〔成无己〕云∶眩者，非眩而见其眩，谓眼黑眩也。运者，运为运转之运，世谓之头旋是也。
《内经》论眩，皆属肝木，属上虚。丹溪论眩，主于补虚，治痰降火。仲景治眩，亦以痰饮为先也。
诸风掉眩皆属于肝。（全文见延医。）
〔河〕掉，摇也；眩，昏乱旋运也，风主动故也。所谓风气动而头目眩运者，由风木旺，必是金衰不能制
木，而木复生火，风火皆属阳，多为兼化。阳主乎动，两动相搏，则头目为之眩运而旋转。故火本动也，焰得
风则自旋转，人或乘舟车，及作环舞而眩运者，其动不止，而左右纡曲。故经曰∶曲直动摇，风之用也。眩运
而呕吐者，风热甚故也。
徇蒙招尤，目瞑耳聋，下实上虚，过在足少阳、厥阴，甚则入肝。（全文见治虚实法。）
〔《本》〕治肝厥头晕，清头目，钩藤散。
钩藤 陈皮 半夏 麦门冬 茯苓（各半两） 石膏 人参 甘菊 防风（各半两） 甘草（一分）
上为粗末，每服四钱，水一钟半，生姜七片，煎至八分，温服。
治肝厥状如痫疾不醒，呕吐。醒后，头虚运发热方。
麻黄 钩藤（取皮） 石膏 干葛 半夏曲 柴胡 甘草 枳壳 甘菊
上为粗末，每服四钱，水一钟半，生姜三片，枣一枚，同煎至八分，去渣温服。
妇人患头风者，十居其半，每发必掉眩，如在车上。盖因血虚，肝有风邪热故耳。《素问》云∶徇蒙招摇，目眩
耳聋，下实上虚过在足少阳、厥阴，甚则归肝。盖谓此也。余常取此方以授人，比他药捷而效速。芎 散。
川芎（一两） 当归（三分） 羌活 旋复花 蔓荆子 细辛 石膏 本 荆芥穗 半夏曲（炙）
防风 熟地 甘草（各半两）
上为末，每服二钱，水一大钟，生姜三片，同煎至七分，去渣温服，不拘时服。
上甘寒泻风木。
〔罗〕风痰治验 参政杨公，七旬有二，有风痰。于至元戊辰春，忽病头旋眼黑，目不见物，心神烦乱，
兀兀欲吐复不吐，心中如懊 之状，头偏痛微肿，面赤色，腮颊亦赤色，足 冷。命予治之。余料之，此少壮
之时喜饮酒，久积湿热于内，风痰内作，上热下寒，是阴阳不得交通，否之象也。经云∶治热以寒。虽良工不
敢废其绳墨，而更其道也。然而病有远近，治有轻重，参政今年高气弱，上热虽盛，岂敢用寒凉之剂，损其脾
胃。经云∶热则砭之。又云∶高巅之上，射而取之。余以三棱针约二十处刺之，其血紫黑，如露珠之状。少顷，
头目便觉清利，诸症悉减。遂处方云∶眼黑头旋，虚风内作，非天麻不能除。天麻苗谓之定风草，此草独不为
风所摇，故以为君。偏头痛者，乃少阳也，非柴胡、黄芩酒制不能治。黄连苦寒，酒炒以治上热，又为因用，
故以为臣。橘皮苦辛温，炙甘草甘温，补中益气为佐。生姜、半夏辛温，能治风痰，茯苓、甘草利小便，导湿
热引而下行，故以为使。服之数剂，邪气平，生气复而安矣。
天麻半夏汤 治风痰内作，胸膈不利，头旋眼黑，兀兀欲吐，上热下寒，不得安卧。
天麻 半夏（各一钱） 橘皮（去白） 柴胡（七分） 黄芩（酒浸，炒） 甘草（炙） 白茯苓（去皮）
前胡（各五分） 黄连（三分）
上 咀，作一服，水二钟，姜三片，煎至一钟，温服，食后忌酒面生冷物。
〔垣〕羌活汤 治风热壅盛，上攻头目昏眩。
羌活 防风 黄芩（各一两，酒洗） 柴胡（七钱） 黄连（酒煮，一两） 黄柏（酒炒，半两） 栝蒌（
酒洗，半两） 甘草（炙，七分） 白茯苓（五钱） 泽泻（六钱）
上为粗末，每服五钱，水煎取清，食后或先卧，通口热服之，日二服。
上苦寒泻风木。
〔《灵》〕筋骨血气之精，而与脉并为目系，上属于脑，后出于项中。故邪中于项，因逢其身之虚，其入深
则随眼系以入于脑，入于脑则脑转，脑转则引目系急，目系急则目眩以转矣。（大惑篇）
〔《本》〕治一切头旋，本因体虚，风邪乘于阳明经，上注头面，遂入于脑。亦因痰水在于胸膈上犯大寒，使阳
气不行，痰水结聚，上冲于头目，令头转旋。羚羊角散。
羚羊角 茯神（各一两） 芎 防风 曰芷 半夏（汤洗七次，各半两） 枳壳 附子（各一分）
甘草（三钱）
上为粗末，每服四钱，水一钟半，生姜五分，慢火煎至七分，去渣，不拘时候温服。
〔《百一》〕都梁丸 治风吹项背，头目昏黑眩痛。
香白芷（大块者，用沸汤泡洗四五次，焙干）
上为末，炼蜜为丸，如弹子大，每服一丸，细嚼，用荆芥汤点茶下。
〔无〕大豆紫汤 治中风头眩恶风，自吐冷水有汗。（方见 门。）
〔《圣》〕治风头旋，用蝉壳二两，微炒为末，非时下，温酒一钟匕。《针经·胃风篇》云∶上虚则眩。又
五脏生成篇云∶徇蒙招尤，目瞑耳聋，下实上虚。盖蒙，昏冒也。招摇，掉也。瞑，黑眩也。皆谓昏冒摇掉，
眼黑眩，属下实上虚也。
〔丹〕陈客妇人，近五十，头痛麻木眩运，脉甚虚。宜补气益血，去风行湿。
天麻（酒，一钱） 人参（半钱） 白术（一钱） 黄芩（半钱） 归身尾（酒，半钱） 川芎（半钱）
陈皮（半钱） 甘草（炙，三分） 黄 （三分） 半夏（五分） 生姜（三片）
上作一剂，水煎服。
贾舅因劳役，眼眩倦怠，头不爽，肚带溏滑。
黄 （半钱） 人参（半钱） 当归（一钱） 黄柏（炒，三分） 白术（一钱，酒浸） 陈皮（半钱）
蔓荆子（五粒） 甘草（炙些）
水煎，稍热饮之，丑卯时各一次，去枕眠少时，巳申时又各一次，瘥。
男子因作劳成病，发热脚酸，口苦头运。
