沈（左）下则遗精，上则眩晕，甚致呕吐欲仆，耳鸣失聪。脉弦尺虚。此肾本空虚，木失涵养，致阳气化风，
尽从上越。拟滋水潜阳法。
炙龟板（六钱） 大生地（四钱） 酒炒杭白芍（一钱五分） 滁菊花（二钱） 生牡蛎（六钱）
黑豆衣（三钱） 粉丹皮（二钱） 盐水炒潼沙苑（三钱） 磁朱丸（二钱先服）
二诊 遗精眩晕，耳鸣渐聋，右目翳障。脉弦尺涩且数。阴虚火盛。拟滋水清肝。
生龟板（四钱先煎） 羚羊片（一钱五分） 石决明（六钱） 甘菊花（二钱） 大生地（三钱）
野黑豆（三钱） 黑山栀（三钱） 粉丹皮（二钱） 蛇蜕（七分） 白金丸（五分药后服）
三诊 左耳稍聪，右耳仍闭，头胀眩晕，目翳障不化。水亏木旺。前法出入。
炙熟地（四钱） 粉丹皮（二钱） 建泽泻（一钱五分） 酒蒸青葙子（三钱） 野黑豆（三钱）
密蒙花（二钱） 炒萸肉（一钱五分） 山药（三钱） 蛇蜕（七分） 石决明（五钱）
四诊 耳鸣窍闭，头胀眩晕，滋肾养肝。脉弦且带滑数。稠痰灰黑，目翳障不化。肾水不足，木火上腾，炼
液成痰，痰随火生，清空之地，遂为痰火所占。急则治标，缓则治本，经训如此。
黑山栀（三钱） 桑叶（一钱五分） 川雅连（三分） 广橘红（一钱） 粉丹皮（二钱） 淡黄芩（一钱五分）
制半夏（二钱） 陈胆星（一钱二分） 晚蚕砂（四钱） 煨明天麻（一钱五分） 白蒺藜（去刺炒三钱） 竹沥
（一两滴入姜汁少许）
五诊 清火豁痰，脉弦滑转为细弱，浊火已退三舍。而眩晕呕吐，咽燥口干。经谓头痛巅疾，下虚上实。
再填实其下，以治其本。
炙龟板（一两） 生牡蛎（八钱） 黑豆衣（三钱） 酒炒杭白芍（一钱五分） 大熟地（五钱）
粉丹皮（二钱） 甘杞子（三钱） 白茯苓（三钱） 磁朱丸（包入煎三钱）
六诊 目障翳稍退，光明较开，耳鸣略定。然眩晕仍然不止。阴腻之药，并不碍胃，其下虚可以概见。效方扩充之。
炙龟板（一两二钱） 甘杞子（三钱） 杭白芍（三钱） 酒蒸女贞子（三钱） 大熟地（五钱） 肥玉竹（三钱
）生牡蛎（八钱） 元参（三钱） 黑豆衣（三钱） 磁朱丸（三钱） 炒萸肉（二钱） 陈关蛰（一两煎汤代水）
七诊 滋水填阴，眩晕大退，耳鸣亦减。药既应手，再为扩充。
炙龟板（一两） 炙熟地（五钱） 生牡蛎（五钱） 炙鳖甲（六钱） 甘杞子（三钱） 炒萸肉（一钱五分）
盐水炒潼沙苑（三钱） 酒炒杭白芍（一钱五分） 酒炒青葙子（三钱） 密蒙花（二钱） 元参（三钱）
洪（左） 耳鸣不止，耳窍闭塞。脉象弦滑。此肝风挟痰上逆，致浊邪阻塞清窍。病已经年，恐草木不能遽然奏效。
桑叶（一钱五分） 丹皮（二钱） 山栀（三钱） 郁金（一钱五分） 枳壳（一钱） 制半夏（三钱）
胆星（五分） 橘红（一钱） 白蒺藜（三钱） 茯苓（三钱） 僵蚕（一钱五分） 礞石滚痰丸（三钱）
左 耳后牙床牵引头痛。此由脘痛之后，风阳窜入少阳阳明之络。
粉丹皮 香橼皮 代赭石 钩钩 桑叶 旋复花 淡黄芩 滁菊花 枳壳 炒竹茹
右 眩晕降序，而步履有时猗。斜上实下虚。再凉肝熄风。
黑山栀（三钱） 滁菊花（二钱） 炒牛膝（三钱） 石决明（八钱） 野黑豆（三钱） 朱茯神（三钱）
龙齿（三钱） 粉丹皮（二钱） 净双钩（四钱） 甘杞子（三钱） 酒炒女贞子（三钱）
沈（右） 产后营血不足，血不养肝阳气不和。多梦少寐，头晕耳鸣，冲气不和，胸中窒闷。宜养血熄肝宁神。
阿胶珠（二钱） 白归身（二钱酒炒） 茯神（三钱） 龙齿（三钱） 黑豆衣（三钱） 大生地（四钱）
酒炒白芍（一钱五分） 炒枣仁（三钱） 生牡蛎（四钱） 干枇杷叶（三钱）
Shen (Left): Downward leakage results in spermatorrhea, upward rising causes dizziness; severely, it leads to vomiting and a sensation of falling, tinnitus, and deafness. The pulse is wiry with deficiency in the Chi position. This indicates emptiness of the Kidney root, loss of nourishment for Liver Wood, causing Yang Qi to transform into Wind and ascend entirely. A method of Nourishing Water to Subdue Yang is proposed.
Zhi Guiban (Calcitrana Testudinis et Carapax Trionycis, six qian) Dadihuang (Rehmanniae Radix Preparata, four qian) Jiuchao Hangbaishao (Paeoniae Radix Alba, wine-fried, one qian five fen) Chujuhua (Chrysanthemi Flos, two qian) Sheng Muli (Concha Ostreae, six qian)
