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Zhu Danxi stated: Pain in the supraorbital ridge is mostly attributable to Li Feng Re (severe wind-heat) and Phlegm syndromes; headache due to Tou Feng (wind-stroke type headache) is mostly due to Wind-Phlegm.

It is said that there are two types of supraorbital pain. The eyes belong to the Liver. If the pain is caused by Liver Deficiency, the pain in the supraorbital ridge worsens upon exposure to light, and Sheng Di Huang Wan (Rehmannia Pill) is appropriate. If there is pain in the supraorbital ridge accompanied by inability to open the eyes, with symptoms being quiet during the day and severe at night, Dao Tan Wan Tang (Phlegm-Guiding Pill Decoction) added with Mao Gen Cha (Imperata Rhizome Tea), or Er Chen Tang (Two-Cured Decoction) taken with Qingzhou Bai Wan Zi (Qingzhou White Pills), are also effective.

I (Xu Chunfu) have observed that most cases of supraorbital pain are due to Liver Fire flaming upward, especially in those who suffer from severe anger. The so-called "Wind syndrome" is also caused by Fire, specifically when extreme heat generates Wind. Generally, one should suppress Liver Fire, and if Wind-Phlegm is present, treat both simultaneously.

Xi Gan San (Liver-Washing Powder): Treats unbearable pain in the supraorbital ridge and orbital bones. (Formula see Eye Section.)
Er Chen Tang (Two-Cured Decoction): (Formula see Phlegm Section.)

Li Dongyuan's Xuan Qi Fang (Selecting Marvelous Formula): Treats severe supraorbital pain.
Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root) (each 1 qian).
Add one and a half cups of water, decoct to eight-tenths, and take warm after meals.

Fang Feng Qiang Huo Tang (Saposhnikovia and Notopterygium Decoction): Treats supraorbital pain, suitable for Wind-Cold, Phlegm, and Dampness patterns.
Fang Feng (Saposhnikovia Root), Qiang Huo (Notopterygium Rhizome), Xi Xin (Asarum Root), Huang Qin (Scutellaria Root), Nan Xing (Arisaema Cum Bile), Ban Xia (Pinellia Tuber), Bai Zhu (Atractylodes Macrocephala Rhizome), Gan Cao (Licorice Root).
Grind the above ingredients into coarse powder. Take 4 qian per dose, add one and a half cups of water, decoct to eight-tenths, and take warm.

Danxi Huang Qin Bai Zhi San (Danxi Scutellaria and Angelica Dahurica Powder): Treats supraorbital pain due to Wind-Heat.
Huang Qin (Scutellaria Root, wine-washed, 2 qian), Bai Zhi (Angelica Dahurica Root, 1 qian).
Grind the above into fine powder. Take after meals and before bed, mixed with clear tea.

Er Wu San (Two Wus Powder): Treats supraorbital pain, also applicable for concurrent Wind diseases.
Chuan Wu (Aconitum Carmichaelii Lateral Root), Cao Wu (Aconitum Kusnezoffii Root) (both soaked in urine of an uncircumcised boy, stir-fried to remove toxicity), Xi Xin (Asarum Root), Qiang Huo (Notopterygium Rhizome), Huang Qin (Scutellaria Root), Gan Cao (Licorice Root) (equal parts).
Grind the above into fine powder. Take 2 qian per dose, mixed with clear tea.

The Classics state: The nose is the external manifestation of the Lung. It is also said: The West corresponds to the color white, internally connecting to the Lung, opening into the nose. It is further said: When Gallbladder Heat shifts to the brain, it causes Bi Yuan (nasal sinusitis). It is also said: Severe nasal heat results in turbid discharge. It is also said: Diseases of the Heart and Lung cause nasal obstruction.

*Zhubing Yuanhou Lun* (Source Book of All Diseases) states: The Lung opens into the nose. If Heat invades the Blood, Qi also becomes hot. When both Qi and Blood are hot, blood follows Qi upward and exits through the nose, termed Bi Nu (epistaxis). In severe cases, massive bleeding occurs, even from the mouth and ears. It also says: When the Lung organ is harmonious, nasal Qi flows freely, allowing perception of odors. If pathogenic factors invade the Taiyin Meridian, Qi accumulates in the nose, causing fluid congestion and preventing the free flow and regulation of nasal Qi. Thus, one loses the ability to perceive odors, resulting in Qiu Shi (nasal congestion with clear discharge). Sores forming in the nose turning into polyps, or blockage and discharge, are all due to stagnation of pathogenic factors in the Lung Meridian.

*Yuan Bing Shi* (Manual of Original Disease Mechanisms) states: Lung Heat causes rhinorrhea. When Heat severely stagnates in the Foot-Yangming Stomach Meridian, blood recklessly ascends and exits the nose, named Nu (epistaxis); clear discharge from the nose is named Qiu (allergic rhinitis-like symptom). The principle of the Five Elements dictates that when mild, it manifests its own transformation; when severe, it assumes the characteristics of its controlling element ("Ghost Thief"). Hence, the Classics say: Excess brings harm, balance is achieved through control. The *I Ching* says: Nothing dries the myriad things more than Fire. Using fire to smelt metal, extreme heat turns into water; extreme body heat causes sweating. Water is soft and smooth, but extreme cold turns it to ice like earth. Earth governs damp Yin, clouds and rain are calm. Extreme dampness of Earth reverses into sudden downpours, fierce winds, and flooding rains. Wood governs warmth and gentleness, generating flourishing wind; extreme wood turns cool and breaks. Metal governs coolness; extreme autumn coolness makes myriad things dry again. These are all examples of extreme conditions reversing to assume the transformation of the controlling element to restrain excess. Therefore, extreme Liver Heat causes tearing; extreme Heart Heat causes sweating; extreme Spleen Heat causes salivation; extreme Lung Heat causes rhinorrhea; extreme Kidney Heat causes spitting saliva. Any thick and turbid phlegm, saliva, or mucus is caused by extreme Fire Heat consuming fluids. Some claim Qiu is due to Lung Cold, which is mistaken. They only observe sneezing, nasal congestion, and worsening in cold, leading to this conclusion. How can they know that Cold injuring the skin and hair closes the Cou Li (pores), causing Heat to stagnate and the disease to worsen?