头眩，痰挟气虚，属火，治痰为主兼补气药，如东垣半夏白术天麻汤之类也。眩运不可当
者，以大黄酒炒为末，茶清调下即止。或用黑锡丹镇坠之，皆急则治标也。火动其痰及湿痰，
二陈汤加黄芩、苍术、羌活散风行湿。早起眩运，须臾自定，日以为常者，正元饮吞下黑锡丹。
伤湿头运，肾着汤加川芎，名除湿汤。疏风，川芎茶调散。有痰，青州白丸子。
丹溪治一老妇，患赤白带下年半，头眩。坐之不得，睡之则安，专治赤白带，带愈，其眩
亦安。
春甫治一妇人，忽眩倒不能动，诊其脉，两寸浮大而滑，知风痰眩运而兼火也，以半夏白术
天麻汤下滚痰丸一百粒，即愈。
愈风饼子 治风邪眩运，或先服吐药后服此。
川芎 川乌（炮。各半两） 甘菊花 白芷 细辛 防风 荆芥 羌活 天麻 甘草（炙。各
一两半） 薄荷（一两半）
上为末，泡蒸饼捏作饼子。每服三五饼，细嚼，茶汤任下。
（《本事》）川芎散 治风眩头运。
山茱萸肉（一两） 甘菊花 人参 芎 山药 茯神（各半两）
为末，每服二钱，酒调下。
白附子丸 治风痰眩运头痛。
全蝎（半两炒） 白附子（炮） 南星（制） 半夏（制） 旋复花 甘菊花 天麻 川芎
橘红 僵蚕（炒） 干姜（生。各一两）
上为末，生姜半斤取汁，打糊丸，梧桐子大，煎荆芥汤下五十丸。
芎菊散 治诸阳受风，头目旋运，目视昏暗，肝气不清。
芎 甘菊花（各一两） 白僵蚕 细辛 防风 羌活（各三钱） 旋复花 草决明 蝉蜕（各一钱）
天麻 密蒙花 荆芥穗
上为细末，每服二钱，水一盏煎七分，食后温服。
天麻羌活丸 治头目风眩，邪气鼓作，或时旋运。
天麻 羌活 白芷 本 芎 芍药 细辛 麻黄（各二两） 牛黄（另研） 麝香（另研。各一分）
上为细末，炼蜜为丸，皂角子大。不拘时薄荷煎酒下三丸。
人参前胡汤 治风痰头运目眩。
人参（八分） 前胡 南星（制） 半夏曲（各一钱二分） 木香（五分） 枳壳 橘红 赤茯
苓（各一钱） 紫苏 甘草（炙。各七分）
水二盏，姜五片，煎一盏，食后服。
头目眩晕，若因痰浊夹杂气虚、属火邪所致，治疗应以化痰为主，兼用补气药物，例如李东垣的半夏白术天麻汤之类。眩晕剧烈难以忍受者，可用大黄经酒炒后研为细末，用茶清调服即可停止。或者使用黑锡丹以镇坠浮阳，这些都是“急则治其标”的方法。若是火邪扰动痰湿或湿痰引起的眩晕，可用二陈汤加入黄芩、苍术、羌活，以疏散风邪、祛除湿气。早晨起床时出现眩晕，片刻后自行缓解，且每日如此规律者，需用正元饮送服黑锡丹。因伤湿导致的头部眩晕，可用肾着汤加入川芎，名为除湿汤。若是风邪所致，用川芎茶调散疏风；若有痰浊，用青州白丸子化痰。
朱丹溪曾治疗一位老年妇女，患赤白带下病长达半年，伴有头目眩晕。坐着时症状加重无法安坐，睡觉时则感觉安宁。医生专门治疗她的赤白带下，带下病痊愈后，她的眩晕也随之安定。
徐春甫曾治疗一位妇人，突然眩晕跌倒不能动弹。诊察其脉象，两手寸脉浮大而滑，判断为风痰引起的眩晕并兼有火邪，于是给予半夏白术天麻汤配合滚痰丸一百粒服用，随即痊愈。
愈风饼子：治疗风邪引起的眩晕，或者先服用催吐药后再服用此方。
药材组成：川芎、川乌（炮制，各半两）、甘菊花、白芷、细辛、防风、荆芥、羌活、天麻、甘草（炙，各一两半）、薄荷（一两半）。
制法与用法：将上述药物研为细末，用水浸泡蒸熟的饼捏制成饼子。每次服用三五个饼，细细咀嚼，用茶汤送服均可。
（出自《本事方》）川芎散：治疗风邪引起的眩晕头痛。
药材组成：山茱萸肉（一两）、甘菊花、人参、川芎、山药、茯神（各半两）。
制法与用法：研为细末，每次服用二钱，用酒调服。
白附子丸：治疗风痰引起的眩晕和头痛。
药材组成：全蝎（炒，半两）、白附子（炮制）、南星（制）、半夏（制）、旋复花、甘菊花、天麻、川芎、橘红、僵蚕（炒）、干姜（生用，各一两）。
制法与用法：将上述药物研为细末，取生姜半斤榨汁，用姜汁打糊制成梧桐子大小的丸药。煎煮荆芥汤，送服五十丸。
芎菊散：治疗诸阳经受风邪，导致头目旋转眩晕，视物昏暗，肝气不清爽。
药材组成：川芎、甘菊花（各一两）、白僵蚕、细辛、防风、羌活（各三钱）、旋复花、草决明、蝉蜕（各一钱）、天麻、密蒙花、荆芥穗。
制法与用法：研为细末，每次服用二钱，加水一盏煎至七分，饭后温服。
天麻羌活丸：治疗头目风眩，邪气鼓动发作，时而出现旋转性眩晕。
药材组成：天麻、羌活、白芷、藁本、川芎、芍药、细辛、麻黄（各二两）、牛黄（另研）、麝香（另研，各一分）。
制法与用法：研为细末，用炼蜜制成皂角子大小的丸药。不拘时间，用薄荷煎酒送服三丸。
人参前胡汤：治疗风痰引起的头部眩晕和目眩。
药材组成：人参（八分）、前胡、南星（制）、半夏曲（各一钱二分）、木香（五分）、枳壳、橘红、赤茯苓（各一钱）、紫苏、甘草（炙，各七分）。
制法与用法：加水二盏，生姜五片，煎至一盏，饭后服用。
