（附头风）
某（左） 头痛止而复发。肝肾阴亏，虚风上僭。补其不足，泻其有余，理所当然也。
生地炭 滁菊花 粉归身 川芎 煨决明 东白芍 白僵蚕 本 粉丹皮 黑山栀
某（右） 头痛不止，甚则心胸懊 。肝火风壅于阳络。恐致失明。
桑叶 黑山栀 防风 淡子芩 羌活 丹皮 甘菊花 本 石决明 僵蚕
某（右） 头痛甚剧，右目翳障。肝火风上旋。势必损明。
川芎 白僵蚕 连翘 羚羊片 干荷边 白芷 甘菊花 丹皮 松萝茶 焦山栀
某（右） 头痛偏右，痰时带红。二者今虽暂安，然眩晕心悸，火从上逆。脉弦带滑。无非肝肾之阴精不足，
而脾胃之痰湿有余，胆胃之气，不克下降，则肝脏之阳，上升太过。拟熄肝和阳。
白蒺藜 黄芩 青防风 炒枣仁 石决明 朱茯神 羌活 白归身 豆衣 制半夏
邵（右） 头偏作痛，心悸怔忡不寐，时觉恶热。阳升太过，致心火不能下行。拟宁神和阳。
炒枣仁（二钱） 茯神（三钱） 粉丹皮（一钱五分） 酒炒杭白芍（一钱五分） 石决明（五钱）
黑豆衣（三钱） 柏子仁（三钱） 龙齿（三钱） 炒知母（一钱五分） 金铃子（一钱五分） 天王补心丹（三钱
先服）
二诊 寐得稍安，轰热亦减，然仍头偏作痛。左关脉大，还是阴涵不足，阳升有余。前法再参和阴。
生龟板（四钱） 酸枣仁（二钱川连二分煎汁炒研） 酒蒸女贞子（三钱） 酒炒白芍（一钱五分）
醋珍珠母（四钱） 滁菊花（一钱五分） 龙齿（三钱） 黑豆衣（三钱） 丹皮（二钱） 辰灯心（三尺）
三诊 略能就寐，而热气时从上冲。脉象细弦。阴分不足，阳气不潜。前法再进一筹。
阿胶珠（三钱） 茯神（三钱） 龙齿（三钱） 酒炒白芍（一钱五分） 酸枣仁（二钱川连三分煎汁炒）
夜交藤（四钱） 酒炒女贞子（三钱） 醋 珍珠母（四钱） 辰灯心（三尺）
濂珠粉（二分先服）
张（左） 头痛眩晕。苔白浓腻，脉濡缓微滑。肝阳挟痰上腾。拟熄肝化痰。
制半夏（一钱五分） 白蒺藜（三钱） 炒竹茹（一钱五分） 煨天麻（一钱五分） 甘菊花（二钱） 薄橘红
（一钱） 净钩钩（三钱） 石决明（四钱） 茯苓（三钱） 白金丸（七分分二次服）
二诊 化痰泄热，眩晕稍减未止。脉象细弦。经云、头痛巅疾，下虚上实。原因肾水内亏，阳气上冒。再拟
育阴潜阳法。
龟板（六钱先煎） 牡蛎（八钱） 白菊花（一钱五分） 白蒺藜（三钱） 杞子（三钱） 生地（四钱）
黑豆衣（三钱） 粉丹皮（二钱） 煨天麻（一钱五分）
邵（右） 头晕渐致作痛，痛引耳后，恶心欲吐。两关脉弦。少阳阳明不降也。
柴胡（四分） 炒竹茹（一钱） 法半夏（一钱五分） 酒炒白芍（一钱五分） 丹皮（一钱） 黑山栀（
二钱） 白茯苓（三钱） 川芎（五分） 蔓荆子（八分）
二诊 头痛大减，耳后作胀，的是甲木之升腾有余。
桑叶（一钱五分） 黑山栀（三钱） 白蒺藜（三钱） 滁菊花（一钱五分） 钩钩（三钱） 丹皮（一钱五分）
蔓荆子（一钱） 石决明（三钱） 连翘壳（三钱） 干荷叶（三钱）
