太阳头痛兼项与攒竹,脉浮紧或关前紧数,恶风寒,宜羌芎活主之。
阳明头痛 自汗发热,胃热上攻,脉浮缓长,或关洪数,石膏、葛、芷主之。
少阳头痛 额角偏疼,往来寒热,脉弦细,黄芩、柴胡主之。
太阴头痛 有湿痰,体重腹痛,脉沉缓,半夏、南星、苍术主之。
少阴头痛 足寒气逆,为寒厥,脉沉细,细辛、麻黄、附子主之。
厥阴头痛 顶痛,吐涎沫,厥冷,脉浮缓,吴茱萸汤主之。
气虚头痛 耳鸣,九窍不和,尺脉虚浮,参、 主之。
血虚头痛 鱼尾上攻,芎、归主之。
风涎冷痰在鬲上,或呕吐,脉弦细出寸口,为痰厥,宜吐。
火作痛 痛甚,清之、散之。
湿热头痛证 则心烦。
伤风头痛 半边偏痛,皆因冷气所吹,遇风冷则发,寸浮。
食积头痛 因胃中有阴冷,宿食不化,上冲,右寸紧盛,左属风,浮为风;
右属痰,滑为痰。
半夏白术天麻汤 治痰厥头痛。
半夏(二钱) 白术(一钱) 天麻(一钱半) 人参(一钱) 黄 苍术 陈皮 黄柏
茯苓(一钱半) 神曲(炒) 泽泻 干姜(二钱)
清空膏 治风湿热诸般头痛,惟血虚不治。
黄芩(二钱) 羌活 川芎 黄连 防风 甘草(钱) 柴胡(七分)
上为末,白汤下。
玉壶丸 治风湿痰头痛。
雄黄 白术 天麻 南星 半夏
茶调散 吐痰头痛。
家珍方 治偏头痛连睛。
石膏 黍粘子(炒)
香芎散 治一切头风。
香附(二两炒) 甘草 川芎(一两) 石膏(五钱) 细茶 荆芥 点服二钱 细辛 防风
川乌 草乌 白芷 荆芥 羌活 煎服
太阳经头痛,疼痛牵连项部及攒竹穴部位,脉象浮紧或关前部紧数,伴有恶风畏寒,适宜用羌活、川芎、防风等药物为主进行治疗。
阳明经头痛,表现为自汗、发热,因胃热上攻所致,脉象浮缓而长,或关部洪大数急,适宜用石膏、葛根、白芷为主进行治疗。
少阳经头痛,表现为额角一侧偏痛,寒热往来,脉象弦细,适宜用黄芩、柴胡为主进行治疗。
太阴经头痛,体内有湿痰,身体沉重且腹痛,脉象沉缓,适宜用半夏、天南星、苍术为主进行治疗。
少阴经头痛,足部寒冷且气逆,属于寒厥证,脉象沉细,适宜用细辛、麻黄、附子为主进行治疗。
厥阴经头痛,表现为头顶疼痛,呕吐涎沫,四肢厥冷,脉象浮缓,适宜用吴茱萸汤为主进行治疗。
气虚头痛,表现为耳鸣,九窍功能失调,尺部脉象虚浮,适宜用人参、黄芪为主进行治疗。
血虚头痛,表现为眼角外侧(鱼尾)向上攻痛,适宜用川芎、当归为主进行治疗。
若风涎冷痰停滞于膈膜之上,或者出现呕吐,脉象弦细且出现在寸口部位,这属于痰厥,适宜采用涌吐法治疗。
伤风头痛,表现为半边偏痛,皆因冷气吹袭所致,遇到风冷就会发作,脉象寸部浮。
食积头痛,因胃中有阴冷之气,宿食不消化,向上冲逆,右寸脉紧盛,左脉属风,浮脉主风;右脉属痰,滑脉主痰。
半夏白术天麻汤,治疗痰厥引起的头痛。
配方:半夏(二钱)、白术(一钱)、天麻(一钱半)、人参(一钱)、黄芪、苍术、陈皮、黄柏、茯苓(一钱半)、神曲(炒制)、泽泻、干姜(二钱)。
清空膏,治疗风湿热引起的各种头痛,唯独血虚型不适用。
配方:黄芩(二钱)、羌活、川芎、黄连、防风、甘草(一钱)、柴胡(七分)。
将上述药物研为细末,用白开水送服。
玉壶丸,治疗风湿痰浊引起的头痛。
配方:雄黄、白术、天麻、天南星、半夏。
香芎散,治疗一切头风病。
配方:香附(二两,炒制)、甘草、川芎(一两)、石膏(五钱)、细茶、荆芥、细辛、防风、川乌、草乌、白芷、羌活。
用法:点服二钱;或煎汤服用。
Taiyang channel headache involves pain extending to the nape and the Cuanzhu (BL2) acupoint area. The pulse is floating-tight or tight-rapid at the Guan position anteriorly, accompanied by aversion to wind and cold. It is appropriate to use Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), and Fang Feng (Saposhnikoviae Radix) as the main treatment.