Dizziness and vertigo, when caused by phlegm complicated with Qi deficiency and Fire pathogenic factors, should be treated primarily by resolving phlegm while simultaneously supplementing Qi. Formulas such as Banxia Baizhu Tianma Tang (Pinellia, Atractodes, and Gastrodia Decoction) from Li Dongyuan are appropriate. For severe dizziness that is unbearable, Rhubarb (Rhei Radix et Rhizoma), stir-fried with wine and ground into powder, can be taken with clear tea to stop the symptoms immediately. Alternatively, Heixi Dan (Black Tin Pill) can be used to anchor and descend floating Yang. These methods exemplify treating the branch (symptoms) in acute situations. If dizziness is caused by Fire stirring up phlegm-dampness or damp-phlegm, Erchen Tang (Two-Cured Decoction) can be modified with Huangqin (Scutellaria Root), Cangzhu (Atractodes Rhizome), and Qianghuo (Notopterygium Rhizome) to disperse wind and dry dampness. For dizziness occurring upon waking in the morning, which resolves spontaneously after a short while and becomes a daily routine, Zhengyuan Yin (Right Origin Infusion) should be taken to swallow Heixi Dan (Black Tin Pill). For head dizziness caused by injury from dampness, Shenzhuo Tang (Kidney-Attaching Decoction) added with Chuanxiong (Ligusticum Rhizome), named Chushi Tang (Dampness-Removing Decoction), is indicated. For wind pathogens, Chuanyu Cha Tiao San (Ligusticum Tea-Tuning Powder) is used to disperse wind; for phlegm, Qingzhou Baiwanzi (Qingzhou White Pills) is used.
Zhu Danxi once treated an elderly woman suffering from red and white leukorrhea for half a year, accompanied by dizziness. She could not sit comfortably but felt relief when lying down. The treatment focused solely on the leukorrhea; once the discharge ceased, her dizziness also resolved.
Chunfu once treated a woman who suddenly fainted due to dizziness and became immobile. Upon palpation, her Cun (Cun position) pulses on both hands were floating, large, and slippery. This indicated dizziness and vertigo caused by wind-phlegm complicated with Fire. He administered Banxia Baizhu Tianma Tang (Pinellia, Atractodes, and Gastrodia Decoction) along with 100 pills of Guntan Wan (Rolling Phlegm Pill), resulting in immediate recovery.
Banxia Baizhu Tianma Tang (Pinellia, Atractodes, and Gastrodia Decoction)
Jiawei Erchen Tang (Modified Two-Cured Decoction)
Chuanyu Cha Tiao San (Ligusticum Tea-Tuning Powder) (See previous sections.)
Yufeng Bingzi (Wind-Healing Cakes): Treats dizziness and vertigo caused by wind pathogens. It may be taken after administering emetics.
