世人不识，率用辛温解散之药，临时得效，误认为寒。殊不知因其本有郁热，
毛窍常疏，故风寒易入，外寒束其内热，闭逆而急痛。辛热
之药，虽能开通闭逆，散其标之寒邪；然以热济热，病本益深，恶寒愈甚矣。唯当泻火凉血为主，而佐以
辛温散表之剂，以从法治之，则病可愈而根可除也。（《杂着》）
治法杂说 头疼多用石膏，盖取其坠痰饮。然恐性寒，故以钟乳粉代之，肾厥头疼尤得其宜。
或疑钟乳粉为 炼药，则用软石膏 过为末服，尤验。（《易简》）
有偏正夹脑风，服川乌、附子不愈，用莲子、草乌而愈者，此乃以毒攻毒之意，不可不知。有上
焦热头痛，宜败毒散，去柴胡，加甘菊花如其数。有头风发动，顶后两向筋紧，吊起作痛者，看其人挟寒
挟虚，宜大三五七散。头风用热药者多，间有挟热而不胜热剂者，宜消风散、通关散（见《和剂》）、
茶调散清上之类。（《要诀》）
偏头风，亦先风一日即发，湿痰与火伏头中，虽夏月常欲包裹，越婢汤加减。湿加泔制苍术、黑豆
制川乌，火加姜汁炒山栀，左加酒黄芩，右加姜汁、 石膏，湿热甚连目肿者加酒大黄，有邪风加细辛、川
芎、防风之类。（《医通》）
东垣治头痛，大率皆以酒芩、酒连、酒柏加风药，如清空膏、安神散、清上泻火汤之类，但杂用羌、
防、升、柴、 、蔓等药，殊欠纪律，学人师其意可也。元珠茶调散简要可用。（《金匮翼》）
治头风久痛，须加芎、归、红花少许，非独治风，兼和血止痛也。细茶最能清上，
风热久痛，以之作引弥佳，东垣、谦甫皆常用之。（同上）
清上驱风诸方 《延年》疗风热头痛掣动方。
防风 黄芩 升麻 芍药（各二两） 龙骨 石膏（碎各四两） 干葛（三两） 竹沥（二升）
上八味切，以水六升，和沥煮取二升六合，去滓分温三服，
日晚再。（《外台》）《圣惠》防风散（主治同），于本方去龙骨，加蔓荆子、甘草。
治胸膈风痰，气厥上攻，头痛，呕吐痰饮，芎 汤方。
芎 独活（去芦头） 旋复花 防风（去叉） 本（去苗土） 细辛（去苗叶） 蔓荆
实（各一两） 石膏（碎） 甘草（炙各半两）
上九味粗捣筛，每服三钱匕，生姜二片，荆芥三、五穗，水一盏。同煎至七分，去滓食后稍热服。（
《圣济》）（按∶此本《圣惠》治风头痛或时旋转，芎 散，今去葛根、白蒺藜、枳壳、甘菊花，加独活、
本、细辛、蔓荆、生姜、荆芥。《和剂》羌活散，治风气不调，头目昏眩，痰涎壅滞，
遍身拘急，及风邪寒壅，头痛项强，鼻塞声重，肢节烦疼，天阴风雨，预觉不安。于本方去独活、旋复花、
本、荆芥，加白茯苓、羌活、菊花、前胡、黄芩、枳壳、麻黄、薄荷。）
消风散，治诸风上攻，头目昏痛，项背拘急，肢体烦疼，肌肉蠕动，目眩旋运，耳啸蝉鸣，眼涩
好睡，鼻塞多嚏，皮肤顽痹，瘙痒瘾疹。
白茯苓（去皮） 芎 羌活（去芦） 人参（去芦） 荆芥 防风（去芦叉） 藿香叶（
去梗） 蝉壳（去土微炒） 白僵蚕（炒去丝） 甘草（锉炒各二两） 浓朴（去粗皮姜汁炙） 陈
皮（去白洗焙各半两）
上为细末，每服二钱，茶清调下。（《和剂》）
川芎茶调散，治丈夫妇人诸风上攻，头目昏重，偏正头疼。
川芎（四两） 白芷（二两） 羌活（二两） 薄荷（八两去枝梗不见火） 香附子（八两去毛） 甘
草（二两 ） 细辛（一两去芦头） 荆芥（四两去梗） 防风（一两半去芦）
上件为细末，每服二钱，食后茶清调下，常服清头目。（《和剂》）（按∶元板脱香附子，诸家书中亦有不用者。
《乾坤生意》菊花茶调散，于本方去香附，加菊花、蝉蜕、僵蚕。《苍生司命》茶煎散，于本方去香附，加
本、辛夷，加细茶一撮同煎服。《金匮翼》经验治头痛，风热痛不可忍者。《玄珠》名茶调散，用川芎、
白芷、酒黄芩、芽茶、荆芥、薄荷，细末茶汤调下。一方有菊花、防风、僵蚕。）
清空膏，治偏正头痛，年深不愈者。善疗风湿热，上壅损目，及脑痛不止。
川芎（五钱） 柴胡（七钱） 黄连（炒） 防风（去芦） 羌活（以上各一两） 炙甘草（
一两五钱） 细挺子黄芩（三两去皮锉一半酒制一半炒）
上为细末，每服二钱匕，于盏内入茶少许，汤调如膏，抹在口内，少用白汤送下，临卧。如苦头痛，
每服加细辛二分。（《兰室》）
乳香盏落散，治男子妇人偏正头疼不可忍，大有神效。
粟壳（去蒂四两） 柴胡（去苗） 桔梗（去芦） 甘草（炒） 陈皮（各一两）
上为末，每服三钱，水一盏，灯草拾茎，长四指，煎至
七分，去渣食后服。（《宝鉴》）（按∶此方不用乳香而名乳香者，犹是犀角消毒饮之例。）
治风头痛，每欲天阴，风先发者方。
甘菊花（一两） 芎 （一两）
上件药捣细罗为散，每服不计时候，以温酒调下二钱。（《圣惠》）
治头痛，神朱石膏丸方。
石膏（烧二两） 芎 （一两） 龙脑（少许研）
上三味捣为细末，用面糊和丸，樱桃大，丹砂为衣，细嚼一丸，茶酒任下，食后服。（《圣济》）又
治脑风头痛，连眼目紧急，肢体拘急疼痛，清神散，于本方加莎草根，研为散。
治首风定偏正头痛，茶调散方。
菊花 细辛（去苗叶） 石膏（研） 莎草根（炒去毛等分）
上四味为细散，每服一钱匕，茶清调下，食后服。（同上）别本《中藏经》香芎散，治一切头风，
于本方去菊花、细辛。加川芎、甘草。（《三因》救生散，用菊花蒂、川芎、甘草、石膏。《宝鉴》川芎
散，用川芎、石膏、菊花、僵蚕。俱自此方变来。）
治头痛。
附子 石膏（ 赤）
上等分为细末，入龙、麝少许，茶酒任下。（《鸡峰》）（按∶此方之意，在附子引石膏之力以上达，
故次于斯。）
点头散，治偏正头痛。
川芎 （二两生） 香附子（去毛四两炒）
上为细末，每服一钱，好茶清调下，常服可除根。（《是斋》）（按∶《济生续方》芎乌散，治
男子气厥头疼，妇人气盛头疼，用川芎、乌药为细末，盖与此方同趣。）
治偏头风方。
猪牙皂角（去皮筋） 香白芷 白附子（各等分）
上为末，每服一钱，腊茶清调下，右疼右侧卧，左疼左侧卧，两边皆疼仰卧，食后服。（《本事续集》）
