妇人 妇人患头风者,十居其半,每发必掉眩,如在车上,盖因血虚,肝有风邪袭之耳。《素问》
云∶徇蒙招摇,目眩耳聋,上虚下实,过在足少阳、厥阴,甚则归肝。盖谓此也。予尝处此方以投人,比他药
捷而效速,芎羌汤。(《本事》)(按∶其方系《头痛》门《圣济》芎 汤,去独活,加当归、羌活、
熟地、半夏曲。)
夫妇人头风眩晕,登车乘船亦眩晕眼涩,手麻发退,健忘喜怒,皆胸中有宿痰之使然也。可用瓜蒂散吐
之,吐讫,可用长流水煎五苓散,大人参半夏丸。(《治病百法》)
其证妇人得之最多(此二字从《医方选要》补),盖妇人性多偏怒。经曰∶天之气曰风,人之气曰怒。
怒则致伤肝木,木动生风,令人头目旋运,皆由此哉。(《奇效》)
昔有一老妇,患赤白带一年半,头眩,坐立不得,睡之则安。专治赤白带,带愈其眩亦安。(《丹溪》)
清上诸方(疏利) 治肝厥头晕,清头目,钩藤散。
钩藤 陈皮(去白) 半夏(汤浸洗七遍薄切焙干) 麦门冬(略用水 去心) 茯苓(去皮) 茯神(
去木) 人参(去芦) 甘菊花(去萼梗) 防风(去钗股各半两) 甘草(一分炙) 石膏(一两生)
上为粗末,每服四钱,水一盏半,生姜七片,煎八分,去滓温服。(《本事》)
治头风。
石膏 白附子(炮) 天南星(炮) 白芷 甘菊花 京芎 天麻(各等分)
上件捣罗为末,每服一钱,先嚼薄荷三五叶,温酒调下。(《神巧》)《圣济》治风邪上攻,头目
眩晕,心膈烦闷,薄荷散,于本方去白附子、天南星、天麻,加甘草,每服一钱,荆芥茶调下。
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(各七分) 黄芩(酒制炒) 甘草(炙) 白茯苓(
去皮) 前胡(各五分) 黄连(三分去须)
上九味 咀,都为一服,水二盏,生姜三片,煎至一盏,去渣温服食后,忌酒面生冷物。(《宝鉴》)
(按∶原有治验曰∶予以三棱针约二十余处刺之,其血紫黑,如露珠之
状,少顷头目便觉清利,诸证悉减,遂处方云云。)
治头风眩晕,额痛,恶心呕吐。
蔚金 滑石 川芎(各半两)
上为细末,每服二钱,齑汁调下。(《医林方》)
防风通圣散,治风热眩晕。(《原理》)
芎黄汤,治头目眩晕。
大黄 荆芥穗 贯芎 防风(以上各等分)
上为粗末,大作剂料,水煎去滓服之,以利为度。(《神效名方》)
黑将军散(秘方),治因痰火太盛,眩晕难当。
用大黄酒炒为末,清茶调下(按∶此丹溪治头痛方,既
见前)。或用大黄酒浸,九蒸九晒为末,水丸如绿豆大,每服百丸,食后临卧,清茶送下,神效。(《医鉴》)
温散诸方(镇坠)《近效》白术附子汤,疗风虚头重眩,苦极不知食味,暖肌补中,益精气。
(《外台》)(按∶即甘草附子汤。)
治一切头旋,本因体虚,风邪乘于阳经,上注于头面,遂入于脑,亦因痰水在于胸膈之上,犯大寒,
使阳气不行,痰水结聚,上冲于头目,令头旋,羚羊角散。
羚羊角(镑) 茯神(去木各一两) 芎 防风(去钗股) 半夏(汤洗七次) 白芷
(不见火) 甘草(炙各半两) 枳壳(去穣细锉麸炒) 附子(炮去皮脐各三分)
上为粗未,每服四钱,水一盏半,生姜半分,漫火煎至七分,去滓,不拘时候温服。(《本事》)
白散子,治上实下虚,眩晕昏塞。
大附子(生去皮脐) 桂府滑石(各半两) 丸白半夏(汤洗二十一次三分)
上为末,每服二钱,水二盏,姜七片,蜜半匙,煎七分,空心冷服。(《三因》)
星附汤,治风虚痰作,头目旋运,神昏语謇,及痰厥头痛。
天南星(一个大者重及一两以上佳炮) 大附子(一个重九钱左右者生去皮脐切) 人参(一两好者)
上三味并锉,分作九服,每服水二盏,姜钱十片,煎至八分,温服。(《叶氏》)
姜附汤,治一时为寒所中,口不能言,眩晕欲倒。(《济世全书》)
参附汤,治真阳不足,上气喘急,气短自汗,眩晕。(《回春》)
头运吐逆,胃冷生痰也。用川干姜炮二钱半,甘草炒一钱二分,水一钟半,煎减半服,累用有效。(
《本草纲目》引《传信适用方》)
治虚风头旋,吐涎不已,养正丹。(《本事》)
黑锡丹,治阴阳不升降,上热下冷,头目眩晕,病至危笃,或服暖药僭上愈甚者,当服此药,已经增
损。(《三因》)(按∶此于《和剂》方中,加乌药、青皮。)
消饮诸方 治风□痰痹,头目昏眩,四肢烦痰(当疼),荆芥煮散。
荆芥穗 旋复花(各四两) 前胡 甘草(炙) 麻黄(去) 芍药 川芎 半夏(以上各一两)
