严氏芎 汤治一切失血过多眩晕不苏
芎 当归(酒浸各等分)
上 咀每服四钱水煎服
良方治风六合汤治风虚眩晕
四物汤加秦艽羌活(详见中风门)
按以上二方皆补血和血之药并出厥阴例然芎归补血之阳而四物则阴阳俱补秦艽羌活可为
佐使不宜等分而用
直指香橘饮治气虚眩晕
木香 白术 半夏曲 橘皮 白茯苓 砂仁(各半两) 甘草(炙) 丁香(各一分)
上锉每服三钱姜五片煎吞苏合香丸本方加芎归各三分官桂半两治血虚眩晕
按直指方云淫欲过度肾家不能纳气归元使诸气逆奔而上此眩晕出于气虚也吐衄崩漏肝家
不能
收摄荣气使诸血失道妄行此眩晕生于血虚也夫既曰肾家不能纳气使气奔上而用此香散辛热之
药此药果能降气乎又曰气虚此药果能补气乎又
曰血虚加芎归官桂夫血虚用芎归则可矣所加官桂与丁香木香等药纵使血有虚寒亦难例用若血
虚有热者其害将何如哉孟子所谓尽信书则不如无书者正此类也
局方黑锡丹治阴阳不升降上盛下虚头目眩晕
养正丹治虚风头旋吐涎不已此药升降阴阳
二方并见局方以乳香泡汤送下
顺气散治体虚痰盛气不顺头目眩晕
南星(一两炮) 川乌 附子(各半两) 木香(二钱半)
上每服三钱姜十片煎
严氏沉香磁石丸治上盛下虚头目眩晕耳鸣耳聋
沉香(半两另研) 磁石(火 醋淬七次研) 胡芦巴(炒) 川巴戟(去心) 阳起石( )
附
子(炮) 椒红(炒) 山茱萸肉 山药(炒各一两) 青盐(另研) 甘菊花 蔓荆子(各半两)
上为细末酒煮米糊丸梧子大每七十丸空心盐汤下
按以上诸方皆是温热金石镇坠之药虽能补下焦之阳虚然金石体质虽重必候火 而成佐以
燥热之药多致飞越之亢况眩晕多有属风属火之证用者宜致思焉
杂方
本事钩藤散治肝厥头晕清头目
钩藤 陈皮 半夏 麦门冬 茯苓 茯神 人参 甘菊花 防风(各半两) 甘草(一分)
石膏(一两)
上 咀每四钱姜七片煎
按前许学士所论近是则此方用药其义未详
谨按头晕诸方用药俱未切当直指香橘饮之说尤为背理大抵外邪之感理宜解表但随其风寒
暑热
以治痰涎内蓄者必当清痰为先气虚者宜补气如东垣之法血虚者宜补血如四物增损之类若肾虚
而气不降者又当益阴而补肾若专执前药岂能中其肯綮耶
Yan Shi Xiongqi Decoction (Szechuan Lovage and Angelica Decoction): Treats vertigo and loss of consciousness caused by excessive blood loss from various sources.
Ingredients: Chuanxiong Rhizoma (Chuanxiong), Danggui Radix (Angelica Sinensis) (soaked in wine, equal parts).
Usage: Cut the herbs into small pieces. Take 4 qian per dose, decoct with water, and take orally.
Liang Fang Zhi Feng Liuhe Tang (Wind-Regulating Six-Harmony Decoction from "Excellent Prescriptions"): Treats vertigo caused by wind deficiency.
Ingredients: Siwu Tang (Four Substances Decoction) plus Qinjiao Radix Gentianae (Gentiana Macrophylla), Qianghuo Rhizoma et Radix Notopterygii (Notopterygium). (See details under the Stroke section).
Note: Both of the above prescriptions are medicines for nourishing blood and harmonizing blood, originating from the treatment principles of the Jueyin Liver channel. However, Xiongui Tang focuses on supplementing the yang within the blood, whereas Siwu Tang supplements both yin and yang. Qinjiao and Qianghuo can be used as assistant drugs (Zuo Shi), but should not be used in equal proportions to the main ingredients.
Zhizhi Fang Xiangju Yin (Aromatic Citrus Drink from "Direct Insights"): Treats vertigo due to Qi deficiency.
Ingredients: Muxiang Radix Aucklandiae (Aucklandia), Baizhu Rhizoma Atractylodis Macrocephalae (Atractylodes Macrocephala), Banxia Qu Fermented Pinelliae (Pinellia Leaven), Jupe Pericarpium Citri Reticulatae (Tangerine Peel), Baifuling Poria (Poria with Hostwood), Sharen Fructus Amomi Rotundus (Amomum), Gancao Radix Glycyrrhizae (Licorice) (roasted with honey), Dingxiang Flos Caryophylli (Clove) (each 1 fen).
Usage: Coarsely crush the herbs. Take 3 qian per dose, decoct with five slices of fresh ginger, and swallow Suhe Xiang Wan (Styrax Pill). If this prescription is modified by adding Chuanxiong Rhizoma (Chuanxiong) and Danggui Radix (Danggui) each 3 qian, and Guigui Cortex Cinnamomi (Cinnamon Bark) 0.5 liang, it treats vertigo due to Blood deficiency.