刘（右） 经云、真头痛，头痛甚，脑尽痛，手足寒至节，不治。头痛连脑一症，从来殊少专方。前诊脉象细沉，
久按带弦。据述病剧之时，头脑苦痛，痛则遍身经络抽掣，数日渐退。夫脑为髓之海，病入骨髓，已属不
可救药，何况乎苦痛之地，而在于髓之海乎。病及髓海，则虽疗治，尚苦无方，安有数日而能渐退之理
乎。其所以如此者，必有至理存乎其中，在临症者未之深思耳。考十二经中，维太阳膀胱经为水府，其
脉络脑。又痰与湿皆水类也，痰湿遏伏，则水寒而脉道不行，脑痛之由，实出于此。刻下头痛虽不甚发，
而每晨辄心中泛泛漾漾，至午才得如常。盖卧则气闭，气闭则痰湿不行，清晨初起之时，正是痰湿欲
行未行之际，阳气浮越于上，故体为之疲软，心胸为之不舒。夫营出于中焦。又中焦受气，取汁变化而
赤，是为血。今中焦所受水谷之气，不化为血，而酿为痰，故未至七七之年，而经水断绝。拟药如下，即希高正。
盐水炒潼沙苑（二两） 橘红（八钱） 泽泻（一两） 炙黄 （二两） 茯苓（二两）
制半夏（二两） 炒于术（二两五钱） 盐水炒黄柏（一两） 焦茅术（一两五钱） 炒杞子（三两）
煨天麻（一两） 杜仲（三两） 范志曲（一两五钱） 当归炭（二两） 川断肉（二两炒） 白芍（一两）
炒酸枣仁（二两） 炒麦芽（二两） 炒干姜（七钱）
上药如法研为细末，水泛为丸，如绿豆大，每晨服三钱，开水送下。另研参须一两五钱和入。
孙（右） 头痛减而复盛。昨进清震汤以泄木火之势，痛势随退，大便亦行。无如脚膝腿股之间，随处刺
痛。脉缓而关部仍弦。还是火风未熄，流窜经络犹恐上腾致变。拟清泄以锉其锋。
黑山栀 淡子芩 鲜竹茹 苦丁茶 连翘壳 夏枯草 碧玉散 鲜菊叶 粉丹皮 代赭石 鲜荷边
王（左） 始由太阳内伏寒邪，乘阳气发泄而动，头痛如破，甚至神情迷乱。幸松云先生随症施治，大势
得平，经月以来，独胃气未能稍苏，浆粒全不入口。历投和中化湿、温理中阳、导浊下行诸法，于胃纳一
边，无微不至，独胃气仍然不醒。今细察病情，除不食之外，惟苦头晕不能左转，吞酸恶心，中脘有气攻
撑，腹中 痛。脉微数，右关带弦，尺中较柔略大，舌苔黄浊。此盖由头痛之余，肝木未平，胃土为之所侮，
致阳明失通降之权。兹与松云先生议定，根据前法参入理气平肝。当否即请正之。
制半夏 云茯苓 川雅连 制香附 新会皮 金铃子 炒枳壳 土炒白芍 磨沉香 白
蒺藜（去刺炒） 竹二青（盐水炒）
某（右） 头痛如破，一转机于消风，再转机于升发。发者何，发其火之郁也。风以何据，龈肿是也。岂以消
风之剂，始效而终不效，乃度其为火乎。非也。初次头痛，神识清灵，继而痛甚，时兼 语。惟火足以乱我
神明，风虽甚，不能扰我之方寸，经谓火郁者发之，升柴之所以敢于尝试也。幸皆应手。实堪相庆。特头
痛虽定，而遍体游行作痛，若系血不濡经，则痛有定，痛势亦略缓，今游行甚速，还是风火之余威，窜入
于络隧之间。脉数，重按细弦，轻取微浮，与所审证据，亦属相符。拟泄热祛风，以消余烬。