温散诸方 附子细辛汤，头痛者，谓痛连脑户，或但额间，与眉相引，如风所吹，如水所湿，遇
风寒则极，常欲得热物熨，此由风寒客于足太阳之经，随经入脑，搏于正气，
其脉微弦而紧，谓之风冷头痛。（《指迷方》）
细辛（一两） 芎 （一两） 附子（半两） 麻黄（一分）
上为粗散，每服五钱，生姜三片煎，去滓温服。（《十便》）
羌活附子汤，治冬月大寒犯脑，令人脑痛齿亦痛，名曰脑风。（《奇经论》中。）（按∶经当作病。）
麻黄（三分不去根节） 黑附子（三分） 羌活（半钱） 苍术（半钱） 防风（二分） 黄 （一
钱） 甘草 升麻（各二分） 白芷 白僵蚕 黄柏（三分）
上件都作一服，水二盏，煎至一盏，去滓温服食后。（《试效》）
加减三五七散，治阳虚头痛，风寒入脑，目旋运转，有似舟 之上，耳内蝉鸣，或如风雨之声。
山茱萸 茯苓（去皮） 干姜（炮各三斤） 防风（去芦四斤） 附子（三十五个炮去皮脐） 细辛（一斤八两）
上为细末，每服二钱，温酒调下，食前服。即大三五七散。（《和剂》）（按∶《十便》引《指迷方》三
五七散，有天雄、山药，无茯苓、附子，岂是原方欤。）
加味补虚汤，治妇人头痛，发热多汗，六脉虚细，尺脉或绝，作血虚治之，服后药见效。术附汤
加川芎先服，十全汤加附子次服，又服鹿茸丸、内补丸、芎 汤、神术散。（《朱氏》）（加味补虚汤当考。）
若大病后气虚头痛，宜以四柱散煎熟，入腊茶一钱服之，甚良。（《续易简后集》）（四
柱散见《泄泻》中。）
因发散太过，头痛转剧，小建中汤加当归、童便。（《医通》）
降逆诸方 头痛硫黄丸。
硫黄（二两细研） 硝石（一两）
上水丸，指头大，空心腊茶嚼下。予中表兄，病头风二十余年，每发头痛如破，数日不食，百方不
能疗。医田滋见之曰∶老母病此数十年，得一药遂效。就求得之十丸，日服
一丸。十余日后，滋复来云∶头痛平日食何物即发？答云∶最苦饮酒食鱼。滋取鱼酒令恣食，云∶服此药
十枚，岂复有头痛耶。如其言食之，竟不发，自此遂瘥。予与滋相识数岁，临别以此方见遗。陈州怀医有此
药，丸如梧桐子大，每服十五丸。暑 懵冒者，冰冷水服，下咽即豁然清爽。伤冷，以
沸艾汤下。（《苏沈》）
治肾气不足，气逆上行，头痛不可忍，谓之肾厥，其脉举之则弦，按之石坚，宜玉真丸。
硫黄（二两） 石膏（硬者不 研） 半夏（汤浸七次各一两） 硝石（一分研）
上为细末研匀，生姜汁糊丸，如梧子大，阴干，每服三十丸，姜汤或米饮下，更灸关元穴百壮（按∶
以上据《续易简》、《资生经》等，本《指迷方》文），《良方》中硫黄丸亦佳。（《本事》）《卫生十
全》治肾厥头痛，状如斧劈，痛不可忍者，于本方去半夏，加天南星各等分（《三因》名
天南星丸）。玉真丸，硫黄、半夏，温降之力弥大，石膏、硝石，寒下之能甚长。夫阴气上逆，其来甚暴，
治以纯阳，必多格拒。故须膏、硝为之佐使，令其相入而不觉其相倾耳。黑锡丹亦见此意。（《金匮翼》）
黑锡丹，治真头痛，每服六七十丸，盐汤下，食前。（《万安》引《可用方》十二卷）
灵砂丹，有妇人头痛，恶风发热，六脉沉取无根，浮取却有，医者谓之虚证。灵砂丹，以人参一二
两银铫煎汤，空心下十粒，五更又下十粒，天明则愈矣。（《朱氏》）
有人患头疼数月，痛致厥不省人事，皆作虚阳上攻，又有仿风气并痰治，求医于仆。诊其脉，心脉、
肝脉俱洪大。遂以辰砂五苓散，用龙胆草煎汤调下二钱，一服顷刻如失。（《万
安》引《究原方》第二）（按∶此无类可附，姑列于斯。）
涌吐诸方 若非次头疼，胸中满及发寒热，脉紧而不大
者，即是膈上有涎，宜用瓜蒂末一钱，暖水调下立愈。（《活人》）
茶调散（亦名二仙散）。
瓜蒂，不以多少，好茶中停。
上为细末，每服二钱，齑汁调下，空心用之。（《三法六门》）
疏利诸方 防风散，治积热上冲，头热如火，痛入顶中。
防风（去芦） 羌活（去芦） 薄荷（去粗梗） 当归（去尾） 大黄 栀子（去须） 川芎
（各一两） 蝉蜕（二十个去足翼） 粉草（五钱）
上为散，每服四钱，水一盏半，灯心二十茎，苦竹叶十皮煎，食后服。（《得效》）
神芎丸，治一切头痛昏眩，利咽膈，能令遍身结滞通畅，除痰饮，解诸热。
大黄 黄芩（各二两） 黑牵牛（炒） 白滑石（各四两） 黄连 大川芎 薄荷叶（各半两）
上为末，水丸小豆大，温水下十丸至十五丸，日三服。或炼蜜丸亦可。（同上）
头痛如破，酒炒大黄半两，茶煎服。（《丹溪》）
清肝凉血诸方 尚宝刘毅斋，怒则太阳作痛。用小柴胡加茯苓、山栀以清肝火，更用六味丸以
生肾水，后不再发。（《内科摘要》）
一人牙与头角互痛，乃少阳、阳明二经火盛之故。清胃散（按∶此盖东垣方）对小柴胡，去半夏、人
参，加薄荷、石膏，二剂瘳。（《六要》）
肝厥头痛，龙荟丸加甘菊、羚羊角，气实便坚者用之。虚者宜生地、羚羊角、甘菊、麦冬之类，
滋之清之，使肝柔
则厥自已。（《金匮翼》）（按∶《时方妙用》举龙荟丸曰∶此法从喻嘉言《寓意草》医吴添官之母一案得来。）
抑青丸。
黄连一味，吴茱萸汤浸一宿，为末，粥丸。（同上）
加味四物汤，治血虚，阴火冲上头痛。
当归 川芎 生地 黄柏（酒炒） 知母 黄芩 黄连（各酒炒） 蔓荆子 枝子（炒各等分）
上剂，水煎服。（《回春》）
新定。
生地（三钱） 知母（酒炒） 黄芩（酒炒各一钱） 薄荷 黑山栀 甘菊 甘草 荆芥（各五
分） 红花（三分）
上作一服，水煎，食远服。便闭，加酒炒大黄一钱五分。此方治头痛烦热，喜见风寒，稍近烟火则痛
复作，或便闭不通者，往往取效。（《金匮翼》）又血虚头痛，于本方去知母、薄荷、山栀、荆芥、
红花，加当归、白芍、川芎，用炙甘。
和中导痰诸方 半夏白术天麻汤，治痰厥头痛，头旋眼黑，烦闷恶心，气短促，言语心神颠倒，目