Ingredients: Chuanxiong (Rhizoma Ligustici Wallichii), Chuanwu (Radix Aconiti Carmichaelii, processed), Gan Juhua (Flos Chrysanthemi Indici), Baizhi (Radix Angelicae Dahuricae), Xixin (Herba Asari), Fangfeng (Radix Saposhnikoviae), Jingjie (Herba Schizonepetae), Qianghuo (Rhizoma Notopterygii), Tianma (Rhizoma Gastrodiae), Gancao (Radix Glycyrrhizae Preparata, each one tael and a half), Bohe (Herba Menthae, one tael and a half).
Preparation and Administration: Grind the above ingredients into powder. Soak steamed dough cakes, shape them into small cakes. Take three to five cakes per dose, chew thoroughly, and swallow with tea water.
(From *Ben Shi Fang*) Chuanyu San (Ligusticum Powder): Treats wind-induced dizziness and headache.
Ingredients: Shanzhuyu Rou (Fructus Corni Officinalis, one tael), Gan Juhua (Flos Chrysanthemi Indici), Renshen (Radix Ginseng), Xiong (Rhizoma Ligustici Wallichii), Shanyao (Rhizoma Dioscoreae), Fushen (Poria Cum Radix Pini, each half tael).
Preparation and Administration: Grind into powder. Take two qian per dose, mixed with wine.
Baifuzi Wan (White Atropa Pill): Treats wind-phlegm causing dizziness and headache.
Ingredients: Quanxie (Scorpio, stir-fried, half tael), Baifuzi (Tubers Typhonii Gigantei, processed), Nanxing (Rhizoma Arisaematis, prepared), Banxia (Rhizoma Pinelliae, prepared), Xuanjinhua (Flos Inulae), Gan Juhua (Flos Chrysanthemi Indici), Tianma (Rhizoma Gastrodiae), Chuanxiong (Rhizoma Ligustici Wallichii), Juhong (Pericarpium Citri Reticulatae), Jiangcan (Bombyx Batryticatus, stir-fried), Ganjiang (Rhizoma Zingiberis Recens, each one tael).
Preparation and Administration: Grind into powder. Extract juice from half a jin of fresh ginger, use it to make paste for pills the size of paulownia seeds. Take fifty pills decocted with Jingjie (Herba Schizonepetae) soup.
Xiongju San (Ligusticum and Chrysanthemum Powder): Treats wind affecting the Yang meridians, causing rotational dizziness, blurred vision, and unclear Liver Qi.
Ingredients: Xiong (Rhizoma Ligustici Wallichii), Gan Juhua (Flos Chrysanthemi Indici, each one tael), Bai Jiangcan (Bombyx Batryticatus), Xixin (Herba Asari), Fangfeng (Radix Saposhnikoviae), Qianghuo (Rhizoma Notopterygii, each three qian), Xuanjinhua (Flos Inulae), Cao Jueming (Semen Cassiae), Chantui (Periostracum Cicadae, each one qian), Tianma (Rhizoma Gastrodiae), Mimenghua (Flos Callicarbis Formosanae), Jingjisui (Apex Schizonepetae).
Preparation and Administration: Grind into fine powder. Take two qian per dose, decoct with one cup of water until reduced to seven-tenths, and take warm after meals.
Tianma Qianghuo Wan (Gastrodia and Notopterygium Pill): Treats wind-induced dizziness of the head and eyes, where pathogenic factors surge and cause intermittent rotational vertigo.
Ingredients: Tianma (Rhizoma Gastrodiae), Qianghuo (Rhizoma Notopterygii), Baizhi (Radix Angelicae Dahuricae), Ben (Rhizoma Ligustici Chuanxiong), Xiong (Rhizoma Ligustici Wallichii), Shaoyao (Radix Paeoniae Alba), Xixin (Herba Asari), Mahuang (Herba Ephedrae, each two liang), Niuhuang (Calculus Bovis, separately ground), Shexiang (Moschus, separately ground, each one fen).
Preparation and Administration: Grind into fine powder. Make pills with refined honey, sized like soap beans. Take three pills at any time with decocted mint and wine.
Renshen Qianhu Tang (Ginseng and Peucedanum Decoction): Treats wind-phlegm causing head dizziness and visual vertigo.
Ingredients: Renshen (Radix Ginseng, eight fen), Qianhu (Radix Peucedani), Nanxing (Rhizoma Arisaematis, prepared), Banxiaqu (Rhizoma Pinelliae Praeparatum, each one qian and two fen), Muxiang (Radix Aucklandiae), Zhike (Fructus Aurantii Immaturis), Juhong (Pericarpium Citri Reticulatae), Chi Fuling (Poria cum Ligno Rubrum, each one qian), Zisu (Folium Perillae), Gancao (Radix Glycyrrhizae Preparata, each seven fen).
Preparation and Administration: Add two cups of water and five slices of ginger. Decoct until one cup remains. Take after meals.