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[Symptoms of Headache] The pain may occur on one side or on both sides; it may last for two or three days, or seven or eight days, and in severe cases, even longer than several days; after the pain subsides, the patient returns to a normal state, but upon any subsequent trigger, the pain immediately returns. If Qi is deficient and spirit is depleted, pain occurs immediately upon exertion, radiating to the temporal region (fish tail), this is headache due to Qi deficiency. If there is vexatious heat in the five centers (palms, soles, and chest), accompanied by frequent pulling stabbing pain, this is headache due to Blood deficiency. If there is thirst, dry and cracked lips, and red, scanty, and painful urination and defecation, this is headache due to accumulated heat. If there is nausea and vomiting, this is headache due to phlegm-fluid retention. If triggered by anger, with pain radiating to the hypochondrium, this is headache due to Liver Fire attacking upward. All of the above are symptoms of internal injury headache.

[Etiology of Headache] It may be caused by deficiency-cold of Yuan Qi, occurring immediately upon exertion; or by insufficiency of the Blood aspect, with Yin Fire attacking upward; or by accumulated heat that cannot vent outward; or by retained phlegm and fluid; or by food stagnation in the Middle Jiao; or by emotional disturbance such as anger, leading to depression of Liver and Gallbladder Fire. All these factors can ascend and cause headache, resulting in the syndrome of internal injury headache.

[Pulse Diagnosis of Headache] A pulse that is empty, large, and lacking spirit indicates Qi deficiency. A fine and choppy pulse indicates Blood deficiency. A surging and rapid pulse indicates accumulated heat from rich and greasy foods. A slippery and large pulse indicates internal accumulation of phlegm-fluid. Surging and large pulses at both Cun positions indicate Fire in the Upper Jiao. A wiry and rapid pulse at the left Guan position indicates depression/stagnation in the Liver and Gallbladder.

[Treatment of Headache] For Qi deficiency, use Jia Mi He Zhong Tang (Home Secret Harmonizing Decoction). For Blood deficiency, use Jia Mi Xiong Gui Tang (Home Secret Ligusticum and Angelica Decoction). For accumulated heat from rich and greasy foods, use Zhi Lian Ping Wei San (Gardenia and Coptis Level the Stomach Powder). For Fire in the Liver and Gallbladder, use Qing Kong Gao (Clear Empty Paste), Chai Hu Qing Gan Yin (Bupleurum Liver-Clearing Drink), or Xie Qing Tang (Drain Down Decoction).

Jia Mi He Zhong Tang (Home Secret Harmonizing Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma)

Jia Mi Xiong Gui Tang (Home Secret Ligusticum and Angelica Decoction)
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Sheng Di Huang (Rehmanniae Radix), Lian Qiao (Forsythiae Fructus), Xi Xin (Asari Radix et Rhizoma), Man Jing Zi (Viticis Fructus)

Zhi Lian Ping Wei San (Gardenia and Coptis Level the Stomach Powder)
Cang Zhu (Atractylodis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shan Zhi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma)

Ge Gen Jie Cheng Tang (Pueraria Relieving Intoxication Decoction)
Ge Gen (Puerariae Lobatae Radix), Ge Hua (Puerariae Flos), Sha Ren (Amomi Fructus Rotundus), Mu Xiang (Aucklandiae Radix), Chen Pi (Citri Reticulatae Pericarpium), Bai Fu Ling (Poria), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Shen Qu (Massa Medicata Fermentata), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Dou Kou (Amomi Fructus)

Tian Ma Er Chen Tang (Gastrodia Two-Chen Decoction)
Ban Xia (Pinelliae Rhizoma), Bai Fu Ling (Poria), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Tian Ma (Gastrodiae Rhizoma)

Dao Tan Tang (Guiding Phlegm Decoction)
Nan Xing (Arisaematis Cum Bile), Zhi Ke (Aurantii Fructus Immaturus), Ban Xia (Pinelliae Rhizoma), Bai Fu Ling (Poria), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma)

Ping Wei Bao He Tang (Level the Stomach Preserve Harmony Decoction)
Cang Zhu (Atractylodis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Lai Fu Zi (Raphani Semen), Shan Zha (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus), Shen Qu (Massa Medicata Fermentata), Lian Qiao (Forsythiae Fructus)

Qing Kong Tang (Clear Empty Decoction)
Chai Hu (Bupleuri Radix), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix)

Chai Hu Qing Gan Yin (Bupleurum Liver-Clearing Drink)
Chai Hu (Bupleuri Radix), Bai Shao Yao (Paeoniae Radix Alba), Shan Zhi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Gou Teng (Uncariae Ramulus cum Uncis), Gan Cao (Glycyrrhizae Radix et Rhizoma)

Xie Qing Tang (Drain Down Decoction) - Home secret formula for clearing Wind-Heat from the Liver and Gallbladder.
Dang Gui (Angelicae Sinensis Radix), Long Dan Cao (Gentianae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shan Zhi (Gardeniae Fructus), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix)