventing sleep, Ganjiang Fuzi Tang (Dried Ginger and Aconite Decoction) can be used. When Yang overcomes Yin, there is manic sleep with chaotic dreams, treatable with Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction). When Yin overcomes Yang, there is palpitations, dizziness, and lethargy, treatable with Suanzaoren Tang (Sour Jujube Seed Decoction). Insomnia after recovery is caused by heat merging with the various Yang aspects and Yin Qi failing to recover. One should use Zhizi Wumei Tang (Gardenia and Mume Fruit Decoction) or Yijian Wendan Tang (Simple Gallbladder-Warming Decoction) with Zhu Ru (Bamboo Shavings). These can be used generally.
Another verse on hypersomnia: Hypersomnia presents with mental sluggishness and confusion; spontaneous sweating and wind-warmth manifest silently. Huhe syndrome (Chancroid/Herpes-like disease) shows lip ulcers, with a deep and fine pulse indicating Kidney deficiency. Taiyang syndrome with a floating and fine pulse also presents with drowsy sleep.
Yin deficiency and Yang excess cause people to be drowsy with closed eyes because Yin governs closure. Silence indicates that Yin governs stillness. There are four syndromes of hypersomnia: Two involve the meridians. For example, Taiyang syndrome with aversion to cold and a floating, fine pulse indicates that Yang Qi has not fully recovered. Huhe syndrome with lingering heaviness and a history of diarrhea implies that Yang is not contraindicated. This is why it is called Yang excess and Wind-Warmth syndrome. If both Cun and Chi pulses are floating, with spontaneous sweating, panting, heavy body unable to hold posture, and silent desire to sleep, sweating methods are contraindicated; instead, use Weirui Tang (Reed Rhizome Decoction). Disease involving the Shaoyin and Jueyin meridians: Huhe syndrome involves heavy limbs, dry throat, hoarse voice, and ulcers on the upper and lower lips, causing severe harm, as detailed in its specific section. Shaoyin syndrome features deep and fine pulses at both Cun and Chi, with eyes wanting to sleep; urgently administer Sini Tang (Frigid Extremities Decoction) to restore Yang Qi. Additionally, in Shaoyin syndrome, there is a desire to vomit but nothing comes out, vexation, and hypersomnia. After five or six days, spontaneous diarrhea with thirst—Zhang’s text provides no treatment method. If the urine is white, Sini Tang (Frigid Extremities Decoction) is excellent. Zhang also states that in Shaoyin disease, if the pulse is faint, deep, and difficult to revive, careful examination is crucial. Taiyang syndrome involves headache and neck stiffness, aversion to cold, drowsiness, floating and fine pulse, or fullness in the chest and hypochondrium; Xiao Chaihu Tang (Minor Bupleurum Decoction) is suitable. If the pulse is floating, Mahuang Tang (Ephedra Decoction) is suitable. Wind attacking the Stomach causing jaundice and drowsiness has its own section.
Verse on post-recovery lethargy: Post-recovery lethargy resembles demonic possession; sometimes alternating chills and fever, sometimes tidal fever. Erratic speech and diminished spirit indicate toxin in the Heart and Chest, where sweat has not fully cleared.
Half a month after recovering from Shanghan (Cold Damage disease), if one remains unrefreshed, speaks erratically, lacks spirit, experiences alternating chills and fever resembling malaria, or tidal fever with red cheeks, treating it as wind-demon is incorrect. This is due to incomplete sweating, residual toxin in the Heart, and internal accumulation of heat affecting the collateral vessels. For post-recovery lethargy and unconsciousness, use Zhimu Mahuang Tang (Anemarrhena and Ephedra Decoction) to induce slight sweating. Post-recovery relapse due to labor or diet is discussed under the section on heat after purging. For residual heat in the epigastrium after recovery causing empty vexation and vomiting, use Zhuye Tang (Bamboo Leaf Decoction) with Sheng Jiang (Fresh Ginger). For post-recovery drowsiness due to cold above the diaphragm, Lizhong Wan (Regulate the Middle Pill) is suitable. For post-recovery fluid accumulation below the waist, Mushe Zexie San (Oyster Shell and Alisma Powder) is suitable. For mild evening vexation after recovery, it is because the illness has just resolved and forced consumption of grains led to indigestion; regulating diet will lead to recovery.
Maidong San (Ophiopogon Powder) [from *Shenghui Fang*]: Treats post-Shanghan weakness, vexatious heat, insomnia, and poor appetite.