Yangming channel headache presents with spontaneous sweating and fever, caused by stomach heat attacking upward. The pulse is floating-slow-long or flooding-rapid at the Guan position. It is appropriate to use Shi Gao (Gypsum Fibrosum), Ge Gen (Puerariae Lobatae Radix), and Bai Zhi (Angelicae Dahuricae Radix) as the main treatment.
Shaoyang channel headache presents with unilateral pain at the temple corner, alternating chills and fever, and a string-taut-thin pulse. It is appropriate to use Huang Qin (Scutellariae Radix) and Chai Hu (Bupleuri Radix) as the main treatment.
Taiyin channel headache involves damp-phlegm retention, heavy body, abdominal pain, and a deep-slow pulse. It is appropriate to use Ban Xia (Pinelliae Tuber), Nan Xing (Arisaematis Rhizoma Preparatum), and Cang Zhu (Atractylodis Rhizoma) as the main treatment.
Shaoyin channel headache presents with cold feet and counterflow qi, constituting Cold Jue syndrome. The pulse is deep-thin. It is appropriate to use Xi Xin (Asari Radix et Rhizoma), Ma Huang (Ephedrae Herba), and Fu Zi (Aconiti Lateralis Radix Preparata) as the main treatment.
Jueyin channel headache presents with vertex pain, vomiting of saliva and froth, cold extremities, and a floating-slow pulse. It is appropriate to use Wu Zhu Yu Tang (Evodia Decoction) as the main treatment.
Qi deficiency headache presents with tinnitus and dysfunction of the nine orifices. The Chi pulse is deficient-floating. It is appropriate to use Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix) as the main treatment.
Blood deficiency headache presents with pain attacking upward from the outer canthus (fish tail). It is appropriate to use Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Dang Gui (Angelicae Sinensis Radix) as the main treatment.
If wind-phlegm and cold-phlegm stagnate above the diaphragm, or if vomiting occurs, and the pulse is string-taut-thin emerging from the Cun position, this constitutes Phlegm Jue syndrome. It is appropriate to induce vomiting.
Pain caused by fire is severe; it should be treated by clearing heat and dispersing fire.
The syndrome of damp-heat headache is accompanied by mental restlessness.
Wind-cold headache presents with unilateral pain, caused by exposure to cold air, triggered by wind and cold, with a floating pulse at the Cun position.
Food stagnation headache is caused by cold yin in the stomach and undigested food rushing upward. The right Cun pulse is tight-prosperous. The left pulse relates to wind, where floating indicates wind; the right pulse relates to phlegm, where slippery indicates phlegm.
Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction) treats headache due to phlegm Jue.
Ingredients: Ban Xia (Pinelliae Tuber Preparata) (2 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma) (1 qian), Tian Ma (Gastrodiae Rhizoma) (1.5 qian), Ren Shen (Ginseng Radix) (1 qian), Huang Qi (Astragali Radix), Cang Zhu (Atractylodis Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Huang Bo (Phellodendri Cortex), Fu Ling (Poria) (1.5 qian), Shen Qu (Massa Medicata Fermentata) (stir-fried), Ze Xie (Alismatis Rhizoma), Gan Jiang (Zingiberis Rhizoma) (2 qian).
Qing Kong Gao (Clearing the Vault Ointment/Powder) treats various headaches due to wind-damp-heat, but is not indicated for blood deficiency types.
Ingredients: Huang Qin (Scutellariae Radix) (2 qian), Qiang Huo (Notopterygii Rhizoma et Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Huang Lian (Coptidis Rhizoma), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) (1 qian), Chai Hu (Bupleuri Radix) (0.7 fen).
Grind into powder, take with warm water.
Yu Hu Wan (Jade Pot Pill) treats headache due to wind-damp-phlegm.
Ingredients: Xiong Huang (Realgar), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Tian Ma (Gastrodiae Rhizoma), Nan Xing (Arisaematis Rhizoma Preparatum), Ban Xia (Pinelliae Tuber Preparata).
Cha Tiao San (Tea-Regulating Powder) treats headache due to phlegm (by inducing expectoration/vomiting of phlegm).
Jia Zhen Fang (Family Treasure Formula) treats migraines extending to the eyes.
Ingredients: Shi Gao (Gypsum Fibrosum), Shu Nian Zi (Arctii Fructus) (stir-fried).
Xiang Xiong San (Cyperi and Ligustici Powder) treats all types of head wind diseases.
Ingredients: Xiang Fu (Cyperi Rhizoma) (2 liang, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (1 liang), Shi Gao (Gypsum Fibrosum) (5 qian), Xi Cha (Fine Tea), Jing Jie (Schizonepetae Spica), Xi Xin (Asari Radix et Rhizoma), Fang Feng (Saposhnikoviae Radix), Chuan Wu (Aconiti Radix), Cao Wu (Aconiti Radix), Bai Zhi (Angelicae Dahuricae Radix), Qiang Huo (Notopterygii Rhizoma et Radix).
Usage: Take 2 qian as a point dose; or decoct and drink.