妇人虚风,头目眩晕及心眩,是体虚受风,上入于脑也。诸脏腑之精,皆上注于目,其血气
与脉并上属于脑也。循脉引于目系,目系急,故令眩也。其眩不止,风邪甚,变成癫疾。
(《本事》)钩藤散 治肝厥头晕。
钩藤 陈皮 半夏 麦门冬(去心) 茯苓 茯神 人参 甘菊花 防风(各半两)
甘草(二钱) 石膏(一两)
上咀,每服四钱,水盏半,加姜七片,煎八分,去渣热服。
许叔微方 治妇人患头风者,十居八九。每发必掉眩,如在车舟上。盖因血虚,肝有风邪
袭之耳。余常处此方以治人,甚效。
川芎(一两) 羌活(半两) 当归(三钱) 旋覆花 细辛 防风 蔓荆子 石膏 本
半夏曲 荆芥穗 干地黄 甘草(各半两)
上咀,每服三钱,水盏半,姜三片,煎七分,温服。
头痛连齿,时发时止,连年不已,此由风寒中于骨髓,留而不去。脑为髓海,故头痛,
齿亦痛,谓之厥逆头痛,宜白附子散。若血虚、气虚,宜从丹溪,方、法并见头痛门。
白附子散
麻黄(连根节) 乌头(泡,去皮) 南星(泡。各半两) 白附子(泡,一两。)
全蝎(炒,五枚) 辰砂(研,一分) 麝香(研,一分) 白姜(一分)
上为细末,酒调一字服讫,去枕卧少时。
追风散 治年深日近偏正头疼,又治肝经久虚,血气衰弱,风毒之气上攻,头痛、头眩、
目晕,心悸烦热,百节酸疼,脑昏目痛,鼻塞声重,项背拘急,皮肤瘙痒,面上游风,状若虫
行,及一切头风,兼治妇人血风攻注,头目昏痛,皆治。
川乌(炮,去皮尖) 防风 石膏( ) 川芎 甘草(炙) 荆芥穗 白僵蚕(炒。各一钱)
天麻 南星(泡) 羌活 地龙 白芷 白附子(泡) 全蝎(去尾。各半两) 草乌(泡,去皮尖
雄黄(研。各一分) 没药(研 乳香(研。各一分。)
上为细末,每服五分,入好茶少许同调,食后临卧服。常服清头目,利咽膈,消风化痰。
都梁丸 治诸风,头目眩晕,感冒,伤风,头痛。
白芷(杭州大块新色者,用沸汤洗三四次,晒干。)
上为细末,炼蜜丸如弹子大。每服一丸,多用荆芥点腊茶细嚼下。食后常服,只干嚼下亦可。
妇人虚风证,表现为头目眩晕及心中悸动眩晕,这是由于体质虚弱感受风邪,风邪上入于脑所致。各脏腑的精气,都向上灌注于眼睛,其气血与经脉一同上行归属于脑。循着经脉牵引至目系(眼球连系于脑的脉络),若目系拘急紧张,就会导致眩晕。如果眩晕不止,说明风邪严重,可能演变为癫疾(精神失常或癫痫类疾病)。
《本事方》钩藤散:治疗肝厥引起的头晕。
处方组成:钩藤、陈皮、半夏、麦门冬(去心)、茯苓、茯神、人参、甘菊花、防风(各半两)、甘草(二钱)、石膏(一两)。
制法用法:将药材切碎,每次服用四钱,加水一盏半,加入生姜七片,煎煮至剩余八分药液,滤去药渣,趁热服用。
许叔微方:治疗患头风的妇女,十人中有八九人患病。每次发作必定出现摇动眩晕,感觉如同在车船之上。这是因为血虚,肝经有风邪侵袭所致。我常用此方治疗他人,效果很好。
处方组成:川芎(一两)、羌活(半两)、当归(三钱)、旋覆花、细辛、防风、蔓荆子、石膏、藁本、半夏曲、荆芥穗、干地黄、甘草(各半两)。
制法用法:将药材切碎,每次服用三钱,加水一盏半,加入生姜三片,煎煮至剩余七分药液,温服。
头痛牵连牙齿,时发时止,连续多年不愈,这是由风寒侵入骨髓,停留不去所致。脑为髓海(精髓汇聚之处),所以头痛,牙齿也痛,这称为厥逆头痛,适宜使用白附子散。如果是血虚、气虚所致,应当遵循朱丹溪的方法,具体方剂和治法详见头痛门。
白附子散
处方组成:麻黄(带根节)、乌头(炮制,去皮)、天南星(炮制,各半两)、白附子(炮制,一两)、全蝎(炒,五枚)、辰砂(研细,一分)、麝香(研细,一分)、白姜(一分)。
制法用法:将药材研成细末,用酒调服“一字”量(古代计量单位,约0.5-1克),服药后去掉枕头躺卧片刻。
追风散:治疗日久年深的偏头痛和正头痛,又治疗肝经长期虚弱,气血衰弱,风毒之气上攻引起的头痛、头晕、眼晕,心悸烦热,全身关节酸痛,头脑昏沉眼睛疼痛,鼻塞声音重浊,颈背部拘急僵硬,皮肤瘙痒,面部游走性风疹,感觉像虫子爬行,以及一切头风病;兼治妇人血风攻注引起的头目昏痛,均能治疗。
处方组成:川乌(炮制,去皮尖)、防风、石膏、川芎、甘草(炙)、荆芥穗、白僵蚕(炒,各一钱)、天麻、天南星(炮制)、羌活、地龙、白芷、白附子(炮制)、全蝎(去尾,各半两)、草乌(炮制,去皮尖)、雄黄(研细,各一分)、没药(研)、乳香(研,各一分)。
制法用法:将药材研成细末,每次服用五分,加入少许好茶同调匀,饭后临睡前服用。常服可清利头目,通畅咽喉膈部,消除风邪化痰湿。
都梁丸:治疗各种风邪引起的头目眩晕,感冒,伤风,头痛。
处方组成:白芷(选用杭州大块新色的,用沸水清洗三四次,晒干)。
制法用法:将药材研成细末,用炼蜜制成如弹子大小的丸剂。每次服用一丸,多用荆芥泡腊茶细细咀嚼送下。饭后常服,直接干嚼服用也可以。
