（多主于痰。）
痛甚者火多。亦有可吐者、亦有可下者。
清空膏治诸般头痛，除血虚头痛不治。
血虚头痛，自鱼尾上攻头痛，必用川芎当归汤。
古方有追涎药，出东垣试效。
羌活 防风 黄连（各炒一两） 柴胡（七钱） 川芎（二钱） 甘草（一两半，炙） 黄芩（三两，
刮去黄色，锉碎一半，酒炒一半）
上为末；每服二钱匕。热盏内入茶少许，汤调如膏，抹在口内，少用汤送下，临卧服之。
痰挟气、虚火，治痰为主。挟补气药，并降火药。
属痰，无痰则不能作眩。
属火，痰因火动。又有湿痰者、有火多者左手脉数，热多。脉涩，有死血。
右手脉实，痰积。脉大，必是久病。
（火动其痰。）
二陈汤加黄芩、苍术、羌活，散风行湿。或用防风行湿之剂可也。
昔有一老妇，患赤白带一年半，是头眩，坐立不久，睡之则安。专用治赤白带除之，其眩自安矣。
风热痰，作风痰治，类痛风。白术，酒黄芩末，茶调服。
又方∶川乌头、草乌，二味为君，童便浸洗，炒，去毒，细辛、黄芩、羌活、甘草，佐之。
少阳厥阴热多，皆属于热，耳鸣者是。
戴云∶亦有气闭者，盖亦是热。气闭者，耳不鸣也。
蓖麻子（四十九粒） 枣肉（十个）
上入人乳捣成膏子，石头上略晒干，便丸如桐子大，以绵裹塞于耳中。
又方∶用鼠胆入耳中，尤好。仍开痰、散风热。
大病后，须用四物汤降火。
有阴虚火动耳聋者，亦如上法。
（头痛多由痰邪引起。）
疼痛剧烈的，多因火邪所致。也有适用吐法治疗的，也有适用下法治疗的。
清空膏可治疗各种类型的头痛，但血虚引起的头痛不适用此方。
血虚引起的头痛，疼痛从眼角外侧向上攻冲，必须使用川芎当归汤。
古方中有追涎药，出自李东垣的《试效方》。
羌活、防风、黄连（各炒制一两）、柴胡（七钱）、川芎（二钱）、甘草（一两半，炙烤）、黄芩（三两，刮去黄色外皮，一半锉碎生用，一半酒炒）。
以上药物研为细末；每次服用二钱匕。在热茶盏中加入少许茶水，用热水调成膏状，涂抹在口腔内，少量用温水送服，临睡前服用。
痰邪夹杂气滞或虚火时，以治痰为主。需配合补气药和降火药。
属于痰证导致的眩晕，若无痰则不能产生眩晕感。
属于火证，是痰因火邪扰动而发作。又有湿痰者，有火邪偏盛者表现为左手脉数，热象明显。脉涩，提示有瘀血停滞。
右手脉实，提示痰积。脉大，必定是久病。
（火邪扰动导致痰浊上泛。）
二陈汤加入黄芩、苍术、羌活，以疏散风邪、祛除湿气。或者使用具有祛风行湿功效的方剂也可以。
从前有一位老妇人，患赤白带下症一年半，伴有头晕目眩，坐立不久便不适，睡眠后则安宁。专门治疗赤白带下症使其痊愈，其眩晕自然也就安好了。
风热痰浊，按风痰论治，症状类似痛风。使用白术、酒黄芩粉末，用茶水调服。
另一个方子：川乌头、草乌，这两味药作为主药，用童子尿浸泡清洗，炒制以去除毒性，再配以细辛、黄芩、羌活、甘草作为辅佐药。
少阳经和厥阴经热邪较多，都归属于热证，耳鸣就是此类表现。
戴云说：也有因气机闭塞引起的，这也属于热证。气机闭塞者，耳朵不鸣响。
蓖麻子（四十九粒）、枣肉（十个）。
以上药物加入人乳捣烂成膏状，在石头上稍微晒干，制成如梧桐子大小的丸药，用棉絮包裹塞入耳中。
另一个方子：将鼠胆滴入耳中，效果更好。同时还能化痰、疏散风热。
大病之后，必须使用四物汤以降火。
有因阴虚火旺导致耳聋的，也采用上述方法治疗。
(Most cases are primarily due to Phlegm.)
