肝阳上亢 头风眩晕案

某翁,年逾花甲,素性急躁。头痛眩晕已历数载,每因恼怒加剧,头胀如裂,耳鸣如蝉,面赤颧红,心烦少寐,腰膝酸软,口苦咽干。舌红少津,脉弦细而数。

An old gentleman past sixty, by nature quick to anger, with headaches and dizziness for several years, always worsened by vexation. His head feels bursting, tinnitus hisses like cicadas, face and cheekbones flush, he is vexed and sleeps little, with sore weak low back and knees, bitter mouth, and dry throat. Tongue red with scanty fluids; pulse wiry, thin, and rapid.

肝肾阴虚,水不涵木,肝阳偏亢,上扰清窍。

Liver-kidney yin deficiency: water fails to moisten wood, liver yang rises in excess and harasses the clear orifices above.

先生曰:'水亏木旺,非滋水涵木不可。'以六味地黄加天麻、钩藤、菊花、白芍常服,月余头痛大减,眩晕止,眠食俱安;继以丸剂缓图三月,诸症若失。

The master said: 'Water is depleted and wood exuberant — only enriching water to moisten wood will do.' Liu Wei Di Huang Wan with Tian Ma, Gou Teng, Ju Hua, and Bai Shao was taken steadily. After a month headache was greatly reduced, dizziness stopped, and sleep and appetite settled; slow-acting pills for another three months saw the symptoms all but gone.