Heidouyi (Semen Sojae Nigrum Tegumentum, three qian) Fen Danpi (Moutan Cortex, two qian) Yanshui chao Tongshayuan (Cuscutae Semen, salt-water fried, three qian) Cizhu Wan (Ci Zhusha et Magnetitum Pilula, two qian taken first)
Second visit: Spermatorrhea and dizziness persist; tinnitus gradually progresses to deafness, with nebula in the right eye. The pulse is wiry, Chi position is choppy and rapid. Yin deficiency with flourishing Fire. A method of Nourishing Water and Clearing Liver is proposed.
Sheng Guiban (Calcitrana Testudinis, four qian decocted first) Lingyang Pian (Saigae Tataricae Cornu, one qian five fen) Shijueming (Concha Haliotidis, six qian) Gan Juhua (Chrysanthemi Indici Flos, two qian) Dadihuang (Rehmanniae Radix Preparata, three qian)
Yeheidou (Semen Sojae Nigrum, wild variety, three qian) Heishanzhi (Gardeniae Fructus, blackened, three qian) Fen Danpi (Moutan Cortex, two qian) Shetui (Bombyx Batryticatus exuvies, seven fen) Baijin Wan (Baijiu and Poria Pill, five fen taken after medicine)
Third visit: Left ear slightly recovers hearing, right ear remains closed; head distension and dizziness persist, eye nebula does not resolve. Water deficiency with Wood hyperactivity. Modifications to the previous method.
Zhishudi (Rehmanniae Radix Preparata, roasted, four qian) Fen Danpi (Moutan Cortex, two qian) Jian Zexie (Alismatis Rhizoma, one qian five fen) Jiuzheng Qingxiangzi (Celosiae Semen, wine-steamed, three qian) Yeheidou (Semen Sojae Nigrum, wild variety, three qian)
Mimenghua (Glochidionis Flos, two qian) Chao Yurou (Corni Fructus, fried, one qian five fen) Shanyao (Dioscoreae Rhizoma, three qian) Shetui (Bombyx Batryticatus exuvies, seven fen) Shijueming (Concha Haliotidis, five qian)
Fourth visit: Tinnitus and orifice closure, head distension and dizziness. Method: Nourish Kidney and nourish Liver. Pulse is wiry with slippery and rapid qualities. Phlegm is thick, gray-black, eye nebula unresolved. Insufficient Kidney Water, Liver Fire ascends, refining fluids into phlegm; phlegm follows fire, occupying the clear spaces. Treat the branch in acute cases, treat the root in chronic cases, as per classic teachings.