白术 茯苓 黄连 川芎（半两） 白芍药 人参 生地 陈皮 当归（各一两） 甘草（一钱）
杜仲（炒，六两）
分十八帖，食前热下抑青丸二十二粒。
丈夫患热，头眩，脉大而散，此是辛苦中来。
陈皮（三钱） 柴胡（三钱） 人参（二钱） 白术（二钱） 黄 （三钱） 木通（一钱）
甘草（些） 分三帖服。
〔《本》〕治风眩头运。川芎散
山茱萸（一两） 山药 甘菊花 人参 川芎 茯神（各半两）
为末，每服二钱，酒调下，不拘时候，日三服，不可误用野菊花。
〔《三因》〕芎归汤 治产后去血过多，眩运不省，及伤胎去血多，崩中去血多，金疮去血多，拔牙齿去血多
不止，悬虚心烦，眩运头重目暗，举头欲倒。（方见妇人大法条。）
〔丹〕头眩属气虚挟痰。无痰作眩，不得治痰为主。挟补气药，并降火药。湿痰多者，用二陈汤。痰多因
火动者，二陈汤加酒芩。眩运，火动其痰，二陈汤加黄芩、苍术、羌活，散风行湿。水煮金花丸治头眩。（方见痰饮。）
〔丹〕眩运不可当者，大黄，三次酒炒干，为末，茶调下，每服一钱至二钱。
一男子，年七十九岁，头目昏眩而重，手足无力，吐痰口口相续，左手脉散大而缓，右手缓而脉大不及于
左，重按皆无力，饮食略减而微渴，大便三四日一行。众人皆与风药，至春深必死。予曰∶此皆大虚证，当以
补药作大剂服之。众怒而去。余教用人参、黄 、当归身、芍药、白术、陈皮，浓煎作汤，使下连柏丸三十粒，
如此者服一年半，而精力如少壮时。连柏丸，冬加干姜少许，余三时皆根据本法，连柏皆姜汁炒为细末，又以姜
汁煮糊为丸。
〔《本》〕治虚风头旋，吐痰涎不已。养正丹
黑铅 水银 硫黄 朱砂（各一两）
上用铁盏一只，火上溶铅成汁，次下水银，用柳杖子打匀，取下放少时，下二味末，令冷，研为粉，用米
饮丸，或用枣肉丸，如梧子大。每服三十丸，盐汤下。
此药升降阴阳，补接真气，非止头旋而已。
〔垣〕范天 之内，素有脾胃之病，时显烦躁，胸中不利，大便不通。初冬出外而晚归，为寒气怫郁，闷
乱大作，火不得伸故也。医疑有热，治以疏风丸，大便行而病不减。又疑药力少，复加七八十丸，下两行。前
症仍不减，复添吐逆，食不能停，痰唾稠粘，涌出不止，眼黑头旋，恶心烦闷，气短促，上喘无力，不欲言，
心神颠倒，兀兀不止，目不敢开，如在风云中，头苦痛如裂，身重如山，四肢厥冷，不得安卧。予谓前症乃胃
气已损，复下两次，则重损其胃，而痰厥头痛作矣。制半夏白术天麻汤治之而愈。
天麻（五分） 半夏（汤洗，一钱半） 人参（五分） 白术（一钱） 苍术（五分） 橘皮 黄
泽泻 白茯苓（各五分） 神曲（一钱，炒） 大麦 （一钱半） 干姜（三分） 黄柏（二分）
上件 咀，每服半两，水二盏，煎至一盏，去渣，带热服，食前。此头痛苦甚，谓之足太阴痰厥头疼，非半
夏不能疗。眼黑头旋，风虚内作，非天麻不能除，其苗为定风草，亦治内风之神药也。内风者，虚风是也。
黄甘温，泻火补元气。人参甘温，泻火补中益气。二术俱甘苦温，除湿补中益气。泽泻、茯苓，利小便导
湿。橘皮苦温，益气调中升阳。神曲消食，荡胃中滞气。大麦 宽中助胃气。干姜辛热以涤中寒。黄柏苦大
寒，酒洗以主冬天少火在泉发躁也。
上气虚挟痰眩运。余尝治一人，卧则稍轻，但举足则头旋眼黑，以天麻、半夏、茯苓、陈皮、白附、僵
蚕、参 、草、归、生姜、黄芩煎汤服之，五六日愈，盖仿此方加减之也。
〔《济》〕芎术汤 治胃中湿痰，眩运呕逆，头重不食。
川芎 半夏（酒洗） 白术（各一两） 甘草（炙，半两）
上 咀，每服四钱，水一盏，生姜七片，煎服不拘时。（一方有附子、桂心，无半夏。）
〔严〕旋复花汤 治中脘伏痰，呕逆眩运。
旋复花 半夏 橘红 干姜（各一两） 槟榔 人参 甘草 白术（各半两）
上锉碎，每服一两，姜水煎服。
〔仲〕卒呕吐，心下痞，膈间有水，眩悸者，半夏加茯苓汤主之。（方见呕吐。）假令瘦人脐下有悸，
吐涎沫而头眩，此水也，五苓散主之。（方见伤寒。）
〔子和〕青黛散 搐鼻取涎，治眩神效。（方见头痛。）
头风眩运，可用独圣散吐之。吐讫，可用清上辛凉之药，防风通圣散加半夏等味。仲景云∶此痰结胸中而
致也。（通圣散见痫。）
独圣散
瓜蒂（不以多少） 郁金（各等分）
上为细末，每服一钱，或二钱，HT 汁调下服之，用鸡翎探吐。
〔河间〕搜风丸 治邪气上逆，风热上攻，头目眩运，大小便结滞。
人参 茯苓（各半两） 滑石（二两） 藿香（二钱半） 干姜 白矾（生，各一两） 蛤粉（二两）
南星 大黄 黄芩（各二两） 牵牛（四两） 薄荷（半两） 半夏（一两） 寒水石（一两）
上为末，滴水丸，小豆大。每十丸，生姜汤下，加至二十丸，日三服。
〔仲〕白术附子汤 治风虚头重眩苦极，不知食味，暖肌补中益精气。
白术（二两） 附子（一两半，炮去皮） 甘草（一两，炙）
上三味锉，每五钱，姜五片，枣一枚。水钟半，煎至七分，去渣温服。
〔《本》〕治体虚有风，外受虚湿，身如在空中。二生散
生附子（去皮脐） 生南星（各等分）
上二味， 咀，每服四大钱，水一钟，生姜十片，慢火煎至八分，去渣服。戊午年，予在新安有此疾，名
医传授此方，三服愈。
〔仲〕心下有支饮，其人苦冒眩，泽泻白术主之。（短气倚息，形如肿，为支饮。）用泽泻五两，白
