病源谓痰水在于胸膈之上，又犯大寒，使阳气不行，令痰水结聚不散，而阴气逆上，上
与风痰相结，上冲于头，即令头痛，或数岁不已，久连脑痛，故云膈痰风厥头痛，若手足寒
冷至节则死。（出第二十卷中）
千金疗卒头痛如破，非中冷又非中风，其病是胸膈中痰，厥气上冲所致，名为厥头痛，
吐之则瘥方。
但单煮茗作饮二三升许，适冷暖饮三升，须臾适吐，适吐毕又饮，能如此数过，剧者须
吐胆汁乃止，不损人，渴而则瘥。（集验同出第十八卷中）
千金翼葱白汤，主冷热膈痰，发时头痛闷乱，欲吐不得方。
葱白（二七茎） 乌头（二分炮） 甘草（二分炙） 真珠（一分研） 常山（二分） 桃
叶（一
把）
上六味切，以酒四升，水四升，合煮取三升，去滓，纳真珠，服一升得吐止。忌海藻菘
菜猪肉冷水生葱生菜生血等物。（千金深师同）
又疗痰饮头痛，往来寒热方。
常山（一两） 云母粉（二两）
上二味为散，熟汤服方寸匕，吐之止，若吐不尽，更服。忌生葱生菜。（深师云用云母
半两炼之余同并出第十九卷中）
备急葛氏主卒头痛如破，非中冷又非中风，是胸膈中痰厥气上冲所致，名厥头痛，吐即
瘥疗方。
釜下墨（四分） 附子（三分炮）
上二味捣散，以冷水服方寸匕，当吐愈。一方有桂心一分。忌猪肉冷水。（文仲肘后同）
又方
以盐汤吐，不吐撩出。（张文仲同）
又方
苦参 桂心 半夏（洗）
上三味等分为末，苦酒和，以涂痛上则瘥。忌生葱羊肉饧。（肘后同）
又方
常山（四分） 甘草（半两）
上二味切，以水七升，煮取三升，服一升不吐，更服亦可，纳蜜半升。忌生葱生菜海藻
菘菜。（千金肘后延年同）
又方
乌梅（三十枚） 盐（三指撮）
上二味，以酒三升，煮取一升，一服当吐愈。（肘后同）
The *Bing Yuan* (Source of Diseases) states that phlegm-fluids accumulate above the chest and diaphragm. If one is exposed to severe cold, it obstructs the circulation of Yang Qi, causing the phlegm-fluids to condense and stagnate without dispersing. Consequently, Yin Qi rebels and ascends, binding with wind-phlegm and rushing upward to the head, thereby causing headache. This condition may persist for several years without ceasing, extending over time to cause chronic brain pain; hence it is termed "diaphragmatic phlegm wind-jue headache." If the hands and feet become cold up to the joints, the prognosis is fatal. (From Volume 20)
The *Qian Jin Fang* treats sudden, severe headache as if the head were breaking, which is neither caused by cold invasion nor wind-stroke. The pathology involves phlegm in the chest and diaphragm, along with rebellious Qi rushing upward, named "Jue Headache" (Headache due to Rebellious Qi). The method to induce vomiting leads to recovery:
Boil tea alone to make a drink, approximately two or three sheng. Drink three sheng when the temperature is suitable. Soon after, natural vomiting will occur. After vomiting ceases, drink again. If this process is repeated several times, in severe cases, vomiting must continue until bile is expelled, at which point it stops. This method does not harm the body; if thirst arises, the disease heals. (Also recorded in the *Ji Yan Fang*, Volume 18)
The Cong Bai Tang (Scallion White Decoction) from the *Qian Jin Yi Fang* treats mixed cold-heat phlegm in the diaphragm, characterized by headache, mental confusion, and a desire to vomit but inability to do so during attacks.
Cong Bai (Scallion White, 14 stalks) Wutou (Aconiti Lateralis Radix Praeparata, 2 fen, prepared) Gancao (Licorice Root, 2 fen, honey-fried) Zhenzhu (Pearl, 1 fen, ground) Changshan (Dichroae Radix, 2 fen) Taoye (Peach Leaf, 1 bunch)
Cut the above six herbs. Combine with four sheng of wine and four sheng of water. Boil together until three sheng remain. Strain the dregs, add the ground Pearl, and take one sheng. Stop when vomiting occurs. Avoid consuming Algae, Song Cai (Chinese Cabbage), pork, cold water, raw scallions, raw vegetables, and raw blood products. (Same as *Qian Jin Fang* and *Shen Shi Fang*)
Another formula treats headache due to phlegm-fluids accompanied by alternating chills and fever.
Changshan (Dichroae Radix, 1 liang) Yunmu Fen (Mica Powder, 2 liang)
Grind the above two ingredients into powder. Take one fang cun bi (a spoonful measure) with warm cooked liquid. Induce vomiting until relief is achieved; if vomiting is incomplete, administer again. Avoid raw scallions and raw vegetables. (*Shen Shi Fang* specifies using half a liang of refined mica; the rest is the same. From Volume 19)
The *Bei Ji Ge Shi Fang* treats sudden, severe headache as if the head were breaking, neither caused by cold invasion nor wind-stroke, but by phlegm and rebellious Qi in the chest and diaphragm rushing upward, named "Jue Headache." Vomiting leads to recovery.
Fu Xia Mo (Soot from the bottom of a cauldron, 4 fen) Fuzi (Prepared Aconite Root, 3 fen, prepared)
Crush the above two ingredients into powder. Take one fang cun bi with cold water. Recovery is expected through vomiting. Another version includes Gui Xin (Cinnamon Twig Heart, 1 fen). Avoid pork and cold water. (Same as *Wen Zhong Fang* and *Zhou Hou Bei Ji Fang*)
Another formula
Use salt water to induce vomiting. If vomiting does not occur spontaneously, use tools to extract the contents. (Same as *Zhang Wen Zhong Fang*)
Another formula
Kushen (Sophorae Flavescentis Radix) Guixin (Cinnamomi Ramulus) Banxia (Pinelliae Rhizoma Preparatum, washed)
Grind the above three herbs into equal parts of powder. Mix with Ku Jiu (Vinegar) and apply to the painful area for recovery. Avoid raw scallions, mutton, and Yi Tang (Maltose). (Same as *Zhou Hou Bei Ji Fang*)
Another formula
Changshan (Dichroae Radix, 4 fen) Gancao (Licorice Root, half a liang)
Cut the above two herbs. Add seven sheng of water and boil until three sheng remain. Take one sheng. If vomiting does not occur, another dose may be taken. Add half a sheng of honey. Avoid raw scallions, raw vegetables, algae, and Chinese cabbage. (Same as *Qian Jin Fang*, *Zhou Hou Bei Ji Fang*, and *Yan Nian Fang*)
Another formula
Wumei (Mume Fructus, 30 pieces) Yan (Salt, a pinch of three fingers)
Combine the above two ingredients. Add three sheng of wine and boil until one sheng remains. Take once; recovery is expected through vomiting. (Same as *Zhou Hou Bei Ji Fang*)