【半表半里不得卧之症】太阳病二三日不得卧，心下闭结，汗吐下后，反复颠倒，心中
太阳经半表半里热也。咽燥口干，发热汗出，烦躁不眠，阳明经半表半里热也。往来寒热，
胸胁苦满，心烦喜呕，不得眠，少阳经半表半里热也。
【半表半里不得卧之因】表邪传里，里不受邪，邪搏心胸，半表半里之间，懊 烦呕，
【半表半里不得卧之脉】左关数大，下连乎尺，太阳半表半里也。左关独弦，少阳半表
半里也。右关独大，浮沉皆得，阳明半表半里也。
【半表半里不得卧之治】太阳者，羌活冲和汤。少阳者，小柴胡汤合栀子豆豉汤。阳明
者，竹叶石膏汤合知母葛根汤。
羌活冲和汤
小柴胡汤
栀子豆豉汤
竹叶石膏汤
知母葛根汤 上五方见伤寒门。
【血热不得卧之症】昼则了了，夜则发热，睡中盗汗，心烦惊起，此血伏邪热之症也。
【血热不得卧之因】阳邪陷入血分，则阴被阳乘，正所谓血中伏火，阴分不宁，是以有
【血热不得卧之脉】脉多沉数。左关沉数，少阳血热；左尺沉数，太阳血热；右关沉数
【血热不得卧之治】清阴中伏火，丹溪有知柏四物汤。左尺沉数，加羌活、独活。左关
沉数，加柴胡、山栀。右关沉数，加升麻、葛根。睡中盗汗，时时惊醒，当归六黄汤。
知柏四物汤 即四物汤加黄柏、知母。
当归六物汤
当归 黄连 黄芩 黄柏 黄 生地黄 熟地黄
【半表半里不得卧之症】太阳病（太阳经受邪所致的病证）两三天出现无法安睡，心下部闭塞结聚，经过发汗、催吐或泻下治疗后，身体翻来覆去难以安宁，心中烦闷懊恼，这是太阳经半表半里部位有热邪。咽喉干燥、口舌口渴，发热并伴有出汗，烦躁不安且无法入睡，这是阳明经半表半里部位有热邪。寒热往来（忽冷忽热），胸胁部苦于胀满，心烦意乱且喜欢呕吐，无法入睡，这是少阳经半表半里部位有热邪。
【半表半里不得卧之因】体表的邪气传入体内，但里气不受邪气侵袭，邪气与心胸之气相搏结，在半表半里的区域，导致心中懊恼、烦闷欲呕。
【半表半里不得卧之脉】左手关部脉象数而大，向下延伸至尺部，属于太阳经半表半里有热。左手关部脉象单独呈现弦象，属于少阳经半表半里有热。右手关部脉象单独呈现大脉，浮取和沉取都能触及，属于阳明经半表半里有热。
【半表半里不得卧之治】针对太阳经的病症，使用羌活冲和汤。针对少阳经的病症，使用小柴胡汤（Minor Bupleurum Decoction）合栀子豆豉汤（Gardenia and Fermented Soybean Decoction）。针对阳明经的病症，使用竹叶石膏汤（Bamboo Leaf and Gypsum Decoction）合知母葛根汤（Anemarrhena and Kudzu Root Decoction）。
羌活冲和汤
小柴胡汤
栀子豆豉汤
竹叶石膏汤
知母葛根汤 以上五个方剂详见伤寒门。
【血热不得卧之症】白天神志清醒如常，夜间则发热，睡眠中盗汗（睡着后出汗），心烦意乱且受惊而起，这是血分中潜伏邪热的症状表现。
【血热不得卧之因】阳热邪气陷入血分，导致阴气被阳气乘袭，正所谓血中潜伏火邪，阴分不得安宁，因此出现上述症状。
【血热不得卧之脉】脉象多表现为沉数（深按即得且跳动快速）。左手关部沉数，为少阳血热；左手尺部沉数，为太阳血热；右手关部沉数……（原文此处截断，依前文逻辑应为阳明血热或相关脏腑血热，但仅翻译可见部分）
【血热不得卧之治】清除阴分中潜伏的火邪，丹溪先生主张使用知柏四物汤（Zhi Bai Si Wu Tang, Anemarrhena and Phellodendron Four Substances Decoction）。若左手尺部脉沉数，加用羌活（Notopterygii Rhizoma et Radix）、独活（Angelicae Pubescentis Radix）。若左手关部脉沉数，加用柴胡（Bupleuri Radix）、山栀（Gardeniae Fructus）。若右手关部脉沉数，加用升麻（Cimicifugae Rhizoma）、葛根（Puerariae Lobatae Radix）。若睡眠中盗汗，时时惊醒，使用当归六黄汤（Dang Gui Liu Huang Tang）。
知柏四物汤 即四物汤（Four Substances Decoction）加上黄柏（Phellodendri Cortex）、知母（Anemarrhenae Rhizoma）。
当归六物汤（注：原文标题为当归六物汤，但下方列药及前文提及“当归六黄汤”疑似笔误，此处忠实翻译原文标题及药材列表）
当归（Angelicae Sinensis Radix） 黄连（Coptidis Rhizoma） 黄芩（Scutellariae Radix） 黄柏（Phellodendri Cortex） 黄芪（Astragali Radix，原文“黄”后缺字，据方义推测为黄芪或地黄，但下文已有生熟地，故暂译“黄”） 生地黄（Rehmanniae Radix） 熟地黄（Rehmanniae Radix Praeparata）
[Symptoms of Insomnia due to Half-Exterior/Half-Interior Pathogen] In Taiyang disease (disease pattern caused by pathogenic invasion of the Taiyang channel), occurring after two or three days, if one cannot sleep, with a sensation of closure and stagnation in the epigastrium, and after undergoing sweating, vomiting, or purging therapies, experiencing restlessness and tossing and turning with mental vexation and regretfulness, this indicates heat in the half-exterior/half-interior region of the Taiyang channel. Dryness of the throat and mouth, fever with sweating, irritability, and insomnia indicate heat in the half-exterior/half-interior region of the Yangming channel. Alternating chills and fever (alternating cold and heat), bitter fullness in the chest and hypochondrium, mental vexation, frequent desire to vomit, and inability to sleep indicate heat in the half-exterior/half-interior region of the Shaoyang channel.
