夫素问云。头痛 疾。下虚上实。过在足少阴巨阳。甚则入肾。徇蒙招摇。目眩耳聋。
下实
聋。
真丸
方
钩藤散 清头目。治肝厥头晕。
钩藤 人参 茯苓 茯神 防风 陈皮 麦门冬（去心） 甘菊花 半夏（各半两） 甘
草
（一
服。
石膏汤（出本事方）治肝厥。状如痫疾。不醒。呕吐。醒后头虚晕。发热方。
麻黄 钩藤（取皮） 石膏 干葛 半夏曲 柴胡 甘草 枳壳 甘菊（各等分） 上
为粗
末。
夫内经谓阳气者。烦劳则张。精绝。辟积于夏。使人煎厥。目盲不可以视。耳闭不可以
听。
气治
则
经又
以谓
方
山芋汤（出圣济总录）治动作烦劳。阳气张大。肝精不守。善怒。少气。头
目昏愦。病名煎
山芋 生干地黄（焙） 防风（去叉锉） 茯神（去木） 山茱萸（炒） 桂（去粗皮）
天雄
（炮裂
草（炙
锉三钱
服。
人参汤（圣济总录一名人参散）治煎厥气逆。头目昏愦。视听不明。少气。
善怒。
人参 远志（去心） 赤茯苓（去黑皮） 防风（去叉各二两） 芍药 麦门冬（去心）
陈橘
皮（
温服。
日再。
茯神汤（出圣济总录）治煎厥。少气。善怒。精神不守。
茯神（去木） 羚羊角屑 五味子 葳蕤 远志（去心） 沙参 酸枣仁（微炒各三分）
龙
骨（
龙骨丸（圣济总录）治阳气内郁。肝气不治。少气。善怒。视听昏塞。煎迫
厥逆。
龙骨 白茯苓（去黑皮） 远志（去心） 防风（去叉） 人参 柏子仁（别捣） 犀
角（镑）
生干
蜜和。
捣
柏子仁汤（圣济总录）治煎厥气逆。多怒。肝气不治。\x
柏子仁 虎头骨（涂酥炙各一两） 人参 茯神（去木） 犀角屑 桃仁（汤浸去皮尖
双仁
麸炒
去滓
温服
《素问》说：头痛眩晕，是下虚上实的病证。病机在于足少阴肾经和足太阳膀胱经失调，严重时病邪深入肾脏。症状表现为视物模糊、头晕目眩、耳鸣耳聋。
钩藤散：清利头目。治疗肝厥引起的头晕。
药材：钩藤、人参、茯苓、茯神、防风、陈皮、麦门冬（去心）、甘菊花、半夏（各半两）、甘草（一服量）。
石膏汤（出自《本事方》）：治疗肝厥。症状类似痫疾，患者不省人事，呕吐，醒后头部空虚感伴眩晕。发热时服用此方。
药材：麻黄、钩藤（取皮）、石膏、干葛、半夏曲、柴胡、甘草、枳壳、甘菊（各等分）。将上述药材捣成粗末。
《内经》说：人体的阳气，在烦劳过度时会亢盛外张。若精气耗竭，加之夏季重复受暑热之邪侵袭，会导致煎厥。症状为双目失明无法视物，耳闭无法听声。
山芋汤（出自《圣济总录》）：治疗因动作烦劳导致阳气张大，肝精不能固守，容易发怒，气短，头目昏沉不清。病名煎厥。
药材：山芋（山药）、生干地黄（焙干）、防风（去叉锉碎）、茯神（去木）、山茱萸（炒）、桂枝（去粗皮）、天雄（炮裂）、甘草（炙）。将药材锉成三钱大小的片段，加水煎煮后服用。
人参汤（《圣济总录》又名人参散）：治疗煎厥引起的气逆，头目昏沉，视听不明，气短，容易发怒。
药材：人参、远志（去心）、赤茯苓（去黑皮）、防风（去叉，各二两）、芍药、麦门冬（去心）、陈橘皮。温服，每日两次。
茯神汤（出自《圣济总录》）：治疗煎厥，气短，容易发怒，精神不能内守。
药材：茯神（去木）、羚羊角屑、五味子、葳蕤、远志（去心）、沙参、酸枣仁（微炒，各三分）、龙骨。
龙骨丸（《圣济总录》）：治疗阳气内郁，肝气失于疏泄，气短，容易发怒，视听昏塞，煎迫导致的厥逆。
药材：龙骨、白茯苓（去黑皮）、远志（去心）、防风（去叉）、人参、柏子仁（另捣碎）、犀角（镑片）、生干地黄。用蜂蜜调和，捣制成丸。
柏子仁汤（《圣济总录》）：治疗煎厥引起的气逆，多怒，肝气失于疏泄。
药材：柏子仁、虎头骨（涂酥炙烤，各一两）、人参、茯神（去木）、犀角屑、桃仁（汤浸去皮尖及双仁者，麸炒）。去渣，温服。
As stated in the *Suwen* (Basic Questions): Headache and dizziness are conditions of deficiency below and excess above. The pathology lies in the disorders of the Foot Shaoyin Kidney Meridian and the Foot Taiyang Bladder Meridian; if severe, the pathogen enters the Kidney. Symptoms include blurred vision, vertigo, tinnitus, and deafness.
Gouteng San (Uncaria Decoction): Clears and benefits the head and eyes. Treats dizziness caused by Liver Jue (Liver Reversal).
Ingredients: Gouteng (Uncariae Ramulus cum Uncis), Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Fushen (Poria with Hostwood), Fangfeng (Saposhnikoviae Radix), Chenpi (Citri Reticulatae Pericarpium), Maimendong (Ophiopogonis Radix, heart removed), Ganjuhua (Chrysanthemi Flos), Banxia (Pinelliae Rhizoma) (each half liang), Gancao (Licorice Root) (dosage for one serving).
Shigao Tang (Gypsum Decoction) (from *Benshi Fang*): Treats Liver Jue. Symptoms resemble epilepsy (Xian Ji), with unconsciousness, vomiting, and a sensation of emptiness and dizziness in the head upon waking. Administer when fever is present.
Ingredients: Mahuang (Ephedrae Herba), Gouteng (Uncariae Ramulus cum Uncis, bark taken), Shigao (Gypsum Fibrosum), Gange (Puerariae Radix), Banxiaqu (Pinelliae Fermentatum), Chaihu (Bupleuri Radix), Gancao (Licorice Root), Zhike (Aurantii Fructus Immaturus), Ganju (Chrysanthemi Flos) (equal parts). Grind the above ingredients into coarse powder.
The *Neijing* (Inner Canon) states: When Yang Qi is subjected to excessive mental or physical labor, it becomes hyperactive and expansive. If Essence is exhausted, and this condition accumulates through repeated exposure to summer heat, it leads to Jian Jue (Frying Reversal). Symptoms include blindness preventing vision and ear closure preventing hearing.
Shanyu Tang (Dioscoreae Decoction) (from *Shengji Zonglu*): Treats Jian Jue caused by excessive movement and labor leading to the expansion of Yang Qi, failure of Liver Essence to remain secure, irritability, shortness of breath, and cloudiness of the head and eyes.
Ingredients: Shanyu (Dioscoreae Rhizoma), Sheng Gan Dihuang (Rehmanniae Radix Preparata, dried), Fangfeng (Saposhnikoviae Radix, twigs removed and cut), Fushen (Poria with Hostwood, wood removed), Shanzhuyu (Corni Fructus, stir-fried), Guizhi (Cinnamomi Ramulus, outer bark removed), Tianxiong (Aconiti Lateralis Radix Preparata, roasted until cracked), Gancao (Licorice Root, honey-fried). Cut the herbs into pieces three qian in size and decoct for administration.
Renshen Tang (Ginseng Decoction) (*Shengji Zonglu*, also known as Renshen San): Treats Jian Jue characterized by rebellious Qi, cloudiness of the head and eyes, impaired vision and hearing, shortness of breath, and irritability.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Yuanzhi (Polygalae Radix, heart removed), Chi Fuling (Poria with darkened skin removed), Fangfeng (Saposhnikoviae Radix, twigs removed, each 2 liang), Shaoyao (Paeoniae Radix), Maimendong (Ophiopogonis Radix, heart removed), Chenpi (Citri Reticulatae Pericarpium). Take warm, twice daily.
Fushen Tang (Poria with Hostwood Decoction) (from *Shengji Zonglu*): Treats Jian Jue, characterized by shortness of breath, irritability, and inability of the Spirit to remain contained.
Ingredients: Fushen (Poria with Hostwood, wood removed), Lingyangjiaoxie (Saiga Tataricae Cornu), Wuweizi (Schisandrae Fructus), Weirui (Polygonati Odorati Rhizoma), Yuanzhi (Polygalae Radix, heart removed), Shashen (Adenophorae Radix or Glehniae Radix), Suanzaoren (Ziziphi Spinosae Semen, lightly stir-fried, each 3 fen), Longgu (Fossil Bones).
Longgu Wan (Fossil Bones Pill) (*Shengji Zonglu*): Treats internal stagnation of Yang Qi, failure of Liver Qi to regulate, shortness of breath, irritability, cloudy vision and hearing, and reversal due to pressing heat.
Ingredients: Longgu (Fossil Bones), Bai Fuling (Poria, darkened skin removed), Yuanzhi (Polygalae Radix, heart removed), Fangfeng (Saposhnikoviae Radix, twigs removed), Renshen (Ginseng Radix et Rhizoma), Baiziren (Platycladi Semen, separately pounded), Xijiao (Rhinocerotis Cornu, shaved), Sheng Gan Dihuang (Rehmanniae Radix Preparata, dried). Mix with honey and pound into pills.
Baiziren Tang (Platycladi Seed Decoction) (*Shengji Zonglu*): Treats Jian Jue with rebellious Qi, excessive anger, and failure of Liver Qi to regulate.
Ingredients: Baiziren (Platycladi Semen), Hutougu (Cruris Tigridis Os, coated with butter and roasted, each 1 liang), Renshen (Ginseng Radix et Rhizoma), Fushen (Poria with Hostwood, wood removed), Xijiaoxie (Rhinocerotis Cornu, shredded), Taoren (Persicae Semen, soaked in water, peel and tips removed, double-kernel ones discarded, stir-fried with bran). Strain the decoction and take warm.