褚氏 高年头晕，冬初因怒猝发，先怔忡而眩仆，汗多如洗，夜不能寐，左寸关脉浮大无伦。此胆气
郁勃，煽动君火，虚阳化风，上冒巅顶所致。用丹皮、山栀（各钱半）、甘菊、白芍（俱炒。各三钱）、钩藤、
茯神（各三钱）、柏子仁、枣仁（生研。各八分）、桑叶（二钱）、浮小麦（二两）、南枣（四枚）二服悸
眩平，汗止熟寐矣。随用熟地、潞参、五味、茯神、麦冬、莲子、白芍，数服全愈。凡营液虚，胆火上升蒙窍，须
丹、栀、钩藤、桑叶以泄热，炒菊、芍以熄风和阳，再加茯神、枣仁、柏子仁、小麦以安神凉心，风静汗止，必
收敛营液为宜。
丰氏 眩晕痞呕，多酸苦浊沫，肝木乘土，胃虚食减，瘀浊不降，得虚风翔，则倾溢而出，厥阳上冒，
清窍为蒙，故眩晕时作。诊脉涩小数，两寸尤甚。先用降浊熄风。栝蒌霜、苏子、半夏、茯苓、杏仁、天麻、
甘菊炭、钩藤、橘皮，诸症平，思纳食矣。又照原方去苏子、杏仁、钩藤，加茯神、莲子、钗石斛、荷叶煎汤，
十数服而安。
室人 烦劳伤阳，无寐耳鸣，头晕欲呕，伏枕稍定，虚阳上
巅，风动痰升，眩呕乃作。宜潜阳熄风。牡蛎（ 研），白芍、五味、甘菊炭、天麻（煨）、半夏（青盐炒）、
生地（炒）、茯神、枣仁、桑叶，二服随愈。
肖 劳力先曾失血数次，近日头眩耳鸣目昏，心悸脘闷，两尺浮大弦劲。相火易炎，龙雷失制，痰
随火乘，上乾清窍，所谓无痰不作眩悸也。养阴潜阳。淡菜、牡蛎、熟地炭、石斛、甘菊、白芍、贝母、茯神，
数服得效后，宜服六味丸。
许氏 中年经行太多，目眩头晕。用摄阴和阳。熟地、白芍、甘菊（俱炒。各二钱）、当归（醋炒八分）、
丹皮、牡蛎粉（各钱半）、甘草（炙黑，一钱）、嫩桑叶（三钱）、红枣（三枚），二服愈。
王 伏暑病后失调，脉虚疾，头晕热渴而烦，虚风上巅，议苦辛泄热，佐以甘润。山栀、甘菊、丹皮、
麦冬、钗斛、天麻（煨）、党参、花粉、甘草、嫩桑叶，二服而愈。
堂兄 寤后舌辣，津不上朝，头眩肢麻，阳升风动。主和阳熄风，佐酸味以生津。鲜生地、玉竹、石斛、
白芍、五味、花粉、乌梅、甘菊炭、牡蛎粉、桑枝、黑芝麻，常服效。
姜 弱冠劳力伤阳，神疲头眩，发热口苦，食减呕浊，两寸脉数，厥气上冒，有风翔浪涌之势，治以镇阳
泄浊。牡蛎、白芍、茯神、橘红、制半夏、吴茱萸、甘菊炭、金器同煎，二服浊降呕止，脉仍小数，头目不清，
缘春温胆火上升。仿叶氏泄胆热法。丹皮、嫩桑叶、荷叶边、钩藤、白芍（生）、山栀、生地炭，数服眩除热
减，去桑叶、生地炭，加玉竹、茯神、杞子（焙）、山药、熟地（俱炒）、潞参、莲、枣，脉平。
肖 冒雨后湿郁成热，蒸而为黄，宿恙又经操劳，屡次失血，当春虚阳升动，咳而头眩，口干目黄，怔忡
失寐。治先清泄火风。生地、石斛、山栀心、茯神、丹皮、羚羊角、杏仁、钩藤、甘菊（炒）。四服头目清，怔
忡息，食进寐稳矣，但神疲力倦。去生地，加参、芍、莲、枣以扶脾元，数服更适。后去羚羊角、杏仁、钩藤、
甘菊，加茵陈。松罗茶叶，黄渐退。
【化痰】二陈汤（见第一卷中风章节）。
【泻火】龙荟丸（见第一卷火证章节）。