Heishanzhi (Gardeniae Fructus, blackened, three qian) Sangye (Mori Folium, one qian five fen) Chuayanlian (Coptidis Rhizoma, three fen) Guangjuhong (Citri Reticulatae Pericarpium, one qian) Fen Danpi (Moutan Cortex, two qian) Dan Huangqin (Scutellariae Radix, light yellow, one qian five fen)
Zhi Banxia (Pinelliae Rhizoma Preparata, two qian) Chen Danning (Arisaematis Cum Bile Bulbus, aged, one qian two fen) Wancansha (Bombyx Batryticatus feces, four qian) Weiming Tianma (Gastrodiae Rhizoma, baked, one qian five fen) Baijili (Tribuli Fructus, thorns removed, fried, three qian) Zhuli (Phyllostachys Bamboo Sap, one liang added with a little Ginger Juice)
Fifth visit: After clearing fire and resolving phlegm, the pulse changes from wiry-slippery to fine-weak; turbid fire has retreated significantly. However, dizziness, vomiting, dry throat, and dry mouth persist. The classics state that headache and cranial diseases are due to lower deficiency and upper excess. Replenish the lower to treat the root.
Zhi Guiban (Calcitrana Testudinis et Carapax Trionycis, one liang) Sheng Muli (Concha Ostreae, eight qian) Heidiyoui (Semen Sojae Nigrum Tegumentum, three qian) Jiuchao Hangbaishao (Paeoniae Radix Alba, wine-fried, one qian five fen) Dashudi (Rehmanniae Radix Preparata, five qian)
Fen Danpi (Moutan Cortex, two qian) Gan Qizi (Lycii Fructus, three qian) Bai Fuling (Poria, three qian) Cizhu Wan (Ci Zhusha et Magnetitum Pilula, wrapped in decoction, three qian)
Sixth visit: Eye nebula slightly recedes, vision opens up somewhat, tinnitus settles slightly. Yet dizziness continues. Greasy Yin-nourishing medicines do not hinder the stomach; lower deficiency is evident. Expand the effective formula.
Zhi Guiban (Calcitrana Testudinis et Carapax Trionycis, one liang two qian) Gan Qizi (Lycii Fructus, three qian) Hangbaishao (Paeoniae Radix Alba, three qian) Jiuzheng Nvzhenzi (Ligustri Lucidi Fructus, wine-steamed, three qian) Dashudi (Rehmanniae Radix Preparata, five qian) Fei Yuzhu (Polygonati Odorati Rhizoma, three qian)
Sheng Muli (Concha Ostreae, eight qian) Yuan Shen (Scrophulariae Radix, three qian) Heidiyoui (Semen Sojae Nigrum Tegumentum, three qian) Cizhu Wan (Ci Zhusha et Magnetitum Pilula, three qian) Chao Yurou (Corni Fructus, fried, two qian) Chenguanzhe (Mantis Ootheca, aged, one liang decocted to replace water)
Seventh visit: After nourishing Water and filling Yin, dizziness greatly subsides, tinnitus also decreases. Since the medicine is effective, expand further.