Note: The book *Zhizhi Fang* states: "Excessive sexual indulgence causes the Kidney organ to fail to grasp Qi and return it to its origin, leading to chaotic Qi rushing upward; this is vertigo arising from Qi deficiency. Hematemesis, epistaxis, and metrorrhagia cause the Liver organ to fail to secure Ying Blood, leading to chaotic bleeding deviating from normal pathways; this is vertigo arising from Blood deficiency." Since it claims that the Kidney fails to grasp Qi, causing Qi to rush upward, how can using these aromatic, drying, acrid, and hot medications truly descend Qi? It also claims Qi deficiency, yet can these medications truly tonify Qi? It mentions Blood deficiency, stating that adding Chuanxiong and Danggui is acceptable, but the added Guigui, Dingxiang, and Muxiang— even if Blood deficiency involves cold deficiency—are difficult to apply universally. What would be the harm if the patient has Heat due to Blood deficiency? Mencius said, "To believe everything in books is worse than having no books at all," which precisely applies to such cases.
Ju Fang Heixi Dan (Black Tin Pill from "Official Formulary"): Treats vertigo and dizziness of the head and eyes caused by failure of Yin and Yang to ascend and descend, characterized by excess above and deficiency below.
Yangzheng Dan (Nourish Righteousness Pill): Treats vertigo and continuous salivation caused by deficient wind. This medication regulates the ascending and descending of Yin and Yang.
Both prescriptions are found in the *Ju Fang*; they should be taken with a decoction of Rushing Xiang Resina Agallochae (Frankincense) soaked in water.
Shunqi San (Qi-Promoting Powder): Treats vertigo and dizziness of the head and eyes caused by constitutional weakness, abundant phlegm-dampness, and stagnant Qi.
Ingredients: Nanxing Rhizoma Arisaematis Preparatum (Prepared Arisaema) (1 liang, processed), Chuanwu Rhizoma Aconiti Kusnezoffii (Kusnezoff Monkshood), Fuzi Radix Aconiti Lateralis Preparata (Prepared Lateral Root of Aconite) (each 0.5 liang), Muxiang Radix Aucklandiae (Aucklandia) (2.5 qian).
Usage: Take 3 qian per dose, decoct with ten slices of fresh ginger.
Yan Shi Chenxiang Cishi Wan (Agarwood and Magnetite Pill by Yan): Treats vertigo, dizziness of the head and eyes, tinnitus, and deafness caused by excess above and deficiency below.
Ingredients: Chenxiang Lignum Aquilariae Resinatum (Agarwood) (0.5 liang, separately ground), Cishi Magnetitum (Magnetite) (calcined, quenched in vinegar seven times, then ground), Hulusba Semen Trichosanthi (Trichosanthes Seed) (stir-fried), Chuanbaji Tian Cortex Morinda Officinalis (Morinda Root Bark) (heart removed), Yangqishi Stilbitum (Stilbite) (processed), Fuzi Radix Aconiti Lateralis Preparata (Prepared Lateral Root of Aconite) (processed), Jiaohong Pericarpium Zanthoxyli (Zanthoxylum Pericarp), Shanzhuyu Fructus Corni (Cornus Fruit), Shanyao Rhizoma Dioscoreae Oppositae (Dioscorea) (stir-fried, each 1 liang), Qingyan Halitum (Rock Salt) (separately ground), Ganhua Ju Flos Chrysanthemi Indici (Chrysanthemum), Manjingzi Fructus Viticis Negundo (Viticis Fructus) (each 0.5 liang).
Usage: Grind into fine powder. Use rice paste boiled in wine to form pills the size of wutong seeds. Take 70 pills per dose on an empty stomach, washed down with salted water.
Note: All the aforementioned prescriptions consist of warm, mineral, and heavy-settling medications. Although they can tonify Yang deficiency in the Lower Jiao, mineral substances are heavy and require proper calcination/fire processing to become effective. When combined with drying and hot medications, they often lead to hyperactive floating Yang. Moreover, vertigo often involves Wind or Fire pathogenic factors; users should reflect deeply on this.
Miscellaneous Prescriptions
Benshi Gouteng San (Uncaria Powder from "Essential Abilities"): Treats liver jue (reversal) causing dizziness, clearing the head and eyes.
Ingredients: Gouteng Ramulus Uncariae cum Uncis (Uncaria Vine with Hooks), Chenpi Pericarpium Citri Reticulatae (Tangerine Peel), Banxia Rhizoma Pinelliae Preparatum (Prepared Pinellia), Maimendong Radix Ophiopogonis (Ophiopogon), Fuling Sclerotium Poria (Poria), Fushen Sclerotium Poria cum Radix Pini (Poria with Pine Root), Renshen Radix Ginseng (Ginseng), Ganhua Ju Flos Chrysanthemi Indici (Chrysanthemum), Fangfeng Radix Saposhnikoviae (Saposhnikovia) (each 0.5 liang), Gancao Radix Glycyrrhizae (Licorice) (1 fen), Shigypsum Fibrosum (Gypsum Fibrosum) (1 liang).
Usage: Cut into small pieces. Take 4 qian per dose, decoct with seven slices of fresh ginger.
Note: The previous discussion by Academician Xu is quite accurate, but the rationale behind the medication in this prescription remains unclear.
Respectful Review: The medication in all previous prescriptions for treating dizziness is not precise enough. The explanation in *Zhizhi Fang* regarding Xiangju Yin is particularly contrary to medical principles. Generally, when external pathogens invade, the principle is to release the exterior, treating according to Cold, Wind, Summerheat, or Heat. For internal accumulation of Phlegm-fluids, clearing Phlegm must be prioritized. For Qi deficiency, tonifying Qi is appropriate, as in Dongyuan's methods. For Blood deficiency, nourishing Blood is suitable, such as modifications of Siwu Tang. For Kidney deficiency where Qi does not descend, nourishing Yin and tonifying the Kidney is required. If one rigidly adheres to the aforementioned medications, how can one hit the vital point of the disease?