Insomnia is a common clinical disease with complex and diverse pathogenic mechanisms. The relationship between the heart and the kidney is that the heart is the yang of the yang organs and the kidney is the yin of the yin organs; in terms of the five elements, the heart is fire, and it contains the spirit; the kidney is water, and it contains the will. From the physiological point of view, water rises and fire falls, Kan-Li cross-tai, heart fire descends in the kidney to warm the kidney water, so that the kidney water is not cold, the kidney water rises to nourish the heart fire, so that the heart fire is not hyperactive, between the heart and kidney, this relationship between yin and yang lift balance, yin and yang intersection is called heart-kidney intersection. Zhou Shenzai in the “Shenzai legacy” said: “because there is true yang in the water, so the water also rose with the yang to the heart, the heart of fire. …… fire in the true yin, so the fire also with the yin and descend to the kidney, is born kidney water. The rising and falling of the water and fire, its so rising and falling of the water and fire in the true yin and true yang also.” If the heart fire is hyperactive, it cannot go down to the kidney, or if the kidney water is insufficient, it cannot go up to the heart, and the heart and kidney do not cross over, then the mind is restless and insomnia results. The “Treatment of the Classes? Insomnia” says: “Insomnia is the result of the disease of Yang not crossing Yin.” The method of transporting the heart and kidney is one of the main means of treating insomnia, and the clinical evidence often starts from the following aspects. Nourishing Yin and submerging Yang: Insufficient kidney water, lack of true Yin, unable to help the heart fire, the heart Yin is not enough to converge Yang, the heart Yang is not submerged, resulting in the heart fire alone, the mind is disturbed; or the five wills are too extreme, the heart fire is overwhelming, unable to cross the kidney, the fire disturbs the mind, the mind is restless and insomnia. The medical case of “Qunzhai”? Volume I: “kidney water deficit, heart Yang hyperactivity, Yang umbilical pulse full, sleeplessness.” Xu Donggao has a cloud; “There are those who cannot sleep because of the deficiency of kidney water, the true yin does not rise, and the heart fire alone is hyperactive.” Patients suffer from insomnia, often having difficulty sleeping through the night, nightmares, palpitations, fever, hot flashes, night sweats, forgetfulness, red and white turbidity, unfavorable urination, spermatorrhea, etc. Treatment should be to nourish kidney yin to submerge heart yang. Add and subtract with Huang Lian Agaricus Tang. In this formula, Huang Lian and Huang Qin clear the heart and lower the fire; Agaricus and Bai Shao nourish Yin and nourish Blood, so that the kidney water can help the heart fire and the heart and kidney can intersect, so that the water and fire can both help each other and the yin and yang can be secreted. Warming the kidney and lowering fire: Insufficient endowment, or acquired internal injury, deficiency of kidney yang, no power of Qi transformation, kidney water does not rise, heart yin loses its nourishment, heart yang floats over, yang does not enter yin, the heart and mind are restless, the heart is restless and sleepless. Clear? Zheng Shouquan “medical method of circular” said: “not sleep a certificate, …… due to internal injury and caused by Su Bing Yang failure, there is due to kidney Yang failure and can not start water up to cross the heart, heart Qi that has to descend, so not sleep.” The symptoms are early awakening at night, sleep-like, dreamy and easily frightened, restlessness, with soreness and weakness of the waist and knees, lack of warmth in the extremities, spermatorrhea and impotence, dilution of the belt, light red tongue, thin white fur, and a slight sinking pulse. Huang’s Eight Medical Books? The Four Sacred Heart Sources says: “When seeing the heat of the heart family, take into account the cold of the kidney family.” The treatment should be to warm the kidney water to lower the heart fire and induce the fire to return to the origin and traffic the heart and kidney. The formula is based on the combination of Right Return Drink and Jiaotai Pill. In the formula, cinnamon, sliced sambucus and dulcimer warm the true yang, induce fire to return to the yuan, so as to steam the kidney water to help the heart fire; Huang Lian clears the heart to lower the fire and induce yang into the yin; Shu Di, yam, wolfberry and dogwood nourish the kidney to produce essence and seal and fill the bone marrow. Transporting the spleen and stomach: Zhou Shenzai said: “The heart and kidney intersect, all depends on the lift.” Heart and kidney yin and Yang water and fire of the lift, and the whole body of the yin and Yang lift is consistent, but also with the whole body organs of the lift coordination is closely related. The spleen and stomach are earthy and reside in the middle jiao, with a central position, and can nourish the four organs. The spleen is a yin earth, and it rises with Taiyin; the stomach is a yang earth, and it descends with Yangming; the spleen likes to be dry and hates dampness, and the stomach likes