头痛而起核块者，是也。
〔子和〕凡雷头懒于俗呼之，谬名也。可用茶调散吐之，次用神芎丸下之，然后服乌荆丸及愈风
饼子之类。衰者，可用凉膈散消风散热。
茶调散方（见上下部，即二仙散是也。）
神芎丸
大黄 黄芩（各二两） 牵牛 滑石（各四两）
上为细末，滴水为丸，如小豆大，温水下十五丸，每服加十丸，以利为度，日三服。
愈风饼子
川乌（炮，半两） 川芎 甘菊 白芷 防风 细辛 天麻 羌活 荆芥 薄荷 甘草（炙。以上各一两）
上为细末，水浸蒸饼为剂，捏作饼子。每服三五饼，细嚼茶酒送下，不计时候。
凉膈散（方见前寒热条。）
〔《保》〕夫治雷头风者，诸药不效，为与证不相对也。盖雷头风者，震卦主之，震仰盂，
故予制药内加荷叶者，象震之形，其色又青，乃述类象形，当煎《局方》中升麻汤主之。
升麻汤治头面疙瘩，憎寒拘急，发热，状如伤寒，
升麻 苍术 荷叶
上为细末，每服五钱，水一盏，煎七分，温服，食前后。或烧全荷叶一个，研细调药，服之妙。
〔子和〕雷头风者，是头上有赤肿结核，或如酸枣状，可用 针出血则愈矣。
〔《素》〕雷头风∶上囟 百会 风池。
头痛如肿，大如斗是也，大率多是天行时疫病。
〔垣〕泰和年，东垣以监纳济源税，时长夏多疫疠，初觉憎寒体重，次传面目肿盛，目不能
开，上喘，咽喉不利，舌干口燥，俗云大头天行。亲戚不相访问，如染之多不救。张县丞亦得此证，至
五六日，医以承气汤加蓝根下之，稍缓，翌日其病如故，下之又缓，终莫能愈，渐至危笃。或曰李明之
存心于医，可以请治，遂命诊视，具说其由曰∶夫身半以上，天之气也；身半以下，地之气也。
此虽邪热客于心肺之间，上攻头而为肿盛，以承气下之，泻胃中之实热，是诛罚无过，殊不知适其
病所为故。遂处方用黄连、黄芩，味苦寒，泻心肺间热以为君。橘红、玄参苦寒，生甘草甘寒，泻
火补气以为臣。连翘、鼠粘子、薄荷叶苦辛平，板蓝根味甘寒，马屁勃、白僵蚕味苦平，散肿
消毒定喘以为佐。新升麻、柴胡苦平，行少阳阳明二经不得伸，桔梗味辛温，为舟楫不令下行。共为细
末，用汤调，时时服之，拌蜜为丸，噙化之，服尽良愈。因叹曰∶往者不可追，来者尤可及。凡
他所有是病者，皆书方以帖之，全治甚众。
普济消毒饮子
黄芩 黄连（各半两） 人参（三钱） 橘红 玄参 甘草（生。各二钱） 连翘 鼠粘子 板蓝根
马屁勃（各一钱） 白僵蚕（炒，七分） 升麻（七分） 柴胡 桔梗（各二钱）
上为细末，服如前法，或加防风、薄荷、川芎、当归身， 咀如麻豆大。每服五钱，水煎去
渣，热服之，食后时时服之。如大便硬，加酒煨大黄一钱，或二钱，以利之。肿热甚者，宜砭刺
之。
〔海〕大头病者，虽在身半以上，热伏于经，以感天地四时非节瘟疫之气所着，以成此疾。至于
溃裂脓出，而又染他人，所以谓之疫疠也。大抵足阳明邪热太甚，实资少阳相火为之炽，多在少阳，
或在阳明，甚则逆传。视其肿势在何部分，随其经而取之，湿热为肿，木盛为痛，此邪发于首，
多在两耳前后，所先见出者，为主为
根，治之宜早，药不宜速，恐过其病。所谓上热未除，中寒已作，有伤人命矣。此疾是自外而
之内者，是为血病，况头部分受邪，见于无形之处，至高之分，当先缓而后急。先缓者，谓邪气在上，
着无形之部分，既着无形，所传无定，若用重剂大泻之，则其邪不去，反过其病矣。虽用缓药，若
又急服之，或食前，或顿服，咸失缓体，则药不能除病矣。当徐徐渍无形之邪，或药性味形体
据象服饵，皆须不离缓体及寒药，或酒炒浸之类皆是也。后急者，谓前缓剂已经高分，泻邪气入于中，
是到阴部，染于有形质之所，若不速去，反损阴也。此却为客邪，当急去之，是治客以急也。且治
主当缓者，谓阳邪在上，阴邪在下，各为本家病也。若急治之，不惟不能解其纷，而反致其乱矣，
此所以治主当缓也。治客当急者，谓阳分受阳邪，阴分受阴邪，主也。阴分受阳邪，阳分受阴邪，
客也。凡所谓客者当急去之，此治急以客也。假令少阳阳明之为病，少阳为邪者，出于耳前后也。
阳明者，首面大肿也。先以黄芩、黄连、甘草，通炒过，锉煎少少不住服呷之，或服毕，再用大
黄或酒浸或煨，又以鼠粘子新瓦上炒香， 咀煎去渣，纳芒硝各等分，亦细细呷之。当食后用，
徐得微利。及邪气已，只服前药。如不已，再服后药，根据前次第用之，取大便利，邪已即止。如
阳明渴者，加石膏。少阳渴者，加栝蒌根汤。阳明行经，加升麻、葛根、芍药之类。太阳行经，