[Etiology of Insomnia due to Half-Exterior/Half-Interior Pathogen] Exterior pathogens transmit inward; however, the interior does not accept the pathogen. The pathogen contends with the heart and chest qi, lodging in the half-exterior/half-interior region, causing mental vexation, regretfulness, and nausea.
[Pulse Diagnosis of Insomnia due to Half-Exterior/Half-Interior Pathogen] A rapid and large pulse at the left Guan position extending down to the Chi position indicates heat in the half-exterior/half-interior region of the Taiyang channel. A solitary wiry pulse at the left Guan position indicates heat in the half-exterior/half-interior region of the Shaoyang channel. A solitary large pulse at the right Guan position, palpable on both superficial and deep pressure, indicates heat in the half-exterior/half-interior region of the Yangming channel.
[Therapeutic Principles for Insomnia due to Half-Exterior/Half-Interior Pathogen] For Taiyang channel disorders, use Qiang Huo Chong He Tang (Notopterygium Harmonizing Decoction). For Shaoyang channel disorders, combine Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Zhi Zi Dou Chi Tang (Gardenia and Fermented Soybean Decoction). For Yangming channel disorders, combine Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) with Zhi Mu Ge Gen Tang (Anemarrhena and Kudzu Root Decoction).
Qiang Huo Chong He Tang
Xiao Chai Hu Tang
Zhi Zi Dou Chi Tang
Zhu Ye Shi Gao Tang
Zhi Mu Ge Gen Tang The above five formulas are detailed in the Treatise on Cold Damage section.
[Symptoms of Insomnia due to Blood Heat] During the day, consciousness is clear and normal; at night, fever occurs, accompanied by nocturnal sweating during sleep, mental vexation, and waking up startled. These are symptoms of latent pathogenic heat in the blood level.
[Etiology of Insomnia due to Blood Heat] When yang pathogens sink into the blood level, yin is overcome by yang. This is precisely what is meant by latent fire in the blood, causing instability in the yin aspect, thereby leading to these conditions.
[Pulse Diagnosis of Insomnia due to Blood Heat] The pulse is mostly deep and rapid. A deep and rapid pulse at the left Guan position indicates Shaoyang blood heat; a deep and rapid pulse at the left Chi position indicates Taiyang blood heat; a deep and rapid pulse at the right Guan position... [Text cuts off here].
[Therapeutic Principles for Insomnia due to Blood Heat] To clear latent fire within the yin, Master Danxi recommends Zhi Bai Si Wu Tang (Anemarrhena and Phellodendron Four Substances Decoction). If the left Chi pulse is deep and rapid, add Qiang Huo (Notopterygii Rhizoma et Radix) and Du Huo (Angelicae Pubescentis Radix). If the left Guan pulse is deep and rapid, add Chai Hu (Bupleuri Radix) and Shan Zhi (Gardeniae Fructus). If the right Guan pulse is deep and rapid, add Sheng Ma (Cimicifugae Rhizoma) and Ge Gen (Puerariae Lobatae Radix). For nocturnal sweating and frequent startle awakening during sleep, use Dang Gui Liu Huang Tang.
Zhi Bai Si Wu Tang consists of Si Wu Tang (Four Substances Decoction) plus Huang Bo (Phellodendri Cortex) and Zhi Mu (Anemarrhenae Rhizoma).
Dang Gui Liu Wu Tang (Note: Original text title is Dang Gui Liu Wu Tang, but context suggests Dang Gui Liu Huang Tang)
Dang Gui (Angelicae Sinensis Radix) Huang Lian (Coptidis Rhizoma) Huang Qin (Scutellariae Radix) Huang Bo (Phellodendri Cortex) Huang [Incomplete character, likely Huang Qi or similar] Sheng Di Huang (Rehmanniae Radix) Shu Di Huang (Rehmanniae Radix Praeparata)