产后头痛多由血虚，其证朝轻夜重，时作时止，虽太阳巅顶亦痛，惟眉棱骨不痛，不可作外感治，宜芎归
汤加荆芥穗（二钱），或玉露散。若风寒头痛则无时间断，并眉棱骨亦痛，虽属风寒，宜四物汤加柴胡（一钱）。
若手足搐搦，切牙头痛而昏晕者，尤宜急治。先服加减四物汤，后服秦艽汤。若头痛作呕不食，乃血虚火炎上
也。宜用麦冬（去心），橘红煎汤服，如呕止而头仍痛，宜加天冬（去心）。
芎归汤
当归 川芎（各五钱）
水煎服。
玉露散
桔梗 川芎 白芷（各二钱） 赤芎（一钱五分） 人参 赤茯苓 甘草（各一钱） 当归（五分）
水煎服。
四物汤
熟地黄 当归（各三钱） 白芍（二钱） 川芎（一钱）
水煎服。
加减四物汤
川芎 当归 羌活 防风 香附（炒） 白芷 甘草（各一钱） 苍术（制） 细辛（各七分）
水煎热服。
有汗，气虚头痛也，加白芍二钱，肉桂一钱五分，生姜三片；痰癖头痛，加半夏（制）三钱，茯苓一钱，
生姜三片；热厥头痛，加白芷三钱，石膏二钱，知母一钱；寒厥头痛，加天麻三钱，附子一钱五分，生姜三片。
秦艽汤
秦艽 石膏（各一钱） 炙甘草 川芎 当归 白芍 羌活 独活 防风 黄芩 白术（蜜炙） 熟地黄
茯苓（各五分） 生地黄（六分） 白芷（七分） 细辛（三分）
水煎服。
冬加生姜三片，春夏加知母。
Postpartum headache is mostly caused by blood deficiency. The symptoms present as lighter in the morning and heavier at night, with pain occurring intermittently. Although pain may occur at the vertex (the top of the head where the Taiyang meridian travels), the supraorbital ridge does not hurt. It should not be treated as an external contraction. The appropriate treatment is Xiongui Tang (Cnidium and Angelica Decoction) added with Jingjie Sui (Schizonepeta Spike, 2 qian), or Yulu San (Jade Dew Powder). If the headache is due to wind-cold, there are no intervals of relief, and the supraorbital ridge also hurts. Although it belongs to wind-cold syndrome, the appropriate treatment is Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleurum Root, 1 qian). If convulsions of the hands and feet, teeth grinding, headache accompanied by dizziness and fainting occur, urgent treatment is especially required. First, administer Jiajian Siwu Tang (Modified Four Substances Decoction), followed by Qinjiao Tang (Gentiana Macrophylla Decoction). If headache is accompanied by vomiting and inability to eat, this indicates fire flaming upward due to blood deficiency. It is appropriate to use Maidong (Ophiopogon Tuber, heart removed) and Juhong (Pomelo Peel, red part) decocted in water for administration. If vomiting stops but the headache persists, add Tiandong (Asparagus Tuber, heart removed).
Xiongui Tang
Danggui (Angelica Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (each 5 qian)
Decoct in water and take orally.
Yulu San
Jiegeng (Platycodon Root), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baizhi (Angelica Dahurica Root) (each 2 qian), Chixiong (Red Chuanxiong, 1.5 qian), Renshen (Ginseng Radix et Rhizoma), Chifuling (Red Poria, 1 qian each), Gancao (Licorice Root, 1 qian), Danggui (Angelica Sinensis Radix, 0.5 qian)
Decoct in water and take orally.
Siwu Tang
Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis Radix) (each 3 qian), Baishao (White Peony Root, 2 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma, 1 qian)
Decoct in water and take orally.
Jiajian Siwu Tang (Modified Four Substances Decoction)
Chuanxiong (Ligusticum Chuanxiong Rhizoma), Danggui (Angelica Sinensis Radix), Qianghuo (Notopterygium Root), Fangfeng (Saposhnikovia Root), Xiangfu (Cyperi Rhizoma, stir-fried), Baizhi (Angelica Dahurica Root), Gancao (Licorice Root) (each 1 qian), Cangzhu (Atractylodes Rhizoma, processed), Xixin (Asarum Root) (each 0.7 qian)
Decoct and take while hot.
If sweating occurs, it is a qi-deficiency headache; add Baishao (White Peony Root, 2 qian), Rougui (Cinnamon Bark, 1.5 qian), and Shengjiang (Fresh Ginger, 3 slices); if headache is due to phlegm accumulation (Tanpi), add Banxia (Pinellia Tuber, processed, 3 qian), Fuling (Poria, 1 qian), and Shengjiang (Fresh Ginger, 3 slices); if headache is due to heat-jue (heat reversal syndrome), add Baizhi (Angelica Dahurica Root, 3 qian), Shigao (Gypsum Fibrosum, 2 qian), and Zhimu (Anemarrhena Rhizome, 1 qian); if headache is due to cold-jue (cold reversal syndrome), add Tianma (Gastrodia Rhizome, 3 qian), Fuzi (Aconite Lateralis Radix Preparata, 1.5 qian), and Shengjiang (Fresh Ginger, 3 slices).
Qinjiao Tang
Qinjiao (Gentiana Macrophylla Radix), Shigao (Gypsum Fibrosum) (each 1 qian), Zhigancao (Honey-fried Licorice Root), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Danggui (Angelica Sinensis Radix), Baishao (White Peony Root), Qianghuo (Notopterygium Root), Duhuo (Angelica Pubescens Radix), Fangfeng (Saposhnikovia Root), Huangqin (Scutellaria Root), Baizhu (Atractylodes Macrocephala Rhizoma, honey-fried), Shudihuang (Prepared Rehmannia Root), Fuling (Poria) (each 0.5 qian), Shengdihuang (Rehmannia Root, 0.6 qian), Baizhi (Angelica Dahurica Root, 0.7 qian), Xixin (Asarum Root, 0.3 qian)
Decoct in water and take orally.
In winter, add 3 slices of Shengjiang (Fresh Ginger); in spring and summer, add Zhimu (Anemarrhena Rhizome).