不敢开，如在风云中，头痛如裂，身重如山，四肢厥冷。（原载范天 内治验，今从《宝鉴》文节录。）
黄柏（二分酒洗） 干姜（三分） 泽泻 白茯苓 天麻 黄 人参 苍术（以上各五分） 炒神
People of the world do not understand this pathogenesis and generally use acrid-warm dispersing medicines. Although they may achieve temporary effects, it is mistakenly considered a cold syndrome. Little do they know that the patient originally has stagnant heat within, and the interstices (pores) are often loose, so wind-cold easily enters. The external cold binds the internal heat, causing obstruction and rebellion of qi mechanism, leading to acute pain. Acrid-hot medicines, although capable of opening obstructions and dispersing superficial cold pathogens; however, using heat to treat heat will deepen the root of the disease and exacerbate aversion to cold. One should primarily employ fire-draining and blood-cooling methods, assisted by acrid-warm exterior-dispersing agents, treating according to correct principles, then the disease can be cured and its root eradicated. (*Za Zhuo*)
Miscellaneous discussions on treatment methods: Headache is often treated with Gypsum Fibrosum (Shigao), likely for its ability to sink phlegm-fluids. However, fearing its cold nature, Calcitrum (Zhongru Fen) is used as a substitute, which is particularly suitable for headache caused by Kidney Jue (Ren Jue). Some suspect Calcitrum is a refined alchemical drug, in which case Soft Gypsum (Ruan Shigao) ground into powder can be taken, yielding especially good results. (*Yi Jian*)
There are cases of lateral or frontal headache complicated by Brain Wind (Nao Feng), where Chuanwu (Aconiti Radix Lateralis Preparata) and Fuzi (Aconiti Radix Preparata) fail to cure, but Lianzi (Nelumbinis Semen) and Caowu (Aconiti Kusnezoffii Radix) succeed. This illustrates the principle of "using poison to attack poison," which must not be ignored. For headache due to upper jiao heat, Baidu San (Resist Toxin Powder) should be used, removing Chaihu (Bupleuri Radix) and adding Ganjuhua (Chrysanthemi Flos) in equal quantity. When Tou Feng (Head Wind) manifests with tightness and upward pulling pain in the tendons behind the vertex, one must assess whether cold or deficiency is involved; if so, Da San Wu Qi San (Great Three-Five-Seven Powder) is indicated. Treatments for Tou Feng often use hot medicines; occasionally, patients with heat complication cannot tolerate hot formulas, in which case Xiaofeng San (Eliminate Wind Powder), Tongguan San (Open Passages Powder) (see *Heji*), or Cha Tiao San (Tea-Pacifying Powder) and other clearing-upper-jiao formulas are appropriate. (*Yao Jue*)
