痰挟气虚与火。治痰为主，及补气降火药。此证属痰者多，无痰则不能作眩。又有湿痰者，有火多者。左手脉
数多热，脉涩有死血；右脉实痰积，脉大必是火病。一本云∶火病当作久病，盖久病之人，气血俱虚而痰浊不降也。
湿痰者，二陈汤；火多者，二陈加酒片芩；挟气虚与相火者，亦治痰为主，兼补气降火，如半夏、白术、天麻汤之类。
一老妇患赤白带一年半，只是头眩，坐立不久，睡之则安，专治带，带病愈，其眩亦愈。
痰在上，火在下，火炎上而动其痰也。有气虚挟痰者，四君、二陈， 、芎、荆芥。风痰眩运，二陈汤加芩、
苍、防、羌治之。眩运不可当者，以大黄酒浸，炒三次为末，茶调服。气实人有痰，或头重或眩运者，皆治之。壮
实人热痛甚，大便结燥大承气汤。
此湿气在上，用瓜蒂散鼻内搐之。红豆散治头重如
山，此湿气在头也∶麻黄（五钱） 苦丁香（五分） 羌活（三分） 连翘（三分） 红豆（十五粒） 为末搐鼻。
头面肿壅，有热，而脉弦数，凉膈散去硝黄加桔梗、枳壳、荆芥、薄荷。面上红肿，因气实而作者，用胃风汤。
面肿生疮，调胃承气汤加薄荷、荆芥。
属风热与痰。作风痰治，类痛风证，用白芷、酒片芩，等分为末，每服二钱，茶清调下。又方∶川乌、草
乌、童便浸炒去毒各一钱为君，细辛、羌活、酒芩、甘草各半分为佐，为细末，分作二三服，茶清下。一加南星，姜茶
调服。一方选奇汤，防、羌、酒芩、甘草煎服。
痰邪夹杂气虚与火邪。治疗以治痰为主，配合补气降火的药物。这种病症属于痰证的居多，若无痰则不能引发眩晕。又有湿痰证者，有火邪偏盛者。左手脉象数多主热，脉涩提示有瘀血；右手脉实提示痰积，脉大必定是火病。另一版本记载：“火病”应作“久病”，因为久病之人，气血俱虚而痰浊不降。湿痰证，用二陈汤；火邪偏盛者，二陈汤加酒炒黄芩；夹杂气虚与相火者，也以治痰为主，兼补气降火，如半夏、白术、天麻汤之类。
一位老妇人患赤白带下一年半，只是感到头晕目眩，坐立不久便难受，睡觉则安宁，专门治疗带下病，带下病痊愈后，其眩晕也随之痊愈。
痰在上焦，火在下焦，火炎上动而扰动其痰。有气虚挟痰者，用四君子汤、二陈汤，加川芎、荆芥。风痰引起的眩晕，用二陈汤加黄芩、苍术、防风、羌活治疗。眩晕剧烈难以忍受者，用大黄经酒浸，炒三次研为细末，茶调服。气实人有痰，或头重或眩晕者，皆可用此法治疗。身体壮实人热痛甚剧，大便干结燥硬者，用大承气汤。
这是湿气在上焦，用瓜蒂散从鼻腔内搐入。红豆散治疗头重如山，这是湿气在头部：麻黄（五钱）、苦丁香（五分）、羌活（三分）、连翘（三分）、红豆（十五粒），研为细末搐鼻。
头面部肿胀壅塞，有热象，且脉象弦数，用凉膈散去芒硝、大黄，加桔梗、枳壳、荆芥、薄荷。面部红肿，因气实所致者，用胃风汤。面肿生疮，用调胃承气汤加薄荷、荆芥。
属于风热与痰邪。按风痰治疗，类似痛风证，用白芷、酒炒黄芩，等分为细末，每次服用二钱，茶清调下。又一方：川乌、草乌、童便浸炒去毒各一钱为君药，细辛、羌活、酒芩、甘草各半分为佐药，研为细末，分作二三服，茶清送下。一加南星，姜茶调服。一方选用选奇汤，防风、羌活、酒芩、甘草煎服。
Phlegm combined with Qi deficiency and Fire. Treatment focuses on resolving phlegm, accompanied by herbs that tonify Qi and descend Fire. This condition is mostly attributable to Phlegm; without Phlegm, dizziness cannot occur. There are cases of Damp-Phlegm and cases where Fire is excessive. A rapid pulse in the left position indicates Heat; a choppy pulse suggests fixed blood stasis (Si Xue). A full pulse in the right position indicates Phlegm accumulation; a large pulse necessarily indicates a Fire disease. Another version states: "Fire disease" should be read as "chronic disease," because patients with chronic illnesses have both Qi and Blood deficiency, leading to the failure of turbid Phlegm to descend. For Damp-Phlegm, use Er Chen Tang (Two-Aged Decoction); for excessive Fire, use Er Chen Tang plus Jiu Pian Qin (Jiao Huang Qin, Wine-fried Scutellariae Radix); for cases combining Qi deficiency with Ministerial Fire, treatment also prioritizes resolving Phlegm while simultaneously tonifying Qi and descending Fire, such as Ban Xia, Bai Zhu, Tian Ma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction).