上件药为末,每服二钱,用水一大盏,葱白、薄荷同煎至七分,温温服之无时。(《传家秘宝》)(按∶
《活人》金沸草散,治伤寒中脘有痰。盖以此方为原,去麻黄、芎,加细辛。知是亦为治痰方,仍列于斯。)
人参前胡汤,治风痰攻作,头风头痛,目眩旋运。(《叶氏》)(按∶即参苏饮去葛根。)
旋复花汤,治中脘伏痰,吐逆眩晕。(《济生》)(方见《呕吐》中。)
玉液汤,治七情伤感,气郁生涎,随气上逆,头目眩晕,
心嘈忪悸,眉棱骨痛。(同上)(即小半夏汤,入沉香水一呷,温服。)
小半夏汤,治痰饮头眩及臂痛。(《叶氏》)(即二陈汤。)
加味二陈汤,治痰晕,或因冷食所伤。
陈皮 半夏 白茯苓(各一两) 甘草(五钱) 丁香 胡椒(各三钱)
上锉散,每服四钱,姜三片,乌梅一个同煎,不拘时热
服。体虚甚者,顺元散。(《得效》)
滚痰丸,治痰火,头眩目运,如坐舟车,胸满背胀,一服立止。(《医统》)
疏气诸方 香橘饮,治气虚眩晕。
木香 白术 半夏曲 橘皮 白茯苓 缩砂(各半两) 丁香 甘草(炙各一分)
上锉散,每服三钱,姜五浓片同煎,吞苏合香丸。(《直指》)
苏合香丸,用枣汤调开,吞震灵丹,治心气不敛,怔忪头晕。(同上)
《苏沈》沉麝丸,治一切血运,每服一丸研开,用滴乳香泡汤调下。(同上)
养血诸方 四物汤加减,治血虚痰火头眩。
当归 川芎 白芍(酒炒) 熟地黄 人参(减半) 陈皮 片芩 山栀 茯苓(去皮) 天麻
(各等分) 甘草(减半)
上锉一剂,生姜三片,枣二枚,水煎温服。(《回春》)(按∶芎 汤治去血眩冒,出妇科中。)
加减逍遥散,治头眩,属气血不足,肝肾相火兼郁者。
当归 白术 白芍 茯苓 柴胡 丹皮 熟地 黄柏 炙甘草
或加山栀、薄荷,舒郁尤捷。(《汇补》)
因气郁者,则志气不舒,逍遥散加薄荷、菊花。(《医碥》)
补虚诸方 房事恣情,致精元气耗,眩晕欲倒,以十全大补汤主之。此肾虚头运,以六味
地黄丸,每料加鹿茸五钱,以固肾气。(《原病集》)
淫欲过度,督与肾脉皆虚,不能纳气归源,使诸逆奔上
而眩晕,六味丸加沉香、鹿茸,名香茸八味丸。(《医通》)
都宪孟有涯气短痰晕,服辛香之剂,痰盛遗尿,两尺浮大,按之如无。余以为肾家不能纳气归源,香
燥致甚耳。用八味丸料,三剂而愈。(《薛氏》)
人参养荣汤,治头眩,属脾肝血虚,荣气不充于三阴。(《汇补》)
吐痰诸方 瓜蒂散,治晕眩痰厥。(《丹溪》)
枯矾散,治痰晕。
枯矾为末,姜汤调下一钱,吐之立愈。(《赤水》)(按∶此方既见痰涎,宜参。)
紫金锭,治妇人男子苦头风作晕数年,用酒磨服一、二锭。吐痰碗许,遂不复发。(《粹言》)
痰结胸中,眩晕恶心,牙皂末和盐汤探吐,吐定服导痰汤。(《汇补》)
刺血(宜参前天麻半夏汤方) 秦鸣鹤为侍医。高宗苦风眩头重,目不能视,召鸣鹤、张文
仲诊之。鸣鹤曰∶风毒上攻,若刺头出少血,即愈矣。命刺之。鸣鹤刺百会及脑户出血。上曰∶吾眼
明矣。(《医说》)(节录。出典当考。)
灸法 母氏随执中赴任,为江风所吹,自觉头动摇,如
在舟车上,如是半年,乃大吐痰,遍服痰药,并灸头风诸穴方愈。(《资生》)
[Women's Vertigo]
Half of the women suffering from Tou Feng (Head Wind) experience dizziness and vertigo upon each attack, feeling as if they are on a moving vehicle or boat. This is primarily due to Blood deficiency with Wind pathogen invading the Liver channel. The *Su Wen* states: "Blurred vision, tinnitus, dizziness, and deafness indicate Empty above and Excess below; the pathology lies in the Foot Shaoyang Gallbladder and Foot Jueyin Liver channels, and when severe, it