Pian Tou Feng (Lateral Head Wind) also manifests one day before exposure to wind. Damp-phlegm and fire lurk in the head; even in summer, the patient desires to wrap their head. Yuebi Tang (Mahuang Decoction for Restricting the Vessel) with modifications is used. For dampness, add Cangzhu (Atractylodis Rhizoma) processed with rice water and Chuanwu processed with black soybeans; for fire, add Zhizi (Gardeniae Fructus) stir-fried with ginger juice; for left-sided pain, add Huangqin (Scutellariae Radix) processed with wine; for right-sided pain, add ginger juice and Shigao; for severe damp-heat with eye swelling, add Dahuang (Rhei Radix et Rhizoma) processed with wine; for evil wind, add Xixin (Asari Radix et Rhizoma), Chuanxiong (Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), etc. (*Yi Tong*)
Li Dongyuan treats headache mostly with Jiuhuangqin (Scutellariae Radix processed with wine), Jiuhelian (Coptidis Rhizoma processed with wine), Jiuhubai (Phellodendri Cortex processed with wine) combined with wind-dispersing herbs, such as Qingkong Gao (Clear Empty Paste), Anshen San (Calming Spirit Powder), and Qingshang Xiehuo Tang (Clear Upper Drain Fire Decoction). However, he indiscriminately uses Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng, Shengma (Cimicifugae Rhizoma), Chaihu, Baizhi (Angelicae Dahuricae Radix), Manjingzi (Viticis Fructus), etc., lacking discipline. Students may learn from his intent. Yuanzhu Cha Tiao San is concise and usable. (*Jinkui Yi*)
For chronic Tou Feng pain, small amounts of Chuanxiong, Danggui (Angelicae Sinensis Radix), and Honghua (Carthami Flos) must be added. This is not only for treating wind but also for harmonizing blood and stopping pain. Fine tea (Xicha) best clears the upper jiao; for chronic wind-heat headache, it serves as an excellent guiding herb, commonly used by Li Dongyuan and Zhang Qianfu. (Ibid.)
Formulas for Clearing the Upper and Dispersing Wind: *Yannian* formula for wind-heat headache with twitching/pulsating sensation.
Fangfeng, Huangqin, Shengma, Shaoyao (each 2 liang); Longgu (Fossilized Mammoth Teeth/Bones), Shigao (crushed, each 4 liang); Gegen (Puerariae Radix, 3 liang); Zhuli (Bamboo Sap, 2 sheng).