Xuèfēng (Deficient Wind) in women manifests as dizziness and vertigo of the head and eyes, along with palpitations accompanied by dizziness. This is caused by a deficiency of the constitution leading to susceptibility to wind pathogen, which ascends into the brain. The essence of all zang-fu organs flows upward to nourish the eyes; their qi and blood, along with the meridians, ascend and connect to the brain. Following the meridians to the eye-brain system (the connections linking the eyeballs to the brain), if the eye-brain system becomes tense or contracted, it causes dizziness. If the dizziness persists, it indicates a severe wind pathogen, which may transform into dianji (epilepsy or mental disorders).
Gouteng San (Uncaria Decoction) from *Ben Shi Fang*: Treats dizziness due to Liver jue (reversal).
Ingredients: Gouteng (Uncariae Ramulus cum Uncis), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), Maidong (Ophiopogonis Radix, heart removed), Fuling (Poria), Fushen (Poria with Hostwood), Renshen (Ginseng Radix et Rhizoma), Juhua (Chrysanthemi Flos), Fangfeng (Saposhnikoviae Radix) — each 0.5 liang; Gancao (Liquorice Root) — 2 qian; Shigao (Gypsum Fibrosum) — 1 liang.
Preparation and Administration: Coarsely crush the herbs. For each dose, use 4 qian of the mixture, add 1.5 cups of water and 7 slices of fresh ginger. Decoct until 0.8 cup remains, strain, and take warm.
Xu Shuwei's Formula: Treats women suffering from Toufeng (Head Wind). Eight or nine out of ten cases occur. Each attack involves shaking dizziness, feeling as if on a boat or carriage. This is due to blood deficiency with wind pathogen invading the Liver meridian. I often prescribe this formula for others with good effect.
Ingredients: Chuanxiong (Ligustici Chuanxiong Rhizoma) — 1 liang; Qianghuo (Notopterygii Rhizoma et Radix) — 0.5 liang; Danggui (Angelicae Sinensis Radix) — 3 qian; Xuanfuhua (Inulae Flos); Xixin (Asari Radix et Rhizoma); Fangfeng (Saposhnikoviae Radix); Manjingzi (Viticis Fructus); Shigao (Gypsum Fibrosum); Gaoben (Ligustici Rhizoma); Banxiaqu (Pinelliae Fermentatum); Jingjiesui (Schizonepetae Spica); Dihuang (Rehmanniae Radix); Gancao (Liquorice Root) — each 0.5 liang.