加羌活、防风、荆芥之类。选而加之，并与上药均合，不可独用散也。
〔洁〕黑白散治大头病如神。
乌黑蛇（酒浸） 白花蛇（去头尾，酒浸） 雄黄（二钱） 大黄（煨，半两）
上为极细末，每服一二钱，白汤调无时。
〔海〕疫毒头肿者，甘桔汤加鼠粘子、大黄、芒硝。
〔丹〕大头天行病。
羌活 酒芩 酒蒸大黄
〔《素》〕巨阳之厥，则肿首头重。（全文见厥。）
〔《山》〕大头风，用井底泥调大黄、芒硝涂之。（此方若在表者忌之，在里者宜之。）
运气 大头病皆属火，盖经所谓上肿者，即其属也。经云∶少阳司天之政，风热参布，太阴
横流，寒乃时至，民病上，怫肿色变。又云∶少阴司天之政，热病生于上，清病生于下，民病
嗌干肿上，终之气燥令行，余火内格，肿于上咳喘。其治方，东垣普济消毒饮子得之矣。
头痛且伴有肿块隆起的，就是雷头风。
〔刘完素（子和）〕大凡“雷头风”是世俗错误的称呼，是一个谬误的名称。可以用茶调散通过催吐来治疗，接着用神芎丸通过泻下来治疗，然后服用乌荆丸及愈风饼子之类的药物。体质虚弱者，可以使用凉膈散来消除风热。
茶调散方（见上部病证部分，即二仙散。）
神芎丸
大黄、黄芩（各二两）、牵牛子、滑石（各四两）。
以上药物研为细末，滴水制成丸药，大小如小豆，温水送服十五丸，每次增加十丸，以大便通畅为度，每日服用三次。
愈风饼子
川乌（炮制，半两）、川芎、甘菊、白芷、防风、细辛、天麻、羌活、荆芥、薄荷、甘草（炙。以上各一两）。
以上药物研为细末，用水浸泡蒸制的饼作为粘合剂，捏成饼状。每次服用三五个饼，细细咀嚼，用茶或酒送下，不限时间。
凉膈散（方剂见前文寒热条。）
〔《保命集》〕治疗雷头风，如果各种药物无效，是因为药物与证候不相符合。大概雷头风由震卦所主，震卦的卦象是上虚下实（仰盂），所以我制药时加入荷叶，是取象于震卦的形状，其颜色又是青色，这是遵循“述类象形”的原则，应当煎服《局方》中的升麻汤来主治。
升麻汤治疗头面部疙瘩，恶寒拘急，发热，症状像伤寒，
升麻、苍术、荷叶。
以上药物研为细末，每次服用五钱，用水一盏，煎至七分，温服，饭前或饭后服用。或者烧全荷叶一个，研细后调药服用，效果奇妙。
〔刘完素（子和）〕雷头风，是指头上有红肿结核，或者像酸枣大小的肿块，可以用针刺出血就会痊愈。
〔《素问》〕雷头风：取穴上囟、百会、风池。
头部肿胀疼痛，大如斗，这种情况，大多是天行时疫病。
〔李杲（东垣）〕泰和年间，东垣在济源担任监纳税务官，当时长夏季节多疫疠，起初感觉恶寒身体沉重，随后传变到面目肿胀盛大，眼睛不能睁开，向上气喘，咽喉不利，舌干口燥，俗称为大头天行。亲戚不敢互相探访，一旦染上这种病大多无法救治。张县丞也得了这个病，到了五六天，医生用承气汤加板蓝根泻下，病情稍微缓解，第二天病势依旧，再次泻下后稍缓，最终未能治愈，逐渐变得危重。有人说李明之用心于医学，可以请他诊治，于是让他诊视，详细说明了病因说：人体上半身，是天之气；下半身，是地之气。这虽然是邪热客居在心肺之间，向上攻冲头部导致肿胀盛大，如果用承气汤泻下，是泻去胃中的实热，这是惩罚没有过错的部位，殊不知应该根据疾病所在的部位来治疗。于是处方使用黄连、黄芩，味苦寒，清泻心肺间的热作为君药。橘红、玄参味苦寒，生甘草味甘寒，泻火补气作为臣药。连翘、鼠粘子（牛蒡子）、薄荷叶味苦辛平，板蓝根味甘寒，马屁勃、白僵蚕味苦平，消散肿毒、定喘作为佐药。新升麻、柴胡味苦平，疏通少阳、阳明二经郁结不得伸展的气机，桔梗味辛温，作为舟楫之药防止药力下行。共研为细末，用汤药调服，时时服用，拌蜜做成丸药，含化服用，服完即可痊愈。于是感叹道：过去的不可追回，未来的还可以赶上。凡是其他患有此病的人，都写下方子张贴出来，治愈了很多患者。
普济消毒饮子
黄芩、黄连（各半两）、人参（三钱）、橘红、玄参、甘草（生。各二钱）、连翘、鼠粘子、板蓝根、马屁勃（各一钱）、白僵蚕（炒，七分）、升麻（七分）、柴胡、桔梗（各二钱）。
以上药物研为细末，服用方法如上所述，或者加防风、薄荷、川芎、当归身，切碎如麻豆大小。每次服用五钱，水煎去渣，热服，饭后时时服用。如果大便干燥，加酒煨大黄一钱或二钱，以通利大便。肿胀热势严重的，适宜用砭石刺破放血。