The above eight ingredients are cut, boiled with 6 sheng of water and the bamboo sap to yield 2.6 sheng. Strain and divide into three warm doses, taken evening and night. (*Waitai Miyao*) *Shenghui Fang* Fangfeng San (same indications): Remove Longgu from the above formula, add Manjingzi and Gancao.
Formula for Chest/Diaphragm Wind-Phlegm, Qi Jue attacking upward, headache, vomiting phlegm-fluids: Xiongtang Decoction.
Chuanxiong, Duhuo (Dongquopsis Radix, remove rhizome head), Xinfulhua (Inulae Flos), Fangfeng (remove prickles), Gaoben (Ligustici Rhizoma et Radix, remove seedlings/soil), Xixin (remove seedlings/leaves), Manjingshi (Viticipollen, each 1 liang); Shigao (crushed), Gancao (honey-fried, each 0.5 liang).
The above nine ingredients are coarsely sifted. Take 3 qian per dose, with 2 slices of fresh ginger and 3-5 sprigs of Jingjie (Schizonepetae Spica), in 1 sheng of water. Decoct to 0.7 sheng, strain, and take slightly warm after meals. (*Shengji Zonglu*) (Note: This originates from *Shenghui Fang*'s Xiongsan for wind-headache with dizziness/spinning. Removed Gegen, Baijili, Zhike, Ganjuhua; added Duhuo, Gaoben, Xixin, Manjingzi, Shengjiang, Jingjie. *Heji Ju Fang* Qianghuo San treats irregular wind qi, dizzy head/eyes, obstructed phlegm-saliva, body stiffness, wind-cold obstruction, headache/stiff neck, nasal congestion/heavy voice, joint pain, discomfort before rainy/windy weather. From the above formula, removed Duhuo, Xinfulhua, Gaoben, Jingjie; added Baifuling, Qianghuo, Juhua, Qianhu, Huangqin, Zhike, Mahuang, Bohe.)
Xiaofeng San treats various winds attacking upward: dizzy/painful head and eyes, stiff neck/back, painful limbs, muscle twitching, vertigo, tinnitus like cicadas, dry/tired eyes, nasal congestion/sneezing, skin numbness/itching/hives.
Baifuling (remove peel), Chuanxiong, Qianghuo (remove rhizome head), Renshen (remove rhizome head), Jingjie, Fangfeng (remove rhizome/prickles), Huoxiangye (Pogostemonis Leaf, remove stem), Chanqiao (Cicadae Periostracum, remove soil, slight roast), Baijiangcan (Bombyx Batryticatus, roast remove silk), Gancao (cut, roast, each 2 liang); Houpo (Magnoliae Officinalis Cortex, remove rough bark, ginger-juice fry), Chenpi (Citri Reticulatae Pericarpium, remove white pith, wash, bake, 0.5 liang).
Grind to fine powder. Take 2 qian per dose, mixed with clear tea water. (*Heji Ju Fang*)
Chuanxiong Cha Tiao San treats men and women with various winds attacking upward: heavy/dizzy head, lateral/frontal headaches.
Chuanxiong (4 liang), Baizhi (2 liang), Qianghuo (2 liang), Bohe (Menthae Haplocalycis Herba, 8 liang, remove stems, avoid direct fire), Xiangfuzi (Cyperi Rhizoma, 8 liang, remove hairs), Gancao (2 liang), Xixin (1 liang, remove rhizome head), Jingjie (4 liang, remove stems), Fangfeng (1.5 liang, remove rhizome head).
Grind to fine powder. Take 2 qian per dose after meals, mixed with clear tea water. Regular use clears the head and eyes. (*Heji Ju Fang*) (Note: Yuan edition omitted Xiangfuzi; some books omit it too. *Qiankun Shengyi* Juhua Cha Tiao San removes Xiangfuzi, adds Juhua, Chantui, Jiangcan. *Cangsheng Siming* Cha Jian San removes Xiangfuzi, adds Gaoben, Xinyi, plus a pinch of fine tea to decoct. *Jinkui Yi* empirical formula for unbearable wind-heat headache. *Xuanzhu* names it Cha Tiao San, using Chuanxiong, Baizhi, Jiuhuangqin, Yacha (bud tea), Jingjie, Bohe, mixed with tea water. Another version includes Juhua, Fangfeng, Jiangcan.)
Qingkong Gao treats lateral/frontal headache persisting for years. Good for wind-damp-heat obstructing upward damaging eyes, and unceasing brain pain.
Chuanxiong (5 qian), Chaihu (7 qian), Huanglian (Stir-fried), Fangfeng (remove rhizome head), Qianghuo (each 1 liang); Zhi Gancao (Honey-fried, 1.5 liang), Xi Tingzi Huangqin (Fine-stalk Scutellariae Radix, 3 liang, remove peel, cut, half wine-processed, half stir-fried).
Grind to fine powder. Take 2 qian per dose. Put a little tea in a cup, mix with boiling water to form a paste, smear inside the mouth, swallow with a little plain water before bed. If suffering severe headache, add 2 fen of Xixin per dose. (*Lanshi Micang*)
Ruxiang Zhanluo San treats unbearable lateral/frontal headache in men and women, with great divine effect.