Zhi Guiban (Calcitrana Testudinis et Carapax Trionycis, one liang) Zhishudi (Rehmanniae Radix Preparata, roasted, five qian) Sheng Muli (Concha Ostreae, five qian) Zhi Biejia (Trionycis Carapax, roasted, six qian) Gan Qizi (Lycii Fructus, three qian) Chao Yurou (Corni Fructus, fried, one qian five fen)
Yanshui chao Tongshayuan (Cuscutae Semen, salt-water fried, three qian) Jiuchao Hangbaishao (Paeoniae Radix Alba, wine-fried, one qian five fen) Jiuchao Qingxiangzi (Celosiae Semen, wine-fried, three qian) Mimenghua (Glochidionis Flos, two qian) Yuan Shen (Scrophulariae Radix, three qian)
Hong (Left): Tinnitus persists, ear orifices blocked. Pulse is wiry and slippery. This is Liver Wind carrying Phlegm upward, causing turbid pathogens to block the clear orifices. The disease has lasted a year; herbal medicines may not yield immediate results.
Sangye (Mori Folium, one qian five fen) Danpi (Moutan Cortex, two qian) Shanzhi (Gardeniae Fructus, three qian) Yujin (Curcumae Radix, one qian five fen) Zhiqiao (Aurantii Fructus Immaturus, one qian) Zhi Banxia (Pinelliae Rhizoma Preparata, three qian)
Danning (Arisaematis Cum Bile Bulbus, five fen) Juhong (Citri Reticulatae Pericarpium, one qian) Baijili (Tribuli Fructus, three qian) Fuling (Poria, three qian) Jiangcan (Bombyx Batryticatus, one qian five fen) Mengshi Guntan Wan (Pyritum and Turbidity-Expelling Pill, three qian)
Left: Pulling headache behind the ear and gum. This arises after epigastric pain, where Wind-Yang invades the Shaoyang and Yangming collaterals.
Fen Danpi (Moutan Cortex) Xiangyuanpi (Eupteleae Pericarpium) Daizheshi (Haematitum) Gougou (Uncariae Ramulus cum Uncis) Sangye (Mori Folium) Xuanfuhua (Inulae Flos) Dan Huangqin (Scutellariae Radix, light yellow) Chujuhua (Chrysanthemi Flos) Zhiqiao (Aurantii Fructus Immaturus) Chao Zhuru (Bambusae Caulis in Taenia Preparata, fried)
Right: Dizziness decreases in sequence, but gait is sometimes unsteady. Upper excess and lower deficiency. Use cooling Liver and extinguishing Wind method.
Heishanzhi (Gardeniae Fructus, blackened, three qian) Chujuhua (Chrysanthemi Flos, two qian) Chao Niuxi (Achyranthis Bidentatae Radix, fried, three qian) Shijueming (Concha Haliotidis, eight qian) Yeheidou (Semen Sojae Nigrum, wild variety, three qian) Zhu Fushen (Poria with Hostwood, red-colored, three qian)
Longchi (Dentis Mammoth Ossis, three qian) Fen Danpi (Moutan Cortex, two qian) Jing Shuanggou (Uncariae Ramulus cum Uncis, purified, four qian) Gan Qizi (Lycii Fructus, three qian) Jiuchao Nvzhenzi (Ligustri Lucidi Fructus, wine-fried, three qian)
Shen (Right): Postpartum Ying Blood insufficiency, blood fails to nourish Liver, Yang Qi is disharmonious. Frequent dreams, scant sleep, dizziness, tinnitus, Chong Qi disharmony, chest oppression. Method: Nourish Blood, extinguish Liver, calm Spirit.
E'jiao Zhu (Asini Corii Colla granulated, two qian) Baiguishen (Angelicae Sinensis Radix, two qian wine-fried) Fushen (Poria with Hostwood, three qian) Longchi (Dentis Mammoth Ossis, three qian) Heidiyoui (Semen Sojae Nigrum Tegumentum, three qian) Dadihuang (Rehmanniae Radix Preparata, four qian)
Jiuchao Baishao (Paeoniae Radix Alba, wine-fried, one qian five fen) Chao Zaoren (Ziziphi Spinosae Semen, fried, three qian) Sheng Muli (Concha Ostreae, four qian) Gan Pipaye (Eriobotryae Folium, dried, three qian)