(眩是目黑,晕是头旋,皆是气虚挟痰,挟火,挟风,或挟血虚,或兼外感四气)
【风虚】〔草菜〕天麻(目黑头旋,风虚内作,非此不能除,为治风神药,名定风草。
首风旋运,消痰定风,同川芎,蜜丸服。) 术(头忽眩晕,瘦削食土,同曲丸服。) 荆芥
(头旋目眩。产后血晕欲死,童尿调服。) 白芷(头风、血风眩晕,蜜丸服。) 苍耳子(诸
风头晕,蜜丸服;女人血风头旋,闷绝不省,为末酒服,能通顶门。) 菊苗(男女头风眩
晕,发落有痰,发则昏倒,四月收,阴干为末,每酒服二钱。秋月收花浸酒,或酿酒服。) 蒴
根(头风旋晕,同独活、石膏煎酒服;产后血晕,煎服。) 贝母(洗洗恶风寒,目眩项
直。)
杜若(风入脑户,眩倒,目 。) 钩藤(平肝风心火,头旋目眩。) 排风子(目赤头旋,
同甘草、菊花末。) 当归(失血眩晕,芎 煎服。) 芎 (首风旋晕。) 红药子(产后
血晕。)
附子 乌头 薄荷 细辛 木香 紫苏 水苏 白蒿 飞廉 卷柏 蘼芜 羌活 本
地黄 人参 黄 升麻 柴胡 山药(并治风虚眩晕。) 生姜 〔木虫鳞兽〕松花(头
旋脑肿,浸酒饮。) 槐实
如
在车船上。) 蔓荆实(脑鸣昏闷。) 伏牛花 丁香 茯神 茯苓 山茱萸 地骨皮 全蝎
白花蛇 乌蛇(并头风眩晕。) 鹿茸(眩晕,或见一为二。半两煎酒,入麝服。) 驴头(中
风头眩,身颤,心肺浮热,同豉煮食。) 兔头骨及肝 羚羊角 羊头蹄及头骨 羊肉 牛
胃猪脑 猪血 熊
【痰热】〔草菜〕天南星(风痰眩晕吐逆,同半夏、天麻、白面煮丸。) 半夏(痰厥昏
晕,同甘草、防风煎服;风痰眩晕,研末水沉粉,入朱砂丸服;金花丸∶同南星、寒水石、
天麻、雄黄、白面,煮丸服。) 白附子(风痰,同石膏、朱砂、龙脑丸服。) 大黄(湿热
眩
晕,炒末茶服。) 旋复花 天花粉 前胡 桔梗 黄芩 黄连 泽泻 白芥子(热痰烦运,
同黑芥子、大戟、甘遂、芒硝、朱砂丸服。) 〔果木〕橘皮 荆沥 竹沥(头风旋晕目
眩,
心头漾漾欲吐。) 枳壳 黄柏 栀子 〔金石〕石胆(女人头晕,天地转动,名曰心眩,
非血风也。以胡饼剂和,切小块焙干,每服一块,竹茹汤下。) 云母(中风寒热,如在舟
船
上。同恒山服,吐痰饮。) 石膏(风热。) 铅、汞(结砂。) 硫黄 硝石(并除上盛下
虚,
痰涎眩晕。) 朱砂 雄黄 〔虫禽〕白僵蚕(并风痰。) 鹘嘲(头风目眩,炙食一枚。)
鹰头(头目虚晕,同川芎末服。) 鸱头
【外治】甘蕉油(吐痰。) 瓜蒂(吐痰。痰门吐法
鼻。)
(眩晕:眩是指眼前发黑,晕是指头晕目眩,这些症状都是由于气虚夹杂痰湿、火邪、风邪,或者夹杂血虚,或者兼有外感四时不正之气所致。)
【风虚证】