术二两，以水二升，煮一升，分温再服。
运气眩有二∶
一曰风助肝盛眩。经云∶厥阴司天之政，风行太虚，云物摇动，目转耳鸣。三之气，风乃时举，民病掉眩。
又云∶厥阴司天，客胜则耳鸣掉眩。又云∶厥阴之胜，耳鸣头眩。又云∶厥阴之复，筋骨掉眩，治以诸凉是也。
二曰湿邪伤肾眩。经云∶太阴司天，湿淫所胜，头项腰背痛而眩，治以苦热是也。
〔河〕神妙散 搐鼻，治头目昏眩，偏正头痛。（方见头痛门。）
脑为髓之海，其输上在于其盖，下在风府。髓海不足，则脑转耳鸣，胫酸眩冒，目无所见。（全文见针灸。盖者，
百会穴也。补百会、风府二穴，则眩愈。）上气不足，头为之苦倾，目为之眩，补足外踝下留之。（全文见针灸。
）邪在肾，肩背头项痛，时眩，取涌泉、昆仑，视有血者尽取之。（全文见针灸。）
〔《怪穴》〕头目眩运∶至阴
〔《标》〕金门 申脉
〔桑〕风池 神庭（内风池《通玄》同） 金门（泻） 三里（补）
〔《心》〕头晕怕寒，些少风寒，则目暗僵仆，不分冬夏，常用绵帽包，日夜不离，一去帽即发∶百会 惺
惺（一分，恐上星） 风池（二寸半，主头大热） 丰隆（二寸半）
〔桑〕头热∶上囟 风门 攒竹 百会
〔《甲》〕风眩善呕，烦满，神庭主之。如颜色青者，上星主之。取上星者，先取 ，后取天牖、风池。
如头痛颜青者，囟会主之。风眩引颔痛，上星主之。先取 ，后取天牖、风池。风眩目瞑，恶风寒，面赤肿，
[Cheng Wuji] stated: "Xuan" (dizziness) does not refer to the sensation of seeing dizziness, but rather to blacking out and blurred vision. "Yun" (rotation) refers to the rotation of turning, which is commonly known as vertigo or spinning sensation in the head.
The *Neijing* discusses dizziness, attributing it all to Liver Wood and upper deficiency. Zhu Danxi discussed dizziness, emphasizing tonifying deficiency, treating phlegm, and descending fire. Zhang Zhongjing treated dizziness, prioritizing phlegm-fluid retention.
All wind diseases causing tremors and dizziness belong to the Liver. (Full text see Yan Yi chapter.)
[He Jiansu] Yao means shaking; Xuan means confusion and rotation, because Wind is active by nature. What is called wind qi moving causing head and eye dizziness and rotation occurs because Liver Wood qi is excessive, necessarily due to Metal qi being weak and unable to control Wood, while Wood generates Fire. Both Wind and Fire belong to Yang, often manifesting as combined transformations. Yang governs movement; when two Yang forces collide, it causes head and eye dizziness and rotation. Therefore, Fire is inherently moving; flames rotate when encountering wind. When people ride boats or carriages, or perform circular dances and feel dizzy, it is because the motion is continuous and the path curves left and right. Thus, the classic states: Bending and straightening, shaking and moving, are the functions of Wind. Dizziness accompanied by vomiting is due to severe Wind-Heat.
