头痛之外。又有头眩。虽无痛苦。而精神眩耀。所见之物。皆颠倒摇动。身如浮云
。足如履空。饮食下咽即吐。胸中怏怏。眼花不定。乃其症也。此为风动肝木。根本皆摇。卷痰
上升。迷乱清气故耳。
定眩饮 治头眩眼花。
明天麻 青皮 薄荷 柴胡 半夏（各二钱） 山茱萸 龙胆草 枳壳 黄连（各二钱）
和荣汤 治气血两虚头眩。
人参 当归 白术 生地 天门冬 麦门冬 五味子（各二钱） 水煎温服。如有痰。加
生姜汁。竹沥。
止旋饮 治冒雨中湿。实火上炎头眩不可当者。
大黄（酒炒五钱） 茶（八钱） 枳实（三钱） 生姜七片煎服。
（附哮 附喘）
有声无痰之谓咳。有痰无声之谓嗽。有声有痰者名曰咳嗽。然谓无声者。非全无声也。
咳而
易出。声之不甚响也。谓无痰者。非果无痰也。嗽而费力痰之不易出也。分而言之。咳为在
肺。嗽为在脾。合而言之。肺与脾迭相为用。而又互相为害者也。使肺不受热。则化气自清
。亦可以利脾。而何至于生痰。脾不受热。则游溢情气。自足以滋肺。而何以至于成嗽。
此肺与脾之互相为害也。由是观之。则脾肺虽分二经。而咳嗽总为一病。病之所由。成皆火
之所致也。虽然火固能致病矣。而亦有得于外。或伤于风。或伤于寒热。如此之类。种种不
同。亦皆归咎于火乎。殊不知始之者。风寒与热也。而成之者火也。内外夹攻。病斯成焉。
而不可以一端求也。然此特论夫咳嗽之由耳。而咳嗽之名非一言之所能尽悉。而数之有
火痰嗽。湿痰嗽。郁痰嗽。顽痰嗽清痰嗽风寒痰嗽。酒食痰嗽。干咳嗽时行嗽。瘀血嗽。与
大肺胀嗽之异焉。而诸嗽之形症。又何以别之。盖火痰嗽者。嗽必面赤。声多痰少。用力久
而后出。脉数喘急是也湿痰嗽者。喉中漉漉有声。嗽而易出者是也。郁痰嗽者。胸臆胀满。
连嗽不出。喉中有喘声。夜不得眠。上饱下饿者是也。顽痰嗽者。胶住咽喉咯不能出必努力
大嗽。而后出少许。如脂膏之状者是也。清痰嗽者。必待嗽而后出。其痰不稠粘者是也。
风痰嗽者。肺气壅盛。必顿嗽
而后出。其痰浮而有沫。状如津唾。而略稠粘者是也。寒痰嗽者得于秋冬之交。或为冷雨所
淋。或为冷风所侵。或露卧星月。或寒天入水所致。其嗽必哮喘。而或肩背觉寒。得热汤饮
之则缓者是也。酒痰嗽者。醉后感冒风热。腹中有酒积。饮浊酒即发者是也。食积痰嗽者。
每食后则嗽。胸膈不宽。其痰稠粘。觉有甜意。面上蟹爪路。一黄一白者是也。干咳嗽者平
素阴血不足。虚火有余。喉中常痒。痒即频嗽。有声而无痰是也。时行嗽。发寒热鼻塞气急
。瘀血嗽。喉间常有腥气。肺胀嗽。动则喘满气急或左或右眠不得者。此痰与瘀血碍气而病
也。又有嗽而两胁痛者。名曰肝咳。有嗽而腰软痛者。名曰肾咳。有嗽而中脘作痛者。名曰
脾咳。有嗽而鼻流清涕者。名曰肺咳。有嗽而口苦舌干者。名曰心咳。又有嗽而遗尿者。气
虚也。又有嗽而五心烦热者。血虚也。凡治病者。当精详而审之。
除了头痛之外，还有头眩（头晕目眩）。虽然头眩没有剧烈的痛苦，但精神恍惚眩晕，所看见的物体都颠倒摇动，身体像浮云一样漂浮，脚踩在空处一样不稳，饮食咽下后立即呕吐，心中郁闷不快，眼花不定，这就是它的症状。这是因为风邪扰动肝木，导致根本动摇，裹挟痰浊上升，迷乱清阳之气所致。
左手脉数主热多，涩脉或芤脉主死血（瘀血）；右手脉实主痰积、火盛。凡是脉象溢大的，必然出现眩晕。
定眩饮：治疗头眩眼花。
明天麻、青皮、薄荷、柴胡、半夏（各二钱）、山茱萸、龙胆草、枳壳、黄连（各二钱）。
和荣汤：治疗气血两虚引起的头眩。
人参、当归、白术、生地、天门冬、麦门冬、五味子（各二钱），水煎温服。如果有痰，加生姜汁、竹沥。
止旋饮：治疗冒雨感受湿邪，实火上炎导致的剧烈头眩不可忍受者。
大黄（酒炒五钱）、茶（八钱）、枳实（三钱）、生姜七片，煎服。
（附哮证 附喘证）