【草菜类】天麻(主治眼前发黑、头晕目眩,这是风虚内作所致,非此药不能消除,是治疗风证的特效药,又名定风草。首风引起的头晕目眩,能消痰定风,可与川芎同用,制成蜜丸服用。)白术(主治突然头晕目眩,身体消瘦且食欲异常嗜食泥土,可与神曲同用制成丸剂服用。)荆芥(主治头晕目眩。产后血晕濒死,用童子尿调服。)白芷(主治头风、血风引起的头晕目眩,制成蜜丸服用。)苍耳子(主治各种风邪引起的头晕,制成蜜丸服用;妇女因血风引起的头晕目眩,胸闷昏厥不省人事,研成粉末用酒送服,能通达头顶百会穴。)菊苗(男女头风引起的头晕目眩,脱发且有痰,发作时昏倒,四月采收,阴干后研成粉末,每次用酒送服二钱。秋季采收菊花浸泡在酒中,或酿酒服用。)蒴藋根(主治头风旋晕,与独活、石膏一起煎酒服用;产后血晕,煎汤服用。)贝母(主治恶寒战栗,怕风怕冷,眼睛眩晕,颈部僵硬。)杜若(主治风邪侵入脑户,导致眩晕跌倒,眼睛视物模糊。)钩藤(平抑肝风和心火,主治头晕目眩。)排风子(主治眼睛红肿、头晕目眩,与甘草、菊花粉末同用。)当归(主治失血引起的眩晕,与川芎煎汤服用。)川芎(主治首风引起的头晕目眩。)红药子(主治产后血晕。)附子、乌头、薄荷、细辛、木香、紫苏、水苏、白蒿、飞廉、卷柏、蘼芜、羌活、藁本、地黄、人参、黄芪、升麻、柴胡、山药(均能治疗风虚引起的眩晕。)生姜。
【木虫鳞兽类】松花(主治头晕目眩、脑部肿胀,浸泡在酒中饮用。)槐实(如乘坐车船时的晕动症。)蔓荆实(主治脑鸣、昏闷。)伏牛花、丁香、茯神、茯苓、山茱萸、地骨皮、全蝎、白花蛇、乌梢蛇(均能治疗头风眩晕。)鹿茸(主治眩晕,有时视一物为两物。半两用量煎酒,加入麝香服用。)驴头(主治中风引起的头眩,身体颤抖,心肺浮热,与豆豉一起煮食。)兔头骨及肝脏、羚羊角、羊头蹄及头骨、羊肉、牛胃、猪脑、猪血、熊掌。
【痰热证】
【草菜类】天南星(主治风痰引起的眩晕呕吐,与半夏、天麻、白面一起煮制成丸剂。)半夏(主治痰厥引起的昏晕,与甘草、防风煎汤服用;风痰引起的眩晕,研成粉末用水沉淀取粉,加入朱砂制成丸剂服用;金花丸配方:与天南星、寒水石、天麻、雄黄、白面一起煮制成丸剂服用。)白附子(主治风痰,与石膏、朱砂、龙脑一起制成丸剂服用。)大黄(主治湿热引起的眩晕,炒成粉末用茶送服。)旋复花、天花粉、前胡、桔梗、黄芩、黄连、泽泻、白芥子(主治热痰引起的烦躁眩晕,与黑芥子、大戟、甘遂、芒硝、朱砂一起制成丸剂服用。)
【果木类】橘皮、荆沥、竹沥(主治头风旋晕、眼睛眩晕,心中荡漾欲吐。)枳壳、黄柏、栀子。
【金石类】石胆(主治女人头晕,感觉天地旋转,名为心眩,并非血风所致。用胡饼和药制成小块,焙干,每次服用一块,用竹茹汤送下。)云母(主治中风寒热,感觉如在舟船上摇晃。与恒山同服,可吐出痰饮。)石膏(主治风热。)铅、汞(结成砂状。)硫黄、硝石(均能清除上盛下虚引起的痰涎眩晕。)朱砂、雄黄。
【虫禽类】白僵蚕(均能治疗风痰。)鹘嘲(主治头风目眩,炙烤食用一枚。)鹰头(主治头目虚晕,与川芎粉末同服。)鸱头。
(Xuan refers to dimness of vision, Yun refers to dizziness; both are caused by Qi deficiency complicated with phlegm, fire, wind, or blood deficiency, or concurrent external contraction of the four seasonal pathogenic factors.)