An elderly woman suffered from red and white leukorrhea for one and a half years, experiencing only dizziness. She could not sit or stand for long periods but felt relief when sleeping. Treating the leukorrhea specifically led to its cure, and subsequently, her dizziness also resolved.
When Phlegm is in the Upper Jiao and Fire is in the Lower Jiao, the flaming-up of Fire agitates the Phlegm. In cases of Qi deficiency with accompanying Phlegm, use Si Jun Zi Tang (Four Gentlemen Decoction) and Er Chen Tang, added with Chuan Xiong and Jing Jie. For wind-phlegm causing vertigo, treat with Er Chen Tang added with Qin (Scutellariae Radix), Cang Zhu, Fang Feng, and Qiang Huo. For severe, unbearable vertigo, use Da Huang (Rhei Radix et Rhizoma) soaked in wine, stir-fried three times, ground into powder, and taken with tea. For individuals with excess Qi and Phlegm, presenting with heavy head or vertigo, this method applies. For robust individuals with severe heat pain and dry, constipated stool, use Da Cheng Qi Tang (Major Order the Qi Decoction).
This is dampness located in the Upper Jiao; use Gua Di San (Melon Sepal Powder) insufflated into the nasal cavity. Hong Dou San (Red Bean Powder) treats a sensation of heaviness in the head like a mountain, indicating dampness in the head: Ma Huang (Ephedrae Herba, 5 qian), Ku Ding Xiang (Caryophylli Flos, 5 fen), Qiang Huo (Notopterygii Rhizoma et Radix, 3 fen), Lian Qiao (Forsythiae Fructum, 3 fen), Hong Dou (Adenophorae Radix, 15 grains), ground into powder and insufflated into the nose.
Swelling and congestion of the head and face with heat signs and a wiry-rapid pulse: use Liang Ge San (Cool the Epigastrium Powder) minus Xiao Shi (Mang Xiao, Natrii Sulfas) and Da Huang, added with Jie Geng, Zhi Ke, Jing Jie, and Bo He. Facial redness and swelling due to excess Qi: use Wei Feng Tang (Stomach Wind Decoction). Facial swelling with sores: use Tiao Wei Cheng Qi Tang (Regulate the Stomach and Order the Qi Decoction) added with Bo He and Jing Jie.
Attributable to Wind-Heat and Phlegm. Treat as wind-phlegm, similar to gout-like syndromes. Use Bai Zhi and Jiu Pian Qin (Wine-fried Scutellariae Radix) in equal parts, ground into powder. Take 2 qian per dose, mixed with clear tea. Another prescription: Chuan Wu (Aconiti Radix) and Cao Wu (Aconiti Kusnezoffii Radix), soaked in child's urine and stir-fried to remove toxicity, each 1 qian as Sovereign herbs; Xi Xin, Qiang Huo, Jiu Qin, and Gan Cao, each 0.5 fen as Minister herbs. Ground into fine powder, divided into two or three doses, taken with clear tea. Add Nan Xing (Arisaematis Rhizoma Praeparatum), taken with ginger-tea. Another formula uses Xuan Qi Tang (Select Extraordinary Decoction): Fang Feng, Qiang Huo, Jiu Qin, and Gan Cao, decocted and taken.