羌活 防风（各六分） 柴胡（五分） 黄芩（半生、半炒，一钱二分） 川芎（四分） 甘草（炙，一钱
薄荷（三分） 黄连（酒炒，六分
水煎服。
逍遥散 （见虚劳。
升麻（一钱） 苍术（一钱） 青荷叶（一个，全用） 甘草（炙） 陈皮（各八分） 蔓荆子 荆芥（各一
钱五分） 薄荷（五分
水煎服。
升麻 葛根 赤芍 甘草（各一钱） 石膏（二钱） 薄荷（三分
灯心二十节，水煎服。
半夏（一钱五分） 白术 天麻 陈皮 茯苓（各一钱） 甘草（炙，五分） 生姜（二片） 大枣（三个
蔓荆子（一钱）
虚者，加人参。
水煎服。
六味丸、八味丸 （见类中。
治大头症。肿甚者，宜砭之。
甘草 桔梗 黄芩（酒炒） 黄连（酒炒，各一钱） 马勃 元参 橘红 柴胡（各五分） 薄荷
（六分） 升麻（二分） 连翘 牛蒡子（炒，各八分
水煎服。体虚，加人参五分；便闭，加大黄（酒煨，一钱）。
愚按∶此症须用贝母、人中黄、荷叶为妙。发颐症，倍柴胡，加丹皮。喉咙肿痛，倍桔
梗、甘草。
砭法，以上细瓷锋，用竹片夹定，紧扎，放锋出半分，对患处，另以箸敲之，遍刺肿处
俾紫血多出为善。刺毕，以精肉贴片时，再用鸡子清，调乳香末润之。此地不宜成脓，头
内中空，耳前后更多曲折，提脓拔毒，恒多不便，故针砭断不可少。
针法，以小布针两枚，手法扣定，露锋纤少，遍刺肿处，血出立松。更敷前药，自然消
散，用针砭时，须正心诚意，咬定牙齿，下手刺之。
Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (each 6 fen), Chaihu (Bupleuri Radix) (5 fen), Huangqin (Scutellariae Radix) (half raw, half stir-fried, 1.2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (4 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (1 qian), Bohe (Menthae Haplocalycis Herba) (3 fen), Huanglian (Coptidis Rhizoma, wine-fried) (6 fen). Decoct in water and take orally.
Xiaoyao San (Free and Easy Wanderer Powder) (see Xu Lao [Deficiency Labor]).
Shengma (Cimicifugae Rhizoma) (1 qian), Cangzhu (Atractylodis Rhizoma) (1 qian), Qingheyedie (Nelumbinis Folium, whole plant used) (one leaf), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chenpi (Citri Reticulatae Pericarpium) (each 8 fen), Manjingzi (Vittaginis Fructus), Jingjie (Schizonepetae Spica) (each 1.5 qian), Bohe (Menthae Haplocalycis Herba) (5 fen). Decoct in water and take orally.
Qianghuo (Notopterygii Rhizoma et Radix) (1 qian), Fuzi (Aconiti Lateralis Radix Praeparata), Ganjiang (Zingiberis Rhizoma) (each 5 fen), Zhi Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (8 fen). Decoct in water and take orally.
Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Chishao (Paeoniae Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma) (each 1 qian), Shigao (Gypsum Fibrosum) (2 qian), Bohe (Menthae Haplocalycis Herba) (3 fen), Dengxincao (Junci Medulla) (20 segments). Decoct in water and take orally.
Banxia (Pinelliae Rhizoma Praeparatum) (1.5 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Tianma (Gastrodiae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) (5 fen), Shengjiang (Zingiberis Rhizoma Recens) (two slices), Dazao (Jujubae Fructus) (three fruits), Manjingzi (Vittaginis Fructus) (1 qian). Decoct in water and take orally. For those with deficiency, add Renshen (Ginseng Radix).
Liujun Wan (Six-Ingredient Pill with Rehmannia), Bawei Wan (Eight-Ingredient Pill with Rehmannia) (see Lei Zhong Feng [Stroke-like Syndromes]).
Treat Da Tou Zheng (Big Head Plague/Edema). If swelling is severe, Bian Shi therapy (stone bloodletting) is appropriate.
Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Huangqin (Scutellariae Radix, wine-fried), Huanglian (Coptidis Rhizoma, wine-fried) (each 1 qian), Mabo (Fomes Officinalis), Yuanshen (Scrophulariae Radix), Juhong (Citri Reticulatae Pericarpium Rubrum), Chaihu (Bupleuri Radix) (each 5 fen), Bohe (Menthae Haplocalycis Herba) (6 fen), Shengma (Cimicifugae Rhizoma) (2 fen), Lianqiao (Forsythiae Fructus), Niubangzi (Arctii Fructus, stir-fried) (each 8 fen). Decoct in water and take orally. For body deficiency, add Renshen (Ginseng Radix) 5 fen; for constipation, add Dahuang (Rhei Radix et Rhizoma, wine-baked) 1 qian.
My Commentary: This syndrome requires the use of Beimu (Fritillariae Thunbergii Bulbus), Renzhonghuang (Hominis Excrementum Depuratum), and Heyedie (Nelumbinis Folium) for best results. For Fa Yi Zheng (Parotitis), double the dosage of Chaihu (Bupleuri Radix) and add Danpi (Moutan Cortex). For throat swelling and pain, double the dosage of Jiegeng (Platycodonis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma).
Bian Shi Therapy: Select a fine porcelain shard with a sharp edge, clamp it firmly with bamboo strips, tie tightly, expose half a fen of the edge, aim at the affected area, and strike the porcelain with chopsticks to prick all over the swollen area. It is beneficial to allow much purple-black blood to flow out. After pricking, apply a slice of lean meat to the spot, then moisten it with Ru Xiang (Olibanum) powder mixed with egg white. Pus formation is not suitable here; the head interior is hollow, and there are many twists and turns around the ears, making it inconvenient to drain pus and extract toxins. Therefore, needle and stone therapies are indispensable.
Needle Therapy: Use two small cloth-wrapped needles, fix them with hand technique, expose a tiny amount of the edge, and prick all over the swollen area. Release immediately upon bleeding. Apply the aforementioned medicine afterwards, and it will naturally dissipate. When using needle and stone therapy, one must maintain a sincere and focused mind, bite down on the teeth, and execute the piercing decisively.