赵 右偏头痛。鼻窍流涕。仍不通爽。咽喉疳腐。寤醒肢冷汗出。外邪头风。已留数月。其邪混处。
精华气血。咸为蒙闭。岂是发散清寒可解。头巅药铒。务宜清扬。当刺风池风府。投药仍以通
法。苟非气血周行。焉望却除宿病。(暑热上蒙清窍)
西瓜衣 鲜芦根 苡仁 通草 煎送腊矾丸。
何(四一)右偏风头痛。从牙龈起。(木火上炎)
炒生地(三钱) 蔓荆子(炒一钱) 黄甘菊(一钱) 茯苓(一钱半) 炒杞子(二钱)
冬桑叶(一钱) 炒丹皮(一钱) 川斛(一钱半)
王(五一)中年阴中之阳已虚。内风偏头痛。冷泪出。(阴中阳虚)还少丹。
徐(四一)头风既愈。复发。痛甚呕吐不已。阳明胃虚。肝阳化风愈动。恐有失明之忧。(胃虚风阳上逆)
炒半夏 茯苓 苦丁茶 菊花炭 炒杞子 柏子霜
朱(五四)阳明脉弦大而坚。厥阴脉小弦数促。面赤。头痛绕及脑后。惊惕肉 。 汗出。 早晨小
安。入暮偏剧。此操持怫郁。肝阳挟持内风。直上巅顶。木火戕胃为呕逆。阳越为面赤汗淋。内
因之病。加以司候春深。虑有暴厥 痉之幻。夫肝为刚脏。胃属阳土。姑议柔缓之法。冀有阳
和风熄之理。复脉去参姜桂加鸡子黄白芍。
王 始用茶调散得效。今宜养血和血。
川芎 归身 白芍(酒炒) 白蒺藜(炒) 桑枝
朱(三四)头风目痛昏赤。火风上郁最多。及询病有三四年。遇风冷为甚。其卫阳清气。久而损伤。非
徒清散可愈。从治风先治血意。
杞子 归身 炒白芍 沙苑 菊花 钩藤
头风一症。有偏正之分。偏者主乎少阳。而风淫火郁为多。前人立法。以柴胡为要药。其补
泻之间。不离于此。无如与之阴虚火浮。气升吸短者。则厥脱之萌。由是而来矣。先生则另
出心裁。以桑叶丹皮山栀荷叶边。轻清凉泄。使少阳郁遏之邪。亦可倏然而解。倘久则伤
及肝阴。参入咸凉柔镇可也。所云正者。病情不一。有气虚血虚。痰厥肾厥。阴伤阳浮。火亢
邪风之不同。按经设治。自古分晰甚明。兹不再述。至于肝阴久耗。内风日旋。厥阳无一息
之宁。痛掣之势已极。此时岂区区汤散可解。计惟与复脉之纯甘壮水。 胶黄之柔婉以
熄风和阳。俾刚亢之威。一时顿熄。予用之屡效如神。决不以虚谀为助。(邵新甫)
Mr. Zhao, right-sided migraine. Nasal discharge from the nasal orifices, still not clear and unobstructed. Gangrene-like ulceration in the throat. Upon waking from sleep, limbs are cold with sweating. This is external pathogenic factor-induced head wind (Tou Feng), which has persisted for several months. The pathogen is mixed within the essence, qi, and blood, all of which are covered and closed off. How can this be resolved by dispersing and clearing cold methods? Medications for the head must be light, clear, and ascending. Acupuncture at Fengchi (GB20) and Fengfu (GV16) should be performed, and medication should still employ the method of unblocking. Unless the circulation of qi and blood is restored, how can one hope to eliminate chronic diseases? (Summer-heat turbidity covering the clear orifices)
Watermelon rind (Xigua Yi), fresh reed rhizome (Xian Lugen), Coix seed (Yiren), Taro stem (Tongcao), decocted to administer La Fan Wan (Wax Alum Pill).
Mr. He (41 years old), right-sided wind-induced headache, originating from the gums. (Wood fire flaming upward)
Fried Rehmannia root (Chao Shengdi, 3 qian), Vitex fruit (Man Jing Zi, fried, 1 qian), Yellow Chrysanthemum flower (Huang Gan Ju, 1 qian), Poria (Fuling, 1.5 qian), Fried Goji berry (Chao Qizi, 2 qian), Winter Mulberry leaf (Dong Sangye, 1 qian), Fried Moutan bark (Chao Danpi, 1 qian), Dendrobium stem (Chuan Hu, 1.5 qian).