Xun Meng Zhao You (blurred vision and swaying), closing eyes, deafness, lower excess and upper deficiency, the pathology lies in the Foot Shaoyang and Foot Jueyin meridians, and if severe, enters the Liver. (Full text see Zhi Xu Shi Fa chapter.)
[*Bencao*] For treating Liver Jue (reversal) causing dizziness, clearing the head and eyes, use Gouteng San (Uncaria Decoction).
Gouteng (Uncariae Ramulus cum Uncis), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Maimendong (Ophiopogonis Radix), Fuling (Poria), each half liang; Shigao (Gypsum Fibrosum), Renshen (Ginseng Radix et Rhizoma), Ganju (Chrysanthemi Flos), Fangfeng (Saposhnikoviae Radix), each half liang; Gancao (Glycyrrhizae Radix et Rhizoma) one fen.
Grind into coarse powder. Take four qian per dose, add one zhong and a half of water, seven slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until eight parts remain, take warm.
For treating Liver Jue presenting like epilepsy with unconsciousness and vomiting. After waking, for the formula addressing head emptiness, vertigo, and fever:
Mahuang (Ephedrae Herba), Gouteng (Uncariae Ramulus cum Uncis, bark only), Shigao (Gypsum Fibrosum), Gegen (Puerariae Lobatae Radix), Banxiaqu (Pinelliae Fermentatum), Chaihu (Bupleuri Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus), Ganju (Chrysanthemi Flos).
Grind into coarse powder. Take four qian per dose, add one zhong and a half of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), one Jzao (Jujubae Fructus), decoct together until eight parts remain, strain and take warm.
Women suffering from Toufeng (Wind Headache) account for half of cases. Each attack is accompanied by tremors and dizziness, feeling like being on a vehicle. This is due to Blood deficiency and Wind-evil heat in the Liver. The *Suwen* states: "Xun Meng Zhao Yao, blurred vision and deafness, lower excess and upper deficiency, pathology in Foot Shaoyang and Jueyin, severe cases return to the Liver." This refers to this condition. I often give this formula to others; it is faster and more effective than other medicines. Xiong San (Ligusticum Decoction).
Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Qianghuo (Notopterygii Rhizoma et Radix), Xuanjufhua (Inulae Flos), Manjingzi (Viticis Semen), Xixin (Asari Radix et Rhizoma), Shigao (Gypsum Fibrosum), Bencao (Ligustici Wallichii Rhizoma), Jingjiesui (Schizonepetae Spica), Banxiaqu (Pinelliae Fermentatum, roasted), each half liang; Fangfeng (Saposhnikoviae Radix), Shudi (Rehmanniae Radix Preparata), Gancao (Glycyrrhizae Radix et Rhizoma), each half liang.
Grind into powder. Take two qian per dose, add one large zhong of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct together until seven parts remain, strain and take warm, at any time.
The above uses sweet-cold herbs to drain Liver Wood fire.
[Luo Tianyi] Case of Wind-Phlegm Treatment: Vice Minister Yang, aged seventy-two, suffered from Wind-Phlegm. In the spring of Wuchen year of Zhiyuan, he suddenly fell ill with vertigo and blacking out, unable to see, with mental restlessness, a sense of impending vomit without actual vomiting, a feeling of internal distress akin to 'Ao Nu', unilateral headache with slight swelling, red face, red cheeks, and cold feet. He asked me to treat him. I deduced that in his youth he enjoyed drinking alcohol, accumulating damp-heat internally, leading to internal Wind-Phlegm, upper heat and lower cold, indicating a state where Yin and Yang cannot communicate, resembling Pi syndrome (stagnation). The classic states: Treat heat with cold. Even a skilled physician dare not abandon standards and change the method. However, disease has distance and severity, treatment has lightness and heaviness. The Vice Minister is old and weak this year; although upper heat is severe, how dare I use cold-cooling agents to damage his Spleen and Stomach? The classic states: Heat requires bloodletting (Bian). It also states: At the high summit, pierce and draw out. I used a Sanleng needle (SP15) to prick about twenty points, drawing dark purple blood, like dewdrops. Shortly after, his head and eyes felt clear and beneficial, and all symptoms decreased. Then I prescribed: Eye blacking and head spinning are caused by internal deficient wind; only Tianma can remove it. The seedling of Tianma is called Dingfeng Cao (Wind-Calming Grass); this grass alone is not shaken by wind, so it serves as the Sovereign herb. Unilateral headache belongs to Shaoyang; only Chaihu and Huangqin processed with wine can treat it. Huanglian is bitter and cold; wine-fried to treat upper heat, serving as an accessory to the symptom, thus acting as the Minister herb. Jupi is bitter, pungent, and warm; Zhi Gancao is sweet and warm, tonifying the Middle and benefiting Qi, serving as the Assistant. Shengjiang and Banxia are pungent and warm, able to treat Wind-Phlegm; Fuling and Gancao promote urination, guiding damp-heat downward, thus serving as the Envoy herb. After taking several doses, the evil qi was calmed, healthy Qi recovered, and he was cured.
Tianma Banxia Tang (Gastrodia and Pinellia Decoction) treats internal Wind-Phlegm causing chest and diaphragm discomfort, vertigo and blacking out, drowsy urge to vomit, upper heat and lower cold, inability to lie down peacefully.