有声无痰叫做咳，有痰无声叫做嗽，有声有痰的叫做咳嗽。然而说“无声”，并不是完全没有声音，而是咳嗽时容易发出声音，但声响不很响亮。说“无痰”，并不是真的没有痰，而是嗽的时候费力，痰不容易咳出。分开来说，咳的病位在肺，嗽的病位在脾。合起来说，肺与脾相互为用，又相互为害。如果肺不受热邪侵袭，那么化气自然清利，也可以利于脾，怎么会生痰呢？如果脾不受热邪侵袭，那么游溢精气，自然足以滋润肺，怎么会形成嗽呢？这就是肺与脾相互为害的道理。由此看来，脾肺虽然分为两条经络，但咳嗽总归是一种病。疾病形成的原因，都是火邪所致。虽然火邪确实能致病，但也有从外感获得的，或者伤于风，或者伤于寒热，像这样种种不同，难道都要归咎于火吗？殊不知，起始的是风寒与热邪，而最终形成病变的是火邪。内外夹攻，疾病就形成了，不能只从一个方面去求索。然而这仅仅论述了咳嗽的成因，而咳嗽的名称不是一句话所能完全说尽的，列举起来有火痰嗽、湿痰嗽、郁痰嗽、顽痰嗽、清痰嗽、风寒痰嗽、酒食痰嗽、干咳嗽、时行嗽、瘀血嗽，以及大肺胀嗽等不同类型。那么各种嗽的症状表现，又该如何辨别呢？大概火痰嗽，咳嗽时必定面赤，声音多而痰少，用力很久才能咳出，脉数且喘急，就是这种。湿痰嗽，喉中漉漉有声，咳嗽容易咳出，就是这种。郁痰嗽，胸膈胀满，连续咳嗽却咳不出，喉中有喘息声，夜间不能安眠，上腹饱胀下腹饥饿，就是这种。顽痰嗽，胶结粘滞在咽喉，咯吐不出来，必须努力大声咳嗽，然后才咳出少许，像脂膏一样的形状，就是这种。清痰嗽，必须等到咳嗽后才咳出，其痰不稠粘，就是这种。风痰嗽，肺气壅盛，必定突然发作咳嗽后才咳出，其痰浮而有泡沫，状如津液唾液，略微稠粘，就是这种。寒痰嗽，得于秋冬之交，或被冷雨淋湿，或被冷风吹袭，或露宿星月之下，或在寒冷天气入水所致。其咳嗽必定伴有哮喘，或者肩背感觉寒冷，喝热汤后则缓解，就是这种。酒痰嗽，醉后感冒风热，腹中有酒积，饮用浊酒即发作，就是这种。食积痰嗽，每次进食后就咳嗽，胸膈不宽畅，其痰稠粘，感觉有甜味，面上有蟹爪路纹路，一黄一白的，就是这种。干咳嗽，平素阴血不足，虚火有余，喉中常痒，痒即频繁咳嗽，有声而无痰，就是这种。时行嗽，发作时恶寒发热、鼻塞、气急。瘀血嗽，喉间常有腥气。肺胀嗽，活动则喘满气急，或左或右，睡眠不安的，这是痰与瘀血阻碍气机而导致的疾病。又有咳嗽伴随两胁疼痛的，名叫肝咳；有咳嗽伴随腰软疼痛的，名叫肾咳；有咳嗽伴随中脘作痛的，名叫脾咳；有咳嗽伴随鼻流清涕的，名叫肺咳；有咳嗽伴随口苦舌干的，名叫心咳。又有咳嗽伴随遗尿的，是气虚；又有咳嗽伴随五心烦热的，是血虚。凡是治病的人，应当精详地审察。
In addition to headache, there is also Xuanxuan (dizziness/vertigo). Although Xuanxuan does not cause severe pain, the spirit feels dizzy and dazzling; objects seen appear inverted and shaking. The body feels like floating clouds, and the feet feel as if stepping on empty space. Food and drink are vomited immediately after swallowing, the chest feels oppressed and uncomfortable, and vision is unstable. These are its symptoms. This is caused by wind stirring up Liver Wood, shaking the root, and phlegm rising upward, confusing the clear Qi.
