左手脉数热多，脉涩而有力为死血。右手脉实有痰积，脉大是久病，为气血俱虚，痰浊
不降也。此痰在上火在下，火炎上而动痰也。眩，言其黑。晕，言其转。无痰不能作眩。经
云∶诸风眩晕，皆属肝木。风则有汗，寒则掣痛，暑则热闷，湿则重滞，此四气乘虚而眩晕。
又或七情郁而生痰，痰因火动随气上厥，此七情致虚而眩晕也。淫欲过度，肾家不能纳气归
元，使诸气逆奔而上，此气虚而眩晕也。吐衄崩漏，肝家不能收摄荣气，故使诸血失道妄行，
此血
治方
陈皮 半夏 茯苓 甘草 桔梗 枳壳 黄芩 苍术 羌活 白术
治血虚头痛眩晕，亡血过多者有之。见头痛门。
一方 治眩晕不可当者，以大黄酒炒为末，米汤调服。亦治头痛，量虚实用。
利痰，清气降火。右手脉实大者有痰积。
南星（制，五钱） 半夏（一钱） 桔梗（七分） 枳壳（一钱） 甘草（三分） 茯
苓（一钱） 黄芩
见头痛。
治头痛，头旋眼黑。
甘草（四钱，半生半炒） 防风（二钱半） 柴胡 升麻 生地黄（酒洗） 知母（酒
炒） 黄柏（
每服五钱，水煎，食远服。
治男子妇人苦头风作晕。用酒磨服一二锭，吐痰碗许，遂不复发。
一方 凡妇人头风眩晕，如登车乘舡，眼涩手麻，发脱健忘，喜怒不常，皆胸中有宿痰
所致。用瓜蒂散吐之。见中风门。
The pulse on the left hand is rapid with excessive heat; a choppy yet forceful pulse indicates dead blood (stasis). The pulse on the right hand is full and indicates phlegm accumulation; a large pulse signifies a chronic condition, representing deficiency of both Qi and Blood, with turbid Phlegm failing to descend. This is a situation where Phlegm is above and Fire is below, with Fire flaming upward stirring up Phlegm. "Xuan" (vertigo) refers to darkness before the eyes; "Yun" (dizziness) refers to a spinning sensation. Without Phlegm, vertigo cannot occur. The Classics state: All wind-induced dizziness and vertigo belong to Liver Wood. Wind causes sweating, Cold causes pulling pain, Summer-heat causes heat and stifling, Dampness causes heaviness and stagnation; these four pathogenic factors invade when the body is deficient, leading to dizziness and vertigo. Alternatively, emotional depression generates Phlegm, which moves due to Fire and ascends with Qi in rebellion; this is deficiency caused by seven emotions leading to dizziness and vertigo. Excessive sexual indulgence prevents the Kidney from grasping Qi and returning it to its source, causing all Qi to rush upward in rebellion; this is Qi deficiency leading to dizziness and vertigo. Vomiting blood or epistaxis, and uterine bleeding, indicate that the Liver fails to contain Ying (Nutritive) Qi, causing blood to flow recklessly out of its channels; this is Blood deficiency leading to dizziness and vertigo.
Treatment formula: Chenpi (Tangerine Peel), Banxia (Pinellia Rhizome), Fuling (Poria), Gancao (Licorice Root), Jiegeng (Platycodon Root), Zhike (Aurantium Fructus), Huangqin (Scutellaria Root), Cangzhu (Atractylodis Rhizoma), Qianghuo (Notopterygii Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma).
For treating headache and vertigo due to Blood deficiency, applicable to those who have lost excessive amounts of blood. See Headache Section.
Another prescription: For unbearable dizziness and vertigo, use Dahuang (Rhubarb Rhizome) stir-fried with wine, ground into powder, and taken mixed with rice soup. Also treats headache, used according to deficiency or excess conditions.
Promotes expectoration of Phlegm, clears Qi, descends Fire. Applicable when the right-hand pulse is full and large, indicating Phlegm accumulation.
Nanxing (Arisaema Cum Bile), Banxia (Pinellia Rhizome), Jiegeng (Platycodon Root), Zhike (Aurantium Fructus), Gancao (Licorice Root), Fuling (Poria), Huangqin (Scutellaria Root).
See Headache.
For treating headache, spinning head, and blacking out.
Gancao (Licorice Root, four qian, half raw half stir-fried), Fangfeng (Saposhnikoviae Radix, two and a half qian), Chaihu (Bupleuri Radix), Shengma (Cimicifugae Rhizoma), Shengdihuang (Rehmanniae Radix, washed with wine), Zhimu (Anemarrhenae Rhizoma, stir-fried with wine), Huangbai (Phellodendri Cortex).
Take five qian per dose, decoct in water, take far after meals.
For men and women suffering from headache wind causing dizziness. Grind one or two pills with wine and take orally; vomiting about a bowl of Phlegm will prevent recurrence.
Another prescription: For women suffering from headache wind and vertigo, feeling like riding in a cart or boat, with dry eyes and numb hands, hair loss, poor memory, and irregular mood, all are caused by old Phlegm in the chest. Use Guitisan (Melon Dispersant Powder) to induce vomiting. See Stroke Section.