〔朱震亨（海藏）〕大头病，虽然病位在半身以上，但热伏于经脉中，是由于感受天地四时非节令的瘟疫之气所致，从而形成此疾。至于溃烂流脓，又传染给他人，所以称之为疫疠。大抵足阳明经邪热太盛，实则借助少阳相火使其炽烈，病多在少阳经，或在阳明经，严重时则逆传。观察肿胀之势在哪个部位，顺着该经进行治疗，湿热导致肿胀，木气过盛导致疼痛，这种邪气发于头部，多在两耳前后，最先出现的地方，为主症和根本，治疗宜早，用药不宜过猛，恐怕超过病情的需要。所谓上部的热未除，中焦的寒已产生，这会伤害人命。此疾是从外侵入内的，属于血分病，况且头部受邪，见于无形的高位，应当先缓和而后紧急。先缓和，是说邪气在上，附着于无形的部位，既然附着于无形，传变没有定所，如果使用重剂大力泻下，则邪气不去，反而损伤正气。即使使用缓药，如果又急于服用，或者饭前服用，或者顿服，都失去了缓治的本意，那么药物就不能去除疾病了。应当慢慢浸渍清除无形的邪气，或者药物的性味形体依据象数来服用，都必须不离缓治及寒凉药物，或者酒炒浸渍之类都是如此。后紧急，是说前面的缓剂已经将高位邪气泻入中部，到达阴部，沾染在有形质的地方，如果不迅速去除，反而损伤阴液。这却成了客邪，应当紧急去除，这是治客邪用急法。而且治疗主症应当缓和，是说阳邪在上，阴邪在下，各自是本经的病。如果紧急治疗，不仅不能解开纷乱，反而会导致混乱，这就是治主症应当缓和的原因。治疗客邪应当紧急，是说阳分受阳邪，阴分受阴邪，这是主症；阴分受阳邪，阳分受阴邪，这是客邪。凡是所谓的客邪应当紧急去除，这是治急法针对客邪。假如少阳阳明生病，少阳受邪，病出于耳前后。阳明受邪，则是头面大肿。先用黄芩、黄连、甘草，共同炒过，锉碎煎煮，少量不停顿地呷服，或者服完后，再用大黄或者酒浸或者煨制，又以鼠粘子在新瓦上炒香，切碎煎煮去渣，纳入芒硝各等分，也细细呷服。应当在食后服用，慢慢得到轻微腹泻。等到邪气已去，只服用前面的药。如果病不止，再服用后面的药，按照前面的次第使用，以求大便通畅，邪气已去就停止。如果阳明经口渴，加石膏。少阳经口渴，加栝蒌根汤。如果是阳明经行经病变，加升麻、葛根、芍药之类。太阳经行经病变，加羌活、防风、荆芥之类。选择加入，并与上面的药混合均匀，不可单独使用散剂。
〔张从正（洁古）〕黑白散治疗大头病如神效。
乌黑蛇（酒浸）、白花蛇（去头尾，酒浸）、雄黄（二钱）、大黄（煨，半两）。
以上药物研为极细末，每次服用一二钱，白开水调服，不拘时间。
〔朱震亨（海藏）〕疫毒头肿，用甘桔汤加鼠粘子、大黄、芒硝。
〔朱震亨（丹溪）〕大头天行病。
羌活、酒芩、酒蒸大黄。
〔《素问》〕巨阳经气厥逆，则头部肿胀头重。（全文见“厥”篇。）
〔《山》〕大头风，用井底泥调和大黄、芒硝涂抹患处。（此方如果在表证阶段忌用，在里证阶段适宜使用。）
运气学说 大头病都属于火，正如经文所说“上肿者”，就是指这一类。经文说：少阳司天之政，风热参杂分布，太阴湿气横流，寒气不时而至，百姓发病于上部，郁结肿胀色变。又说：少阴司天之政，热病生于上部，清冷病生于下部，百姓发病咽喉干燥上部肿胀，终之气燥令施行，余火内格，上部肿胀咳嗽气喘。其治疗方剂，东垣的普济消毒饮子正符合这一规律。
Headache accompanied by the formation of nodules or lumps is referred to as Lei Tou Feng (Thunderhead Wind).
[Liu Wansu (Zihe)] The term "Lei Tou Feng" is a common vulgar misnomer and an erroneous name. It can be treated with Cha Tiao San (Tea-Regulating Powder) to induce vomiting, followed by Shen Xiong Wan (Divine Skull Pill) to purge downward, and then administered Wu Jing Wan (Blackthorn-Perilla Pill) and Yu Feng Bing Zi (Wind-Resolving Cakes), among others. For those with deficient constitution, Liang Ge San (Cooling the Diaphragm Powder) can be used to dissipate wind and clear heat.