A rapid pulse on the left indicates excess heat; a choppy or hollow pulse indicates dead blood (blood stasis). A full pulse on the right indicates phlegm accumulation and excessive fire. Whenever the pulse is overflowing and large, dizziness must occur.
Dingxuan Yin (Stabilizing Dizziness Decoction): Treats dizziness and blurred vision.
Tianma (Gastrodiae Rhizoma), Qingpi (Aurantii Fructus Pericarpium), Bohe (Menthae Haplocalycis Herba), Chaihu (Bupleuri Radix), Banxia (Pinelliae Rhizoma Preparatum) [each 2 qian], Shanzhuyu (Corni Fructus), Longdancao (Gentianae Radix), Zhike (Aurantii Fructus Immaturus), Huanglian (Coptidis Rhizoma) [each 2 qian].
Herong Tang (Harmonizing Nutritive Decoction): Treats dizziness due to deficiency of both Qi and Blood.
Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Shengdi (Rehmanniae Radix), Tiandong (Asparagi Radix), Maidong (Ophiopogonis Radix), Wuweizi (Schisandrae Chinensis Fructus) [each 2 qian]. Decoct in water and take warm. If there is phlegm, add Jiangzhi (Zingiberis Recens Juice) and Zhuli (Bambusae Caulis in Taenia).
Zhixuan Yin (Stopping Vertigo Decoction): Treats severe, unbearable dizziness caused by contracting dampness from rain and flaming-up excess fire.
Dahuang (Rhei Radix et Rhizoma) [stir-fried with wine, 5 qian], Cha (Camelliae Sinensis Folium) [8 qian], Zhishi (Aurantii Fructus Immaturus) [3 qian], Shengjiang (Zingiberis Recens Rhizoma) [7 slices]. Decoct and take.
