bubble_chart Preparation and Dosage Pineilia (Rhizoma Pinelliae)
washed with decotion seven times 1.5gm (1.5 qian) Alisma (Rhizoma Alismatis)
1.5gm Decoct and take orally.
bubble_chart Efficacy
Tonify the spleen and stomach, resolve phlegm-dampness, and stabilize deficient wind.
bubble_chart Indications
Spleen-stomach weakness, internal obstruction of phlegm-dampness, and upward disturbance of deficient wind lead to phlegm syncope headache. Symptoms include splitting headache, dizziness, restlessness in the chest and epigastrium, nausea and vomiting, thick and sticky phlegm, shortness of breath and reluctance to speak, cold limbs, inability to rest peacefully, a white and greasy tongue coating, and a wiry and slippery pulse.
bubble_chart Formula Principles
The syndrome of phlegm syncope is caused by internal damage to the spleen and stomach, with internal stirring of deficient wind, leading to the upward counterflow of wind-phlegm. In the formula, PinelliaGastrodia Tuber is the main herb, as Pinellia can dry dampness and resolve phlegm, downbear counterflow to stop vomiting. For phlegm syncope headache, Pinellia is indispensable; Gastrodia Tuber is known as the "wind-calming herb," and for internal stirring of deficient wind, dizziness, and blurred vision, Gastrodia Tuber is essential. For excessive phlegm and turbidity, Medicated Leaven and Germinated Barley are used to disperse it; for excessive phlegm and dampness, Atractylodes and Poria are used to promote urination; as phlegm can obstruct qi, Dried Tangerine Peel is used to move qi, Dried Ginger to warm, and Phellodendron Bark to clear; Ginseng and Astragalus Root are used to warm the middle and tonify qi.
bubble_chart Pattern Identification - vertigo headache.
- Dizziness as if the head is covered.
- Tongue coating is white and greasy.
- Pulse is wiry and slippery.
- Nausea and vomiting.
bubble_chart Formula Modification
- migraine: add Sichuan Lovage Rhizome, Chastetree Fruit
- vertigo with frequent vomiting: add Hematite.
- high blood pressure: add Uncaria, Eucommia Bark.
- blood deficiency headache: add Chinese Angelica, Sichuan Lovage Rhizome.
- severe cold vertigo: combine with True Warrior Decoction.
- rhinitis: add Magnolia, Cocklebur Fruit.
- tinnitus, hearing impairment: add Curcuma Root, Acorus, Chastetree Fruit
bubble_chart Cautions and Contraindications
This prescription is slightly pungent and warm in nature, and is contraindicated for vertigo and headache caused by ascendant hyperactivity of liver yang transforming into fire and stirring wind.
bubble_chart Modern Application
Vertigo, hypertension, migraine, hyperlipidemia, headache, vomiting, stirred pulse, sclerosis, gastric atony, gastroptosis, hypotension, nasal empyema, nasal diseases, Meniere's symptoms and signs.