秦艽 僵蚕 桑寄生 独活 青防风 丹皮 淡芩 黑山栀 连翘 青果 芦根
左 颈项牵引头脑作痛，耳窍发胀。肝火风郁于少阳阳明。
桑叶（一钱五分） 黑山栀（三钱） 荆芥（一钱） 淡芩（一钱五分酒炒） 菊花（二钱） 丹皮（二钱）
苦丁茶（三钱） 元参（三钱） 连翘壳（四钱） 荷叶边（三钱）
钱（右） 向有胃痛，不时举发，偏左腹硬，头痛右甚，甚则引及目痛。脉形尺涩。肝火风上旋。宜清以泄之。
冬桑叶（一钱） 黑山栀（三钱） 池菊花（一钱五分） 白芍（一钱五分酒炒） 粉丹皮（二钱） 细生地
（四钱） 青葙子（三钱酒炒） 蔓荆子（一钱） 肥玉竹（三钱） 荷叶边（三钱）
二诊 脉弦尺涩。偏右头痛，引及目珠，稍涉辛劳，咽中燥痛。肝火风不熄。养不足之阴，泄独胜之热。
细生地（四钱） 杭白芍（一钱五分酒炒） 池菊花（二钱） 丹皮（二钱） 蔓荆子（一钱五分） 青葙子（
三钱酒炒） 淡芩（一钱五分酒炒） 玉竹（三钱） 黑山栀（三钱） 野黑豆（三钱） 荷叶边（三钱）
张（左） 土郁稍舒，头痛时作时止。土位之下，燥气承之也。
郁金 羌活 白术 泽泻 制半夏 上广皮 炒米仁 赤猪苓 晚蚕砂（包） 范志曲 白蒺藜
右 喉疳之后，风火未清，风气通肝，以致火风游行经络，头痛如破，甚则随地结块，所谓热甚则肿也。
川芎 羚羊片 丹皮 蔓荆子 秦艽 山栀 白僵蚕 防风 香白芷 菊花
二诊 头痛减而少腹有气上冲，直抵咽喉，寤难成寐。脉洪大稍敛，而关脉仍弦。肝火风未能尽平，厥
气从而附和。前法再参调气。
白芷 白芍 丹皮 本 金铃子 鲜菊花 山栀 当归 香附 青皮 枇杷叶
右 导火下行。寐得略安，而头痛仍盛，呕吐咳逆。脉细涩，左部带弦，无非阳气未能下潜。再反佐以进。
羚羊片（一钱先煎） 广橘红（一钱） 白石英（三钱） 陈胆星（五分） 左牡蛎（盐水炒八钱） 茯苓神
（各三钱） 炒栝蒌皮（三钱） 石决明（五钱） 竹沥（一两） 姜汁（少许）
某（右） 老年偏左头疼。产育过多，血亏则肝乏营养，阳气僭上也。
酒炒当归 蜜炙白芷 池菊花 白僵蚕 蜜炙川芎 酒炒白芍 蔓荆子 龟甲心 生地炭
孙（在） 头痛在额为甚，鼻窍不利。右脉弦大。阴分素亏，外风引动内风。用选奇汤进退。
淡豆豉（三钱） 淡芩（一钱五分） 黑豆衣（三钱） 川石斛（四钱） 青防风（一钱） 池菊（二钱）
本（一钱） 水炒竹茹（一钱） 干荷叶边（三钱） 葱白头（二枚）
[Appendix: Head Wind]
Patient (Left): The headache stopped but recurred. Due to deficiency of Liver and Kidney Yin, deficient wind rises and harasses the head. It is reasonable to tonify the deficiency and drain the excess.