褚氏：年事已高，初冬因发怒突然发病，先出现心悸不安继而眩晕跌倒，出汗多如洗澡，夜间不能入睡，左寸关脉浮大无比。这是胆气郁结勃发，煽动心君之火，虚阳化生内风，上冲头顶所致。使用牡丹皮、山栀（各一钱半）、甘菊、白芍（均炒制，各三钱）、钩藤、茯神（各三钱）、柏子仁、枣仁（生研，各八分）、桑叶（二钱）、浮小麦（二两）、南枣（四枚），服用两剂后心悸眩晕平息，汗止并能熟睡。随后使用熟地黄、党参、五味子、茯神、麦冬、莲子、白芍，服用数剂后完全痊愈。凡是营阴血液亏虚，胆火上升蒙蔽清窍，必须用丹皮、栀子、钩藤、桑叶来泄热，炒菊花、白芍来熄风和阳，再加茯神、枣仁、柏子仁、小麦来安神凉心，待风静汗止，必须以收敛营阴血液为宜。
丰氏：眩晕伴有胃脘痞闷呕吐，吐出多酸苦浑浊泡沫，此为肝木乘克脾土，胃气虚弱食欲减退，瘀浊之气不降，遇虚风鼓荡，则倾溢而出，厥逆之阳上冒，清窍被蒙蔽，所以眩晕时常发作。诊察脉象涩而稍快，两寸脉尤为明显。先用降浊熄风之法。栝蒌霜、苏子、半夏、茯苓、杏仁、天麻、甘菊炭、钩藤、橘皮，诸症平息，开始思食。又照原方去掉苏子、杏仁、钩藤，加入茯神、莲子、钗石斛、荷叶煎汤，服用十余剂后安稳。
室人（妻子）：烦劳损伤阳气，无眠耳鸣，头晕欲呕，伏在枕头上稍感安定，虚阳上冲巅顶，风动痰升，眩晕呕吐于是发作。宜用潜阳熄风之法。牡蛎（研碎），白芍、五味子、甘菊炭、天麻（煨制）、半夏（青盐炒）、生地（炒）、茯神、枣仁、桑叶，服用两剂随即痊愈。
肖某：劳力之后曾几次失血，近日头晕耳鸣目昏，心悸胃脘闷堵，两尺脉浮大弦劲。相火容易炎上，龙雷之火失去制约，痰随火邪上乘，上扰清窍，这就是所说的“无痰不作眩悸”。治以养阴潜阳。淡菜、牡蛎、熟地炭、石斛、甘菊、白芍、贝母、茯神，服用数剂见效后，宜服用六味丸。
许氏：中年妇女月经量过多，导致目眩头晕。治以摄阴和阳。熟地黄、白芍、甘菊（均炒制，各二钱）、当归（醋炒八分）、丹皮、牡蛎粉（各一钱半）、甘草（炙黑，一钱）、嫩桑叶（三钱）、红枣（三枚），服用两剂痊愈。
王某：伏暑病后调养不当，脉象虚而疾速，头晕、发热、口渴且烦躁，虚风上冲巅顶，议定用苦辛之法泄热，佐以甘润之品。山栀、甘菊、丹皮、麦冬、钗斛、天麻（煨制）、党参、花粉、甘草、嫩桑叶，服用两剂痊愈。
堂兄：醒后舌部有辣感，津液不能上承，头晕肢体麻木，阳气上升风动。主以和阳熄风，佐以酸味生津。鲜生地、玉竹、石斛、白芍、五味子、花粉、乌梅、甘菊炭、牡蛎粉、桑枝、黑芝麻，常服有效。
姜某：青年时期劳力伤阳，神疲乏力头晕，发热口苦，食欲减退呕吐浊物，两寸脉数，厥逆之气上冒，有风翔浪涌之势，治以镇阳泄浊。牡蛎、白芍、茯神、橘红、制半夏、吴茱萸、甘菊炭、金器同煎，服用两剂浊降呕止，脉仍稍快，头目不清，原因在于春温时节胆火上升。仿效叶天士泄胆热之法。丹皮、嫩桑叶、荷叶边、钩藤、白芍（生用）、山栀、生地炭，服用数剂眩晕除、热减，去掉桑叶、生地炭，加入玉竹、茯神、杞子（焙干）、山药、熟地黄（均炒制）、党参、莲、枣，脉象平和。
肖某：冒雨后感湿郁成热，蒸腾发黄，宿疾又经操劳，正值春季虚阳升动，咳嗽且头晕，口干目黄，心悸失眠。治疗先清泄火风。生地、石斛、山栀心、茯神、丹皮、羚羊角、杏仁、钩藤、甘菊（炒制）。服用四剂后头目清爽，心悸停止，进食增加睡眠安稳，但神疲力倦。去掉生地，加入参、芍、莲、枣以扶助脾元，服用数剂更舒适。后来去掉羚羊角、杏仁、钩藤、甘菊，加入茵陈、松罗茶叶，黄色逐渐消退。
[Phlegm-Resolving] Erchen Tang (Two-Aged Decoction) [See Volume 1, Stroke].