returns to the Liver." This refers to this condition. I once prescribed this formula for patients, which acts faster and more effectively than other medicines, namely Xiong Qiang Tang (Cnidium and Notopterygium Decoction). (*Ben Shi Fang*) [Note: This formula is derived from the Xiong Lao Tang in the *Sheng Ji Zong Lu* under the Headache section, with Duhuo removed, and Danggui, Qianghuo, Shudi, and Banxia Qu added.]
When women suffer from Tou Feng and vertigo, even riding in vehicles or boats causes dizziness, dry eyes, numbness in hands and feet, hair loss, forgetfulness, and irritability. All these are caused by Phlegm retained in the chest. One may use Guiti San (Melon Seed Powder) to induce vomiting. After vomiting, Wuling San (Five-Ingredient Powder with Poria) or Daren Shen Banxia Wan (Ginseng and Pinellia Pill) can be decocted with long-flowing water for administration. (*Zhi Bing Bai Fa*)
This syndrome is most common in women (these two characters were supplemented from *Yi Fang Xuan Yao*), likely because women tend to be prone to anger. The classics state: "The Qi of Heaven is called Wind; the Qi of Humans is called Anger." Anger injures Liver Wood; when Liver Qi moves, it generates Wind, causing the head and eyes to spin and dizzy. This is all due to this reason. (*Qi Xiao Liang Fang*)
In the past, an old woman suffered from red and white leukorrhea for one and a half years, accompanied by dizziness and vertigo, unable to sit or stand comfortably, finding relief only when sleeping. When the leukorrhea was specifically treated and cured, her vertigo also subsided. (*Dan Xi Xin Fa*)
[Clearing Upper Jiao Formulas (Draining Method)]
To treat Liver Jue (Rebellious Qi) causing dizziness and to clear the head and eyes, use Gouteng San (Uncaria Powder).