Ingredients: Maidong (Ophiopogonis Radix, heart removed), Huangqin (Scutellariae Radix) (each 3 fen); Fushen (Poria with Hostwood); Shudihuang (Prepared Rehmanniae Radix); Renshen (Ginseng Radix et Rhizoma, radix removed); Huangqi (Astragali Radix, sliced) (each 1 liang); Gancao (Licorice Radix et Rhizoma, honey-fried, slightly reddish, sliced) (0.5 liang).
Preparation: Pound and sieve into powder. Take 5 qian per dose, with 1 large cup of water, add 0.5 fen of Sheng Jiang (Fresh Ginger), 3 dates, and 50 grains of Jingmi (Glutinous Rice).
Zhizi Wumei Tang (Gardenia and Mume Fruit Decoction) [from *Huo Ren Shu*]: Treats post-Shanghan empty vexation, insomnia, and internal ao nao (restless discomfort).
Ingredients: Gancao (Licorice Radix et Rhizoma, honey-fried, slightly reddish); Zhizi Ren (Gardeniae Fructus); Huangqin (Scutellariae Radix) (each 0.5 liang); Wumei Rou (Mume Fructus Flesh, 14 pieces, slightly fried); Chaihu (Bupleuri Radix, 1 liang, stems removed).
Preparation: Pound and sieve into powder. Take 4 qian per dose, with 1 medium cup of water, add 0.5 fen of Sheng Jiang (Fresh Ginger), 27 leaves of Zhuye (Bamboo Leaf), and 50 grains of Chi (Fermented Soybean). Decoct to 60% volume, remove dregs.
Shudihuang San (Prepared Rehmannia Powder) [from *Shenghui Fang*]: Treats post-Shanghan weakness, empty vexation, insomnia, and limb weakness.
Ingredients: Shudihuang (Prepared Rehmanniae Radix, 1.5 liang); Baishao (Paeoniae Radix Alba); Lingyangjiao Xie (Saigae Tataricae Cornu); Fushen (Poria with Hostwood); Huangqi (Astragali Radix, sliced); Maidong (Ophiopogonis Radix, heart removed); Suanzaoren (Ziziphi Spinosae Semen, slightly fried); Renshen (Ginseng Radix et Rhizoma, radix removed) (each 1 liang).
Preparation: Pound and sieve into powder. Take 4 qian per dose, with 1 medium cup of water, decoct to 60% volume, remove dregs. Add one egg white, mix well, and take warm.
Another Formula [from *Shenghui Fang*]:
Ingredients: Banxia (Pinelliae Rhizoma, 3 fen, washed seven times in hot water to remove slipperiness); Baifuling (Poria, 1.5 liang); Huangqin (Scutellariae Radix, 1 liang).
Preparation: Pound and sieve into powder. Take 5 qian per dose, with 1 cup of water... (text cuts off here).
Suanzaoren San (Sour Jujube Seed Powder) [from *Shenghui Fang*]: Treats post-Shanghan weakness, tendon contraction, limb pain, and insomnia.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, 1 liang, slightly fried); Maidong (Ophiopogonis Radix, heart removed); Fangfeng (Saposhnikoviae Radix, radix removed); Xiong (Ligustici Chuanxiong Rhizoma) (each 0.5 liang); Danggui (Angelicae Sinensis Radix, slightly fried, sliced); Baifuling (Poria); Lingyangjiao Xie (Saigae Tataricae Cornu); Renshen (Ginseng Radix et Rhizoma, radix removed); Huangqi (Astragali Radix, sliced) (each 3 liang).
Preparation: Pound and sieve into powder. Take 4 qian per dose, with 1 medium cup of water, add 0.5 fen of Sheng Jiang (Fresh Ginger), 3 dates, decoct to 60% volume, remove dregs, take warm at any time.
Maidong San (Ophiopogon Powder) [from *Shenghui Fang*]: Treats post-Shanghan Stomach Qi deficiency, lack of appetite, limb weakness, mental vexation, and insomnia.
Ingredients: Maidong (Ophiopogonis Radix, heart removed); Huangqi (Astragali Radix, sliced); Renshen (Ginseng Radix et Rhizoma, radix removed) (each 3 fen); Baizhu (Atractylodis Macrocephalae Rhizoma); Baifuling (Poria) (each 1 liang); Suanzaoren (Ziziphi Spinosae Semen); Gancao (Licorice Radix et Rhizoma, honey-fried, slightly reddish, sliced); Xiong (Ligustici Chuanxiong Rhizoma); Guixin (Cinnamomi Ramulus); Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness) (each 0.5 liang); Chenpi (Citri Reticulatae Pericarpium, 3 fen, soaked in water, white pith removed, baked).