[Fire-Purging] Longhui Wan (Dragon's Nest Pill) [See Volume 1, Fire Syndromes].
Case of Mr. Chu: In his advanced years, he suddenly developed dizziness in early winter due to anger. Initially, he experienced palpitations followed by vertigo and collapse, profuse sweating as if washed, and insomnia at night. The pulse at the left Cun and Guan positions was floating, large, and extreme. This was caused by the depression and exuberance of Gallbladder Qi, which fanned the Heart Fire, causing deficient Yang to transform into wind that rushed upward to the vertex. He was prescribed Danpi (Moutan Cortex), Zhizi (Gardeniae Fructus) (each 1.5 qian), Ganju (Chrysanthemi Flos), Baishao (Paeoniae Radix Alba) (all stir-fried, each 3 qian), Gouteng (Uncariae Ramulus cum Uncis), Fushen (Poria with Hostwood) (each 3 qian), Baiziren (Biota Semen), Zaoren (Ziziphi Spinosae Semen) (raw and ground, each 8 fen), Sangye (Mori Folium) (2 qian), Fuxiaomai (Tritici Fructus) (2 liang), and Nanzao (Jujubae Fructus) (4 pieces). After two doses, palpitations and vertigo subsided, sweating stopped, and he slept soundly. Subsequently, Shudi (Rehmanniae Radix Preparata), Lushen (Codonopsis Radix), Wuweizi (Schisandrae Fructus), Fushen, Maidong (Ophiopogonis Radix), Lianzi (Nelumbinis Semen), and Baishao were used. After several doses, he fully recovered. Generally, when Ying (Nutrient) fluids are deficient and Gallbladder fire rises to obscure the orifices, it is necessary to use Danpi, Zhizi, Gouteng, and Sangye to clear heat; stir-fried Juhua and Baishao to extinguish wind and harmonize Yang; and add Fushen, Zaoren, Baiziren, and Xiaomai to calm the spirit and cool the Heart. Once wind subsides and sweating stops, it is appropriate to employ methods to astringe and conserve Ying fluids.
Case of Mr. Feng: He suffered from vertigo, epigastric fullness, and vomiting, expelling sour, bitter, turbid foam. This indicated Liver Wood overacting on Spleen Earth, with weak Stomach Qi leading to reduced appetite. Turbid stasis failed to descend, and upon encountering deficient wind, it surged outward. Rebellious Yang rose upward, obscuring the clear orifices, thus causing intermittent vertigo. The pulse was choppy and slightly rapid, especially at both Cun positions. Treatment initially focused on descending turbidity and extinguishing wind. Gualou Shuang (Trichosanthis Pulvis), Suzi (Perillae Fructus), Banxia (Pinelliae Rhizoma), Fuling (Poria), Xingren (Armeniacae Semen Amarum), Tianma (Gastrodiae Rhizoma), Ganju Tan (Charred Chrysanthemi Flos), Gouteng, and Juapi (Citri Reticulatae Pericarpium) were used. Symptoms subsided, and appetite returned. The original formula was then modified by removing Suzi, Xingren, and Gouteng, adding Fushen, Lianzi, Chai Shihu (Dendrobii Caulis), and He Ye (Nelumbinis Folium) decocted together. After more than ten doses, he stabilized.
Wife of the Patient: Fatigue and labor damaged Yang, resulting in insomnia and tinnitus. Dizziness and nausea occurred, alleviated slightly when lying on a pillow. Deficient Yang ascended to the vertex, wind moved, and phlegm rose, causing vertigo and vomiting. Treatment should subdue Yang and extinguish wind. Muli (Ostreae Concha) (ground), Baishao, Wuweizi, Ganju Tan, Tianma (roasted), Banxia (stir-fried with green salt), Shengdi (Rehmanniae Radix) (stir-fried), Fushen, Zaoren, and Sangye were used. Recovery occurred after two doses.
