[总诀〕头乃三阳所总司，药分三面按经施。若还眩运分虚实，泻实滋虚两路驰。头痛在后，或兼发热恶寒
者，太阳经伤寒也。宜加味败毒散。
沙参（二钱） 羌活（二钱） 独活（二钱） 柴胡（二钱） 前胡（三钱） 川芎（一钱） 桔梗（三
钱） 云苓（三钱） 枳壳（一钱） 甘草（一钱） 葛根（二钱）大枣（二枚） 葱白（一根）生姜（三片）
歌曰∶后面头疼败毒汤，柴前芎桔独参羌。
枳苓葱葛甘和枣，引用生姜入太阳。
（伯未按∶民间用生姜片贴两太阳，亦有帮助。）
头痛在侧，或兼寒热往来者，少阳经伤风也。宜加味柴胡汤。
半夏（三钱） 柴胡（三钱） 竹茹（三钱） 玉竹（三钱） 黄芩（三钱） 白芍（三钱） 钩藤（三
钱） 甘草（一钱） 生姜（三片） 大枣（二枚）
歌曰∶头痛在侧少阳风，祛邪专赖夏柴功。竹茹玉竹姜和枣，甘草钩藤芩芍同。
（伯未按∶蜀刻本钩藤作荆芥。）
头痛在前，或兼发热口渴者，阳明经伤热也。宜加味升葛汤。
白芍（三钱） 葛根（三钱） 黄芩（三钱） 白芷（三钱） 花粉（四钱） 升麻（一钱） 甘草（一
钱）
歌曰∶头痛在前热渴加，芍芩葛根暨升麻。草偕花粉能生液，白芷祛邪力最赊。
雷头风痛，或偏在左在右者，阳虚中风寒也。宜艾灸盐摩法。
艾茸、麝香作小粒灸痛处，附子末和盐摩之（再服加味白通汤，方见下节）。
歌曰∶雷头风痛附盐摩，麝艾同烧不在多。
加味白通姜附术，葱 参草与调和。
（伯未按∶清震汤亦可服，用升麻八分，苍术一钱，荷叶一角。）
头痛如碎，每遇阴雨更甚者，真阳不上头也。宜加味白通汤。
白术（三钱） 黄 （三钱） 党参（三钱） 附子（三钱） 干姜（二钱） 甘草（一钱） 葱白（三根）
歌曰∶每逢阴雨痛无休，只为真阳不上头。
仍用白通加味服，但须一剂病全瘳。
头痛如破，兼见呕吐涎沫者，肝经寒饮逆也。宜加味吴萸汤。
吴萸（二钱） 党参（三钱） 云苓（三钱） 桂尖（三钱） 半夏（三钱） 白芍（三钱） 细辛（五
分） 甘草（一钱） 大枣（三枚） 生姜（三片）
歌曰∶头痛如破吐痰涎，饮逆肝寒姜枣全。
参草吴萸辛桂用，云苓夏芍入汤煎。
头晕郁冒，其人烦渴闷满者，火挟痰上泛也。宜加味银菊汤（头重加酒军）。
白菊（一钱） 银花（三钱） 花粉（三钱） 云苓（三钱） 甘草（一钱） 枳壳（一钱） 旋复（炙，
三钱） 黄芩（三钱） 柴胡（三钱） 杏仁（三钱） 薄荷（一钱） 竹茹（三钱）
歌曰∶头晕郁冒银菊医，柴苓花粉杏旋施。
竹茹芩枳和甘草，加入薄菏能散之。
（伯未按∶蜀刻本无白菊、银花、花粉、枳壳。）
头晕飘摇，其人两颧发赤者，肾经虚火动也。宜加味地黄汤。
熟地（四钱） 山茱萸（三钱） 茯苓（三钱） 丹皮（三钱） 山药（三钱） 泽泻（三钱） 安桂（
一钱） 牛膝（二钱） 附子（三钱） 川芎（一钱） 细辛（五分） 麦冬（三钱） 元参（三钱） 磁石
研，三钱）
歌曰∶飘摇头晕肾经虚，地泽丹元山药俱。
桂附芎辛磁膝引，冬苓滋养佐茱萸。
（伯未按∶倏时头眩眼花无所见者，用熟地一两，党参五钱，煎服。）
[General Principle] The head is the common domain of the three Yang meridians (Taiyang, Yangming, Shaoyang). Medications should be administered according to the specific meridian involved. If dizziness requires differentiation between deficiency and excess, treatment should follow two paths: draining excess and nourishing deficiency. Headache located at the back, or accompanied by fever and aversion to cold, indicates Cold damage affecting the Taiyang meridian. Jiawei Baidu San (Modified Decoction to Overcome Toxins) is appropriate.