Preparation: Pound and sieve into powder. Take 4 qian per dose, with 1 medium cup of water, add 0.5 fen of Sheng Jiang (Fresh Ginger), 7 leaves of Zhuye (Bamboo Leaf), 3 dates, decoct to 60% volume, remove dregs, take warm at any time.
Yinchen San (Artemisiae Scopariae Herba Powder) [from *Shenghui Fang*]: Treats post-Shanghan latent heat in the Heart,恍惚 (mental confusion), frequent fright, and insomnia.
Ingredients: Yinchen (Artemisiae Scopariae Herba); Xi jiao Xie (Rhinocerotis Cornu); Chishao (Paeoniae Radix Rubra); Maidong (Ophiopogonis Radix); Huangqin (Scutellariae Radix); Zhizi Ren (Gardeniae Fructus); Gancao (Licorice Radix et Rhizoma, honey-fried, slightly reddish, sliced) (each 0.5 liang); Chaihu (Bupleuri Radix, stems removed); Fushen (Poria with Hostwood) (each 1 liang).
Preparation: Pound and sieve into fine powder. Take 4 qian per dose, with 1 medium cup of water, add 0.5 fen of Sheng Jiang (Fresh Ginger), 27 leaves of Zhuye (Bamboo Leaf), 1 fen of Shengdi Huang (Rehmanniae Radix), decoct to 60% volume, remove dregs, take warm at any time.
Zhizi Chi Tang (Gardenia and Fermented Soybean Decoction) [from *Desheng Tang Fang*]: Treats post-Shanghan sweating-induced empty vexation and insomnia. Severe cases involve tossing and turning and internal ao nao (restless discomfort). Also treats colds presenting with chills and fever, headache, and body pain.
Ingredients: Zhizi (Gardeniae Fructus, 14 pieces); Xiangchi (Sojae Seminis Preparatum, 4 he).
Preparation: Cut into pieces the size of hemp seeds. Take 3 qian per dose, with 1 cup of water, decoct to 70% volume, remove dregs, take warm. If vomiting occurs after 1-2 doses, stop subsequent doses. Another version adds 1 bundle of Xiebai (Allii Macrostemonis Bulbus) or a small piece of black sugar rock, chewed down, taken with Jiangshui (fermented rice water) to induce vomiting.
Suanzaoren Tang (Sour Jujube Seed Decoction) [from *Huo Ren Shu*]: Treats post-Shanghan vomiting and purging-induced heart vexation, Qi deficiency, and day-night insomnia.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, fried, 1 liang); Maidong (Ophiopogonis Radix, heart removed, baked, 2 he); Gancao (Licorice Radix et Rhizoma, 1 fen, honey-fried); Zhimu (Anemarrhenae Rhizoma, sliced, baked); Baifuling (Poria, black skin removed); Xiong (Ligustici Chuanxiong Rhizoma); Ganjiang (Zingiberis Rhizoma) (each 0.5 liang).
Preparation: Cut into pieces the size of hemp seeds. Take 4 qian per dose, with 1.5 cups of water, decoct to 1 cup, take warm.
Suanzaoren Gancao Tang (Sour Jujube Seed and Licorice Decoction) [from *Shengji Zonglu*]: Treats post-Shanghan fatigue damage, irritability, and insomnia.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, slightly fried, 4 liang); Gancao (Licorice Radix et Rhizoma, honey-fried, sliced); Danggui (Angelicae Sinensis Radix, sliced, baked); Guizhi (Cinnamomi Ramulus); Renshen (Ginseng Radix et Rhizoma); Baifuling (Poria, black skin removed); Shigao (Gypsum Fibrosum, crushed); Xiong (Ligustici Chuanxiong Rhizoma) (each 3 liang); Yuanzhi (Polygalae Radix, heart removed, 1 fen).
Preparation: Coarsely pound and sieve. Take 5 qian per dose, with 1.5 cups of water, decoct to 1 cup, remove dregs, take warm, at any time.
Suanzaoren Tang (Sour Jujube Seed Decoction) [from *Shengji Zonglu*]: Treats post-Shanghan sweating-induced insomnia.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, slightly fried, 2 liang); Renshen (Ginseng Radix et Rhizoma, 1 liang); Shigao (Gypsum Fibrosum, crushed); Guizhi (Cinnamomi Ramulus); Zhimu (Anemarrhenae Rhizoma, sliced, baked); Gancao (Licorice Radix et Rhizoma, honey-fried) (each 0.5 liang); Chifuling (Poria, black skin removed, 3 fen).
