头半边痛者是也,当与前头痛相参用之。
〔丹〕偏头风。有痰者多。
左属风∶荆芥 薄荷。左属血虚∶川芎 当归。
右属痰∶苍术 半夏。右属热∶黄芩。
〔罗〕川芎散治偏头痛,神效。
甘菊 石膏 川芎 白僵蚕(生。各六钱)
上为极细末,每服三钱,茶清调下。
〔洁〕治头痛连睛痛。
石膏 鼠粘子(炒)
上为末,茶清食前调下。
〔垣〕细辛散治偏头风。
细辛(二分) 川芎(七分) 柴胡(二钱) 黄芩(酒炒,一钱) 生黄芩(五分) 瓦粉(二分)
甘草(炙,一钱半) 黄连(酒炒,七分) 芍药(半钱)
上 咀,每服三钱,水煎,食后温服之。
〔《经》〕 治偏头痛绝妙。荜茇为末一两,于食前用清粥饮调半钱服。
〔《本》〕 治风寒客于头中,无时疼痛,牵引两目,遂至失明,宜白附散。
白附子(一两) 麻黄(不去节) 川乌 南星(各半两) 全蝎(五个) 干姜 朱砂 麝香(各一分)
上为细末,酒调一字服,略睡少时效。
一族人患头痛不可忍,一服瘥。
治偏头风。
猪牙皂角(去皮筋) 香白芷 白附子(各等分)
上为末,每服一钱,腊茶调下。右疼右边卧,左疼左边卧,皆疼仰卧,食后服。
〔丹〕偏头风,荜茇、猪胆搐鼻中。
〔《本》〕治偏头风,用好萝卜自然汁一蚬壳许,令患人仰卧,左疼注左,右疼注右,或
两边皆疼皆注之,虽十年患者亦效。王荆公患十二年,用之立效。后医数人皆愈,此禁中秘方。
〔《灵》〕 头半寒痛,先取手少阳阳明,后取足少阳阳明。(厥病篇)
这就是偏头风(一侧头部疼痛),应当与前头痛的治法参考结合使用。
〔朱丹溪〕治疗偏头风,多因有痰所致。
左侧疼痛属风邪:用荆芥、薄荷。左侧疼痛属血虚:用川芎、当归。
右侧疼痛属痰湿:用苍术、半夏。右侧疼痛属热邪:用黄芩。
〔罗天益〕川芎散治疗偏头痛,效果神奇。
甘菊、石膏、川芎、白僵蚕(生用,各六钱)。
以上药物研成极细粉末,每次服用三钱,用清茶调服。
〔李东垣〕治疗头痛牵连眼睛疼痛。
石膏、鼠粘子(即牛蒡子,炒制)。
以上药物研成粉末,饭前用清茶调服。
〔张元素〕细辛散治疗偏头风。
细辛(二分)、川芎(七分)、柴胡(二钱)、黄芩(酒炒,一钱)、生黄芩(五分)、瓦粉(二分)、甘草(炙,一钱半)、黄连(酒炒,七分)、芍药(半钱)。
以上药物切碎,每次服用三钱,加水煎煮,饭后温服。
〔《黄帝内经》〕治疗偏头痛绝妙的方法。荜茇研成粉末一两,在饭前用清粥汤调服半钱。
〔《本草衍义》〕治疗风寒之邪客居头部,随时疼痛,牵引两眼,甚至导致失明,宜用白附散。
白附子(一两)、麻黄(不去节)、川乌、南星(各半两)、全蝎(五个)、干姜、朱砂、麝香(各一分)。
以上药物研成细末,用酒调服一字量,稍作睡眠后见效。
有一族人患头痛难以忍受,服用一次即痊愈。
治疗偏头风。
猪牙皂角(去皮筋)、香白芷、白附子(各等分)。
以上药物研成粉末,每次服用一钱,用腊茶调服。右边疼痛向右侧卧,左边疼痛向左侧卧,两边都疼则仰卧,饭后服用。
〔朱丹溪〕治疗偏头风,用荜茇、猪胆汁滴入鼻中。
〔《本草衍义》〕治疗偏头风,取好萝卜的自然汁约一蚬壳量,让患者仰卧,左边疼注入左鼻孔,右边疼注入右鼻孔,或两边都疼则两边都注,即使是患病十年的患者也有效。王荆公患病十二年,使用后立刻见效。后来几位医生也都治愈了,这是宫廷中的秘方。
〔《灵枢经》〕头部半边寒冷疼痛,先针刺手少阳经和手阳明经,后针刺足少阳经和足阳明经。(出自《厥病篇》)
This is Pian Tou Feng (Hemicrania), which should be treated with reference to the methods for frontal headache.