Cha Tiao San Formula (See Upper Part Diseases, which is identical to Er Xian San.)
Shen Xiong Wan
Da Huang (Rhubarb Root and Rhizome), Huang Qin (Scutellaria Root) (each 2 liang); Qian Niu (Morning Glory Seed), Hua Shi (Talcum) (each 4 liang).
Grind the above into fine powder, add water drop by drop to form pills the size of small beans. Take 15 pills with warm water, increasing by 10 pills per dose until bowel movement is achieved. Take three times daily.
Yu Feng Bing Zi
Chuan Wu (Prepared Aconite Lateral Root), Chuan Xiong (Ligusticum Rhizome), Gan Ju (Chrysanthemum Flower), Bai Zhi (Angelica Dahurica Root), Fang Feng (Saposhnikovia Root), Xi Xin (Asarum Root), Tian Ma (Gastrodia Rhizome), Qiang Huo (Notopterygium Rhizome), Jing Jie (Schizonepeta Spike), Bo He (Mint Herb), Gan Cao (Licorice Root, honey-fried) (each 1 liang).
Grind the above into fine powder. Use steamed wheat cake soaked in water as a binder, shape into cakes. Chew 3–5 cakes thoroughly each time, swallow with tea or wine, at any time.
Liang Ge San (Formula see preceding section on Cold and Heat.)
[Bao Ming Ji] When treating Lei Tou Feng, if various medicines are ineffective, it is because the medicine does not correspond to the syndrome. Lei Tou Feng is governed by the Zhen Trigram. The Zhen trigram resembles an inverted bowl (Yang above, Yin below). Therefore, when I formulate medicines, I add He Ye (Lotus Leaf) to symbolize the shape of Zhen; its color is green, following the principle of "describing categories by image." One should decoct and take Sheng Ma Tang (Cimicifuga Decoction) from the *Ju Fang* (Standard Formulas of the Imperial Medical Bureau) as the primary treatment.