Suhua (Poppy Shell, remove stalk, 4 liang), Chaihu (remove seedlings), Jiegeng (Platycodonis Radix, remove rhizome head), Gancao (stir-fried), Chenpi (each 1 liang).
Grind to powder. Take 3 qian per dose, with 1 sheng of water, 10 stems of Dengcao (Junci Medullla), 4 fingers long. Decoct to 0.7 sheng, strain, take after meals. (*Baojian*) (Note: This formula does not use Ruxiang (Boswelliae Resin) but is named so, similar to the example of Xijiao Xiaodu Yin.)
Formula for Wind Headache, often starting before cloudy weather.
Ganjuhua (Chrysanthemi Flos, 1 liang), Chuanxiong (1 liang).
Grind these medicines to fine powder. Take 2 qian at any time, mixed with warm wine. (*Shenghui Fang*)
Shenzhu Shigao Wan for treating headache.
Shigao (Calcined, 2 liang), Chuanxiong (1 liang), Longnao (Borneolum Syntheticum, a little, ground).
Grind the above three ingredients to fine powder. Mix with wheat paste to make pills the size of a cherry coat with Dansha (Cinnabaris). Chew one pill thoroughly, swallow with tea or wine, take after meals. (*Shengji Zonglu*) Also for Brain Wind headache with tight eyes/limbs and pain, Qingshen San adds Suocaogen (Chicory Radix) to the above formula and grinds to powder.
Cha Tiao San for treating First Wind to stabilize lateral/frontal headache.
Juhua, Xixin (remove seedlings/leaves), Shigao (ground), Suocaogen (stir-fried, remove hairs, equal parts).
Grind the above four ingredients to fine powder. Take 1 qian per dose, mixed with clear tea water, take after meals. (Ibid.) Other editions of *Zhongzang Jing* Xiangxiong San treats all Tou Feng: remove Juhua, Xixin from the above formula. Add Chuanxiong, Gancao. (*Sanyin Fang* Jiusheng San uses Juhua Di, Chuanxiong, Gancao, Shigao. *Baojian* Chuanxiong San uses Chuanxiong, Shigao, Juhua, Jiangcan. All derived from this formula.)
Treating headache.
Fuzi, Shigao (Calcined red).
Grind equally to fine powder. Add a little Longnao and Shexiang (Moschus). Swallow with tea or wine. (*Jifeng Puji Fang*) (Note: The intent of this formula is for Fuzi to guide the power of Shigao upward, hence placed here.)
Diandou San treats lateral/frontal headache.
Chuanxiong (2 liang, raw), Xiangfuzi (remove hairs, 4 liang, stir-fried).
Grind to fine powder. Take 1 qian per dose, mixed with good clear tea water. Regular use can eradicate the root. (*Shizhai Baiyi Xuanfang*) (Note: *Jisheng Xufang* Xiongwu San treats Qi Jue headache in men and Qi Excess headache in women, using Chuanxiong and Wuyao (Tsaoko Fructus) ground to powder, sharing the same approach.)
Formula for Lateral Head Wind.
Zhuya Zaojiao (Gleditsiae Sinensis Fructus, remove skin/fibers), Xiang Baizhi, Baifuzi (equal parts).
Grind to powder. Take 1 qian per dose, mixed with winter tea water. Lie on the right side if right pain, left side if left pain, supine if both sides hurt. Take after meals. (*Benshi Xuji*)
Warm Dispersing Formulas: Fuzi Xixin Tang. Headache here refers to pain connecting to Naohu (GV16) or just the forehead, radiating to the eyebrows, feeling like wind blowing or water wetting, worsening with wind-cold, desiring hot compresses. This is due to wind-cold invading the Foot Taiyang Meridian, entering the brain along the meridian, battling healthy qi. Pulse is slightly wiry and tight, called Wind-Cold Headache. (*Zhimifang*)
Xixin (1 liang), Chuanxiong (1 liang), Fuzi (0.5 liang), Mahuang (Ephedrae Herba, 1 fen).
Grind to coarse powder. Take 5 qian per dose, decoct with 3 slices of fresh ginger, strain, take warm. (*Shibian Liangfang*)
Qianghuo Fuzi Tang treats severe cold in winter invading the brain, causing brain pain and tooth pain, named Brain Wind. (*Qijing Lun*) (Note: "Jing" should be "Bing".)
Mahuang (3 fen, keep roots/joints), Hei Fuzi (Black Prepared Aconite, 3 fen), Qianghuo (0.5 qian), Cangzhu (0.5 qian), Fangfeng (2 fen), Huangqi (Astragali Radix, 1 qian), Gancao, Shengma (each 2 fen), Baizhi, Baijiangcan, Huangbai (Phellodendri Cortex, 3 fen).
All ingredients constitute one dose. Decoct in 2 zhan of water to 1 zhan. Strain, take warm after meals. (*Shixiao Fang*)
Modified San Wu Qi San treats Yang Deficiency headache, wind-cold entering the brain, spinning vision like being on a boat, tinnitus like cicadas or wind/rain sounds.
