头风即首风也。经曰∶首风之状,头面多汗,恶风,当先风一日则头痛甚,至其风日少愈。一风气循风府而
上则脑痛,曰脑风。经曰∶头风者,本风寒入于脑髓也。头痛数岁不愈,当犯大寒。其人素有痰火,风寒客之,
则热郁而瞀闷,似痛非痛,曰头晕。有目花黑暗,视定犹动,且身转耳聋,如立舟车之上,起则欲倒,甚而呕吐,
饮食罕御,此肝木为风所撼,鼓动其气,痰火随气上逆。倘因吐衄、崩漏而致,此脾虚不能收摄血气,使诸血失
道。或酒色过度,肾虚不能纳气,逆奔而上,或虚极乘寒得之,曰头眩。若头暴痛不可忍,有如劈如纹者,但名
头痛,深而久而愈,名头风亦可。痛风必害眼者,经曰春气在头,风气通于肝,肝窍开于
目故也。要当首辨六经,次厥痛、偏痛、真痛,次血虚、气虚、湿热、寒湿不等。如太阳头痛者,恶风寒,脉浮
紧,痛在巅顶两额角;少阳头痛者,寒热往来,脉弦,痛连耳根;阳明头痛者,发热自汗,脉浮大,痛在巨阳穴,
连目 齿颊;太阴头痛者,必有痰,体重或腹痛,脉沉迟,头重;少阴头痛者是寒气逆,为寒厥,脉沉小;厥阴
头痛者,吐痰沫,厥冷,脉浮缓,痛引目系。此六经头痛多挟外邪也。血虚头痛者,自鱼尾上攻,脉浮而无力;
气虚头痛者,耳鸣,九窍不利,脉沉濡;湿热头痛者,心烦恶热,头重而天阴转甚;寒湿头痛者,气上而不下,
或时泄,近湿热之物则稍松;偏头痛者,邪正相持,势不中立,邪气营运,正气则壅遏而痛,在左主风、主血虚,
在右主气、主痰热,亦兼有虚寒者;厥头痛者,所犯大寒至骨髓,髓以脑为主,脑逆故头痛,脉沉迟;真头痛者,
痛甚连脑户,手足寒至节,脉迟极而止,旦发夕死,夕发旦死。此七种头痛多由内生也。外此,若眉棱骨痛甚,
既而上攻头角、下注目睛者,有属心肝壅热,有属风痰上逆,有湿气内郁,有风寒外挟。才见光明则眶痛者,此
肝虚。痛而眼不可开,昼静夜剧,此脾胃停饮,土木不和。头痛旋去旋来,倏在此一点,在彼一片,此下虚上实,
游风流火。丹溪曰∶头痛多主于痰,甚者火,有可吐,有可下者。此未窥全豹,不可轻从。执事者必先视其所挟,
究其所因,定以经络,参合脉理,然后施以某阵某方,庶可差救其弊。中工知头风于目不利,绝不考其所自。粗
工只就目论症,连头风都不识得,甚至有妄乱激成头风者,为之太息。是故本集于风之一字,言外三致意焉。头
风虽另列症内,终乎分辨不清,因不厌琐细,谨编如上,兼志其眩晕、头痛云云。
Headwind (Toufeng) is the same as Shoufeng. The Classics state: The manifestation of Shoufeng involves excessive sweating on the head and face, aversion to wind, with headache intensifying one day prior to the wind blowing, and subsiding slightly on the day of the wind. If a pathogenic wind qi ascends along the Fengfu (GV16) acupoint, it causes brain pain, termed Naofeng (Brain Wind). The Classics further state: The etiology of Toufeng lies in Wind-Cold invading the brain marrow. Headache persisting for years without cure indicates severe Cold invasion. If the patient has pre-existing Phlegm-Fire within, and external Wind-Cold pathogens lodge therein, heat becomes stagnant causing visual dimness and chest oppression; this sensation, which feels like pain but is not distinct pain, is called Touyun (Dizziness/Vertigo). If accompanied by blurred vision, darkness, the illusion that stationary objects are moving, deafness upon body rotation, a sensation of standing on a rocking boat or carriage, desire to fall when rising, and even vomiting with poor appetite, this results from Liver Wood being shaken by Wind, stirring its Qi, causing Phlegm-Fire to rebel upward with the Qi. If caused by hematemesis, epistaxis, or uterine bleeding (Benglou), this is due to Spleen deficiency failing to control Blood and Qi, leading to disordered blood flow. Or, if caused by excess alcohol and sexual indulgence, resulting in Kidney deficiency failing to grasp Qi, causing Qi to rush upward; or acquired through extreme deficiency combined with Cold exposure, this is called Toutxuan (Dizziness). If sudden, unbearable head pain occurs, feeling like splitting or fine cutting, it is simply named Tengtong (Headache); if deep-seated and chronic, it is named Toufeng. Gouty pain inevitably affects the eyes because, as the Classics state, Spring Qi resides in the head, Wind Qi connects with the Liver, and the Liver opens into the eyes. Treatment must first differentiate among the Six Channels (Taiyang, Yangming, Shaoyang, Taiyin, Shaoyin, Jueyin), then distinguish between Jue Tengtong (Jue Headache), Pian Tengtong (Hemicrania), and Zhen Tengtong (True Headache), followed by differentiating Blood Deficiency, Qi Deficiency, Damp-Heat, and Cold-Damp patterns. For instance, Taiyang Headache presents with aversion to wind and cold, floating-tight pulse, and pain at the vertex and lateral frontal angles; Shaoyang Headache presents