Sheng Ma Tang treats head and facial nodules, aversion to cold with stiffness, fever, resembling Tai Yang disease.
Sheng Ma (Cimicifuga Rhizome), Cang Zhu (Atractylodes Rhizome), He Ye (Lotus Leaf).
Grind the above into fine powder. Take 5 qian each time with one cup of water, decoct to 70%, take warm, before or after meals. Alternatively, burn one whole lotus leaf, grind finely, and mix with the medicine for ingestion, which yields excellent results.
[Liu Wansu (Zihe)] Lei Tou Feng refers to red swelling and tubercles on the head, or lumps the size of a sour jujube. Pricking them with a needle to bleed will result in cure.
[*Su Wen*] Lei Tou Feng: Acupoints Shang Xin, Bai Hui, Feng Chi.
Headache with swelling so large that the head resembles a dou (a unit of volume), generally belongs to Tian Xing Shi Yi Bing (Epidemic diseases spreading through the air).
[Li Gao (Dongyuan)] During the Taihe era, Dongyuan served as the tax supervisor in Jiyuan. In the long summer, many epidemic diseases occurred. Initially, there was aversion to cold and heavy body sensation, followed by severe swelling of the face and eyes, inability to open the eyes, upward panting, throat obstruction, dry tongue, and dry mouth. This is commonly called Da Tou Tian Xing (Big Head Epidemic). Relatives avoided visiting each other; once infected, most could not be saved. Magistrate Zhang also contracted this disease. By the fifth or sixth day, physicians used Cheng Qi Tang (Order the Qi Decoction) plus Lan Gen (Isatis Root) to purge, which provided slight relief. The next day, the condition remained unchanged. After purging again, it slightly eased, but ultimately failed to cure, progressing to a critical state. Someone suggested that Li Mingzhi (Li Gao) devoted himself to medicine and could be consulted for treatment. Upon examination, he explained the etiology thus: The upper half of the body is governed by Heaven's Qi; the lower half by Earth's Qi. Although pathogenic heat lodges between the Heart and Lung, attacking the head causing severe swelling, using Cheng Qi Tang to purge clears excess heat from the Stomach. This punishes the innocent part. One must treat according to the location of the disease. Thus, he prescribed Huang Lian (Coptis Rhizome) and Huang Qin (Scutellaria Root), bitter and cold, to clear heat from the Heart and Lung as Sovereign herbs. Ju Hong (Tangerine Peel) and Xuan Shen (Scrophularia Root), bitter and cold, along with Sheng Gan Cao (Raw Licorice Root), sweet and cold, to clear fire and tonify Qi as Minister herbs. Lian Qiao (Forsythia Fruit), Shu Niu Zi (Burdock Fruit), Bo He Ye (Mint Leaf), Ban Lan Gen (Isatis Root), Ma Pi Bo (Plantago Seed), and Bai Jiang Can (Silkworm), bitter and pungent/neutral, to dissipate swelling, detoxify, and calm asthma as Assistant herbs. Xin Sheng Ma (Cimicifuga Rhizome) and Chai Hu (Bupleurum Root), bitter and neutral, to unblock the Shaoyang and Yangming meridians where Qi stagnates; Jie Geng (Platycodon Root), acrid and warm, acting as a boat and oar to prevent downward descent. Grind all into fine powder, mix with decoction, take frequently. Mix with honey to make pills, hold in mouth to dissolve. Upon finishing the course, the patient recovered. He sighed, saying: The past cannot be retrieved, but the future can be grasped. For all others suffering from this disease, I wrote down the formula and posted it, curing many.
Pu Ji Xiao Du Yin Zi (Universal Benefit Detoxifying Decoction)
Huang Qin (Scutellaria Root), Huang Lian (Coptis Rhizome) (each 0.5 liang); Ren Shen (Ginseng Root) (3 qian); Ju Hong (Tangerine Peel), Xuan Shen (Scrophularia Root), Gan Cao (Licorice Root, raw) (each 2 qian); Lian Qiao (Forsythia Fruit), Shu Niu Zi (Burdock Fruit), Ban Lan Gen (Isatis Root), Ma Pi Bo (Plantago Seed) (each 1 qian); Bai Jiang Can (Silkworm, stir-fried) (0.7 fen); Sheng Ma (Cimicifuga Rhizome) (0.7 fen); Chai Hu (Bupleurum Root), Jie Geng (Platycodon Root) (each 2 qian).