Shanzhuyu (Corni Fructus), Fuling (Poria, remove peel), Ganjiang (Dried Ginger, prepared, each 3 jin), Fangfeng (remove rhizome head, 4 jin), Fuzi (35 pieces, prepared, remove peel/navel), Xixin (1 jin 8 liang).
Grind to fine powder. Take 2 qian per dose, mixed with warm wine, before meals. This is Da San Wu Qi San. (*Heji Ju Fang*) (Note: *Shibian Liangfang* citing *Zhimifang* San Wu Qi San contains Tianxiong and Shanyao, without Fuling/Fuzi; could this be the original formula?)
Jiawei Buxu Tang treats women's headache, fever, profuse sweating, empty/thin six pulses, or absent Chi pulse. Treat as Blood Deficiency. After taking subsequent medicines, efficacy is seen. First take Shufu Tang + Chuanxiong, then Shiquan Tang + Fuzi, then Luzhu Wan, Neibu Wan, Chuanxiong Tang, Shenzhu San. (*Zhu Shi Jiyan Fang*) (Jiawei Buxu Tang requires verification.)
If headache occurs after severe illness due to Qi deficiency, Si Zhu San decocted with 1 qian of winter tea is very effective. (*Xu Yi Jian Houji*) (Si Zhu San see *Xiexie* section.)
If excessive diaphoresis causes worsened headache, Xiao Jianzhong Tang + Danggui + Tongbian (Child's Urine) is used. (*Yi Tong*)
Descending and Rebellious Formulas: Toutong Liuhuang Wan.
Liuhuang (Sulfur, 2 liang, finely ground), Xiaoshi (Natrii Sulfas, 1 liang).
Make water pills the size of a fingertip. Chew one with empty stomach using winter tea. My cousin suffered from Tou Feng for over 20 years, headache like splitting, unable to eat for days, hundred remedies failed. Physician Tian Zi saw him and said: "My old mother had this for decades, found one medicine that worked." I obtained ten pills, took one daily. After ten days, Zi asked: "What foods trigger your headache?" Answer: "Wine and fish are worst." Zi told him to eat fish and wine freely, saying: "After taking ten pills of this medicine, will you still have headache?" He ate as instructed, never relapsed, and was cured. Knowing Zi for years, he gave me this formula upon parting. Physician Huai from Chenzhou makes this pill the size of Sophora seeds, take 15 pills per dose. For summer heat confusion, take with ice-cold water, instantly refreshing. For cold injury, take with boiling mugwort water. (*Su Shen Liangfang*)
Treat Kidney Qi deficiency, rebellious qi ascending, unbearable headache, called Kidney Jue. Pulse is wiry when lifted, stone-hard when pressed. Use Yuzhen Wan.
Liuhuang (2 liang), Shigao (hard type, do not calcine, grind), Banxia (Pinelliae Rhizoma, soaked in boiling water seven times, each 1 liang), Xiaoshi (1 fen, ground).
Grind uniformly to fine powder. Make pills with ginger juice and paste, size of Sophora seeds. Dry in shade. Take 30 pills per dose with ginger water or rice drink. Also moxa Guanyuan (CV4) 100 cones. (Note: Above based on *Xu Yi Jian*, *Zisheng Jing*, originating from *Zhimifang*. *Liangfang* Liuhuang Wan is also good. (*Benshi Fang*) *Weisheng Shiquan* treats Kidney Jue headache, feeling like axe-chopping, unbearable. Remove Banxia from above formula, add equal parts Tian Nanxing (Arisaematis Rhizoma) (*Sanyin Fang* names it Tian Nanxing Wan). Yuzhen Wan: Liuhuang and Banxia have strong warming-descending power; Shigao and Xiaoshi have strong cold-purging power. When Yin qi rebels upward violently, treating with pure Yang causes rejection. Thus, Shigao and Xiaoshi serve as assistants to allow entry without conflict. Heixi Dan also reflects this intent. (*Jinkui Yi*)
Heixi Dan (Black Lead Pill) treats True Headache. Take 60-70 pills with salt water, before meals. (*Wan'an Fang* citing *Keyong Fang* Vol 12)
Lingsha Dan. A woman with headache, aversion to wind, fever, deep pulse rootless but floating pulse present, diagnosed as deficiency. Lingsha Dan: Decoct 1-2 liang of Renshen in silver pot, take 10 pills on empty stomach, another 10 at dawn, cured by morning. (*Zhu Shi Jiyan Fang*)
Someone suffered headache for months, pain leading to syncope/unconsciousness. All treated as deficient Yang attacking upward, or imitating wind-phlegm. Sought my advice. Pulse: Heart and Liver pulses were both large and surging. Used Chen sha Wuling San (Cinnabar Five-Ingredient Powder with Poria), mixed with Longdancao (Gentianae Radix) decoction, take 2 qian. One dose, symptoms vanished instantly. (*Wan'an Fang* citing *Jiuyuan Fang* No. 2) (Note: No category fits, listed here tentatively.)