Tianma (Gastrodiae Rhizoma), Banxia (Pinelliae Rhizoma), each one qian; Jupi (Citri Reticulatae Pericarpium, white part removed), Chaihu (Bupleuri Radix), Huangqin (Scutellariae Radix, wine-soaked, fried), Gancao (Glycyrrhizae Radix et Rhizoma, roasted), Baifuling (Poria, peeled), each five fen; Qianhu (Peucedani Radix), each five fen; Huanglian (Coptidis Rhizoma), three fen.
Chop into pieces, make one dose, add two zhong of water, three slices of Shengjiang (Zingiberis Rhizoma Recens), decoct until one zhong remains, take warm. Avoid alcohol, wheat products, and raw/cold foods after meals.
[Li Gao] Qianghuo Tang (Notopterygium Decoction) treats excessive Wind-Heat congestion attacking the head and eyes causing dizziness.
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), each one liang, washed with wine; Chaihu (Bupleuri Radix), seven qian; Huanglian (Coptidis Rhizoma), boiled in wine, one liang; Huangbai (Phellodendri Cortex), fried with wine, half liang; Gualou (Trichosanthis Fructus), washed with wine, half liang; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), seven fen; Baifuling (Poria), five qian; Zexie (Alismatis Rhizoma), six qian.
Grind into coarse powder. Take five qian per dose, decoct in water to extract clear liquid, take hot through the mouth after meals or before lying down, twice daily.
The above uses bitter-cold herbs to drain Liver Wood fire.
[*Lingshu*] The essence of tendons, bones, blood, and qi combines with the vessels to form the Eye System (Muscular system connecting to the eye), connecting upward to the brain, and exiting posteriorly from the neck. Therefore, if evil qi strikes the neck, coinciding with bodily deficiency, if it enters deeply, it follows the Eye System into the brain. Entering the brain causes brain rotation; brain rotation pulls the Eye System tight; tight Eye System causes dizziness and rotation. (Da Huo Pian)
[*Bencao*] Treating all types of vertigo, originating from constitutional weakness, where Wind-evil attacks the Yangming Meridian, ascending to the head and face, then entering the brain. Also due to Phlegm-Fluid remaining in the chest and diaphragm, invading severe cold, preventing Yang Qi from circulating, causing Phlegm-Fluid accumulation, rushing upward to the head and eyes, causing head rotation and vertigo. Lingyangjiao San (Antelope Horn Decoction).
Lingyangjiao (Saigae Tataricae Cornu), Fushen (Poria cum Radice Pinus), each one liang; Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Banxia (Pinelliae Rhizoma, washed seven times in boiling water), each half liang; Zhike (Aurantii Fructus Immaturus), Fuzi (Aconiti Lateralis Radix Preparata), each one fen; Gancao (Glycyrrhizae Radix et Rhizoma), three qian.
Grind into coarse powder. Take four qian per dose, add one zhong and a half of water, five fen of Shengjiang (Zingiberis Rhizoma Recens), decoct slowly over low heat until seven parts remain, strain and take warm at any time.
[*Baiyi Xuanfang*] Duliang Wan (Duliang Pill) treats Wind blowing on the neck and back, causing head and eyes to feel dark, dizzy, and painful.
Xiang Baizhi (Angelicae Dahuricae Radix, large pieces, soaked and washed four to five times in boiling water, dried by baking).
Grind into powder, refine honey to make pills, size of bullet seeds. Take one pill per dose, chew finely, swallow with Jingjie tea infusion.
[Wu] Dadouzi Tang (Soja Seed Black Skin Decoction) treats Stroke with head dizziness, aversion to wind, spontaneous vomiting of cold water, and sweating. (Formula see [Missing] Chapter.)
[*Shengji Zonglu*] Treating Wind Head Vertigo, use two liang of Chanqiao (Cicadae Periostracum), lightly fried and ground into powder. Take at any time, with one zhong-bi of warm wine. The *Zhenjing · Weifeng Pian* states: Upper deficiency causes dizziness. The *Wuzang Shengcheng Pian* states: "Xun Meng Zhao You, closing eyes, deafness, lower excess and upper deficiency." Meng means dizziness/confusion. Zhaoyao means trembling/shaking. Ming means blacking out/dizziness. All refer to confusion, trembling, blacking out, and dizziness, belonging to lower excess and upper deficiency.
[Zhu Danxi] Patient Chen, a female guest, nearly fifty years old, suffered from headache, numbness, and vertigo, with a very deficient pulse. Should tonify Qi and nourish Blood, dispel Wind and dry Dampness.
Tianma (Gastrodiae Rhizoma, wine-soaked), one qian; Renshen (Ginseng Radix et Rhizoma), half qian; Baizhu (Atractylodis Macrocephalae Rhizoma), one qian; Huangqin (Scutellariae Radix), half qian; Danggui Shenwei (Angelicae Sinensis Radix, wine-soaked), half qian; Chuanxiong (Ligustici Chuanxiong Rhizoma), half qian; Chenpi (Citri Reticulatae Pericarpium), half qian; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), three fen; Huangqi (Astragali Membranacei Radix), three fen; Banxia (Pinelliae Rhizoma), five fen; Shengjiang (Zingiberis Rhizoma Recens), three slices.
Make one dose, decoct in water and take.
Uncle Jia, due to labor and exertion, suffered from eye dizziness, fatigue, unclear head, and loose/slipping stool.
Huangqi (Astragali Membranacei Radix), half qian; Renshen (Ginseng Radix et Rhizoma), half qian; Danggui (Angelicae Sinensis Radix), one qian; Huangbai (Phellodendri Cortex, fried), three fen; Baizhu (Atractylodis Macrocephalae Rhizoma, wine-soaked), one qian; Chenpi (Citri Reticulatae Pericarpium), half qian; Manjingzi (Viticis Semen), five grains; Gancao (Glycyrrhizae Radix et Rhizoma, roasted slightly).
Decoct in water, drink slightly warm. Once at Chou/Mao hours, remove pillow and sleep briefly; once again at Si/Shen hours. Cured.
Man fell ill due to labor, with fever, sore legs, bitter taste in mouth, and dizziness.
Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Huanglian (Coptidis Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), each half liang; Baishaoyao (Paeoniae Radix Alba), Renshen (Ginseng Radix et Rhizoma), Shengdi (Rehmanniae Radix), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), each one liang; Gancao (Glycyrrhizae Radix et Rhizoma), one qian; Duzhong (Eucommiae Cortex, fried), six liang.
Divide into eighteen doses. Take warm before meals, along with twenty-two granules of Yiqing Wan.
Husband suffered from Heat, head dizziness, pulse large and scattered; this resulted from hard work and hardship.
Chenpi (Citri Reticulatae Pericarpium), three qian; Chaihu (Bupleuri Radix), three qian; Renshen (Ginseng Radix et Rhizoma), two qian; Baizhu (Atractylodis Macrocephalae Rhizoma), two qian; Huangqi (Astragali Membranacei Radix), three qian; Mutong (Akebiae Caulis), one qian; Gancao (Glycyrrhizae Radix et Rhizoma, slightly). Divide into three doses to take.
[*Bencao*] Treating Wind Dizziness and Vertigo. Xiong San (Ligusticum Decoction).
Shanzhuyu (Corni Fructus), one liang; Shanyao (Dioscoreae Rhizoma), Gan Juhua (Chrysanthemi Indici Flos), Renshen (Ginseng Radix et Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fushen (Poria cum Radice Pinus), each half liang.
Grind into powder. Take two qian per dose, mix with wine and swallow, at any time, three times daily. Do not mistakenly use Ye Juhua (Wild Chrysanthemum Flower).
[*Sanyin Fang*] Xiong Gui Tang (Ligusticum and Angelica Decoction) treats postpartum excessive blood loss causing dizziness and unconsciousness, as well as injury to fetus with excessive blood loss, metrorrhagia with excessive blood loss, metal wound with excessive blood loss, tooth extraction with excessive bleeding that does not stop, empty heart with irritability, dizziness, heavy head, dim vision, desire to fall when lifting head. (Formula see Women's Major Laws section.)
[Zhu Danxi] Head dizziness belongs to Qi deficiency with Phlegm attachment. If dizziness is without Phlegm, do not focus primarily on treating Phlegm. Combine with Qi-tonifying herbs and Fire-descending herbs. For abundant Damp-Phlegm, use Erchen Tang. For Phlegm moved by Fire, add wine-fried Huangqin to Erchen Tang. For vertigo, Fire moves its Phlegm; add Huangqin, Cangzhu, and Qianghuo to Erchen Tang to disperse Wind and dry Dampness. Shuizhu Jinhua Wan treats head dizziness. (Formula see Phlegm-Fluid section.)
[Zhu Danxi] For unbearable vertigo, use Dahuang (Rhei Radix et Rhizoma), fried three times with wine until dry, ground into powder, mixed with tea and taken. One to two qian per dose.
A man, seventy-nine years old, had heavy and dizzy head and eyes, powerless hands and feet, continuous expectoration of phlegm. Left hand pulse was scattered, large, and slow; right hand pulse was slow and larger than the left but weaker upon deep pressure. Diet slightly reduced with slight thirst, bowel movement once every three to four days. Everyone gave Wind-dispersing herbs, predicting death by late spring. I said: This is a major deficiency syndrome; should take large doses of tonifying medicine. Everyone left angrily. I taught him to use Renshen (Ginseng Radix et Rhizoma), Huangqi (Astragali Membranacei Radix), Danggui Shen (Angelicae Sinensis Radix tip), Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), decoct thickly as soup, and take thirty granules of Lianbai Wan. Taken for a year and a half in this manner, his energy returned to that of his youth. Lianbai Wan: Add a little Ganjiang (Zingiberis Rhizoma) in winter; for the other three seasons, follow the same method. Lianbai are both fried with Jiangzhi (Ginger Juice) into fine powder, then made into pills using Ginger Juice paste.
[*Bencao*] Treating deficient Wind head vertigo, endless expectoration of saliva/phlegm. Yangzheng Dan (Nourishing Right Pill).
Heiqian (Lead), Shuiyin (Mercury), Huhuang (Sulfur), Zhusha (Cinnabar), each one liang.
Use an iron cup, melt Lead into liquid over fire, then add Mercury, stir evenly with a willow stick, remove and let cool slightly, add the powders of the other two ingredients, let cool, grind into powder. Make pills with Rice Drink or Jujube Meat, size of wutong seeds. Take thirty pills per dose, with Salt Water.
This medicine regulates Yin and Yang, supplements and connects True Qi, not just treating head vertigo.
[Li Gao] Fan Tianxi's wife, long suffered from Spleen and Stomach disease, occasionally showing irritability, chest discomfort, and constipation. Early winter, she went out and returned late, constrained by Cold Qi, causing great oppression and chaos, Fire unable to extend. Doctors suspected Heat, treated with Shufeng Wan. Bowels moved but illness did not decrease. Suspecting insufficient drug strength, added another seventy to eighty pills, resulting in two bowel movements. Previous symptoms remained unchanged, adding vomiting, inability to keep food down, thick sticky saliva, continuous gushing, blacking out eyes and head vertigo, nausea and vexation, shortness of breath, weak upper panting, reluctance to speak, mental confusion, constant drowsiness, eyes unable to open, feeling like in wind and clouds, severe headache like splitting, body heavy as mountain, cold limbs, inability to lie down peacefully. I said the previous symptoms were due to damaged Stomach Qi; further purging twice severely damaged the Stomach, causing Phlegm-Jue Headache. Prepared Banxia Baizhu Tianma Tang to treat and cure.
Tianma (Gastrodiae Rhizoma), five fen; Banxia (Pinelliae Rhizoma, washed in boiling water), one qian half; Renshen (Ginseng Radix et Rhizoma), five fen; Baizhu (Atractylodis Macrocephalae Rhizoma), one qian; Cangzhu (Atractylodis Rhizoma), five fen; Jupi (Citri Reticulatae Pericarpium), Huangqi (Astragali Membranacei Radix), Zexie (Alismatis Rhizoma), Baifuling (Poria), each five fen; Shenqu (Massa Medicata Fermentata), one qian, fried; Da Mai Nie (Hordei Fructus Germinatus), one qian half; Ganjiang (Zingiberis Rhizoma), three fen; Huangbai (Phellodendri Cortex), two fen.
Chop the above ingredients. Take half liang per dose, two zhan of water, decoct until one zhan remains, strain, take hot before meals. This severe headache is called Foot Taiyin Phlegm-Jue Headache; only Banxia can treat it. Eye blacking and head spinning are caused by internal deficient wind; only Tianma can remove it. Its seedling is Dingfeng Cao, also a divine herb for treating internal Wind. Internal Wind is Deficient Wind.
Huangqi is sweet and warm, draining Fire and supplementing Original Qi. Renshen is sweet and warm, draining Fire and tonifying Middle and benefiting Qi. Both Baizhu and Cangzhu are sweet, bitter, and warm, drying Dampness, tonifying Middle, and benefiting Qi. Zexie and Fuling promote urination and guide Dampness. Jupi is bitter and warm, benefiting Qi, regulating Middle, and raising Yang. Shenqu digests food and clears stagnant Qi in the Stomach. Da Mai Nie broadens the Middle and assists Stomach Qi. Ganjiang is pungent and hot, washing away Middle Cold. Huangbai is bitter and greatly cold, wine-washed to address Winter Lesser Fire arising from the Interior causing irritability.
The above is Qi deficiency with Phlegm causing vertigo. I once treated a person who felt slightly better when lying down, but head spun and eyes blacked out when lifting feet. Used Tianma, Banxia, Fuling, Chenpi, Baifu, Jiangcan, Renshen, Caos (Gancao), Guis (Danggui), Shengjiang, Huangqin decocted in soup. Cured in five to six days, likely imitating and modifying this formula.
[*Jisheng Fang*] Xiongshu Tang (Ligusticum and Atractylodes Decoction) treats Stomach Damp-Phlegm, vertigo, vomiting, heavy head, and anorexia.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Banxia (Pinelliae Rhizoma, wine-washed), Baizhu (Atractylodis Macrocephalae Rhizoma), each one liang; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), half liang.
Chop into pieces. Take four qian per dose, one zhan of water, seven slices of Shengjiang (Zingiberis Rhizoma Recens), decoct and take at any time. (Another version has Fuzi and Guixin, no Banxia.)
[Yan Yonghe] Xuanjufhua Tang (Inula Decoction) treats latent Phlegm in the Middle Jiao, vomiting, and vertigo.
Xuanjufhua (Inulae Flos), Banxia (Pinelliae Rhizoma), Juhong (Citri Reticulatae Pericarpium Rubrum), Ganjiang (Zingiberis Rhizoma), each one liang; Binglang (Arecae Semen), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), each half liang.
Cut into fragments. Take one liang per dose, decoct in Ginger Water.
[Zhang Zhongjing] Sudden vomiting, epigastric fullness, fluid between diaphragm, dizziness and palpitations: Banxia Jia Fuling Tang (Pinellia Decoction plus Poria) is the primary treatment. (Formula see Vomiting chapter.) Suppose a thin person has palpitations below the umbilicus, expectorating saliva and foam with head dizziness; this is Fluid retention, Wuling San (Five-Ingredient Powder with Poria) is the primary treatment. (Formula see Shanghan chapter.)
[Zhang Hezi] Qingdai San (Indigo Naturalis Powder) insufflated into nose to extract phlegm, highly effective for dizziness. (Formula see Headache chapter.)
For Wind Head vertigo, use Dusheng San to induce vomiting. After vomiting, use cooling and acrid-sweet herbs for the Upper, such as Fangtong Sheng San (Wind-Protecting Holy Decoction) plus Banxia and other flavors. Zhongjing said: This is caused by Phlegm knotting in the Chest. (Fangtong San see Epilepsy chapter.)
Dusheng San (Single Holy Powder)
Guiti (Melonis Fructus Semen), amount unspecified; Yujin (Curcumae Radix), equal parts.
Grind into fine powder. Take one or two qian per dose, mix with saliva/juice and swallow, use chicken feather to induce vomiting.
[He Jiansu] Soufeng Wan (Search Wind Pill) treats rebellious Evil Qi, Wind-Heat attacking upward, head and eye vertigo, and constipation of large and small intestines.
Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), each half liang; Huashi (Kaolin), two liang; Huoxiang (Agastaches Herba), two qian half; Ganjiang (Zingiberis Rhizoma), Baifan (Alumen), raw, each one liang; Haifen (Concha Tridacnatis), two liang; Nanxing (Arisaematis Rhizoma), Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), each two liang; Qianniu (Pharbitidis Semen), four liang; Bohe (Menthae Haplocalycis Herba), half liang; Banxia (Pinelliae Rhizoma), one liang; Hanshuishi (Hydrargyri Oxydum Rubrum), one liang.
Grind into powder, drop water to make pills, size of mung beans. Ten pills per dose, with Ginger Soup, increase to twenty pills, three times daily.
[Zhang Zhongjing] Baizhu Fuzi Tang (Atractylodes and Prepared Aconite Decoction) treats severe Wind-Deficiency head heaviness and dizziness, loss of taste, warming muscles, tonifying Middle, and benefiting Essence and Qi.
Baizhu (Atractylodis Macrocephalae Rhizoma), two liang; Fuzi (Aconiti Lateralis Radix Preparata), one liang half, roasted and peeled; Gancao (Glycyrrhizae Radix et Rhizoma, roasted), one liang.
Chop the three ingredients. Take five qian per dose, five slices of Ginger, one Jujube. One zhong and a half of water, decoct until seven parts remain, strain and take warm.
[*Bencao*] Treating constitutional weakness with Wind, external invasion of deficient Dampness, body feeling like in mid-air. Ersheng San (Two Raw Decoction).
Sheng Fuzi (Aconiti Lateralis Radix Preparata, peel and navel removed), Sheng Nanxing (Arisaematis Rhizoma), equal parts.
Chop the two ingredients. Take four large qian per dose, one zhong of water, ten slices of Shengjiang (Zingiberis Rhizoma Recens), decoct slowly over low heat until eight parts remain, strain and take. In Wuwu year, I had this illness in Xin'an; a famous doctor passed on this formula, cured in three doses.
[Zhang Zhongjing] Fluid retention (Zhi Yin) in the Heart region, suffering from severe dizziness and clouding: Zexie Baizhu Tang (Alisma and Atractylodes Decoction) is the primary treatment. (Shortness of breath leaning to breathe, swollen appearance, is Zhi Yin.) Use five liang of Zexie (Alismatis Rhizoma) and two liang of Baizhu (Atractylodis Macrocephalae Rhizoma), two sheng of water, boil until one sheng remains, divide into two warm doses.
There are two types of Yunqi (Luck-based) Dizziness:
First, Wind assisting Liver Excess Dizziness. Classic states: When Jueyin governs Heaven, Wind moves through the Great Void, clouds and objects shake, eyes turn and ears ring. During the third Qi period, Wind rises seasonally, people suffer from tremors and dizziness.
It also states: When Jueyin governs Heaven, Guest Excess causes ear ringing, tremors, and dizziness.
It also states: Jueyin Excess causes ear ringing and head dizziness.
It also states: Jueyin Recovery causes tendon and bone tremors and dizziness, treated with various Cool herbs.
Second, Damp-Evil injuring Kidney Dizziness. Classic states: When Taiyin governs Heaven, excessive Dampness causes head, neck, waist, and back pain with dizziness, treated with Bitter-Hot herbs.
[He Jiansu] Shenmiao San (Miraculous Wonder Powder) insufflated into nose, treating head and eye dizziness, lateral and frontal headaches. (Formula see Headache Section.)
The Brain is the Sea of Marrow. Its transport points are superiorly at its cover (Baihui GV20) and inferiorly at Fengfu GV16. If the Sea of Marrow is insufficient, there is brain rotation, ear ringing, calf soreness, dizziness, and blindness. (Full text see Acupuncture section. Cover refers to Baihui point. Tonifying Baihui and Fengfu cures dizziness.) If Upper Qi is insufficient, the head suffers from tilting, and eyes suffer from dizziness. Tonify the point retained below the outer ankle (Taichong LR3 or similar depending on context, here likely referring to a point below outer ankle like Taixi KI3 or specifically mentioned in full text). (Full text see Acupuncture section.) Evil in the Kidney causes shoulder, back, head, and neck pain, intermittent dizziness. Select Yongquan KI1 and Kunlun BL60, take all points with blood stasis. (Full text see Acupuncture section.)
[*Guai Xue*] Head and Eye Vertigo: Zhiyin BL67
*Biao* (Biao Yao Jing): Jinmen GB53, Shenmai BL62
[Sang] Fengchi GB20, Shenting GV24 (Internal Fengchi same as Tong Xuan); Jinmen GB53 (Reduce); Sanli ST36 (Tonify)
[*Xin*] Dizziness with fear of cold, slight Wind-Cold causes dim vision and stiff falling, regardless of season. Usually wear cotton hat, day and night, never remove, otherwise attacks occur: Baihui GV20, Xingxing (one fen, possibly Shangxing GV23), Fengchi GB20 (two cun half, main for severe head heat), Fenglong ST40 (two cun half)
[Sang] Head Heat: Shangxin (Top Fontanelle), Fengmen BL11, Cuanzhu BL2, Baihui GV20
[*Jia Yi Jing*] Wind dizziness with frequent vomiting, fullness and irritability: Shenting GV24 is primary. If complexion is green, Shangxing GV23 is primary. To select Shangxing, first select [missing character], then select Tianyou TE16 and Fengchi GB20. If headache with green face, Xihui GV22 is primary. Wind dizziness radiating to jaw pain: Shangxing GV23 is primary. First select [missing character], then select Tianyou TE16 and Fengchi GB20. Wind dizziness with closed eyes, aversion to Wind-Cold, red and swollen face,