Ingredients: Gouteng (Uncaria Rhynchophylla), Chenpi (Tangerine Peel, pith removed), Banxia (Pinellia Tuber, soaked in boiling water, washed seven times, thinly sliced, dried), Maimendong (Ophiopogon Tuber, moistened slightly with water, heart removed), Fuling (Poria Cocos, peel removed), Fushen (Poria Cocos with Hostwood, wood removed), Renshen (Ginseng Root, rhizome removed), Ganjuhua (Chrysanthemum Flower, calyx and pedicel removed), Fangfeng (Saposhnikovia Root, fork-like rootlets removed, each 0.5 liang), Gancao (Licorice Root, 1 fen, honey-fried), Shigao (Gypsum Fibrosum, 1 liang, raw).
Grind into coarse powder. Take 4 qian per dose, add 1.5 sheng of water and 7 slices of Shengjiang (Fresh Ginger), decoct until 0.8 sheng remains, strain, and take warm. (*Ben Shi Fang*)
To treat Tou Feng.
Ingredients: Shigao (Gypsum Fibrosum), Baifuzi (Aconitum Carleilii Radix Praeparata, processed), Tiannanxing (Arisaema Cum Bile, processed), Baizhi (Angelica Dahurica Root), Ganjuhua (Chrysanthemum Flower), Jingxiong (Ligusticum Chuanxiong Rhizome), Tianma (Gastrodia Elata Rhizome, equal parts).
Grind and sieve into fine powder. Take 1 qian per dose, chew 3-5 leaves of Bohe (Mentha Haplocalyx) first, then mix with warm wine and swallow. (*Shen Qiao Wan Quan Fang*) *Sheng Ji Zong Lu* treats Wind pathogen attacking upward, causing dizziness, blurred vision, and chest/epigastric restlessness using Bohe San (Mint Powder). Remove Baifuzi, Tiannanxing, and Tianma from the above formula, add Gancao, take 1 qian per dose, mixed with Jingjie (Schizonepeta Spike) tea.
Tianma Banxia Tang (Gastrodia and Pinellia Decoction) treats internal generation of Wind-Phlegm, chest diaphragm discomfort, spinning vertigo, blackouts, nausea, upper heat and lower cold, and inability to lie down peacefully.
Ingredients: Tianma (Gastrodia Elata Rhizome), Banxia (Pinellia Tuber, each 1 qian), Jupi (Tangerine Peel, pith removed), Chaihu (Bupleurum Root, each 0.7 fen), Huangqin (Scutellaria Root, wine-fried), Gancao (Licorice Root, honey-fried), Baifuling (Poria Cocos, peel removed), Qianhu (Peucedani Radix, each 0.5 fen), Huanglian (Coptis Rhizome, 0.3 fen, mustards removed).
Chop the nine ingredients. Combine as one dose, add 2 sheng of water and 3 slices of Shengjiang (Fresh Ginger), decoct until 1 sheng remains, strain, and take warm after meals. Avoid alcohol, wheat products, and cold/raw foods. (*Bao Jian*)
[Note: A recorded case states: I used a three-edged needle to prick about twenty-plus locations. The blood flowed out purple-black, like dewdrops. Soon after, the head and eyes felt clear and unobstructed, and all symptoms decreased significantly. Thus, the following prescription was formulated.]
To treat Tou Feng vertigo, frontal headache, nausea, and vomiting.