Emetic Formulas: If sudden headache, chest fullness, chills/fever, pulse tight but not large, indicates Phlegm-fluid above diaphragm. Use 1 qian of Goudi (Thladianthae Fructus) powder, mixed with warm water, immediate cure. (*Huo Ren Shu*)
Cha Tiao San (also named Erxian San).
Goudi, any amount, steep in good tea.
Grind to fine powder. Take 2 qian, mixed with vinegar juice, use on empty stomach. (*Sanfa Liumen*)
Draining and Purging Formulas: Fangfeng San treats accumulated heat rushing upward, head hot like fire, pain penetrating vertex.
Fangfeng (remove rhizome head), Qianghuo (remove rhizome head), Bohe (remove coarse stems), Danggui (remove tail), Dahuang, Zhizi (Gardeniae Fructus, remove stamens), Chuanxiong (each 1 liang), Chantui (Cicadae Molt, 20, remove feet/wings), Fengan (Licorice Root, 5 qian).
Grind to powder. Take 4 qian per dose, with 1.5 sheng water, 20 stems of Dengxin (Juncus Medulla), 10 skins of Kuzhuye (Bitter Bamboo Leaf). Decoct, take after meals. (*Defang*)
Shenxiong Wan treats all headache/dizziness, benefits throat/chest, unblocks body stagnation, eliminates phlegm-fluid, resolves various heats.
Dahuang, Huangqin (each 2 liang), Hei Qianni (Pharbitidis Semen, stir-fried), Baishih (Kaolin, each 4 liang), Huanglian, Da Chuanxiong, Boheye (Menthae Haplocalycis Folium, each 0.5 liang).
Grind to powder. Make water pills size of Adzuki beans. Take 10-15 pills with warm water, three times daily. Honey pills also acceptable. (Ibid.)
Headache like breaking: Stir-fry Dahuang with wine, 0.5 liang, decoct with tea and take. (*Danxi Xinfa*)
Clearing Liver and Cooling Blood Formulas: Shangbao Liu Yizhai, when angry, Taiyang area hurts. Use Xiao Chaihu Tang + Fuling + Zhizi to clear Liver fire, then Liuwei Wan to generate Kidney water, no recurrence. (*Neike Yaosuo*)
One person had alternating pain between teeth and temple, due to excess fire in Shaoyang and Yangming meridians. Qingwei San (Note: Likely Dongyuan's formula) compared to Xiao Chaihu Tang, remove Banxia, Renshen, add Bohe, Shigao. Two doses cured. (*Liuyao*)
Liver Jue Headache: Longhui Wan + Ganjuhua, Lingyangjiao (Saiga Antelope Horn). Use for excess Qi and hard stool. For deficiency, use Shengdi (Rehmanniae Radix), Lingyangjiao, Ganjuhua, Maidong (Ophiopogonis Radix), etc., to nourish and clear, making Liver soft so Jue stops naturally. (*Jinkui Yi*) (Note: *Shifang Miaoyong* cites Longhui Wan: This method comes from Yu Jiayan's *Yuyi Cao* treating Mother of Official Wu Tian.)
Yiqing Wan.
Huanglian alone, soaked overnight in Wuzhuyu (Evodiae Fructus) decoction, ground to powder, made into pills with congee. (Ibid.)
Jiawei Siwu Tang treats Blood Deficiency, Yin Fire rushing upward causing headache.
Danggui, Chuanxiong, Shengdi, Huangbai (wine-fried), Zhi mu (Anemarrhenae Rhizoma), Huangqin, Huanglian (all wine-fried), Manjingzi, Zhizi (Gardeniae Fructus, stir-fried, equal parts).
Decoct with water and take. (*Huichun*) Newly defined.
Shengdi (3 qian), Zhi mu (wine-fried), Huangqin (wine-fried, each 1 qian), Bohe, Hei Zhizi, Ganjuhua, Gancao, Jingjie (each 5 fen), Honghua (3 fen).
One dose, decoct with water, take far from meals. For constipation, add 1.5 qian wine-fried Dahuang. This formula treats headache with irritability/heat, preferring wind/cold, pain returning near fire/smoke, or constipation. Often effective. (*Jinkui Yi*) Also for Blood Deficiency headache, remove Zhi mu, Bohe, Zhizi, Jingjie, Honghua from above formula, add Danggui, Baishao (Paeoniae Radix Alba), Chuanxiong, use Zhi Gancao.
Harmonizing Middle and Guiding Out Phlegm Formulas: Banxia Baizhu Tianma Tang treats Phlegm Jue headache, spinning vision/blackout, oppression/nausea, short breath, confused speech/mind, eyes dare not open, feeling like in wind/clouds, headache like splitting, body heavy as mountain, cold limbs. (Originally recorded in Fan Tian's internal treatment experience, excerpted from *Baojian*).
Huangbai (2 fen, wine-rinse), Ganjiang (3 fen), Zexia (Alismatis Rhizoma), Baifuling, Tianma (Gastrodiae Rhizoma), Huangqi, Renshen, Cangzhu (each 5 fen), Chao Shenqu (Prepared Mass Medicata, fried spirit)