Preparation: Coarsely pound and sieve. Take 5 qian per dose, with 1.5 cups of water, decoct to 80% volume, remove dregs, take warm, at any time.
Suanzaoren Huangqin Tang (Sour Jujube Seed and Scutellaria Decoction) [from *Shengji Zonglu*]: Treats post-Shanghan residual heat not yet dissipated, causing insomnia.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, slightly fried, 1 liang); Huangqin (Scutellariae Radix, black heart removed); Maidong (Ophiopogonis Radix, heart removed, baked); Gancao (Licorice Radix et Rhizoma, honey-fried) (each 0.5 liang); Yuanzhi (Polygalae Radix, heart removed); Bi Xie (Dioscoreae Hypoglaucae Rhizoma) (each 1 liang); Renshen (Ginseng Radix et Rhizoma, sliced); Fushen (Poria with Hostwood, wood removed) (each 1 liang); Guizhi (Cinnamomi Ramulus, coarse bark removed, 3 fen).
Preparation: Coarsely pound and sieve. Take 5 qian per dose, with 1.5 cups of water, 5 slices of Sheng Jiang (Fresh Ginger), decoct to 1 cup, remove dregs, take warm before meals, twice daily.
Zhizi Ren Tang (Gardenia Seed Decoction) [from *Shengji Zonglu*]: Treats post-Shanghan empty vexation, insomnia, and vomiting.
Ingredients: Zhizi Ren (Gardeniae Fructus); Chi (Sojae Seminis Preparatum, fried) (each 1 liang); Suanzaoren (Ziziphi Spinosae Semen, fried, 1 liang); Xiong (Ligustici Chuanxiong Rhizoma); Chenpi (Citri Reticulatae Pericarpium, white pith removed, baked); Renshen (Ginseng Radix et Rhizoma, radix removed); Baifuling (Poria, black skin removed) (each 0.5 liang).
Preparation: Coarsely pound and sieve. Take 3 qian per dose, with 1 large cup of water, 3 slices of Sheng Jiang (Fresh Ginger), decoct to 70% volume, remove dregs, take warm before meals, twice daily.
Renshen Tang (Ginseng Decoction) [from *Shengji Zonglu*]: Treats post-Shanghan empty fatigue, insomnia, vexation, and limb weakness.
(Note: The original text lists only the formula name and indications here, lacking specific ingredients, possibly continuing from previous or next sections, or missing in the source text.)
Chaihu Tang (Bupleurum Decoction) [from *Shengji Zonglu*]: Treats post-Shanghan empty vexation, heat, fright, palpitations, and insomnia.
(Note: The original text lists only the formula name and indications here, lacking specific ingredients.)
Maidong Fuling Yin (Ophiopogon and Poria Drink) [from *Shengji Zonglu*]: Treats post-Shanghan fullness and distension, mental confusion, and insomnia. (See Maidong Yin for formula.)
Digupi Yin (Phellodendri Cortex Drink) [from *Shengji Zonglu*]: Treats post-Shanghan empty vexation and guest heat, multi-night insomnia, headache, eye pain, and dizziness/confusion.
Ingredients: Digupi (Phellodendri Cortex, washed); Maidong (Ophiopogonis Radix, heart removed) (each 2 liang); Suanzaoren (Ziziphi Spinosae Semen, fried, 3 liang).
Preparation: Coarsely pound and sieve. Take 5 qian per dose, with 1.5 cups of water, add 5 slices of Sheng Jiang (Fresh Ginger), decoct to 70% volume, remove dregs, take warm after meals.
Meishi Wan (Plum Fruit Pill) [from *Shengji Zonglu*]: Treats post-Shanghan cold Gallbladder, causing insomnia.
Ingredients: Meishi Rou (Mume Fructus Flesh); Dazao Rou (Jujubae Fructus Flesh); Suanzaoren (Ziziphi Spinosae Semen, fried) (equal parts).
Preparation: Pound together into a paste, form pills the size of a bullet. Take one pill per dose, dissolve slowly in the mouth while lying down.
Suanzaoren Tang (Sour Jujube Seed Decoction) [from *Shengji Zonglu*]: Treats post-major illness and empty fatigue insomnia.
Ingredients: Suanzaoren (Ziziphi Spinosae Semen, fried); Yupi (Ulmus Cortex, sliced) (each 3 liang).
Preparation: Coarsely pound and sieve. Take 3 qian per dose, with 1 cup of water, decoct to 70% volume, remove dregs, take warm.