Ginseng Radix (Sha Shen, 2 qian), Notopterygii Rhizoma et Radix (Qiang Huo, 2 qian), Angelicae Pubescentis Radix (Du Huo, 2 qian), Bupleuri Radix (Chai Hu, 2 qian), Peucedani Radix (Qian Hu, 3 qian), Ligustici Chuanxiong Rhizoma (Chuan Xiong, 1 qian), Platycodonis Radix (Jie Geng, 3 qian), Poria (Yun Ling, 3 qian), Aurantii Fructus Immaturus (Zhi Ke, 1 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian), Puerariae Lobatae Radix (Ge Gen, 2 qian), Jujubae Fructus (Da Zao, 2 pieces), Allii Fistulosi Bulbus (Cong Bai, 1 piece), Zingiberis Rhizoma Recens (Sheng Jiang, 3 slices).
The verse states: For headache at the back, use Baidu Tang; Bupleuri, Peucedani, Ligustici, Platycodon, Angelicae Pubescentis, and Ginseng Radix. Aurantii Fructus Immaturus, Poria, Allii Fistulosi, Puerariae, Glycyrrhizae, and Jujubae harmonize, with Zingiberis Rhizoma Recens as a guide to enter the Taiyang meridian.
(Note by Bo An: Applying fresh ginger slices to both Taiyang acupoints on the temples is also helpful in folk practice.)
Headache located at the side, or accompanied by alternating chills and fever, indicates Wind pathogen affecting the Shaoyang meridian. Jiawei Chaihu Tang (Modified Bupleuri Decoction) is appropriate.
Pinelliae Rhizoma Preparatum (Ban Xia, 3 qian), Bupleuri Radix (Chai Hu, 3 qian), Bamboo Shavings (Zhu Ru, 3 qian), Polygonati Odorati Rhizoma (Yu Zhu, 3 qian), Scutellariae Radix (Huang Qin, 3 qian), Paeoniae Radix Alba (Bai Shao, 3 qian), Uncariae Ramulus cum Uncis (Gou Teng, 3 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian), Zingiberis Rhizoma Recens (Sheng Jiang, 3 slices), Jujubae Fructus (Da Zao, 2 pieces).
The verse states: Headache at the side is Shaoyang Wind; removing pathogens relies on Pinellia and Bupleuri. Bamboo shavings, Polygonati Odorati, Zingiberis, and Jujubae, combined with Glycyrrhizae, Uncariae, Scutellariae, and Paeoniae Alba.
(Note by Bo An: In the Shu edition, Uncariae Ramulus cum Uncis is written as Schizonepetae Spica/Jing Jie.)
Headache located at the front, or accompanied by fever and thirst, indicates Heat pathogen affecting the Yangming meridian. Jiawei Shengge Tang (Modified Pueraria and Cimicifuga Decoction) is appropriate.
Paeoniae Radix Alba (Bai Shao, 3 qian), Puerariae Lobatae Radix (Ge Gen, 3 qian), Scutellariae Radix (Huang Qin, 3 qian), Angelicae Dahuricae Radix (Bai Zhi, 3 qian), Trichosanthis Radix (Hua Fen, 4 qian), Cimicifugae Rhizoma (Sheng Ma, 1 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian).
The verse states: For headache at the front with heat and thirst, use Paeoniae Alba, Scutellariae, Puerariae, and Cimicifugae. Glycyrrhizae combined with Trichosanthis Radix generates fluids; Angelicae Dahuricae has the strongest power to expel pathogens.
Leishouteng (Thunder-head wind pain), occurring either on the left or right, indicates Wind-Cold invasion due to Yang deficiency. Moxibustion and salt massage are appropriate.
Moxa wool and Moschus (She Xiang) are formed into small pellets for moxibustion on the painful area; Aconiti Lateralis Radix Preparata (Fu Zi) powder mixed with salt is used for massage. (Subsequently, Jiawei Baitong Tang [Modified Baitong Decoction] is taken; see next section for formula.)
The verse states: Leishouteng pain is treated with Fu Zi and salt massage; Moschus and Moxa burned together should not be excessive. Jiawei Baitong contains Ginger, Aconite, and Atractylodes, harmonized with Allium, Ginseng, and Glycyrrhizae.
(Note by Bo An: Qingzhen Tang can also be taken: Cimicifugae Rhizoma 8 fen, Atractylodis Macrocephalae Rhizoma 1 qian, Lotus Leaf 1 corner.)
Headache feeling like fragmentation, worsening during cloudy or rainy weather, indicates True Yang failing to ascend to the head. Jiawei Baitong Tang (Modified Baitong Decoction) is appropriate.