Prescription: Charred Rehmanniae Radix (Shengdi Tan), Chrysanthemi Flos (Chuju Hual), Angelicae Sinensis Radix (Fen Guishen), Ligustici Chuanxiong Rhizoma (Chuanxiong), Calcined Apatitum (Wei Jueming), Paeoniae Radix Alba (Dong Baishao), Bombyx Batryticatus (Bai Jiangcan), Ligustici Wallichii Rhizoma (Ben), Moutan Cortex (Fen Danpi), Gardeniae Fructus (Hei Shanzhi).
Patient (Right): The headache persists; at times severe, causing mental restlessness and oppression in the chest and heart. This is due to Liver Fire and Wind obstructing the Yang collaterals. There is fear of blindness resulting.
Prescription: Mori Folium (Sangye), Gardeniae Fructus (Hei Shanzhi), Saposhnikoviae Radix (Fangfeng), Scutellariae Radix (Dan Zixin), Notopterygii Rhizoma et Radix (Qianghuo), Moutan Cortex (Danpi), Chrysanthemi Indici Flos (Gan Juhua), Ligustici Wallichii Rhizoma (Ben), Halitum (Shijueming), Bombyx Batryticatus (Jiangcan).
Patient (Right): The headache is extremely severe, with opacity in the right eye. This is due to Liver Fire and Wind rotating upward. Vision will inevitably be damaged.
Prescription: Ligustici Chuanxiong Rhizoma (Chuanxiong), Bombyx Batryticatus (Bai Jiangsan), Forsythiae Fructus (Lianqiao), Antelopis Cornu (Lingyang Pian), Dried Lotus Leaf (Gan Hebian), Angelicae Dahuricae Radix (Baizhi), Chrysanthemi Indici Flos (Gan Juhua), Moutan Cortex (Danpi), Lethariella Viridis (Songluocha), Scorched Gardeniae Fructus (Jiao Shanzhi).
Patient (Right): The headache is on the right side, with blood occasionally present in the phlegm. Although symptoms are temporarily relieved, there is still vertigo and palpitations, caused by Fire Qi counterflowing upward. The pulse is wiry and slippery. This is essentially insufficient Yin essence of the Liver and Kidney, and excessive Phlegm-Dampness of the Spleen and Stomach. The Qi of the Gallbladder and Stomach fails to descend, causing the Yang of the Liver to rise excessively. The proposed method is to extinguish Liver Wind and harmonize Yang.
Prescription: Tribuli Fructus (Bai Jili), Scutellariae Radix (Huangqin), Saposhnikoviae Radix (Qing Fangfeng), Fried Ziziphus Seed (Chao Zaoren), Halitum (Shijueming), Alisma Rhizoma with Cinnabar (Zhu Fushen), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Sinensis Radix (Bai Guishen), Soybean Coat (Douyi), Processed Pinellia Tuber (Zhi Banxia).
Patient Shao (Right): Pain on one side of the head, accompanied by palpitations, fright, insomnia, and occasional sensation of heat intolerance. This is due to excessive rising of Yang, preventing Heart Fire from descending. The proposed method is to calm the Spirit and harmonize Yang.
Prescription: Fried Ziziphus Seed (2 qian), Alisma Rhizoma (3 qian), Moutan Cortex (1.5 qian), Hang Bai Shao fried with wine (1.5 qian), Halitum (5 qian), Black Soybean Coat (3 qian), Biota Seed (3 qian), Dragon Teeth (3 qian), Fried Anemarrhenae Rhizoma (1.5 qian), Chaenomelis Fructus (1.5 qian), Tianwang Buxin Wan (3 qian, taken first).
Second visit: Sleep has slightly improved, and the sensation of heat has decreased, but pain on one side of the head persists. The left Guan pulse is large; this indicates insufficient Yin nourishment and excessive rising of Yang. The previous method should be combined with Yin-nourishing methods.