to be damp and hates dryness. The spleen and stomach are the pivot of the qi flow. The spleen and stomach are also the place where the heart and kidneys travel up and down and where water and fire must rise and fall. In “Blood Evidence”, it is said that “Blood is born in the heart fire and hidden in the liver, and qi is born in the kidney water and injected into the lungs, between which the spleen is the one who runs up and down.” This means that the spleen is the hub of the up and down movement of water and fire. Therefore, the “standard rule of evidence and treatment” says: “It is better to supplement the kidney than the spleen, because the spleen is above the heart and below the kidney.” In summary, the spleen and stomach elevation coordination, for the whole body qi up and down and the heart and kidney traffic hub, but also the focus of treatment of the heart and kidney non-interaction. If the spleen and stomach function abnormally, the spleen qi does not rise, the lesser fire cannot reach the heart; if the stomach qi does not descend, the essence transformed by the heart cannot reach the kidneys, and the heart and kidneys cannot intermingle. The pathological mechanism can be summarized in the following two aspects. One is phlegm-heat internal disturbance, or phlegm stagnation into fire, phlegm-dampness in the blockage, the spleen and stomach trapped, clear qi does not rise, turbid yin does not descend, the central transfer is not normal, water and fire can not rise and fall, the traffic is blocked, resulting in the heart and kidney do not intersect. The phlegm and heat are intertwined and touch the heart and mind, resulting in sleeplessness, sleepiness, nightmares, chest congestion, phlegm, nausea, belching, mucus in the mouth, bitterness and bad breath, mouth ulcers, yellow urine, dry stools, red tongue, yellow greasy moss, and slippery pulse. The method should be to clear phlegm and fire, Huanglian warm gall soup main, Huanglian clear heat and fire, clear the heart and dry dampness; half ansia dry dampness and phlegm; bile star, bamboo rhizome to clear heat and phlegm, stop vomiting and eliminate annoyance; heliotrope to move the gas and eliminate phlegm, so that phlegm with the gas down; adjuvant Chen Pi to regulate gas and dry dampness; poria to strengthen the spleen and permeate dampness, the dampness to phlegm elimination; so that licorice benefits the spleen and stomach and coordinate all the drugs. Clearing heat and resolving phlegm, relieving depression and clearing the heart, regulating the qi flow, connecting up and down, to harmonize yin and yang. As stated in Ling Shu? This is the so-called “congestion, meridians and channels are open, and yin and yang are harmonized.” If the spleen and stomach are deficient in qi, or the middle qi is sunken, or the qi and blood are darkly depleted, the upper can’t cross the heart, the lower can’t reach the kidneys, it is common to have false annoyance and difficulty in sleeping, dreamy and easy to wake up, can’t sleep again after waking up, the face is dull and dull, tired and lazy, withered, palpitations and forgetfulness, not thinking about eating, the waist and knees are sore and weak, the tongue is light, the moss is thin and white, the pulse is weak. Treatment should be to benefit Qi and blood, strengthen the spleen and nourish the heart. The main treatment is GUI Spleen Tang, with Astragalus, Radix Codonopsis, Rhizoma Atractylodis Macrocephalae and Glycyrrhiza Glabra to nourish the spleen and benefit the qi; Angelicae Sinensis together with Astragalus to nourish the heart and generate blood, Fu Shen to strengthen the spleen and tranquilize the mind, Sour Jujube and Longan to nourish the heart and tranquilize the mind; Mu Xiang to regulate the qi and awaken the spleen, Yuan Zhi to transport the heart and kidney and to calm the mind. Expelling evil and opening congestion: imbalance of the heart and kidney yin and Yang, resulting in the gathering of pathological products, Qi blockage, water and fire cannot help each other. Insufficient heart yin, heart fire alone is hyperactive, the fire evil congestion qi, closed obstruction of the heart orifice and the gods are not transported; the kidney belongs to the lesser yin, the division of opening and closing, the yin and yang of the kidney is out of balance, the qi is out of order, the disease evil is stagnant, the opening and closing is out of order, unable to support the essence and nourish the gods. Therefore, the symptoms are often added to the formula to drive away the evil and open congestion, traffic heart and kidney products, such as calamus, Yuan Zhi, Poria, etc.. Such as “herbal justice” said Yuan Zhi: “work dedicated to the heart and kidney? With its gas up, so with ginseng, licorice, jujube, very able to lift the ingestion of essence, cross-fire.” According to Ben Cao Chong Yuan, it “replenishes the deficiencies of the heart and kidney and removes the evil energy of the heart and kidney.” For the treatment of insomnia in which the heart and kidney do not intermingle, adding these drugs to the formula can expel the evil and open the congestion, open the orifices and remove the blockages, so as to help the water and fire to meet each other and the yin and yang to intermingle.