太阳头痛兼项与攒竹,脉浮紧或关前紧数,恶风寒,宜羌芎活主之。
阳明头痛 自汗发热,胃热上攻,脉浮缓长,或关洪数,石膏、葛、芷主之。
少阳头痛 额角偏疼,往来寒热,脉弦细,黄芩、柴胡主之。
太阴头痛 有湿痰,体重腹痛,脉沉缓,半夏、南星、苍术主之。
少阴头痛 足寒气逆,为寒厥,脉沉细,细辛、麻黄、附子主之。
厥阴头痛 顶痛,吐涎沫,厥冷,脉浮缓,吴茱萸汤主之。
气虚头痛 耳鸣,九窍不和,尺脉虚浮,参、 主之。
血虚头痛 鱼尾上攻,芎、归主之。
风涎冷痰在鬲上,或呕吐,脉弦细出寸口,为痰厥,宜吐。
火作痛 痛甚,清之、散之。
湿热头痛证 则心烦。
伤风头痛 半边偏痛,皆因冷气所吹,遇风冷则发,寸浮。
食积头痛 因胃中有阴冷,宿食不化,上冲,右寸紧盛,左属风,浮为风;
右属痰,滑为痰。
半夏白术天麻汤 治痰厥头痛。
半夏(二钱) 白术(一钱) 天麻(一钱半) 人参(一钱) 黄 苍术 陈皮 黄柏
茯苓(一钱半) 神曲(炒) 泽泻 干姜(二钱)
清空膏 治风湿热诸般头痛,惟血虚不治。
黄芩(二钱) 羌活 川芎 黄连 防风 甘草(钱) 柴胡(七分)
上为末,白汤下。
玉壶丸 治风湿痰头痛。
雄黄 白术 天麻 南星 半夏
茶调散 吐痰头痛。
家珍方 治偏头痛连睛。
石膏 黍粘子(炒)
香芎散 治一切头风。
香附(二两炒) 甘草 川芎(一两) 石膏(五钱) 细茶 荆芥 点服二钱 细辛 防风
川乌 草乌 白芷 荆芥 羌活 煎服
Taiyang channel headache involves pain extending to the nape and the Cuanzhu (BL2) acupoint area. The pulse is floating-tight or tight-rapid at the Guan position anteriorly, accompanied by aversion to wind and cold. It is appropriate to use Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Fang Feng (Saposhnikoviae Radix) as the main treatment.
Yangming channel headache presents with spontaneous sweating and fever, caused by stomach heat attacking upward. The pulse is floating-slow-long or flooding-rapid at the Guan position. It is appropriate to use Shi Gao (Gypsum Fibrosum), Ge Gen (Puerariae Lobatae Radix), and Bai Zhi (Angelicae Dahuricae Radix) as the main treatment.
Shaoyang channel headache presents with unilateral pain at the temple corner, alternating chills and fever, and a string-taut-thin pulse. It is appropriate to use Huang Qin (Scutellariae Radix) and Chai Hu (Bupleuri Radix) as the main treatment.
Taiyin channel headache involves damp-phlegm retention, heavy body, abdominal pain, and a deep-slow pulse. It is appropriate to use Ban Xia (Pinelliae Tuber), Nan Xing (Arisaematis Rhizoma Preparatum), and Cang Zhu (Atractylodis Rhizoma) as the main treatment.
Shaoyin channel headache presents with cold feet and counterflow qi, constituting Cold Jue syndrome. The pulse is deep-thin. It is appropriate to use Xi Xin (Asari Radix et Rhizoma), Ma Huang (Ephedrae Herba), and Fu Zi (Aconiti Lateralis Radix Preparata) as the main treatment.
Jueyin channel headache presents with vertex pain, vomiting of saliva and froth, cold extremities, and a floating-slow pulse. It is appropriate to use Wu Zhu Yu Tang (Evodia Decoction) as the main treatment.
Qi deficiency headache presents with tinnitus and dysfunction of the nine orifices. The Chi pulse is deficient-floating. It is appropriate to use Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix) as the main treatment.
Blood deficiency headache presents with pain attacking upward from the outer canthus (fish tail). It is appropriate to use Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Dang Gui (Angelicae Sinensis Radix) as the main treatment.
If wind-phlegm and cold-phlegm stagnate above the diaphragm, or if vomiting occurs, and the pulse is string-taut-thin emerging from the Cun position, this constitutes Phlegm Jue syndrome. It is appropriate to induce vomiting.
Pain caused by fire is severe; it should be treated by clearing heat and dispersing fire.
The syndrome of damp-heat headache is accompanied by mental restlessness.
Wind-cold headache presents with unilateral pain, caused by exposure to cold air, triggered by wind and cold, with a floating pulse at the Cun position.
Food stagnation headache is caused by cold yin in the stomach and undigested food rushing upward. The right Cun pulse is tight-prosperous. The left pulse relates to wind, where floating indicates wind; the right pulse relates to phlegm, where slippery indicates phlegm.
Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction) treats headache due to phlegm Jue.
Ingredients: Ban Xia (Pinelliae Tuber Preparata) (2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Tian Ma (Gastrodiae Rhizoma) (1.5 qian), Ren Shen (Ginseng Radix) (1 qian), Huang Qi (Astragali Radix), Cang Zhu (Atractylodis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Huang Bo (Phellodendri Cortex), Fu Ling (Poria) (1.5 qian), Shen Qu (Massa Medicata Fermentata) (stir-fried), Ze Xie (Alismatis Rhizoma), Gan Jiang (Zingiberis Rhizoma) (2 qian).
Qing Kong Gao (Clearing the Vault Ointment/Powder) treats various headaches due to wind-damp-heat, but is not indicated for blood deficiency types.
Ingredients: Huang Qin (Scutellariae Radix) (2 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Lian (Coptidis Rhizoma), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Chai Hu (Bupleuri Radix) (0.7 fen).
Grind into powder, take with warm water.
Yu Hu Wan (Jade Pot Pill) treats headache due to wind-damp-phlegm.
Ingredients: Xiong Huang (Realgar), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tian Ma (Gastrodiae Rhizoma), Nan Xing (Arisaematis Rhizoma Preparatum), Ban Xia (Pinelliae Tuber Preparata).
Cha Tiao San (Tea-Regulating Powder) treats headache due to phlegm (by inducing expectoration/vomiting of phlegm).
Jia Zhen Fang (Family Treasure Formula) treats migraines extending to the eyes.
Ingredients: Shi Gao (Gypsum Fibrosum), Shu Nian Zi (Arctii Fructus) (stir-fried).
Xiang Xiong San (Cyperi and Ligustici Powder) treats all types of head wind diseases.
Ingredients: Xiang Fu (Cyperi Rhizoma) (2 liang, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (1 liang), Shi Gao (Gypsum Fibrosum) (5 qian), Xi Cha (Fine Tea), Jing Jie (Schizonepetae Spica), Xi Xin (Asari Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix), Chuan Wu (Aconiti Radix), Cao Wu (Aconiti Radix), Bai Zhi (Angelicae Dahuricae Radix), Qiang Huo (Notopterygii Rhizoma et Radix).
Usage: Take 2 qian as a point dose; or decoct and drink.