Prescription: Raw Tortoise Shell (4 qian), Sour Jujube Seed (2 qian, fried with decoction of 0.2 qian Coptidis Rhizoma and ground), Female Date Fruit steamed with wine (3 qian), White Peony Root fried with wine (1.5 qian), Pearl Mother fried with vinegar (4 qian), Chrysanthemi Flos (1.5 qian), Dragon Teeth (3 qian), Black Soybean Coat (3 qian), Moutan Cortex (2 qian), Chen Dengxin (3 chi).
Third visit: Able to sleep slightly, but heat rushes upward intermittently. The pulse is fine and wiry. Insufficiency of Yin division, failure of Yang to submerge. Advance the previous method further.
Prescription: Gelatinous Donkey-hide Hide Bead (3 qian), Alisma Rhizoma (3 qian), Dragon Teeth (3 qian), White Peony Root fried with wine (1.5 qian), Sour Jujube Seed (2 qian, fried with decoction of 0.3 qian Coptidis Rhizoma), Caulis Trichosanthis (4 qian), Female Date Fruit fried with wine (3 qian), Pearl Mother fried with vinegar (4 qian), Chen Dengxin (3 chi), Lianzhu Fen (0.02 qian, taken first).
Patient Zhang (Left): Headache with vertigo. Tongue coating is white, thick, and greasy; pulse is soggy, slow, and slightly slippery. This is Liver Yang carrying Phlegm upward. The proposed method is to extinguish Liver Wind and resolve Phlegm.
Prescription: Processed Pinellia Tuber (1.5 qian), Tribuli Fructus (3 qian), Fried Bamboo Shavings (1.5 qian), Calcined Gastrodia Tuber (1.5 qian), Chrysanthemi Indici Flos (2 qian), Thin Tangerine Peel (1 qian), Uncaria Ramulus cum Uncis (3 qian), Halitum (4 qian), Poria (3 qian), Baijin Wan (0.07 qian, taken in two doses).
Second visit: After resolving Phlegm and draining Heat, vertigo has slightly decreased but not stopped. The pulse is fine and wiry. As stated in the Classic: "Headache and cranial diseases indicate deficiency below and excess above." The cause is internal deficiency of Kidney Water and rising of Yang Qi. Re-propose the method of nurturing Yin and submerging Yang.
Prescription: Turtle Shell (6 qian, decocted first), Oyster Shell (8 qian), White Chrysanthemum Flower (1.5 qian), Tribuli Fructus (3 qian), Goji Berry (3 qian), Rehmanniae Radix (4 qian), Black Soybean Coat (3 qian), Moutan Cortex (2 qian), Calcined Gastrodia Tuber (1.5 qian).
Patient Shao (Right): Dizziness gradually turns into pain, radiating to behind the ear, with nausea and desire to vomit. Both Guan pulses are wiry. This is failure of Shaoyang and Yangming Qi to descend.
Prescription: Bupleuri Radix (0.4 qian), Fried Bamboo Shavings (1 qian), Processed Pinellia Tuber (1.5 qian), White Peony Root fried with wine (1.5 qian), Moutan Cortex (1 qian), Gardeniae Fructus (2 qian), White Poria (3 qian), Ligustici Chuanxiong Rhizoma (0.5 qian), Viticis Fructus (0.8 qian).
Second visit: Headache greatly reduced, swelling behind the ear, confirming excessive rising of Jia Wood (Liver/Gallbladder).
Prescription: Mori Folium (1.5 qian), Gardeniae Fructus (3 qian), Tribuli Fructus (3 qian), Chrysanthemi Flos (1.5 qian), Uncaria Ramulus cum Uncis (3 qian), Moutan Cortex (1.5 qian), Viticis Fructus (1 qian), Halitum (3 qian), Forsythiae Fructus (3 qian), Dried Lotus Leaf (3 qian).
