Gardenia and Prepared Soybean Decoction

Pattern-based

• Depletion vexation and sleeplessness after sweating or purging
• Gnawing distress in the chest with tossing and turning

Biomedical correlates

• Insomnia with agitation after acute illness
• Post-infectious restlessness

Donguibogam 東醫寶鑑

傷寒汗下後, 虛煩不得眠, 劇者必反覆顚倒ㆍ心中懊憹, 此主之. 《仲景》 ○按之心下軟者, 虛煩也. 梔子 七箇, 豉 半合. 右剉, 水二盞, 先煎梔子至一盞, 納豉, 再煎至七分, 去渣溫服. 得吐止, 未吐再服. 《仲景》 ○若胸滿ㆍ少氣, 加甘草, 名曰梔豉甘草湯. ○若胸滿而嘔, 加生薑, 名曰梔豉生薑湯. 《入門》 ○懊憹者, 心鬱不舒也. 其證或因誤下, 正氣內虛, 陽邪內陷, 結於其間; 重則爲結胸也. 《回春》

Translation

After sweating or purging in cold damage, there is depletion vexation and sleeplessness; in severe cases the patient necessarily tosses and turns over and over with a gnawing distress in the heart. This governs it. — Junggyeong 仲景 ○ Where pressing below the heart finds it soft, it is depletion vexation. Gardenia, seven; fermented soybean, half a hop. Cut up; take two cups of water and first decoct the gardenia down to one cup, add the soybean, decoct again down to seven parts, strain off the dregs and take warm. If vomiting is obtained, stop; if there is no vomiting, take again. — Junggyeong 仲景 ○ If the chest is full and the qi short, add licorice; this is called <span class='sochu'>Chiji-gamcho-tang</span> 梔豉甘草湯. ○ If the chest is full and there is retching, add fresh ginger; this is called <span class='sochu'>Chiji-saenggang-tang</span> 梔豉生薑湯. — Immun 入門 ○ <span class='sochu'>Ononong</span> 懊憹 is the heart depressed and not at ease. The pattern may arise from purging in error: the upright qi is emptied within, the yang evil falls inward and binds in that space; in severe cases it becomes a chest bind. — Hoechun 回春 (Donguibogam · Han, upper)