Preparation and Administration: Coarsely crush the herbs. For each dose, use 3 qian of the mixture, add 1.5 cups of water and 3 slices of fresh ginger. Decoct until 0.7 cup remains, and take warm.
Headache radiating to the teeth, intermittent, persisting for years without cessation, is caused by wind-cold penetrating the bone marrow and lingering there. Since the brain is the Sea of Marrow (brain marrow cavity), headache occurs, and so does toothache. This is called Jueni Tou Tong (Jue Reversal Headache). Baifuzi San (White Aconite Powder) is indicated. If due to Blood Deficiency or Qi Deficiency, follow Danxi’s methods; see the Headache Section for formulas and techniques.
Baifuzi San (White Aconite Powder)
Ingredients: Mahuang (Ephedrae Herba, with root nodes); Wutou (Aconiti Radix, processed, skin removed); Nanxing (Arisaematis Rhizoma, processed) — each 0.5 liang; Baifuzi (Typhonii Rhizoma, processed) — 1 liang; Quanxie (Scorpio) — 5 pieces, stir-fried; Chensha (Cinnabar), pulverized — 1 fen; Shexiang (Moschus), pulverized — 1 fen; Baijiang (Zingiberis Rhizoma Recens/White Ginger) — 1 fen.
Preparation and Administration: Pulverize into fine powder. Mix with wine to administer one "yi" (ancient unit, approx. 0.5-1g). After ingestion, lie down without a pillow for a short time.
Zhuifeng San (Wind-Chasing Powder): Treats chronic lateral and frontal headaches. Also treats long-standing Liver deficiency with weakened qi and blood, where wind-toxic qi attacks upward causing headache, dizziness, visual vertigo, palpitations, irritability, heat sensation, soreness and pain in all joints, cerebral dullness, eye pain, nasal congestion with heavy voice, stiffness and tension in the neck and back, pruritus cutis, wandering wind on the face resembling insect crawling, and all types of Toufeng (Head Wind). It also treats women’s Xuefeng (Blood Wind) attacking downward, causing dull and painful head and eyes.
Ingredients: Chuanwu (Aconiti Radix, processed, skin and tip removed); Fangfeng (Saposhnikoviae Radix); Shigao (Gypsum Fibrosum); Chuanxiong (Ligustici Chuanxiong Rhizoma); Gancao (Liquorice Root, honey-fried); Jingjiesui (Schizonepetae Spica); Baijiangcan (Bombyx Batryticatus, stir-fried) — each 1 qian; Tianma (Gastrodiae Rhizoma); Nanxing (Arisaematis Rhizoma, processed); Qianghuo (Notopterygii Rhizoma et Radix); Dilong (Pheretima); Baizhi (Angelicae Dahuricae Radix); Baifuzi (Typhonii Rhizoma, processed); Quanxie (Scorpio, tail removed) — each 0.5 liang; Caowu (Aconiti Kusnezoffii Radix, processed, skin and tip removed); Xionghuang (Realgar, pulverized) — each 1 fen; Moyao (Myrrha); Rushiag (Olibanum) — each 1 fen, both pulverized.
Preparation and Administration: Pulverize into fine powder. For each dose, use 0.5 fen, mix with a small amount of good tea. Take after meals and before bedtime. Regular use clears the head and eyes, benefits the throat and diaphragm, dispels wind, and resolves phlegm.
Duliang Wan (Duliang Pill): Treats various wind pathogens causing dizziness and vertigo of the head and eyes, common cold, wind-cold invasion, and headache.
Ingredients: Baizhi (Angelicae Dahuricae Radix) — select large, fresh pieces from Hangzhou, wash three to four times with boiling water, and dry.
Preparation and Administration: Pulverize into fine powder. Form pills using refined honey, size of a bullet. Take one pill per dose. Ideally, chew thoroughly with Schizonepeta brewed in Lacha (pressed tea leaf). Can be taken after meals. Dry chewing is also acceptable.