Atractylodis Macrocephalae Rhizoma (Bai Zhu, 3 qian), Astragali Radix (Huang Qi, 3 qian), Codonopsis Radix (Dang Shen, 3 qian), Aconiti Lateralis Radix Preparata (Fu Zi, 3 qian), Zingiberis Rhizoma (Gan Jiang, 2 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian), Allii Fistulosi Bulbus (Cong Bai, 3 pieces).
The verse states: Pain persists every time it rains and clouds, because True Yang does not ascend to the head. Taking modified Baitong Tang will cure the disease completely with just one dose.
Headache feeling like breaking, accompanied by vomiting of saliva/phlegm, indicates Cold-fluid retention reversing in the Liver meridian. Jiawei Wuyu Tang (Modified Evodia Decoction) is appropriate.
Evodiae Fructus (Wu Yu, 2 qian), Codonopsis Radix (Dang Shen, 3 qian), Poria (Yun Ling, 3 qian), Cinnamomi Ramulus (Gui Jian, 3 qian), Pinelliae Rhizoma Preparatum (Ban Xia, 3 qian), Paeoniae Radix Alba (Bai Shao, 3 qian), Asari Radix et Rhizoma (Xi Xin, 5 fen), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian), Jujubae Fructus (Da Zao, 3 pieces), Zingiberis Rhizoma Recens (Sheng Jiang, 3 slices).
The verse states: Headache like breaking with phlegm vomiting; fluid reversal from Liver cold requires Ginger and Jujube. Codonopsis, Glycyrrhizae, Evodia, Asari, and Cinnamon Twig are used; Poria, Pinellia, and Paeoniae Alba are decocted in the soup.
Dizziness with mental cloudiness and oppression, accompanied by irritability, thirst, and chest fullness, indicates Fire carrying Phlegm turbidity upward. Jiawei Yinju Tang (Modified Honeysuckle and Chrysanthemum Decoction) is appropriate (add Rheum Radix et Rhizoma prepared with wine if head feels heavy).
Chrysanthemi Flos (Bai Ju, 1 qian), Lonicerae Japonicae Flos (Yin Hua, 3 qian), Trichosanthis Radix (Hua Fen, 3 qian), Poria (Yun Ling, 3 qian), Glycyrrhizae Radix et Rhizoma (Gan Cao, 1 qian), Aurantii Fructus Immaturus (Zhi Ke, 1 qian), Inulae Flos (Xuan Fu, processed, 3 qian), Scutellariae Radix (Huang Qin, 3 qian), Bupleuri Radix (Chai Hu, 3 qian), Armeniacae Semen Amarum (Xing Ren, 3 qian), Menthae Haplocalycis Herba (Bo He, 1 qian), Bamboo Shavings (Zhu Ru, 3 qian).
The verse states: Dizziness and oppression are treated with Honeysuckle and Chrysanthemum; Bupleuri, Poria, Trichosanthis, Armeniacae, and Inula are applied. Bamboo shavings, Scutellariae, Aurantii Fructus Immaturus, and Glycyrrhizae harmonize; adding Mentha disperses the condition.
(Note by Bo An: The Shu edition lacks Chrysanthemi Flos, Lonicerae Japonicae Flos, Trichosanthis Radix, and Aurantii Fructus Immaturus.)
Swaying dizziness, accompanied by redness of the malar bones, indicates Deficient Fire stirring in the Kidney meridian. Jiawei Dihuang Tang (Modified Rehmannia Decoction) is appropriate.
Rehmanniae Radix Praeparata (Shu Di, 4 qian), Corni Fructus (Shan Zhu Yu, 3 qian), Poria (Fu Ling, 3 qian), Moutan Cortex (Dan Pi, 3 qian), Dioscoreae Rhizoma (Shan Yao, 3 qian), Alismatis Rhizoma (Ze Xie, 3 qian), Cinnamomi Cortex (An Gui, 1 qian), Achyranthis Bidentatae Radix (Niu Xi, 2 qian), Aconiti Lateralis Radix Preparata (Fu Zi, 3 qian), Ligustici Chuanxiong Rhizoma (Chuan Xiong, 1 qian), Asari Radix et Rhizoma (Xi Xin, 5 fen), Ophiopogonis Radix (Mai Dong, 3 qian), Scrophulariae Radix (Yuan Shen, 3 qian), Magnetitum (Ci Shi, ground, 3 qian).
The verse states: Swaying dizziness is Kidney meridian deficiency; Rehmannia, Alisma, Moutan, Scrophulariae, and Dioscorea are present. Cinnamon Twig, Aconite, Ligustici, Asari, Magnetite, and Achyranthis guide; Ophiopogon and Poria nourish, assisting Corni Fructus.
(Note by Bo An: For sudden dizziness and blurred vision/loss of sight, take Rehmanniae Radix Praeparata 1 liang and Codonopsis Radix 5 qian, decocted and drunk.)