头摇者，本属于风，实因于火，《经》所谓∶诸风掉眩，皆属肝木。木得风则摇
动，乃肝经火盛，而生虚风也。故高年病后辛苦，人多犯之，因气而虚，而火犯上故动
也。是以小儿有病摇头三年不止者，以河车入常服药中而愈。
《灵枢》曰∶邪之所在，皆为不足。故上气不足，脑为之不满，耳为之苦鸣，头为
之苦倾，目为之眩，中气不足，浸便为之变，肠为之苦，鸣下气不足，则为痿厥。
眉眶骨痛有二，俱属肝经风热与痰，或作风痰，其治类痛风。然脑为髓海，而肾主
骨，多由肾阴不能养骨髓，少以致脑，虚火起于中，寒束于外，疼之所始也。凡高骨之
处，及眉毛所生之地，皆属本脏之精气荣养。若其脏之精气亏损，则其地之毫毛骨肉
不荣矣。故《灵枢》曰∶足太阳之上，血气盛则美眉。眉有毫毛，由是观之，眉棱骨痛
者，此肝血既失其养，而肾水亦不荣于骨矣。故主三年之内，有大风疾至，明其根本
既拔，而外邪乘袭也。治之者，必宜滋补肝肾为主，少佐风药，以使上达。如不知此，
徒以辛热发散为事，则阴道愈亏，益增其害矣。
东垣曰∶头重如山，湿气在头也，红豆散搐鼻取之。盖病上头脑，若药攻肠胃，是
诛伐无过矣。故于鼻内取之，犹物在高巅之上，必用射而得之也。
头摇动，本归属于风邪，实则因火邪引起，《黄帝内经》所谓：“各种风病引起的肢体震颤和眩晕，都归属于肝木。”肝木遇到风则摇动，这是肝经火气旺盛，从而产生虚风所致。因此，老年人或病后体虚劳累的人，多患此病，因为气虚，火气上犯头部所以导致动摇。所以小儿有病摇头三年不止的，用紫河车（胎盘）加入常服药物中而痊愈。
《灵枢》说：“邪气停留的地方，都是因为正气不足。”所以上部气不足，脑部就会感觉空虚不满，耳朵会痛苦地鸣响，头部会痛苦地倾斜，眼睛会眩晕；中部气不足，大小二便就会发生变化，肠道会痛苦地鸣响；下部气不足，就会导致痿证和厥证。
眉棱骨和眼眶骨疼痛有两种情况，都属于肝经的风热与痰湿，或者表现为风痰，其治疗类别类似于痛风。然而脑为髓海，肾主骨，多由肾阴不能滋养骨髓，进而无法上达于脑，虚火生于体内，寒邪束缚于体表，这是疼痛产生的原因。凡是高突的骨骼之处，以及眉毛生长的地方，都属于肝脏精气所荣养。如果肝脏的精气亏损，那么这些部位的毫毛骨肉就不能得到荣养。所以《灵枢》说：“足太阳膀胱经的上部，血气旺盛则眉毛美观。”眉毛有毫毛，由此看来，眉棱骨疼痛，是因为肝血已经失去对它的滋养，而肾水也不能荣养骨骼。所以预示着三年内可能会有大风疾（如中风等严重疾病）到来，说明根本既已拔除，外邪便会乘虚侵袭。治疗时，必须以滋补肝肾为主，稍加风药，以使药力上达。如果不明白这个道理，仅仅以辛热发散为治法，那么阴液会更加亏损，反而增加危害。
李东垣说：头重如裹，是湿气在头部，可用红豆散搐鼻取嚏来治疗。因为病位在头脑上部，如果用药攻伐肠胃，就是诛伐没有过错的部位。所以在鼻腔内取效，就像物体在高处之上，必须用箭射才能取得一样。
Trembling of the head (Head shaking) fundamentally belongs to Wind (Feng), but is actually caused by Fire (Huo). As stated in the *Classic* (*Jing*, referring to *Huangdi Neijing*): "All wind diseases characterized by tremors and dizziness belong to Liver Wood." When Liver Wood encounters Wind, it shakes; this is due to excessive fire in the Liver channel generating deficient Wind. Therefore, elderly individuals or those recovering from illness who have undergone hardship often suffer from this condition. It occurs because Qi is deficient, and Fire attacks upward, causing movement. Thus, for children who shake their heads for three years without cessation due to illness, they can be cured by adding Heche (Placenta Hominis) to their regular medications.
The *Lingshu* states: "Wherever pathogenic factors reside, there is a deficiency." Therefore, when Qi in the upper part is insufficient, the brain feels empty and unsatisfied, the ears suffer from tinnitus, the head tilts painfully, and the eyes become dizzy. When Qi in the middle is insufficient, urination and defecation change, and the intestines suffer from borborygmus. When Qi in the lower part is insufficient, it leads to Wei syndrome (Flaccidity Syndrome) and Jue syndrome (Cold Extremities).
Pain in the brow ridge and orbital bones has two types, both belonging to Wind-Heat and Phlegm in the Liver channel, or manifesting as Wind-Phlegm; its treatment category is similar to that of Gout (Tongfeng). However, the Brain is the Sea of Marrow, and the Kidneys govern the bones. This is mostly caused by Kidney Yin failing to nourish the bone marrow, thereby failing to reach the Brain. Deficient Fire arises internally, while Cold binds externally; this is the origin of the pain. All high protruding bones and the areas where eyebrows grow are nourished by the essence and Qi of the Liver organ. If the essence and Qi of this organ are depleted, the hair, flesh, and bones in these areas will not be nourished. Thus, the *Lingshu* says: "At the upper part of the Foot-Taiyang [Bladder] channel, abundant Blood and Qi result in beautiful eyebrows." Since eyebrows have fine hairs, it can be seen that pain in the brow ridge indicates that Liver Blood has lost its ability to nourish it, and Kidney Water fails to nourish the bones. This foreshadows that within three years, a severe Wind disease (such as stroke) may arrive, indicating that since the root has been uprooted, external pathogens will take advantage of the deficiency. Treatment must primarily focus on tonifying the Liver and Kidneys, with a small addition of Wind-dispelling herbs to facilitate upward delivery. If one does not understand this and merely employs acrid-warm dispersing methods, the Yin channels will become increasingly deficient, exacerbating the harm.
Li Dongyuan said: "A heavy head, as if weighted down, is due to Dampness in the head; Hongdou San (Red Bean Powder) should be insufflated into the nose to induce sneezing." Because the pathology is located in the upper head, using drugs to attack the stomach and intestines would be punishing the innocent. Therefore, treating via the nasal cavity is like shooting at an object high above; one must use an arrow to hit it.