(Attached: Asthma Syndrome; Attached: Panting Syndrome)
Coughing with sound but no phlegm is called Ke (cough); coughing with phlegm but no sound is called Sou (phlegmy cough); coughing with both sound and phlegm is called Kesou (cough and expectoration). However, saying "no sound" does not mean absolutely no sound, but rather that the sound is easily produced yet not very loud. Saying "no phlegm" does not mean there is truly no phlegm, but rather that it is difficult to expectorate despite effort. Separately speaking, Ke is located in the Lung, and Sou is located in the Spleen. Together speaking, the Lung and Spleen mutually assist each other and also mutually harm each other. If the Lung is not invaded by heat, its transforming Qi will naturally be clear, benefiting the Spleen, so how could phlegm be generated? If the Spleen is not invaded by heat, its wandering essence-Qi will sufficiently nourish the Lung, so how could Sou form? This is how the Lung and Spleen mutually harm each other. From this perspective, although the Spleen and Lung belong to two different meridians, Kesou is ultimately one disease. The cause of the disease arises from Fire. Although Fire can indeed cause disease, it can also be acquired externally, such as injury by Wind or injury by Cold-Heat. Such cases vary greatly; should they all be blamed on Fire? In fact, the initiators are Wind-Cold and Heat, while the finalizers are Fire. Internal and external attacks together result in disease, which cannot be sought from only one aspect. However, this only discusses the origin of Kesou. The name "Kesou" cannot be fully explained in one sentence. Listed types include Huotan Sou (Fire-Phlegm Cough), Shitan Sou (Damp-Phlegm Cough), Yutan Sou (Stagnant-Phlegm Cough), Wantan Sou (Stubborn-Phlegm Cough), Qingtang Sou (Clear-Phlegm Cough), Fenghan Tan Sou (Wind-Cold Phlegm Cough), Jiushi Tan Sou (Alcohol-Food Phlegm Cough), Gan Kesou (Dry Cough), Shixing Sou (Epidemic Cough), Yuxue Sou (Blood-Stasis Cough), and Da Feizhang Sou (Great Lung Distension Cough). How then can the manifestations of these various Sou types be distinguished? Generally, Huotan Sou involves facial redness, abundant sound but little phlegm, requiring great effort to expectorate after a long time, with a rapid pulse and panting. Shitan Sou involves gurgling sounds in the throat and easy expectoration. Yutan Sou involves chest oppression, continuous coughing without expectoration, wheezing sounds in the throat, insomnia at night, upper fullness and lower hunger. Wantan Sou involves phlegm stuck firmly in the throat, difficult to expectorate, requiring forceful coughing to produce a small amount resembling grease. Qingtang Sou requires coughing to expectorate, and the phlegm is not thick or sticky. Fengtan Sou involves excessive Lung Qi stagnation, sudden onset of cough before expectoration, with floating, foamy phlegm resembling saliva, slightly sticky. Han Tan Sou occurs during the transition between autumn and winter, caused by cold rain, cold wind exposure, sleeping outdoors under stars/moon, or entering water in cold weather. It involves coughing with asthma, cold sensation in shoulders/back, relieved by hot drinks. Jiu Tan Sou occurs after drunkenness combined with Wind-Heat invasion and alcohol accumulation in the abdomen, triggered by drinking turbid wine. Shi Ji Tan Sou involves coughing after every meal, chest discomfort, thick sticky phlegm with a sweet taste, and crab-claw-like patterns on the face alternating yellow and white. Gan Kesou involves insufficient Yin-Blood normally, excess deficient fire, constant itching in the throat leading to frequent coughing with sound but no phlegm. Shixing Sou involves chills, fever, nasal congestion, and shortness of breath. Yuxue Sou involves a fishy smell in the throat. Feizhang Sou involves panting, fullness, and shortness of breath upon movement, lying uncomfortably on either side. These are diseases caused by phlegm and blood stasis obstructing Qi. Additionally, coughing with bilateral hypochondriac pain is named Gan Ke (Liver Cough); coughing with soft/painful waist is named Shen Ke (Kidney Cough); coughing with epigastric pain is named Pi Ke (Spleen Cough); coughing with clear nasal discharge is named Fei Ke (Lung Cough); coughing with bitter taste and dry tongue is named Xin Ke (Heart Cough). Coughing with urinary incontinence indicates Qi Deficiency; coughing with five-palm heat indicates Blood Deficiency. When treating diseases, one must examine meticulously and carefully.