Mr. Wang (51 years old), in middle age, the yang within yin is already deficient. Internal wind-induced migraine, with cold tears flowing. (Deficiency of yang within yin) Huan Shao Dan (Return to Youth Pill).
Mr. Xu (41 years old), head wind recovered but relapsed. Severe pain with incessant vomiting. Yangming stomach deficiency, liver yang transforming into wind moving more violently, fearing the risk of blindness. (Stomach deficiency with rebellious wind and yang)
Fried Pinellia tuber (Chao Banxia), Poria (Fuling), Kuding tea (Kuding Cha), Charred Chrysanthemum flower (Juhua Tan), Fried Goji berry (Chao Qizi), Thuja seed powder (Baizi Shuang).
Mr. Zhu (54 years old), Yangming pulse is wiry, large, and firm; Jueyin pulse is small, wiry, rapid, and hurried. Red face, headache radiating to the back of the head, fright and tremors, muscle twitching, sweating. Symptoms are slightly calm in the morning, worsening significantly at night. This is due to labor and restraint causing stagnation, liver yang carrying internal wind directly to the vertex. Wood-fire damaging the stomach leads to vomiting and rebellion; yang escaping leads to red face and profuse sweating. This is an internal cause disease, compounded by the seasonal timing of deep spring, raising concern for sudden syncope or convulsions. The liver is a rigid organ; the stomach belongs to yang earth. Tentatively propose a softening and soothing method, hoping for the resolution of yang and extinguishing of wind. Mai Mai Jing Tong Tang (Pulse Restoring Decoction) without Ginseng, Ginger, and Cinnamon Twig, adding Egg Yolk and White Peony Root (Bai Shao).
Mr. Wang, initially used Cha Tiao San (Tea-Powder Powder) with effect. Now suitable for nourishing and harmonizing blood.
Sichuan Lovage Rhizome (Chuanxiong), Angelica sinensis root body (Guishen), White Peony Root (Baishao, wine-fried), Tribulus fruit (Bajili, fried), Mulberry twig (Sangzhi).
Mr. Zhu (34 years old), head wind with eye pain, dimness, and redness. Fire-wind upward depression is most prevalent. Inquiry reveals illness for three to four years, worsening with wind-cold. His defensive yang and clear qi have been damaged over time; it cannot be cured merely by clearing and dispersing. Following the principle that "treating wind requires first treating blood."
Goji berry (Qizi), Angelica sinensis root body (Guishen), Fried White Peony Root (Chao Baishao), Astragalus complanatus seed (Shayuan), Chrysanthemum flower (Juhua), Uncaria hook (Gouteng).
The syndrome of head wind has distinctions between lateral and central types. Lateral types primarily involve the Shaoyang channel, where wind hyperactivity and fire depression are common. Predecessors' legislation prioritized Bupleurum root (Chaihu); its tonification and purgation revolve around this. However, if applied to patients with yin deficiency and floating fire, or rising qi and short breathing, the onset of collapse may arise. Mr. Ye employed original ingenuity, using Mulberry leaf, Moutan bark, Gardenia, and Lotus leaf edge, which are light, cool, and draining, allowing the depressed pathogens of Shaoyang to resolve instantly. If prolonged, it damages liver yin; thus, salty-cool and softening/astringent herbs should be added. As for central types, conditions vary: there are qi deficiency, blood deficiency, phlegm syncope, kidney syncope, yin injury with floating yang, and hyperactive fire with pathogenic wind. Treatment based on meridians has been clearly distinguished since ancient times, so it is not repeated here. Regarding long-term consumption of liver yin, with daily rotation of internal wind, and jueyang having no moment of peace, the intensity of painful pulling is extreme. At this time, how can simple decoctions or powders suffice? It is calculated that only Pure Sweet Water-Nourishing methods of Mai Mai Jing Tong Tang, and the gentle softening of Donkey-hide Gelatin (Ejiao) and Egg Yolk (Jihuang) can extinguish wind and harmonize yang, causing the rigid and hyperactive force to subside instantly. I have used this method with frequent miraculous efficacy, and certainly do not resort to false flattery. (Commentary by Shao Xinpu)