Case of Xiao: Following physical labor, he had lost blood several times previously. Recently, he experienced dizziness, tinnitus, blurred vision, palpitations, and epigastrical stuffiness. The Chi pulses at both wrists were floating, large, wiry, and forceful. Ministerial Fire flared easily, and Dragon-Lei Fire lost control. Phlegm accompanied the fire to attack the clear orifices, illustrating the principle that "without phlegm, there is no vertigo or palpitation." Treatment nourished Yin and subdued Yang. Dancai (Mytilus edulis), Muli, Shudi Tan (Charred Rehmanniae Radix Preparata), Shihu (Dendrobii Caulis), Ganju, Baishao, Beimu (Fritillariae Bulbus), and Fushen were used. After several effective doses, Liuwei Wan (Six-Ingredient Pill with Rehmannia) should be taken.
Case of Mrs. Xu: In middle age, excessive menstruation led to blurred vision and dizziness. Treatment aimed to secure Yin and harmonize Yang. Shudi, Baishao, Ganju (all stir-fried, each 2 qian), Danggui (Angelicae Sinensis Radix) (vinegar-stir-fried, 8 fen), Danpi, Muli Fen (Ostreae Concha Pulvis) (each 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (charred-black, 1 qian), Nen Sangye (tender Mulberry Leaf) (3 qian), and Hongzao (Red Dates) (3 pieces) were used. Cure was achieved after two doses.
Case of Wang: Post-convalescence from latent summerheat disease was poorly managed. The pulse was deficient and rapid. Symptoms included dizziness, fever, thirst, and irritability. Deficient wind ascended to the vertex. The strategy employed bitter and pungent herbs to drain heat, assisted by sweet and moistening agents. Zhizi, Ganju, Danpi, Maidong, Chai Shihu, Tianma (roasted), Dangshen (Codonopsis Radix), Huafen (Trichosanthis Radix), Gancao, and Nen Sangye were used. Recovery occurred after two doses.
Elder Cousin: Upon waking, the tongue felt spicy, and body fluids failed to ascend. Dizziness and limb numbness occurred due to ascending Yang and moving wind. The main treatment harmonized Yang and extinguished wind, assisted by sour flavors to generate fluids. Xian Shengdi (fresh Rehmanniae Radix), Yuzhu (Polygonati Odorati Rhizoma), Shihu, Baishao, Wuweizi, Huafen, Wumei (Mume Fructus), Ganju Tan, Muli Fen, Sangzhi (Mulberry Twig), and Heimaazi (Sesami Fructus Niger) were commonly taken with good effect.
Case of Jiang: In youth, physical labor damaged Yang, causing mental fatigue, dizziness, fever, bitter taste in the mouth, reduced appetite, and vomiting of turbid matter. The Cun pulses were rapid. Rebellious Qi ascended with a surging, wave-like momentum. Treatment suppressed Yang and drained turbidity. Muli, Baishao, Fushen, Juhong (Citri Reticulatae Pericarpium Rubrum), Zhi Banxia (Prepared Pinelliae Rhizoma), Wuzhuyu (Evodiae Fructus), Ganju Tan, and Gold utensils for decoction were used. After two doses, turbidity descended, vomiting stopped, but the pulse remained slightly rapid, and head/eyes were unclear. This was due to Gallbladder fire rising in spring warmth. Emulating Ye Tianshi’s method of draining Gallbladder heat: Danpi, Nen Sangye, Heyebian (Lotus Leaf Margin), Gouteng, Baishao (raw), Zhizi, and Shengdi Tan were used. After several doses, vertigo ceased and heat decreased. Sangye and Shengdi Tan were removed, and Yuzhu, Fushen, Qizi (Lycii Fructus) (baked), Shanyao (Dioscoreae Rhizoma), Shudi (all stir-fried), Lushen, Lianzi, and Zao were added. The pulse normalized.
Case of Xiao: Exposure to rain caused dampness to stagnate and transform into heat, steaming and turning yellow. Chronic ailments, exacerbated by labor, coincided with spring when deficient Yang ascended. He coughed, experienced dizziness, dry mouth, yellow eyes, palpitations, and insomnia. Treatment first cleared and drained fire and wind. Shengdi, Shihu, Zhixin (Gardeniae Cor), Fushen, Danpi, Lingyangjiao (Saigae Tataricae Cornu), Xingren, Gouteng, and Ganju (stir-fried) were used. After four doses, head and eyes cleared, palpitations ceased, appetite increased, and sleep stabilized, though mental fatigue and weakness persisted. Shengdi was removed, and Ginseng, Shaoyao, Lianzi, and Zao were added to support Spleen Yuan. After several doses, condition improved further. Later, Lingyangjiao, Xingren, Gouteng, and Ganju were removed, and Yinchen (Artemisiae Scopariae Herba) and Songluo Tea were added. Jaundice gradually receded.