Ingredients: Weijin (Note: Likely a typo or alias, kept as original), Huashi (Talcum), Chuanxiong (Ligusticum Chuanxiong Rhizome, each 0.5 liang).
Grind into fine powder. Take 2 qian per dose, mix with vinegar juice and swallow. (*Yi Lin Fang*)
Fangtong Sheng San (Saposhnikovia and Polygala Powder) treats vertigo caused by Wind-Heat. (*Yuan Li*)
Xiong Huang Tang (Ligusticum and Scutellaria Decoction) treats dizziness and blurred vision.
Ingredients: Dahuang (Rhei Radix et Rhizoma), Jingjiesui (Schizonepeta Spike), Guanxiong (Ligusticum Chuanxiong Rhizome), Fangfeng (Saposhnikovia Root, equal parts).
Grind into coarse powder. Prepare a large dose, decoct in water, strain, and drink. Stop when bowel movement occurs. (*Shen Xiao Ming Fang*)
Hei Jiangjun San (Black General Powder, Secret Recipe) treats unbearable vertigo due to excessive Phlegm-Fire.
Stir-fry Dahuang (Rhei Radix et Rhizoma) with wine, grind into powder, and mix with clear tea. [Note: This is Zhu Danxi's formula for headache, seen earlier.] Alternatively, soak Dahuang in wine, steam and sun-dry nine times, grind into powder, make water pills the size of mung beans. Take 100 pills after meals and before sleep, delivered with clear tea. Miraculous effect. (*Yi Jian*)
[Warming and Dispersing Formulas (Suppressing Method)]
Baizhu Fuzi Tang (Atractylodes Macrocephala and Prepared Aconite Decoction) from *Jin Xiao Fang* treats heavy vertigo due to Wind-Deficiency, extreme pain affecting taste perception, warming muscles, tonifying the Middle Jiao, and benefiting Essence and Qi. (*Wai Tai Mi Yao*) [Note: Identical to Gancao Fuzi Tang.]
To treat all types of spinning vertigo originating from constitutional weakness, where Wind pathogen enters the Yang channels, ascends to the head and face, and enters the brain; or due to Phlegm-Water stagnating in the upper chest/diaphragm, aggravated by severe Cold, obstructing Yang Qi, causing Phlegm-Water to condense and rush upward to the head and eyes, causing vertigo. Use Lingyangjiao San (Antelope Horn Powder).
Ingredients: Lingyangjiao (Saiga Antelope Horn, shaved), Fushen (Poria Cocos with Hostwood, wood removed, each 1 liang), Xiong (Ligusticum Chuanxiong Rhizome), Fangfeng (Saposhnikovia Root, fork-like rootlets removed), Banxia (Pinellia Tuber, washed seven times in boiling water), Baizhi (Angelica Dahurica Root, not roasted), Gancao (Licorice Root, honey-fried, each 0.5 liang), Zhike (Aurantii Fructus, pulp removed, finely cut, bran-fried), Fuzi (Prepared Aconite Lateralis Radix, peeled and de-navelled, 0.3 fen).
Grind into coarse powder. Take 4 qian per dose, add 1.5 sheng of water and 0.5 fen of Shengjiang (Fresh Ginger), decoct slowly until 0.7 sheng remains, strain, and take warm at any time. (*Ben Shi Fang*)
Bai San Zi (White Powder) treats Upper Excess and Lower Deficiency, causing dizziness and stupor.
Ingredients: Da Fuzi (Raw Aconite Lateralis Radix, peeled and de-navelled), Guifu Huashi (Talcum from Guilin, each 0.5 liang), Wanbai Banxia (Pinellia Tuber, washed twenty-one times in boiling water, take 0.3 part).
Grind into powder. Take 2 qian per dose, add 2 sheng of water, 7 slices of Shengjiang (Fresh Ginger), half spoon of Honey, decoct until 0.7 sheng remains, take cold on an empty stomach. (*San Yin Fang*)
Xingfu Tang (Arisaema and Aconite Decoction) treats Wind-Deficiency Phlegm generating, spinning vertigo, confusion, slurred speech, and Phlegm-Jue headache.