Patient Liu (Right): The Classic states: "True headache involves severe pain throughout the brain, with cold limbs reaching the joints; it is incurable." For the symptom of headache connecting to the brain, there have rarely been specific formulas. Previous diagnosis showed a fine, deep pulse, becoming wiry upon prolonged pressing. Described as: when the disease is severe, the brain suffers intense pain, causing twitching of meridians throughout the body, which subsides after several days. The brain is the Sea of Marrow; if the disease enters the marrow, it is incurable. How much more so if the painful area is within the Sea of Marrow? If the disease reaches the Sea of Marrow, even with treatment, there is no effective formula, let alone gradual subsidence in a few days. The reason for this must lie in profound principles that clinicians have not deeply considered. Examining the twelve meridians, the Foot-Taiyang Bladder Meridian is the residence of Water, and its channels connect to the brain. Phlegm and Dampness belong to the category of Water. When Phlegm-Dampness is suppressed, Cold Water obstructs the vessel pathways, which is the origin of brain pain. Currently, although headaches do not occur frequently, every morning there is a feeling of nausea and uneasiness in the chest until noon when it normalizes. This is because lying down closes the Qi mechanism; closed Qi prevents Phlegm-Dampness from moving. In the early morning, Phlegm-Dampness is about to move but has not yet done so, while Yang Qi floats upward, causing physical weakness and chest discomfort. Ying Qi originates from the Middle Jiao. The Middle Jiao receives Qi, extracts juices, transforms them, and turns them red, becoming Blood. Now, the Qi of food and drink received by the Middle Jiao does not transform into Blood but brews into Phlegm. Thus, before reaching the age of forty-nine (seven sevens), menstruation ceases. Proposed prescription follows, for correction by experts.
Prescription: Salt-fried Astragalus Complanatus Seed (2 liang), Tangerine Peel (8 qian), Alisma Rhizoma (1 liang), Roasted Astragalus Membranaceus Root (2 liang), Poria (2 liang), Processed Pinellia Tuber (2 liang), Fried Atractylodes Macrocephala Rhizoma (2.5 liang), Salt-fried Phellodendri Cortex (1 liang), Scorched Atractylodes Rhizoma (1.5 liang), Fried Lycium Chinense Fruit (3 liang), Calcined Gastrodia Tuber (1 liang), Eucommia Bark (3 liang), Fan Zhi Qu (1.5 liang), Charred Angelicae Sinensis Radix (2 liang), Drynaria Rhizome (2 liang, fried), White Peony Root (1 liang), Fried Ziziphus Seed (2 liang), Fried Hordeum Vulgare (2 liang), Fried Zingiberis Rhizoma (7 qian).
Grind the above medicines finely according to method, make pills with water like mung beans. Take 3 qian every morning with boiled water. Mix in 1.5 qian of ginseng whiskers powder separately.
Patient Sun (Right): Headache decreased then worsened. Yesterday, Qingzhen Tang was administered to drain Wood-Fire, and the pain subsided, bowel movements also occurred. However, stabbing pain occurs everywhere between the feet, knees, legs, and thighs. The pulse is slow, and the Guan section remains wiry. Fire and Wind have not been extinguished; they are wandering through the meridians, fearing upward movement leading to complications. Propose clearing and draining to blunt their edge.
Prescription: Gardeniae Fructus, Scutellariae Radix, Fresh Bamboo Shavings, Kudingcha, Forsythiae Fructus, Prunella Spica, Biyu San, Fresh Chrysanthemum Leaves, Moutan Cortex, Haematitum, Fresh Lotus Leaf Edge.
