刘宗浓云∶眩运一证,人皆称为上盛下虚所致,而不明言其所以然之故。盖所谓虚者,
血与气也;所谓实者,痰涎风火也。原病之由,有气虚者,乃清气不能上升,或汗多亡阳而
致,当升阳补气;有血虚者,乃因亡血过多,阳无所附而然,当益阴补血,此皆不足之证也
。有因痰涎郁遏者,宜开痰导郁,重则吐下,有因风火所动者,宜清上降火;若因外感而得
者,此皆有余之证也。世有所谓气不归元,而用丹药镇坠,沉香降气之法,盖香窜散气,丹
药助火,其不归之气岂能因此而复耶?《内经》所谓治病必求其本,气之不归,求其本而用
药则善矣。
先君寿峰公少壮时颇好酒,因致酒病,自四旬之外,遂绝戒不饮。后至七旬,因除夜之
乐,饮一小杯,而次早眩晕不能起,先君素善吐法,有记在痰饮门,因吐去清痰而眩晕顿愈
。原其所由,则一杯之酒何遽为痰,不过以恶酒之脏,而忽被酒气,则真阴清气为之淆乱而
然。吐去痰饮,酒气可除,吐能升气,清阳可复,此非治痰而实以治乱耳,故志此以见其义
。
五福饮(新补六) 七福饮(新补七) 四君子汤(补一) 四物汤(补八) 左归饮(新补二)
五君子煎(新热六) 肾着汤(热一二九) 右归饮(新补三) 十全大补汤(补二十) 二陈汤
(和一) 归脾汤(补三二) 补中益气汤(补三十) 正元散(热五一) 圣术煎(新热二五) 大
补元煎(新补一) 青州白丸子(和百十二) 黑锡丹(热三八九) 半夏白术天麻汤(和十五)
Liu Zongnong stated: Regarding the syndrome of dizziness and vertigo (Xuan Yun), people generally attribute it to "excess above and deficiency below," yet they fail to explicitly explain the underlying reasons. By "deficiency" (Xu), we refer to blood and qi; by "excess" (Shi), we refer to phlegm-fluids, wind, and fire. Tracing the etiology, cases due to qi deficiency arise when clear qi fails to ascend, or result from excessive sweating leading to the loss of yang (Wang Yang); these should be treated with methods to raise yang and tonify qi. Cases due to blood deficiency occur when there is excessive blood loss, leaving yang without a foundation to attach to; these should be treated by nourishing yin and tonifying blood. These are all syndromes of insufficiency. Cases caused by the stagnation of phlegm-fluids require methods to resolve phlegm and guide out stagnation; in severe cases, emesis (Tu Fa) or purgation may be used. Cases triggered by wind and fire require clearing the upper jiao and descending fire. Those acquired through external pathogenic factors also fall under the category of excess syndromes. In the world, some practitioners encounter so-called "qi failing to return to its origin" and employ methods such as using mineral pills for sedation/anchoring or aromatic herbs like Chen Xiang to direct qi downward. However, aromatic substances are dispersing and deplete qi, while mineral pills assist fire; how can the displaced qi recover thereby? As stated in the *Neijing* (Inner Canon), treating disease requires seeking the root. For qi failing to return to its origin, one must seek the root cause and prescribe medication accordingly, which is the proper approach.
My father, Lord Shoufeng, enjoyed alcohol greatly during his youth, which led to alcohol-induced illness. From the age of forty onwards, he completely abstained from drinking. Later, at the age of seventy, due to the joy of New Year's Eve celebrations, he consumed a small cup of wine. The following morning, he suffered from severe dizziness and vertigo that prevented him from rising. My father was well-versed in the method of emesis (Tu Fa), as recorded in the chapter on Phlegm-Fluids. He employed this method to expel clear phlegm, and his dizziness and vertigo were instantly cured. Investigating the cause, how could a single cup of wine suddenly transform into phlegm? It was merely that the organs sensitive to wine were suddenly exposed to the aroma of wine, causing confusion and disorder between true yin and clear qi. Emesis removed the phlegm-fluids, eliminating the influence of the wine; emesis raises qi, allowing clear yang to restore itself. This appears to be treating phlegm, but is actually treating disorder. Thus, I record this case to elucidate its principle.
Wufu Yin (New Supplement 6) Qifu Yin (New Supplement 7) Sijunzi Tang (Tonify 1) Siwu Tang (Tonify 8) Zuogui Yin (New Supplement 2) Wu Junzi Jian (New Warm 6) Shen Zhuo Tang (Warm 129) Yougui Yin (New Supplement 3) Shiquan Dabu Tang (Tonify 20) Erchen Tang (Harmonize 1) Guipi Tang (Tonify 32) Buzhong Yiqi Tang (Tonify 30) Zhengyuan San (Warm 51) Shengshu Jian (New Warm 25) Dabu Yuan Jian (New Supplement 1) Qingzhou Baiwanzi (Harmonize 112) Heixi Dan (Warm 389) Banxia Baizhu Tianma Tang (Harmonize 15)