雷头风者，结核块于头上而痛者是也，用茶调散吐之，次用神芎丸之下，后服消风
散热。又曰∶雷头风者，痰结核块，先有于头上，随遇而发，或劳役酒色，及食 炙动
风发毒之物，或红或肿，而痛作矣。憎寒壮热，状如伤寒，急则治其标，针而血出，风
散火灭，痛因减去。东垣曰∶病在三阳，盖三阳之脉，皆会于头也。不可过用寒药，宜
清震汤治之用荷叶者，取色青而香，形仰象震，如类象形也。
所谓实者下之，能去膈上滞痰，一切热症，除痰饮，消酒食，清头目，利咽膈，能
令结滞宣通而愈。
大黄（锦纹者） 黄芩（中枯者，各二两） 牵牛 滑石（各四两） 为末，水丸或蜜
丸，小豆大，温水下十丸，至十五丸，每日二服。
升麻 苍术 薄荷 为末，每服五钱，水煎七分，烧全荷叶一个，研细调药，
食后温服。
又曰∶前论俱以结核疙瘩，而用风药论治，且指震为雷，恐犹未尽了，夫此病未有
不因于痰火者，盖痰生热，热生风，故核块疙瘩，皆有形可征。痰火上升，壅于气道，
兼于风化，则自然有声。轻则如蝉之鸣，重则如雷之响，以声如雷而为名，或以其发如
雷之迅速也。设如前论尽作风热治之，恐认标而忘其本，故复附痰火一方于后。
白僵蚕（五分） 粉草（二钱） 半夏（牙皂姜汁煮，一两） 连翘（五钱） 片芩（七钱，酒
炒） 陈皮（去白，盐煮） 桔梗（各五钱） 大黄（酒蒸九次，二两） 薄荷叶（三钱）
白芷（二钱） 天麻（五钱，酒浸） 青礞石（二钱） 为末，水法为丸，如绿豆大，食后临卧，茶
吞二钱，以痰利为度。后用清痰降火煎药调理。
头风白屑，肝经风盛也。大便实，则泻青丸，虚则消风散。
外用山豆根，浸油涂之，或以乳汁调涂。
又方用白芷、零陵香各等分，为末，浸香油涂之，候三五日，篦去，二三次，永不再生。
雷头风，是指在头部出现结核肿块并伴有疼痛的病证。治疗时先用茶调散催吐，接着用神芎丸泻下，最后服用消风散热汤。另一种说法认为：雷头风是由于痰浊在头部凝结成块，平时潜伏于头部，遇到诱因便发作。这些诱因包括劳累、房事过度，以及食用炙烤、动风发毒的食物。发病时头部或红或肿，随即产生疼痛。患者憎恶寒冷且高热，症状类似伤寒。急症时应先治其标，通过针刺使出血，从而疏散风邪、熄灭火热，疼痛随之减轻。李东垣说：此病涉及三阳经，因为手足三阳经脉都汇聚于头部。不可过量使用寒凉药物，适宜用清震汤治疗。选用荷叶的原因，是取其颜色青、气味香，形状向上仰起象征“震”卦，这是取类比象的方法。
所谓实证应当用泻下法，能够去除膈肌上方的停滞痰浊，清除各种热症，消除痰饮和酒食积滞，清利头目，通畅咽喉胸膈，能使郁结阻滞宣通而痊愈。
大黄（选用锦纹者） 黄芩（选用中枯者，各二两） 牵牛子 滑石（各四两）。研为细末，用水泛丸或蜜丸，大小如小豆，温水送服十至十五丸，每日两次。
升麻 苍术 薄荷。研为细末，每次服用五钱，加水煎至七分，将一张完整的荷叶烧焦后研细，调入药粉中，饭后温服。
又说：前面的论述都是针对结核疙瘩，使用祛风药物治疗，并且将“震”解释为雷声，恐怕理解还不够透彻。这种病没有不是由痰火引起的。因为痰生热，热生风，所以核块疙瘩都有具体的形态可查。痰火上冲，壅塞气道，再加上风邪的影响，自然会产生声音。轻则像蝉鸣，重则像雷响，因声音如雷而得名，或者因其发作如雷电般迅速而得名。如果像前面论述那样完全当作风热来治疗，恐怕会只认表象而忘记根本，所以在后面附上一个治疗痰火的方剂。
白僵蚕（五分） 甘草（二钱） 半夏（用牙皂和姜汁煮，一两） 连翘（五钱） 黄芩（七钱，酒炒） 陈皮（去白，盐煮） 桔梗（各五钱） 大黄（酒蒸九次，二两） 薄荷叶（三钱） 白芷（二钱） 天麻（五钱，酒浸） 青礞石（二钱）。研为细末，按水泛丸法制成如绿豆大的药丸，饭后及睡前用茶水吞服二钱，以痰液排出顺畅为度。之后再用清热化痰降火的汤药进行调理。
头风伴有头皮白屑，属于肝经风盛。大便干结的，用泻青丸；体虚的，用消风散。
外用山豆根，浸泡在油中涂抹患处，或者用乳汁调和涂抹。
另一个方子用白芷、零陵香各等份，研为细末，浸泡在香油中涂抹，等待三到五天，用篦子刮去，经过两三次治疗，永不再生。
Lei Tou Feng (Thunderhead Wind) refers to a condition characterized by nodular masses in the head accompanied by pain. Treatment involves first inducing vomiting with Chao San (Tea Powder), followed by purgation with Shen Xiong Wan (Divine Angelica Pill), and finally administering Xiao Feng San Re Tang (Wind-Dispersing Heat-Clearing Decoction). Another view states that Lei Tou Feng is caused by phlegm turbidity condensing into masses in the head, which lie dormant until triggered. Triggers include physical exertion, sexual excess, and consumption of roasted or wind-agitating, toxin-releasing foods. Upon onset, the head may become red or swollen, followed by pain. The patient experiences aversion to cold and high fever, resembling Taiyang disease (Taiyang Syndrome). In acute cases, treat the branch symptoms first; acupuncture to induce bleeding disperses wind and extinguishes fire, thereby alleviating pain. Li Dongyuan stated: This disease involves the Three Yang meridians, as all Yang meridians converge at the head. Cold-natured medicines should not be overused; instead, Qing Zhen Tang (Clear Thunder Decoction) is suitable. Lotus leaf is chosen for its green color and fragrant aroma, and its upward-curving shape symbolizes the Zhen trigram (Thunder), employing the method of analogical imagery.
