邪客三阳则痛,寒搏则筋急,风搏则筋弛,左属血,右多属痰,丹溪治之用二陈
汤,加酒芩、羌活、红花,服二剂而愈。有闪挫及失枕而项强痛者,皆由肾虚,不能荣
筋也,六味地黄汤加秦艽。
治风热上攻,头痛不止。
甘菊花 石膏 防风 旋复花 枳壳 蔓荆子 甘草 羌活(各一钱五分) 姜水煎服。
治头重。
羌活 连翘 红豆 三味等分,为末,搐鼻。
一方
治头痛连眼痛,此风痰上攻,须用白芷开之。
川芎 白芷 防风 本 细辛 当归 雨前芽茶(各等分) 水煎服。
治头痛不可忍者。
元胡索(十枚) 青黛(二钱) 猪牙皂角(肥实者,刮去皮及子,二两) 为末,水丸,
小饼子,如杏仁大,用时令病者,仰卧,以水化开,竹管送入,男左女右,鼻中觉药味
至喉少酸,令病者坐,却咬定铜铁一个,于当门齿上,当见涎出成盆即愈。
治着湿头痛身重,眩晕痛极。
附子 白术 川芎 桂心 甘草 姜枣水煎服。
治气虚头痛,此药升阳补气自愈。
黄 (一钱五分) 人参(一钱) 甘草(炙,七分) 白术 陈皮 当归 芍药(各五分)
升麻 柴胡(各三分) 细辛 蔓荆子(各二分) 川
芎水煎食后服。
邪气侵犯三阳经则引起疼痛,寒邪搏结则导致筋脉拘急,风邪搏结则导致筋脉弛缓。左侧多与血有关,右侧多与痰有关。朱丹溪治疗此类病症使用二陈汤(燥湿化痰、理气和中的基础方),加入酒炒黄芩、羌活、红花,服用两剂后痊愈。有因闪挫损伤或落枕而导致项部僵硬疼痛的,都是由肾虚不能滋养筋脉所致,可用六味地黄汤(滋补肾阴的基础方)加入秦艽。
治疗风热上攻引起的头痛不止。
甘菊花、石膏、防风、旋复花、枳壳、蔓荆子、甘草、羌活(各一钱五分),用姜水煎服。
治疗头重感。
羌活、连翘、红豆,三味药等量,研为细末,搐入鼻中。
另一方法:
治疗头痛牵连眼痛,这是风痰上攻所致,必须用白芷来开泄。
川芎、白芷、防风、本(藁本)、细辛、当归、雨前芽茶(各等分),用水煎服。
治疗头痛剧烈难以忍受者。
元胡索(十枚)、青黛(二钱)、猪牙皂角(肥实者,刮去皮和籽,二两),研为细末,用水泛丸,制成小饼状,如杏仁大小。使用时让病人仰卧,用水化开药饼,用竹管送入鼻孔,男左女右,当鼻中感到药味到达喉咙且略有酸感时,让病人坐起,咬定一块铜铁,在门牙处,见到唾液流出如盆般多即愈。
治疗湿气着滞引起的头痛身重,眩晕疼痛至极。
附子、白术、川芎、桂心、甘草,用姜枣水煎服。
治疗气虚头痛,此药能升阳补气,自愈。
黄芪(一钱五分)、人参(一钱)、甘草(炙,七分)、白术、陈皮、当归、芍药(各五分)、升麻、柴胡(各三分)、细辛、蔓荆子(各二分)、川芎,用水煎服,饭后服用。
When pathogenic factors invade the three Yang meridians, pain occurs. When cold pathogens contend, tendons become tense; when wind pathogens contend, tendons become flaccid. The left side is mostly related to blood, while the right side is mostly related to phlegm. Zhu Danxi treated such conditions using Erchen Tang (Two-Cured Decoction), adding wine-processed Huangqin (Scutellariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Honghua (Carthami Flos). After taking two doses, the patient recovered. Cases of neck stiffness and pain caused by sprains or sleeping in an awkward position are all due to Kidney deficiency failing to nourish the tendons. Liuwei Dihuang Tang (Six-Ingredient Rehmannia Pill) can be used with added Qinjiao (Gentianae Macrophyllae Radix).
For headache unceasing due to wind-heat attacking upward:
Juhua (Chrysanthemi Flos), Shigao (Gypsum Fibrosum), Fangfeng (Saposhnikoviae Radix), Xuanfuhua (Inulae Flos), Zhike (Aurantii Fructus Immaturus), Manjingzi (Vittaginis Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix) (each 1.5 qian). Decoct with ginger water and take orally.
For a sensation of heaviness in the head:
Qianghuo (Notopterygii Rhizoma et Radix), Lianqiao (Forsythiae Fructus), Hongdou (Phaseoli Semen Rubrum). These three herbs in equal proportions are ground into powder and insufflated into the nose.
Another prescription:
For headache radiating to eye pain, this is caused by wind-phlegm attacking upward. Baizhi (Angelicae Dahuricae Radix) must be used to open the orifices.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Bencao (Ligustici Rhizoma), Xixin (Asari Radix et Rhizoma), Danggui (Angelicae Sinensis Radix), Yuqianya Cha (Camelliae Sinensis Folium Pre-Qingming) (each in equal proportions). Decoct with water and take orally.
For unbearable severe headache:
Yanhusuo (Corydalis Rhizoma) (10 pieces), Qingdai (Indigo Naturalis) (2 qian), Zhuya Zaojiao (Gleditsiae Sinensis Spina) (plump ones, skin and seeds scraped off, 2 liang). Grind into powder, make pills with water into small cakes, size of apricot kernels. When using, have the patient lie supine. Dissolve the cake with water, insert into the nostril via a bamboo tube (left for males, right for females). When the patient feels the medicinal taste reaching the throat with slight sourness, have them sit up. Have them bite firmly on a piece of copper or iron placed against the incisors. When saliva flows out like a basin, the condition will be cured.
For headache and body heaviness due to dampness, with extreme dizziness and pain:
Fuzi (Aconiti Lateralis Radix Praeparata), Baizhu (Atractylodis Macrocephalae Rhizoma), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guixin (Cinnamomi Ramulum), Gancao (Glycyrrhizae Radix et Rhizoma). Decoct with ginger and jujube water and take orally.
For headache due to Qi deficiency. This prescription raises Yang and tonifies Qi, leading to self-healing.
Huangqi (Astragali Radix) (1.5 qian), Renshen (Ginseng Radix) (1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (stir-fried with honey, 0.7 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba) (each 0.5 qian), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix) (each 0.3 qian), Xixin (Asari Radix et Rhizoma), Manjingzi (Vittaginis Fructus) (each 0.2 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma). Decoct with water and take after meals.
For headache due to Blood deficiency:
Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix Alba). Decoct with water and take orally. Another prescription adds Juhua (Chrysanthemi Flos) with heart and pistil removed.