（多主于痰。）
痛甚者火多。亦有可吐者、亦有可下者。
清空膏治诸般头痛，除血虚头痛不治。
血虚头痛，自鱼尾上攻头痛，必用川芎当归汤。
古方有追涎药，出东垣试效。
羌活 防风 黄连（各炒一两） 柴胡（七钱） 川芎（二钱） 甘草（一两半，炙） 黄芩（三两，
刮去黄色，锉碎一半，酒炒一半）
上为末；每服二钱匕。热盏内入茶少许，汤调如膏，抹在口内，少用汤送下，临卧服之。
痰挟气、虚火，治痰为主。挟补气药，并降火药。
属痰，无痰则不能作眩。
属火，痰因火动。又有湿痰者、有火多者左手脉数，热多。脉涩，有死血。
右手脉实，痰积。脉大，必是久病。
（火动其痰。）
二陈汤加黄芩、苍术、羌活，散风行湿。或用防风行湿之剂可也。
昔有一老妇，患赤白带一年半，是头眩，坐立不久，睡之则安。专用治赤白带除之，其眩自安矣。
风热痰，作风痰治，类痛风。白术，酒黄芩末，茶调服。
又方∶川乌头、草乌，二味为君，童便浸洗，炒，去毒，细辛、黄芩、羌活、甘草，佐之。
少阳厥阴热多，皆属于热，耳鸣者是。
戴云∶亦有气闭者，盖亦是热。气闭者，耳不鸣也。
蓖麻子（四十九粒） 枣肉（十个）
上入人乳捣成膏子，石头上略晒干，便丸如桐子大，以绵裹塞于耳中。
又方∶用鼠胆入耳中，尤好。仍开痰、散风热。
大病后，须用四物汤降火。
有阴虚火动耳聋者，亦如上法。
(Most cases are primarily due to Phlegm.)
Severe pain is mostly caused by Fire. There are also cases suitable for emesis therapy and cases suitable for purgation therapy.
Qingkong Gao (Clearing the Vault Paste) treats various types of headache, but does not treat headaches caused by Blood deficiency.
Headaches caused by Blood deficiency, where pain attacks upward from the outer corner of the eye, must be treated with Chuanxiong Danggui Tang (Ligusticum and Angelica Decoction).
Ancient formulas include "saliva-chasing medicines," originating from Li Dongyuan's *Shixiao Fang* (Trial-Efficacy Formulas).
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Huanglian (Coptidis Rhizoma) (each stir-fried, 1 liang), Chaihu (Bupleuri Radix) (7 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1.5 liang, honey-fried), Huangqin (Scutellariae Radix) (3 liang, scrape off the yellow skin, half crushed raw, half wine-stir-fried).
Grind the above into powder; take 2 qianbi per dose. Add a little tea to a warm teacup, mix with hot water to form a paste, apply inside the mouth, and swallow with a small amount of warm water. Take before bedtime.
When Phlegm is complicated by Qi stagnation or Deficient Fire, treatment focuses on resolving Phlegm. Combine with Qi-tonifying herbs and Fire-descending herbs.
If attributed to Phlegm, without Phlegm, dizziness cannot occur.
If attributed to Fire, Phlegm moves due to Fire agitation. There are also cases of Damp-Phlegm, and cases of excessive Fire presenting with a rapid pulse on the left hand, indicating Heat. A choppy pulse indicates fixed blood stasis.
A full pulse on the right hand indicates Phlegm accumulation. A large pulse indicates a chronic illness.
(Fire agitation causes Phlegm to rise.)
Erchen Tang (Two-Cured Decoction) added with Huangqin (Scutellariae Radix), Cangzhu (Atractylodis Rhizoma), and Qianghuo (Notopterygii Rhizoma et Radix) disperses Wind and removes Dampness. Alternatively, using agents that disperse Wind and remove Dampness is acceptable.
In the past, an old woman suffered from red and white leukorrhea for one and a half years, accompanied by dizziness, unable to sit or stand for long periods, finding relief only in sleep. By specifically treating the leukorrhea to cure it, her dizziness naturally resolved.
Wind-Heat Phlegm is treated as Wind-Phlegm, resembling gout symptoms. Use Baizhu (Atractylodis Macrocephalae Rhizoma) and Jiu Huangqin (Wine-processed Scutellariae Radix) powder, mixed with tea and taken orally.
Another formula: Chuan Wutou (Aconiti Radix Preparata) and Cao Wutou (Aconiti Kusnezoffii Radix Preparata) serve as the sovereign drugs, soaked and washed in child's urine, stir-fried to remove toxicity, assisted by Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Gancao (Glycyrrhizae Radix et Rhizoma).
Shaoyang (Lesser Yang) and Jueyin (Terminal Yin) channels have excessive Heat, all belonging to Heat syndrome; tinnitus is a manifestation of this.
Dai Yun stated: There are also cases caused by Qi blockage, which are also related to Heat. In cases of Qi blockage, there is no tinnitus.
Bimazi (Ricini Semen) (49 seeds), Zaorou (Ziziphi Jujubae Mesocarp) (10 dates).
Mix the above with human milk, pound into a paste, dry slightly on stone, roll into pills the size of paulownia seeds, wrap in cotton, and insert into the ear.
Another formula: Insert mouse gallbladder bile into the ear, which is even better. It also resolves Phlegm and disperses Wind-Heat.
After a major illness, Siwu Tang (Four Substances Decoction) must be used to descend Fire.
For deafness caused by Yin deficiency with Fire agitation, use the same method as above.