The principle "excess conditions are treated by purgation" removes stagnant phlegm above the diaphragm, clears various heat syndromes, eliminates phlegm-fluids and food/wine stagnation, clears the head and eyes, unblocks the throat and chest, and resolves obstruction through dispersion and unblocking.
Da Huang (Rhubarb Root and Rhizome [Radix et Rhizoma Rhei], selecting those with brocade patterns) Huang Qin (Scutellaria Root [Radix Scutellariae], selecting those with hollow centers, each 2 liang) Qian Niu Zi (Pharbitis Seed [Semen Pharbitidis]) Hua Shi (Talcum [Talcum], each 4 liang). Grind into powder, form pills with water or honey, sized like adzuki beans. Take 10–15 pills with warm water, twice daily.
Gua Di (Melon Peduncle [Cucumeris Fructus Pedunculus]) Cha Ye (Tea Leaf [Camelliae Sinensis Folium]). Grind into powder, mix with vinegar juice, and take to induce vomiting.
Sheng Ma (Cimicifugae Rhizoma [Rhizoma Cimicifugae]) Cang Zhu (Atractylodis Rhizoma [Rhizoma Atractylodis]) Bo He (Menthae Haplocalycis Herba [Herba Menthae]. Grind into powder. Take 5 qian per dose, decoct in water until reduced to 70%. Burn one whole lotus leaf, grind finely, mix with the medicine, and take warm after meals.
It is also said: Previous discussions focused on nodular masses and used wind-dispersing herbs, interpreting "Zhen" as thunder. This understanding may be incomplete. This disease invariably stems from Phlegm-Fire. Phlegm generates heat; heat generates wind. Thus, nodules and masses have tangible forms. When Phlegm-Fire rises and obstructs the airway, combined with wind pathogenic factors, sound naturally occurs. Mild cases resemble cicada chirping; severe cases resemble thunder. It is named for its thunder-like sound or its rapid onset like lightning. If treated solely as Wind-Heat as previously described, one might mistake the branch for the root. Therefore, a formula for Phlegm-Fire is appended below.
Bai Jiang Can (Bombyx Batryticatus [Bombyx Batryticatus] 5 fen) Gan Cao (Licorice Root [Radix Glycyrrhizae] 2 qian) Ban Xia (Pinellia Tuber [Rhizoma Pinelliae], boiled with Zao Ren [Ziziphus Jujuba Seed] and Ginger Juice, 1 lian) Lian Qiao (Forsythiae Fructum [Fructus Forsythiae] 5 qian) Pian Huang Qin (Scutellaria Root [Radix Scutellariae] 7 qian, stir-fried with wine) Chen Pi (Citrus Reticulatae Pericarpium [Pericarpium Citri Reticulatae], white part removed, boiled with salt) Jie Geng (Platycodon Root [Radix Platycodonis], each 5 qian) Da Huang (Rhubarb Root and Rhizome [Radix et Rhizoma Rhei], steamed nine times with wine, 2 liang) Bo He Ye (Mint Leaf [Folium Menthae] 3 qian) Bai Zhi (Angelicae Dahuricae Radix [Radix Angelicae Dahuricae] 2 qian) Tian Ma (Gastrodia Rhizome [Rhizoma Gastrodiae] 5 qian, soaked in wine) Qing Meng Shi (Fluorite [Hematitum] 2 qian). Grind into powder, form pills using water-pelleting method, sized like mung beans. Swallow 2 qian with tea after meals and before sleep, until phlegm discharge is adequate. Subsequently, regulate with decoctions that clear phlegm and descend fire.
Head wind with white dandruff indicates Excessive Wind in the Liver Meridian. If stool is dry/hard, use Xie Qing Wan (Drain Green Pill); if deficiency exists, use Xiao Feng San (Wind-Dispersing Powder).
Externally, apply Shan Dou Gen (Sophorae Tonkinensis Radix et Rhizoma [Radix et Rhizoma Sophorae Tonkinensis]) soaked in oil, or mixed with milk.
Another formula uses equal parts of Bai Zhi (Angelicae Dahuricae Radix [Radix Angelicae Dahuricae]) and Ling Ling Xiang (Lysimachiae Herba [Herba Lysimachiae]), ground into powder, soaked in sesame oil, and applied. After three to five days, scrape off with a comb. After two or three treatments, it will never recur.