Huanglian Ejiao Tang (Coptis and Donkey-Hide Gelatin Decoction) [from *Zhouhou Fang*]: Treats Shaoyin syndrome in Shanghan, occurring two to three days or more later, with heart vexation and inability to lie down.
Ingredients: Huanglian (Coptidis Rhizoma, 1 liang); Ejiao (Asini Corii Colla, 3 fen); Jizihuang (Galli Ovilli Ovis Vitellus, half); Huangqin (Scutellariae Radix, 1 fen); Shaoyao (Paeoniae Radix, 0.5 liang).
Preparation: Cut into pieces. Take 4 qian per dose, with 2 cups of water, decoct to 1 cup, remove dregs, dissolve Ejiao completely, stir in Jizihuang (egg yolk), take warm, twice daily.
Banxia Fuling Tang (Pinellia and Poria Decoction) [from *Zhouhou Fang*]: Treats post-recovery empty vexation, insomnia, eye pain, and ao nao (restless discomfort).
Ingredients: Banxia (Pinelliae Rhizoma, 3 liang, washed); Shumi (Sorghum Vulgare); Fuling (Poria, 4 liang).
Preparation: Cut ingredients. Use 1 dan of flowing water from a thousand-mile river, shake ten thousand times, clarify to obtain 2 dou, combine to boil all herbs, reduce to 5 sheng, remove dregs, divide into five warm doses. Avoid mutton, malt sugar, vinegar, etc.
Treat post-recovery empty vexation, insomnia, eye pain, and ao nao (restless discomfort) [from *Zhouhou Fang*]:
Ingredients: Chi (Sojae Seminis Preparatum, 7 he); Wumei (Mume Fructus, 17 pieces).
Preparation: Use 4 sheng of water, first boil Wumei, reduce to 2.5 sheng, add Chi, reduce to 1.5 sheng, divide into two doses. If Wumei is unavailable, 14 Zhizi (Gardeniae Fructus) may be used.
Wendan Tang (Gallbladder-Warming Decoction) [from *Yijian Fang*]: Treats post-major illness empty vexation and insomnia. Also treats Heart and Gallbladder deficiency/cowardice, easily startled by events. Or ominous dreams, strange illusions causing fear and trembling, Qi stagnation generating phlegm, phlegm and Qi clashing causing various syndromes. Or shortness of breath, palpitations, fatigue, recurrent spontaneous sweating, or edema of limbs.
Ingredients: Banxia (Pinelliae Rhizoma); Zhishi (Aurantii Fructus Immaturus) (each 1 liang); Juhong (Citri Reticulatae Pericarpium Rubrum, 1.5 liang); Gancao (Licorice Radix et Rhizoma, 4 qian); Fuling (Poria, 3 fen).
Preparation: Cut ingredients. Take 4 qian per dose, with 1.5 cups of water, 7 slices of Sheng Jiang (Fresh Ginger), 7 dates, and a piece of Zhuru (Bamboo Shavings) the size of a coin, decoct to 60% volume, remove dregs, take hot before meals. Zhuru is scraped from the green bamboo skin. This medicine greatly treats post-Shanghan and all post-illness empty vexation and restless night sleep. If post-Shanghan residual heat remains in the Upper Jiao, combined with deficiency of both interior and exterior after sweating and purging, making aggressive treatment impossible, use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). For diarrhea with fever, remove Shigao from Zhuye Tang and add Shufu Zi (Prepared Aconite Root), naming it Ji Ji Tang (Balanced Water and Fire Decoction). For vomiting, use Erchen Tang (Two-Aged Decoction). Another method for complicated Shanghan syndrome with occasional polydipsia and dry vexation uses Xinluoshen (Korean Ginseng) in any amount, decocted, cooled with cold water, and given in one dose when thirsty. Heat dissipates accordingly. Generally, for Shanghan patients with thirst, do not give too much water; water accumulation in the chest leads to Jie Xiong (Chest Binding). However, moistening the lips is permissible. Treatment for Jie Xiong is found in the Lizhong Tang (Regulate the Middle Decoction) section. For post-Shanghan cough and upward reversal of Qi, a critical syndrome, use 1 liang of Banxia (Pinelliae Rhizoma) and 1.5 liang of Sheng Jiang (Fresh Ginger), decocted in plain water. For other diseases with bad cough, use 10 Dingxiang (Caryophylli Flos) and 15 Shi Di (Diospyros Kaki Calyx), decocted in half a cup of water, taken hot in one dose.