Library

Phlegm combined with Qi deficiency and Fire. Treatment focuses on resolving phlegm, accompanied by herbs that tonify Qi and descend Fire. This condition is mostly attributable to Phlegm; without Phlegm, dizziness cannot occur. There are cases of Damp-Phlegm and cases where Fire is excessive. A rapid pulse in the left position indicates Heat; a choppy pulse suggests fixed blood stasis (Si Xue). A full pulse in the right position indicates Phlegm accumulation; a large pulse necessarily indicates a Fire disease. Another version states: "Fire disease" should be read as "chronic disease," because patients with chronic illnesses have both Qi and Blood deficiency, leading to the failure of turbid Phlegm to descend. For Damp-Phlegm, use Er Chen Tang (Two-Aged Decoction); for excessive Fire, use Er Chen Tang plus Jiu Pian Qin (Jiao Huang Qin, Wine-fried Scutellariae Radix); for cases combining Qi deficiency with Ministerial Fire, treatment also prioritizes resolving Phlegm while simultaneously tonifying Qi and descending Fire, such as Ban Xia, Bai Zhu, Tian Ma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction).

An elderly woman suffered from red and white leukorrhea for one and a half years, experiencing only dizziness. She could not sit or stand for long periods but felt relief when sleeping. Treating the leukorrhea specifically led to its cure, and subsequently, her dizziness also resolved.

When Phlegm is in the Upper Jiao and Fire is in the Lower Jiao, the flaming-up of Fire agitates the Phlegm. In cases of Qi deficiency with accompanying Phlegm, use Si Jun Zi Tang (Four Gentlemen Decoction) and Er Chen Tang, added with Chuan Xiong and Jing Jie. For wind-phlegm causing vertigo, treat with Er Chen Tang added with Qin (Scutellariae Radix), Cang Zhu, Fang Feng, and Qiang Huo. For severe, unbearable vertigo, use Da Huang (Rhei Radix et Rhizoma) soaked in wine, stir-fried three times, ground into powder, and taken with tea. For individuals with excess Qi and Phlegm, presenting with heavy head or vertigo, this method applies. For robust individuals with severe heat pain and dry, constipated stool, use Da Cheng Qi Tang (Major Order the Qi Decoction).

This is dampness located in the Upper Jiao; use Gua Di San (Melon Sepal Powder) insufflated into the nasal cavity. Hong Dou San (Red Bean Powder) treats a sensation of heaviness in the head like a mountain, indicating dampness in the head: Ma Huang (Ephedrae Herba, 5 qian), Ku Ding Xiang (Caryophylli Flos, 5 fen), Qiang Huo (Notopterygii Rhizoma et Radix, 3 fen), Lian Qiao (Forsythiae Fructum, 3 fen), Hong Dou (Adenophorae Radix, 15 grains), ground into powder and insufflated into the nose.

Swelling and congestion of the head and face with heat signs and a wiry-rapid pulse: use Liang Ge San (Cool the Epigastrium Powder) minus Xiao Shi (Mang Xiao, Natrii Sulfas) and Da Huang, added with Jie Geng, Zhi Ke, Jing Jie, and Bo He. Facial redness and swelling due to excess Qi: use Wei Feng Tang (Stomach Wind Decoction). Facial swelling with sores: use Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction) added with Bo He and Jing Jie.

Attributable to Wind-Heat and Phlegm. Treat as wind-phlegm, similar to gout-like syndromes. Use Bai Zhi and Jiu Pian Qin (Wine-fried Scutellariae Radix) in equal parts, ground into powder. Take 2 qian per dose, mixed with clear tea. Another prescription: Chuan Wu (Aconiti Radix) and Cao Wu (Aconiti Kusnezoffii Radix), soaked in child's urine and stir-fried to remove toxicity, each 1 qian as Sovereign herbs; Xi Xin, Qiang Huo, Jiu Qin, and Gan Cao, each 0.5 fen as Minister herbs. Ground into fine powder, divided into two or three doses, taken with clear tea. Add Nan Xing (Arisaematis Rhizoma Praeparatum), taken with ginger-tea. Another formula uses Xuan Qi Tang (Select Extraordinary Decoction): Fang Feng, Qiang Huo, Jiu Qin, and Gan Cao, decocted and taken.