Ingredients: Tiannanxing (Arisaema Cum Bile, one large piece weighing over 1 liang is best, processed), Da Fuzi (Raw Aconite Lateralis Radix, one piece weighing around 9 qian, peeled and de-navelled, sliced), Renshen (Ginseng Root, 1 liang, high quality).
Chop the three ingredients together. Divide into nine doses. Each dose adds 2 sheng of water and ten slices of Shengjiang (Fresh Ginger coin), decoct until 0.8 sheng remains, take warm. (*Ye Shi*)
Jiangfu Tang (Ginger and Aconite Decoction) treats sudden invasion by Cold, inability to speak, and vertigo with sensation of falling. (*Ji Shi Quan Shu*)
Shenfu Tang (Ginseng and Aconite Decoction) treats insufficiency of True Yang, panting and急促 breathing, shortness of breath, spontaneous sweating, and vertigo. (*Hui Chun*)
Vertigo with vomiting is caused by Cold Stomach generating Phlegm. Use Paof Zhi Chuan Ganjiang (Prepared Sichuan Dried Ginger) 2.5 qian, Chao Zhi Gancao (Honey-fried Licorice Root) 1.2 qian, add 1.5 zhong of water, decoct until half remains, take. Effective with repeated use. (*Ben Cao Gang Mu* citing *Chuan Xin Shi Yong Fang*)
To treat Xu Feng (Deficiency Wind) spinning vertigo and continuous salivation, use Yangzheng Dan (Nourishing Righteous Pill). (*Ben Shi Fang*)
Heixi Dan (Black Tin Pill) treats failure of Yin and Yang to ascend and descend, Upper Heat and Lower Cold, dizziness and blurred vision. It is indicated when the condition is critical or worsens after taking warming medicines. Modifications have been made. (*San Yin Fang*) [Note: Added Wuwei (Litsea Oil) and Qingpi (Citrus Reticulata Green Peel) to the *Heji Ju Fang* formula.]
[Eliminating Fluids Formulas]
To treat Wind-Phlegm obstruction, dizziness and blurred vision, and painful limbs (original text 'Tan' should be 'Teng' meaning pain), use Jingjie Zhusan (Schizonepeta Decoction).
Ingredients: Jingjiesui (Schizonepeta Spike), Xuanfuhua (Inulae Flos, each 4 liang), Qianhu (Peucedani Radix), Gancao (Licorice Root, honey-fried), Mahuang (Ephedrae Herba, stems removed), Shaoyao (Paeonia Lactiflora Radix), Chuanxiong (Ligusticum Chuanxiong Rhizome), Banxia (Pinellia Tuber, each 1 liang).
Grind into powder. Take 2 qian per dose, add 1 da sheng of water, Congbai (Green Onion White), and Bohe (Mentha Haplocalyx), decoct until 0.7 sheng remains, take warm at any time. (*Chuan Jia Mi Bao*) [Note: Jin Feicao San in *Huo Ren Shu* treats Phlegm in the middle jiao due to Cold Damage. It is likely derived from this formula, removing Mahuang and Xiong, adding Xixin. Thus, it is also a Phlegm-treating formula and listed here.]
Renshen Qianhu Tang (Ginseng and Peucedani Decoction) treats aggressive Wind-Phlegm, Tou Feng headache, and spinning vertigo. (*Ye Shi*) [Note: Identical to Shen Su Yin minus Gegen.]
Xuanfuhua Tang (Inula Decoction) treats latent Phlegm in the epigastrium, vomiting, retching, and vertigo. (*Ji Sheng Fang*) (See formula in "Vomiting" chapter.)
Yuye Tang (Jade Liquid Decoction) treats emotional injury, Qi stagnation generating saliva, which rebels upward with Qi, causing dizziness and blurred vision, gastric discomfort and palpitations, and pain in the supraorbital ridge. (Same source) (Identical to Xiaobanxia Tang, add Chenxiang (Aquilaria Wood) infused water, take warm.)
Xiaobanxia Tang (Minor Pinellia Decoction) treats vertigo and arm pain due to Phlegm-Fluid. (*Ye Shi*) (Identical to Erchen Tang.)
Jiawei Erchen Tang (Modified Two-Aged Powder) treats Phlegm vertigo, or injury from cold food.
Ingredients: Chenpi (Tangerine Peel), Banxia (Pinellia Tuber), Baifuling (Poria Cocos, each 1 liang), Gancao (Licorice Root, 5 qian), Dingxiang (Caryophylli Flos), Hujiao (Piperis Longi Fructus, each 3 qian).
Chop into pieces. Take 4 qian per dose, add 3 slices of Shengjiang (Fresh Ginger) and one Wumei (Mume Fruit), decoct together, take hot at any time. For severe constitutional weakness, use Shunyuan San. (*De Xiao Fang*)
Gun Tan Wan (Rolling Phlegm Pill) treats Phlegm-Fire, dizziness and blurred vision as if on a boat, chest fullness and back distension. One dose stops symptoms immediately. (*Yi Tong*)
[Regulating Qi Formulas]
Xiangju Yin (Costus and Citrus Drink) treats Qi-deficiency vertigo.
Ingredients: Muxiang (Aucklandiae Radix), Baizhu (Atractylodes Macrocephala Rhizome), Banxiaqu (Pinellia Fermented Curd), Jupi (Tangerine Peel), Baifuling (Poria Cocos, each 0.5 liang), Suosha (Amomi Fructus Rotundus), Dingxiang (Caryophylli Flos), Gancao (Licorice Root, honey-fried, each 1 fen).
Chop into pieces. Take 3 qian per dose, add 5 thick slices of Shengjiang (Fresh Ginger), decoct together, swallow Suhexiang Wan (Styrax Pill). (*Zhi Zhi Fang*)
Suhexiang Wan (Styrax Pill), dissolved in Jiantang (Jujube Decoction), swallowed with Zhenling Dan (Thunderbolt Pill), treats Heart Qi failing to consolidate, palpitations, and dizziness. (Same source)
*Su Shen Liang Fang* Chen She Wan (Agarwood and Musk Pill) treats all types of Blood-Jue (syncope due to Blood). Take one pill, grind open, mix with milk resin-infused water and swallow. (Same source)
[Nourishing Blood Formulas]
Siwu Tang (Four Substances Decoction) modified treats vertigo due to Blood deficiency and Phlegm-Fire.
Ingredients: Danggui (Angelica Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishao (Paeonia Lactiflora Radix, wine-fried), Shudihuang (Rehmanniae Radix Praeparata), Renshen (Ginseng Root, halved), Chenpi (Tangerine Peel), Pian Qin (Scutellaria Root), Shanzhi (Gardeniae Fructus), Fuling (Poria Cocos, peel removed), Tianma (Gastrodia Elata Rhizome, equal parts), Gancao (Licorice Root, halved).
Chop as one dose, add 3 slices of Shengjiang (Fresh Ginger) and 2 dates, decoct in water, take warm. (*Hui Chun*) [Note: Xiong Lao Tang treats vertigo and fainting after blood loss, found in Gynecology.]
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) treats vertigo belonging to Qi and Blood insufficiency, with concurrent Liver-Kidney Minister Fire and stagnation.
Ingredients: Danggui (Angelica Sinensis Radix), Baizhu (Atractylodes Macrocephala Rhizome), Baishao (Paeonia Lactiflora Radix), Fuling (Poria Cocos), Chaihu (Bupleurum Root), Danpi (Moutan Cortex), Shudi (Rehmanniae Radix Praeparata), Huangbai (Phellodendri Cortex), Zhi Gancao (Licorice Root, honey-fried).
