Tianma Hooked Vine Drink was created by Zhang Xichen, a famous doctor in Qing Dynasty, who authored “Medical Zongzhong Ginseng Xilu” and is a master of Chinese and Western medicine. He is a master of Chinese and Western medicine. He is unique in combining the basic theories of Chinese medicine and modern medical theories in the treatment of hypertension. Some of the clinical symptoms of hypertension can be manifested as vertigo, redness, impatience and irritability, etc. Among them, those manifesting mainly vertigo can be cross-referenced with “vertigo” in Chinese medicine. Dizziness is a kind of disease caused by wind, fire, phlegm and stagnation that disturbs the clear orifices or by the loss of essence and blood, with dizziness and blurred eyes as the main clinical manifestations due to emotion, internal injury from diet, physical weakness and prolonged illness, blood loss and fatigue, trauma and surgery. The two are often seen at the same time, so they are collectively called “vertigo”. In mild cases, the vertigo can be stopped by closing the eyes, but in severe cases, it is like sitting in a car or boat, rotating unsteadily, unable to stand, or accompanied by nausea, vomiting, sweating and pallor. It is caused by deficiency of qi and blood, deficiency of kidney essence, resulting in deficiency of brain marrow and loss of nourishment of the clear orifices, or hyperactivity of liver and yang, phlegm and fire, stasis of blood blocking the orifices and disturbing the clear orifices, and is closely related to liver, spleen and kidney. The principle of treatment for vertigo is to nourish the deficiency while dipping the actual, and to adjust yin and yang. In deficiency cases, deficiency of kidney essence and deficiency of qi and blood are most common. In the case of actual symptoms, the main treatment is to submerge the Yang, dipping fire, resolving phlegm and removing blood stasis. Hyperactivity of liver and Yang Symptoms: dizziness and tinnitus, headache and swelling, aggravated by exertion and anger, numbness and tremor in the limbs, insomnia and dreaminess, impatience and irritability, red tongue with yellow fur and string veins. Treatment: Calming the liver and submerging Yang, nourishing the liver and kidney. Radix Angelicae Sinensis and Crotalariae Drink. In this formula, Tian Ma, Hooked Vine and Shi Dong Ming calm the liver and quench the wind; Scutellaria baicalensis and Gardenia jasminoides clear the liver and diarrhea fire; Yimu Cao invigorate the blood and induce diuresis; Niubizi induce blood downward, together with Du Zhong and Sang Sang Sang to nourish the liver and kidney; Fu Shen and Nightshade nourish the blood and calm the mind. The whole formula works together to calm the liver and stimulate Yang, nourishing the liver and kidney. If Yin deficiency is more prevalent, the tongue is red and less coating, the pulse is thin and counted more obvious, can choose Sheng Di, Mai Dong, Xuan Shen, He Shou Wu, Sheng Bai Shao, etc. to nourish the Yin of the liver and kidney. If liver yang turns into fire and liver fire is hyperactive, manifesting as dizziness, headache, tinnitus, deafness, red eyes, bitter mouth, red tongue with yellow coating and dry pulse, gentian herb, danpi, chrysanthemum, Xiaquan grass, etc. can be used to clear liver fire. In case of constipation, one can use Dajuan, Mannitol or Danggui Longxue Wan to vent heat from the internal organs. If the vertigo is intense, vomiting, numbness of the hands and feet or muscle movement, there is a potential of liver Yang into wind, especially for middle-aged people should pay attention to the possibility of stroke, should be treated in a timely manner, can add mother of pearl, raw dragon bone, raw oyster, etc. to calm the liver and quench the wind, if necessary, can add antelope horn to enhance the power to clear heat and quench the wind. [Experimental case example] Su, male, 64 years old. Date of consultation: November 15, 2015. Dizziness, insomnia, dry mouth and bitterness for several days, history of hypertension, coronary heart disease, diabetes mellitus, fasting blood glucose 7.6mmolMl, light red tongue with little coating, string pulse, tinnitus. Herbs: 15g of asparagus, 15g of hooked vine, 20g of stone cassia, 15g of white peony, 10g of asparagus, 15g of basilica, 30g of oyster (first decoction), 15g of substitution ochre, 10g of Chuan Niu Knee, 30g of mother-of-pearl (first decoction), 30g of magnetite (first decoction), 15g of jujube, 15g of raw earth, 15g of wolfberry, 10g of dogwood, 10g of lady’s mantle, 10g of mulberry, 15g of baicalin, 10g of gardenia 10g, Huanglian 6g, Dangjianhua 1 bag, Licorice 6g. Second diagnosis: November 22, 2015 Vertigo improved but still present, dry mouth still present, bitter mouth sleep improved, occasional chest tightness, light tongue with white coating and slow pulse. Investigation: cardiac left ventricular relaxation decompensation, chronic gastritis, high triglycerides 2.94 mmolMl, occasional ventricular premature electrocardiogram. Prescription: 18g of asparagus, 15g of hooked vine, 20g of stone cassia, 15g of ochre, 15g of white peony, 30g of oyster (first decoction), 15g of wolfberry, 15g of dogwood, 10g of yucca, 10g of maitake, 10g of sage, 10g of smallpox powder, 30g of magnet (first decoction), 15g of nightshade, 10g of lotus seed, 1 bag of calendula, 6g of yellow lily, 10g of bupleurum, 15g of summer cress. Glycyrrhiza glabra 6g, Salvia miltiorrhiza 15g, Safflower 10g. [Remark】The patient has been hypertensive for many years, with typical redness of the face and stringiness of the pulse, which is a manifestation of hyperactivity of liver yang. The treatment is to calm the liver and submerge the yang, and nourish the liver and kidney, because he has tinnitus, which is caused by the deficiency of the essence of the liver and kidney, so he should use products that nourish the liver and kidney, such as mulberry, chasteberry and wolfberry.