[Dan] Pian Tou Feng is often caused by phlegm.
Pain on the left side is due to wind: Jingjie (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba). Pain on the left side is due to blood deficiency: Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix).
Pain on the right side is due to phlegm: Cangzhu (Atractylodis Rhizoma), Banxia (Pinelliae Tuber). Pain on the right side is due to heat: Huangqin (Scutellariae Radix).
[Luo] Chuanxiong San (Corydalis Decoction) treats hemicrania with miraculous efficacy.
Ganju (Chrysanthemi Flos), Shigao (Gypsum Fibrosum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Bai Jiangcan (Bombyx Batryticatus, raw, each 6 qian).
Grind the above into an extremely fine powder. Take 3 qian per dose, mixed with clear tea water.
[Jie] Treats headache extending to eye pain.
Shigao (Gypsum Fibrosum), Niubangzi (Arctii Fructus, stir-fried).
Grind the above into powder. Take before meals, mixed with clear tea water.
[Yuan] Xixin San (Asarum Decoction) treats Pian Tou Feng.
Xixin (Asari Radix et Rhizoma, 2 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma, 7 fen), Chaihu (Bupleuri Radix, 2 qian), Huangqin (Scutellariae Radix, wine-fried, 1 qian), Sheng Huangqin (Scutellariae Radix, raw, 5 fen), Wafen (Tegulae Pulvis, 2 fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, 1.5 qian), Huanglian (Coptidis Rhizoma, wine-fried, 7 fen), Shaoyao (Paeoniae Radix Alba, 0.5 qian).
Cut the above ingredients. Take 3 qian per dose, decoct in water, and take warm after meals.
[Classic] An exquisite method for treating hemicrania. Grind Bibo (Piperis Longi Fructus) into a powder of 1 liang. Before meals, mix half a qian with thin rice gruel broth and ingest.
[Bencao] Treats wind-cold invading the head, causing intermittent pain that radiates to both eyes, potentially leading to blindness. Use Baifu San (White Aconite Powder).
Baifuzi (Aconiti Kusnezoffii Rhizoma, 1 liang), Mahuang (Ephedrae Herba, without joints), Chuanwu (Aconiti Radix Lateralis Preparata), Nanxing (Arisaematis Rhizoma, each 0.5 liang), Quanxie (Scorpio, 5 pieces), Ganjiang (Zingiberis Rhizoma, 1 fen), Zhusha (Cinnabar, 1 fen), Shexiang (Moschus, 1 fen).
Grind the above into a fine powder. Mix with wine to take a "yi zi" amount (approx. 0.5-1 g). Rest slightly; effect will follow.
A member of a clan suffered from unbearable headache; one dose cured him.
For Pian Tou Feng.
Zhuya Zaojiao (Gleditsiae Sinensis Fructus, skin and fibers removed), Xiang Baizhi (Angelicae Dahuricae Radix), Baifuzi (Aconiti Kusnezoffii Rhizoma, equal parts).
Grind the above into powder. Take 1 qian per dose, mixed with aged tea. Lie on the painful side if unilateral; lie supine if bilateral. Take after meals.
[Dan] For Pian Tou Feng, use Bibo (Piperis Longi Fructus) and Zhu Dan (Suis Fel) insufflated into the nose.
[Bencao] For Pian Tou Feng, use fresh juice of good radish, about one shell volume. Let the patient lie supine; instill into the left nostril for left pain, right nostril for right pain, or both if bilateral. Effective even for ten-year cases. Wang Jinggong suffered for twelve years; used this and recovered immediately. Several physicians later cured patients with it; this was a secret palace prescription.
[Lingshu] For cold pain on one side of the head, first puncture the Hand Shaoyang and Hand Yangming meridians, then puncture the Foot Shaoyang and Foot Yangming meridians. (From Chapter on Jue Diseases)