[Wind Deficiency]
[Herbs and Vegetables] Gastrodiae Rhizoma (Gastrodia Rhizome) (Treats dimness of vision and dizziness caused internally by wind deficiency; this herb is indispensable for elimination and is a divine medicine for treating wind disorders, also named Dingfeng Cao [Stabilizing Wind Grass]. For Shou Feng [primary wind] causing dizziness, it resolves phlegm and stabilizes wind; taken as honeyed pills with Chuanxiong Rhizoma [Ligusticum Rhizome].) Atractylodis Macrocephalae Rhizoma (Atractylodes Rhizome) (Treats sudden dizziness and emaciation with geophagia [craving to eat soil]; taken as pills with Shenqu [Medicated Leaven].) Schizonepetae Herba (Schizonepeta Herb) (Treats dizziness and visual vertigo. For postpartum blood syncope approaching death, administer with urine from a healthy boy.) Angelicae Dahuricae Radix (Dahurian Angelica Root) (Treats dizziness caused by head wind and blood wind; taken as honeyed pills.) Xanthii Fructus (Xanthium Fruit) (Treats dizziness from various wind pathogens; taken as honeyed pills. For women with blood wind causing dizziness, chest tightness, coma, and unconsciousness, take as powder with wine to unblock the Baihui acupoint on the vertex.) Chrysanthemi Indici Folium (Chrysanthemum Seedling) (Treats head wind and dizziness in men and women, hair loss with phlegm, and fainting upon onset. Harvest in April, dry in shade, powder, and take 2 qian with wine. In autumn, harvest flowers, infuse in wine, or brew into wine.) Sarsaparillae Radix (Smilax Root) (Treats head wind and dizziness; decoct with Saposhnikoviae Radix [Ledebouriella Root] and Gypsum Fibrosum [Gypsum] in wine. For postpartum blood syncope, decoct and drink.) Fritillariae Thunbergii Bulbus (Thunberg Fritillary Bulb) (Treats chills, aversion to wind and cold, visual vertigo, and neck stiffness.) Dativae Radix (Datavia Root) (Treats wind entering the Naohu region, causing fainting and blurred vision.) Uncariae Ramulus cum Uncis (Uncaria with Hooks) (Calm liver wind and heart fire; treat dizziness and visual vertigo.) Paifengzi (Paifeng Seed) (Treats red eyes and dizziness; combine with Glycyrrhizae Radix et Rhizoma [Licorice Root] and Chrysanthemi Flos [Chrysanthemum Flower] powder.) Angelicae Sinensis Radix (Chinese Angelica Root) (Treats dizziness due to blood loss; decoct with Chuanxiong Rhizoma.) Chuanxiong Rhizoma (Sichuan Lovage Rhizome) (Treats dizziness from Shou Feng.) Hongyaozi (Hongyao Seed) (Treats postpartum blood syncope.) Aconiti Lateralis Radix Praeparata (Prepared Lateral Root of Monkshood), Aconiti Radix (Monkshood Root), Menthae Haplocalycis Herba (Peppermint Herb), Asari Radix et Rhizoma (Asarum Root), Aquilariae Lignum Resinatum (Agarwood), Perillae Folium (Perilla Leaf), Pogostemonis Herba (Patchouli Herb), Artemisiae Argyi Folium (Mugwort Leaf), Cirsii Japonici Herba (Japanese Thistle Herb), Selaginellae Tamariscinae Herba (Spikemoss Herb), Notopterygii Rhizoma et Radix (Notopterygium Rhizome), Ligustici Wallichii Rhizoma et Radix (Notopterygium Rhizome), Rehmanniae Radix (Rehmannia Root), Ginseng Radix (Ginseng Root), Astragali Membranacei Radix (Astragalus Root), Cimicifugae Rhizoma (Black Cohosh Rhizome), Bupleuri Radix (Bupleurum Root), Dioscoreae Rhizoma (Dioscorea Rhizome) (All treat dizziness due to wind deficiency.) Zingiberis Recens Rhizoma (Fresh Ginger Rhizome).
[Trees, Insects, Fish, Beasts] Pinus Massoniana Pollen (Masson Pine Pollen) (Treats dizziness and brain swelling; infuse in wine and drink.) Sophorae Fructus (Sophora Fruit) (For motion sickness like that experienced on carriages or boats.) Viticis Fructus (Vitis Vinifera Fruit) (Treats tinnitus in the brain and mental dullness.) Callicarpa Formosanae Caulis (Callicarpa Stem), Eugeniae Caryophyllati Flos (Clove), Poria (Poria Cocos), Alismatis Rhizoma (Alisma Rhizome), Corni Fructus (Cornelian Cherry Fruit), Lycii Cortex (Wolfberry Bark), Scorpio (Scorpion), Bungarus multicinctus (Many-banded Krait), Elaphe carinata (Keel-scaled Snake) (All treat head wind and dizziness.) Cervi Cornu Degelatinatum (De-glazed Deer Antler) (Treats dizziness, where one object appears as two. Decoct half liang in wine, add Moschus [Musk], and take.) Equus Asinus Caput (Donkey Head) (Treats stroke-induced dizziness, body tremors, and floating heat in heart and lungs; cook and eat with Fabae Fermentatum Nigrum [Black Soybean Paste].) Lepus Capitis Os et Hepat (Rabbit Head Bone and Liver), Saigae Tataricae Cornu (Saiga Horn), Ovis Aries Caput et Unguis et Os (Sheep Head, Hoof, and Bone), Ovis Aries Carcass (Sheep Meat), Sus Scrofa Domestica Ventriculus (Pig Stomach), Sus Scrofa Domestica Cerebrum (Pig Brain), Sus Scrofa Domestica Sanguis (Pig Blood), Ursi Medull (Bear Marrow).