with alternating chills and fever, wiry pulse, and pain radiating to the ear root; Yangming Headache presents with fever and spontaneous sweating, floating-large pulse, and pain at the Juyang area, radiating to the eyes, teeth, and cheeks; Taiyin Headache necessarily involves Phlegm, heavy body or abdominal pain, sinking-slow pulse, and a heavy sensation in the head; Shaoyin Headache is due to rebellious Cold Qi, constituting Cold Jue, with a sinking-small pulse; Jueyin Headache presents with spitting of phlegm foam, cold extremities, floating-slow pulse, and pain radiating to the Eye System (Muxi). These six types of Channel-related headaches mostly involve external pathogens. Blood Deficiency Headache involves pain attacking upward from the outer canthus (Yuwu), with a floating-but-weak pulse; Qi Deficiency Headache presents with tinnitus, dysfunction of the nine orifices, and a sinking-soft pulse; Damp-Heat Headache presents with vexation and aversion to heat, heavy head worsening on cloudy days; Cold-Damp Headache presents with rebellious Qi failing to descend, occasional diarrhea, and slight relief upon contact with damp-heat items; Hemicrania involves a stalemate between Pathogenic and Righteous Qi, where Pathogenic Qi circulates while Righteous Qi is obstructed causing pain; left-sided pain primarily indicates Wind or Blood Deficiency, right-sided pain primarily indicates Qi Stagnation or Phlegm-Heat, though Cold-Deficiency may also be present; Jue Headache results from severe Cold invading to the bone marrow; since Marrow governs the Brain, rebellious Brain Qi causes headache, with a sinking-slow pulse; True Headache involves severe pain connecting to the Naohu (GV17) acupoint, cold extremities reaching the joints, extremely slow or absent pulse, with death occurring from morning to evening or evening to morning. These seven types of headaches mostly arise from internal factors. Furthermore, if pain in the supraorbital ridge is severe, attacking upward to the temporal angle and downward to the eyeballs, it may belong to Heart-Liver Heat accumulation, Wind-Phlegm rebellion, internal Damp stagnation, or external Wind-Cold. Pain in the eye sockets upon exposure to light indicates Liver Deficiency. Pain preventing eye opening, worse at night than during the day, indicates retained fluids in the Spleen-Stomach and disharmony between Wood and Earth. Headache that comes and goes, shifting suddenly from one spot to another, indicates Lower Deficiency and Upper Excess, with wandering Wind and Fire. Zhu Danxi stated: Headache is mostly due to Phlegm, severely due to Fire, treatable by emesis or purgation. This view does not encompass the whole picture and should not be lightly followed. Practitioners must first observe accompanying pathogens, investigate etiology, determine the involved channels, integrate pulse diagnosis, and then apply specific formulas to remedy the condition. Average physicians know only that Toufeng impairs vision but never investigate its origin. Crude physicians discuss symptoms solely regarding the eyes, failing to recognize Toufeng altogether, and some even cause Toufeng through reckless treatment, which is lamentable. Therefore, this collection emphasizes the character "Wind" repeatedly. Although Toufeng is listed separately, distinctions remain unclear; thus, detailed compilation follows, including records of vertigo and headache.