Patient Wang (Left): Initially, latent Cold Evil in the Taiyang meridian moved with the release of Yang Qi, causing headache as if breaking, even leading to confusion of spirit. Fortunately, Mr. Songyun treated according to symptoms, and the major condition stabilized. Since then, only the Stomach Qi has not revived; nothing is eaten. Various methods of harmonizing the middle, resolving dampness, warming and regulating Middle Yang, and guiding turbidity downward were tried. Regarding stomach intake, care was meticulous, yet Stomach Qi remained unrevived. Now carefully observing the condition, besides anorexia, there is dizziness preventing turning the head to the left, acid regurgitation, nausea, Qi attacking and distending the middle epigastrium, and abdominal pain. The pulse is slightly rapid, the right Guan is wiry, the Chi is softer and slightly larger, and the tongue coating is yellow and turbid. This is likely due to the aftermath of headache, where Liver Wood is not pacified, insulting Stomach Earth, causing Yangming to lose its function of descending. Here, discussed with Mr. Songyun, based on previous methods, incorporating Qi-regulating and Liver-pacifying herbs. Please correct if appropriate.
Prescription: Processed Pinellia Tuber, Cloud Poria, Coptidis Rhizoma, Cyperi Rhizoma, New Tangerine Peel, Chaenomelis Fructus, Fried Aurantium Fructum, Earth-fried White Peony Root, Ground Agarwood, Tribuli Fructus (thorns removed, fried), Zhu Er Qing (salt-water fried).
Patient (Right): Headache as if breaking. The first turn was resolved by eliminating Wind, the second by ascending and dispersing. What is dispersed? The depression of Fire. Why is it attributed to Wind? Swollen gums are the evidence. Is it because Wind-eliminating agents worked initially but failed later, thus guessing it is Fire? No. Initially, the mind was clear; later, pain became severe, accompanied by delirious speech. Only Fire can disturb the Divine Mind; even strong Wind cannot disturb the Heart. The Classic says, "For Fire depression, disperse it," hence the daring attempt with Bupleuri Radix and Cimicifugae Rhizoma. Fortunately, all responded well, worthy of celebration. Specifically, although the headache is settled, wandering pain throughout the body suggests that if it were Blood failing to nourish the vessels, the pain would be fixed and slightly slower. Now the wandering is fast, indicating the residual power of Wind-Fire窜入 (intruding) into the collaterals. The pulse is rapid, fine and wiry upon heavy pressure, slightly floating upon light pressure, consistent with the evidence. Propose draining Heat and dispelling Wind to eliminate remaining embers.
Prescription: Gentianae Macrophyllae Radix, Bombyx Batryticatus, Taxilli Herba, Angelicae Pubescentis Radix, Saposhnikoviae Radix, Moutan Cortex, Scutellariae Radix, Gardeniae Fructus, Forsythiae Fructus, Qin Guo, Reed Rhizome.
Left: Neck and nape pulling into head pain, ear orifice swelling. Liver Fire-Wind depressed in Shaoyang and Yangming.
Prescription: Mori Folium (1.5 qian), Gardeniae Fructus (3 qian), Schizonepetae Spica (1 qian), Scutellariae Radix fried with wine (1.5 qian), Chrysanthemum (2 qian), Moutan Cortex (2 qian), Kudingcha (3 qian), Scrophulariae Radix (3 qian), Forsythiae Fructus (4 qian), Lotus Leaf Edge (3 qian).
Patient Qian (Right): History of stomach pain, recurring intermittently, hardness in the left abdomen, headache worse on the right, sometimes radiating to eye pain. Pulse shape is choppy at Chi. Liver Fire-Wind rotates upward. Should clear and drain.
Prescription: Mulberry Leaf (1 qian), Gardeniae Fructus (3 qian), Chrysanthemum (1.5 qian), White Peony Root fried with wine (1.5 qian), Moutan Cortex (2 qian), Fine Rehmanniae Radix (4 qian), Eyebright Seed fried with wine (3 qian), Viticis Fructus (1 qian), Large Yams (3 qian), Lotus Leaf Edge (3 qian).
Second visit: Pulse wiry, Chi choppy. Right-sided headache radiating to eyes, dry and painful throat after slight exertion. Liver Fire-Wind not extinguished. Nourish insufficient Yin, drain excessive Heat.
Prescription: Fine Rehmanniae Radix (4 qian), Hang White Peony Root fried with wine (1.5 qian), Chrysanthemum (2 qian), Moutan Cortex (2 qian), Viticis Fructus (1.5 qian), Eyebright Seed fried with wine (3 qian), Scutellariae Radix fried with wine (1.5 qian), Polygonatum Odoratum (3 qian), Gardeniae Fructus (3 qian), Wild Black Soybean (3 qian), Lotus Leaf Edge (3 qian).
Patient Zhang (Left): Earth depression slightly relieved, headache comes and goes. "Below the position of Earth, Dryness Qi takes over."
Prescription: Curcumae Radix, Notopterygii Rhizoma et Radix, Atractylodes Macrocephala Rhizoma, Alisma Rhizoma, Processed Pinellia Tuber, Upper Guang Pi, Fried Coix Seed, Red Polyporus, Late Silkworm Sand (wrapped), Fan Zhi Qu, Tribuli Fructus.
Right: After throat ulcer, Wind-Fire not cleared. Wind connects to Liver, causing Fire-Wind to wander meridians, headache as if breaking, sometimes forming lumps anywhere, as stated "severe heat causes swelling."
Prescription: Ligustici Chuanxiong Rhizoma, Antelopis Cornu, Moutan Cortex, Viticis Fructus, Gentianae Macrophyllae Radix, Gardeniae Fructus, White Bombyx Batryticatus, Saposhnikoviae Radix, Angelicae Dahuricae Radix, Chrysanthemum.
Second visit: Headache reduced, but Qi rushes from lower abdomen to throat, difficulty sleeping. Pulse surging and large but slightly收敛 (converging), Guan still wiry. Liver Fire-Wind not fully pacified, Jue Qi follows suit. Combine previous method with Qi-regulating.
Prescription: Angelicae Dahuricae Radix, White Peony Root, Moutan Cortex, Ligustici Wallichii Rhizoma, Chaenomelis Fructus, Fresh Chrysanthemum, Gardeniae Fructus, Angelicae Sinensis Radix, Cyperi Rhizoma, Citrus Reticulata Green Fruit, Loquat Leaf.
Right: Guide Fire downward. Sleep slightly improved, but headache remains severe, vomiting and coughing. Pulse fine and choppy, left section wiry. Essentially Yang failing to submerge. Add reverse adjuvant to advance.
Prescription: Antelopis Cornu (1 qian, decocted first), Broad Tangerine Peel (1 qian), Leucophaeite (3 qian), Old Phellodendri Cortex processed with bile (0.5 qian), Left Oyster Shell salt-fried (8 qian), Poria and Alisma Rhizoma (3 qian each), Fried Trichosanthis Pericarpium (3 qian), Halitum (5 qian), Bamboo Juice (1 liang), Ginger Juice (small amount).
Patient (Right): Elderly patient with left-sided headache. Excessive childbirth leads to Blood deficiency, Liver lacks nourishment, Yang Qi usurps upward.
Prescription: Angelicae Sinensis Radix fried with wine, Angelicae Dahuricae Radix honey-fried, Chrysanthemum, White Bombyx Batryticatus, Ligustici Chuanxiong Rhizoma honey-fried, White Peony Root fried with wine, Viticis Fructus, Turtle Shell Heart, Charred Rehmanniae Radix.
Patient Sun (In): Forehead headache is severe, nasal passages blocked. Right pulse wiry and large. Constitutionally deficient Yin, external Wind stirs internal Wind. Use Xuanqi Tang with modifications.
Prescription: Light Fermented Soybean (3 qian), Scutellariae Radix (1.5 qian), Black Soybean Coat (3 qian), Dendrobii Caulis (4 qian), Saposhnikoviae Radix (1 qian), Chrysanthemum (2 qian), Ligustici Wallichii Rhizoma (1 qian), Bamboo Shavings water-fried (1 qian), Dried Lotus Leaf Edge (3 qian), Scallion White (2 pieces).