Add Shanzhi (Gardeniae Fructus) and Bohe (Mentha Haplocalyx) to especially swiftly relieve stagnation. (*Hui Bu*)
If caused by Qi stagnation, leading to depressed spirit, add Bohe (Mentha Haplocalyx) and Juhua (Chrysanthemum Flower) to Xiaoyao San. (*Yi Que*)
[Tonifying Deficiency Formulas]
Excessive sexual activity depletes Essence and Yuan Qi, causing vertigo with sensation of falling. Treat primarily with Shiquan Dabu Tang (Ten-Tonifying Decoction). For Kidney deficiency causing vertigo, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), adding 5 qian of Lurong (Deer Antler without Bone) per dose to secure Kidney Qi. (*Yuan Bing Ji*)
Excessive lust empties the Du Mai and Kidney channels, preventing Qi from returning to its source, causing rebellious Qi to rush upward and cause vertigo. Use Liuwei Wan plus Chenxiang (Aquilaria Wood) and Lurong (Deer Antler without Bone), named Xiangrong Bawei Wan (Aromatic and Deer Eight-Ingredient Pill). (*Yi Tong*)
Commissioner Meng Youya suffered from shortness of breath and Phlegm vertigo. After taking acrid-aromatic agents, Phlegm increased and he experienced urinary incontinence. His Chi pulses were floating and large but empty upon pressure. I diagnosed that the Kidneys failed to grasp Qi and return it to the source, exacerbated by acrid-drying herbs. Prescribed Bawei Wan material, cured in three doses. (*Xue Shi Yi An*)
Renshen Yangrong Tang (Ginseng and Nutritive Qi Tonifying Decoction) treats vertigo belonging to Spleen-Liver Blood deficiency, where Ying Qi fails to fill the Three Yin channels. (*Hui Bu*)
[Vomiting Phlegm Formulas]
Guiti San (Melon Seed Powder) treats vertigo and Phlegm-Jue. (*Dan Xi Xin Fa*)
Kufan San (Alum Powder) treats Phlegm vertigo.
Grind Kufan (Alumen) into powder, mix with Shengtang (Ginger Decoction), take 1 qian, induce vomiting for immediate cure. (*Chishui Xuanzhu*) [Note: Since this formula induces vomiting of Phlegm-Saliva, refer to related discussions.]
Zijin Ding (Purple Gold Pellet) treats men and women suffering from Tou Feng vertigo for years. Grind 1-2 pellets in wine and take orally. Vomiting a bowlful of Phlegm prevents recurrence. (*Cui Yan*)
Phlegm knotting in the chest causes vertigo and nausea. Use Yazao (Gleditsia Sinensis Spina) powder mixed with Yantang (Salt Water) to probe for vomiting. After vomiting settles, administer Daotan Tang (Major Phlegm Decoction). (*Hui Bu*)
[Bloodletting (Refer to Tianma Banxia Tang formula above)]
Qin Minghe served as an imperial physician. Emperor Gaozong suffered from Wind vertigo and heavy head, unable to see. He summoned Minghe and Zhang Wenzhong for diagnosis. Minghe said: "Wind-Toxin attacks upward. If we prick the head to release a small amount of blood, it will heal." The Emperor ordered it. Minghe pricked Baihui (GV20) and Naohu (DU16) to bleed. The Emperor said: "My eyes are bright now." (*Yi Shuo*) (Excerpt. Source requires verification.)
[Moxibustion]
My mother accompanied Zhizhong to his post, exposed to river winds, felt her head shaking as if on a boat, lasting half a year. Finally, she vomited large amounts of Phlegm. After taking various Phlegm-resolving medicines and undergoing moxibustion on various Tou Feng acupoints, she recovered. (*Zi Sheng Tang*)