[Phlegm-Heat]
[Herbs and Vegetables] Pinelliae Rhizoma Preparatum (Prepared Pinellia Rhizome) (Treats dizziness and vomiting due to wind-phlegm; decoct with Banxia [Pinellia Rhizome], Tianma [Gastrodia Rhizome], and wheat flour to make pills.) Pinelliae Rhizoma (Pinellia Rhizome) (Treats syncope and dizziness due to phlegm-jue; decoct with Glycyrrhizae Radix et Rhizoma [Licorice Root] and Saposhnikoviae Radix [Ledebouriella Root]. For wind-phlegm dizziness, grind into powder, settle in water, mix with Cinnabaris [Cinnabar], and make pills. Jinhua Wan [Golden Flower Pill]: decoct with Nanxing [Pinellia Rhizome], Hanshuishi [Halloysitum Rubrum], Tianma [Gastrodia Rhizome], Xionghuang [Realgar], and wheat flour to make pills.) Baifuzi (Fuzi of Bletilla? Note: Context implies Typhonii Rhizoma [Typhonium Rhizome]) (Treats wind-phlegm; combine with Gypsum Fibrosum [Gypsum], Cinnabaris [Cinnabar], and Borax [Longnao] to make pills.) Rhei Radix et Rhizoma (Rhubarb Root) (Treats dizziness due to damp-heat; take roasted powder with tea.) Inulae Flos (Inula Flower), Trichosanthis Radix (Trichosanthes Root), Peucedani Radix (Peucedanum Root), Platycodonis Radix (Balloon Flower Root), Scutellariae Radix (Scutellaria Root), Coptidis Rhizoma (Coptis Rhizome), Alismatis Rhizoma (Alisma Rhizome), Mustard Seed (White Mustard Seed) (Treats irritability and dizziness due to hot-phlegm; combine with Black Mustard Seed, Euphorbiae Humifusa Radix [Euphorbia Root], Kansui Radix [Kansui Root], Mirabilitum [Mirabilite], and Cinnabaris [Cinnabar] to make pills.)
[Fruits and Trees] Citri Reticulatae Pericarpium (Tangerine Peel), Jingli (Jing Juice), Zhuli (Bamboo Sap) (Treats head wind dizziness, visual vertigo, and nausea with a swirling sensation in the heart.) Aurantii Fructus (Bitter Orange Fruit), Phellodendri Amurensis Cortex (Amur Cork Tree Bark), Gardeniae Fructus (Gardenia Fruit).
[Minerals and Metals] Danzhong (Stone Gall) (Treats female dizziness with a sensation of heaven and earth rotating, called Xin Xuan [Heart Dizziness], not blood wind. Mix with Hu Bing [sesame bread dough], cut into small pieces, bake dry, take one piece at a time, swallow with Zhuru [Bamboo Shavings] decoction.) Yunnmu (Muscovite) (Treats wind-stroke with alternating chills and fever, feeling like being on a boat. Combine with Hengshan [Polygala Root] to induce vomiting of phlegm-fluids.) Gypsum Fibrosum (Gypsum) (Treats wind-heat.) Lead, Mercury (Form cinnabar-like grains.) Realgar, Mirabilitum (Both clear dizziness due to phlegm-saliva from excess above and deficiency below.) Cinnabaris (Cinnabar), Realgar (Realgar).
[Insects and Birds] Bombyx Batryticatus (Silkworm) (Both treat wind-phlegm.) Hechao (Hawk Parrot? Note: Likely a specific bird part) (Treats head wind and visual vertigo; roast and eat one.) Accipiter Caput (Hawk Head) (Treats deficiency dizziness of head and eyes; take with Chuanxiong Rhizoma [Ligusticum Rhizome] powder.) Chi Tou (Owl Head).
[External Treatment] Musa Basjoo Oil (Banana Oil) (Induces vomiting to resolve phlegm.) Cucumeris Melonis Fructus (Melon Fruit) (Induces vomiting to resolve phlegm. Refer to the Vomiting Method in the Phlegm section for nasal administration.)