Severe pain is mostly caused by Fire. There are also cases suitable for emesis therapy and cases suitable for purgation therapy.
Qingkong Gao (Clearing the Vault Paste) treats various types of headache, but does not treat headaches caused by Blood deficiency.
Headaches caused by Blood deficiency, where pain attacks upward from the outer corner of the eye, must be treated with Chuanxiong Danggui Tang (Ligusticum and Angelica Decoction).
Ancient formulas include "saliva-chasing medicines," originating from Li Dongyuan's *Shixiao Fang* (Trial-Efficacy Formulas).
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Huanglian (Coptidis Rhizoma) (each stir-fried, 1 liang), Chaihu (Bupleuri Radix) (7 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (2 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (1.5 liang, honey-fried), Huangqin (Scutellariae Radix) (3 liang, scrape off the yellow skin, half crushed raw, half wine-stir-fried).
Grind the above into powder; take 2 qianbi per dose. Add a little tea to a warm teacup, mix with hot water to form a paste, apply inside the mouth, and swallow with a small amount of warm water. Take before bedtime.
When Phlegm is complicated by Qi stagnation or Deficient Fire, treatment focuses on resolving Phlegm. Combine with Qi-tonifying herbs and Fire-descending herbs.
If attributed to Phlegm, without Phlegm, dizziness cannot occur.
If attributed to Fire, Phlegm moves due to Fire agitation. There are also cases of Damp-Phlegm, and cases of excessive Fire presenting with a rapid pulse on the left hand, indicating Heat. A choppy pulse indicates fixed blood stasis.
A full pulse on the right hand indicates Phlegm accumulation. A large pulse indicates a chronic illness.
(Fire agitation causes Phlegm to rise.)
Erchen Tang (Two-Cured Decoction) added with Huangqin (Scutellariae Radix), Cangzhu (Atractylodis Rhizoma), and Qianghuo (Notopterygii Rhizoma et Radix) disperses Wind and removes Dampness. Alternatively, using agents that disperse Wind and remove Dampness is acceptable.
In the past, an old woman suffered from red and white leukorrhea for one and a half years, accompanied by dizziness, unable to sit or stand for long periods, finding relief only in sleep. By specifically treating the leukorrhea to cure it, her dizziness naturally resolved.
Wind-Heat Phlegm is treated as Wind-Phlegm, resembling gout symptoms. Use Baizhu (Atractylodis Macrocephalae Rhizoma) and Jiu Huangqin (Wine-processed Scutellariae Radix) powder, mixed with tea and taken orally.
Another formula: Chuan Wutou (Aconiti Radix Preparata) and Cao Wutou (Aconiti Kusnezoffii Radix Preparata) serve as the sovereign drugs, soaked and washed in child's urine, stir-fried to remove toxicity, assisted by Xixin (Asari Radix et Rhizoma), Huangqin (Scutellariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Gancao (Glycyrrhizae Radix et Rhizoma).
Shaoyang (Lesser Yang) and Jueyin (Terminal Yin) channels have excessive Heat, all belonging to Heat syndrome; tinnitus is a manifestation of this.
Dai Yun stated: There are also cases caused by Qi blockage, which are also related to Heat. In cases of Qi blockage, there is no tinnitus.
Bimazi (Ricini Semen) (49 seeds), Zaorou (Ziziphi Jujubae Mesocarp) (10 dates).
Mix the above with human milk, pound into a paste, dry slightly on stone, roll into pills the size of paulownia seeds, wrap in cotton, and insert into the ear.
Another formula: Insert mouse gallbladder bile into the ear, which is even better. It also resolves Phlegm and disperses Wind-Heat.
After a major illness, Siwu Tang (Four Substances Decoction) must be used to descend Fire.
For deafness caused by Yin deficiency with Fire agitation, use the same method as above.