Grind the above into fine powder. Administer as described previously. Alternatively, add Fang Feng (Saposhnikovia Root), Bo He (Mint Herb), Chuan Xiong (Ligusticum Rhizome), Dang Gui Shen (Angelica Sinensis Root tip), cut into pieces the size of hemp seeds. Take 5 qian each time, decoct in water, strain, take hot, frequently after meals. If stool is hard, add Jiu Wei Da Huang (Wine-processed Rhubarb Root) 1 or 2 qian to promote bowel movement. For severe swelling and heat, bloodletting with bi stones is appropriate.
[Zhu Zhenheng (Haizang)] Da Tou Bing (Big Head Disease), although located in the upper half of the body, involves heat lurking in the meridians, caused by contracting epidemic Qi from the four seasons that deviates from normal climatic patterns. When it ulcerates and discharges pus, it infects others, hence termed Yi Li (Epidemic Pestilence). Generally, excessive pathogenic heat in the Foot-Yangming Meridian relies on the Minister Fire of Shaoyang to become blazing. The disease mostly affects the Shaoyang or Yangming meridians, and in severe cases, transmits reversely. Observe which part shows swelling, and treat according to the affected meridian. Damp-heat causes swelling; Wood excess causes pain. This pathogen originates in the head, mostly around the ears. The initially appearing site is the root and main symptom. Treatment should be early, and medication should not be too aggressive, lest it exceed the pathology. If upper heat is not cleared while middle cold arises, it harms life. This disease enters from outside to inside, involving Blood. Since the head is the highest part and receives pathogen in formless regions, treatment should start slowly and then become urgent. Starting slowly means the pathogen is high and formless; transmission is不定 (uncertain). Using heavy purgatives will fail to remove the pathogen and instead damage healthy Qi. Even with mild drugs, if taken urgently, before meals, or in one dose, the slow nature is lost, and the drug cannot cure. One must slowly steep out the formless pathogen. Drug properties, flavors, forms, and administration methods must adhere to slowness and coldness, such as wine-processing or soaking. Becoming urgent later means the previous mild agents have moved pathogens from high to middle, reaching Yin parts and tangible organs. If not removed quickly, Yin is damaged. This becomes a guest pathogen and must be removed urgently; this is treating guests with urgency. Treating the host (main disease) requires slowness: Yang pathogen above, Yin pathogen below, each being their own home disease. Urgent treatment fails to resolve chaos and creates disorder. Hence, treating the host requires slowness. Treating the guest requires urgency: Yang part receiving Yang pathogen, Yin part receiving Yin pathogen is the host. Yin part receiving Yang pathogen, Yang part receiving Yin pathogen is the guest. Guest pathogens must be removed urgently; this is treating urgency for guests. For example, in Shaoyang-Yangming disease: Shaoyang pathogen manifests around ears. Yangming pathogen manifests as big head swelling. First use Huang Qin, Huang Lian, Gan Cao, stir-fried together, cut, decoct, and sip frequently in small amounts. After finishing, use Da Huang (wine-soaked or roasted), stir-fry Shu Niu Zi on a new tile until fragrant, cut, decoct, strain, add Mang Xiao (Mirabilite) in equal parts, and sip slowly. Take after meals, aiming for mild diarrhea. Once pathogen is gone, take only the first medicine. If not cured, take the second medicine, following the sequence, aiming for thorough bowel movement, stopping when pathogen is cleared. If Yangming meridian thirst occurs, add Shi Gao (Gypsum). If Shaoyang meridian thirst occurs, add Gua Lou Gen (Trichosanthes Root) decoction. For Yangming meridian channel involvement, add Sheng Ma, Ge Gen (Kudzu Root), Shao Yao (Peony Root). For Taiyang meridian channel involvement, add Qiang Huo, Fang Feng, Jing Jie. Select and add these, mixing evenly with the main formula; do not use alone as a powder.
[Zhang Congzheng (Jiegu)] Hei Bai San (Black and White Powder) treats Da Tou Bing miraculously.
Wu Hei She (Dark Black Snake, wine-soaked), Bai Hua She (Banded Krait, remove head and tail, wine-soaked), Xiong Huang (Realgar) (2 qian), Da Huang (Rhubarb Root, roasted) (0.5 liang).
Grind into extremely fine powder. Take 1–2 qian each time, mixed with white boiled water, at any time.
[Zhu Zhenheng (Haizang)] For Yi Du Tou Zhong (Epidemic Toxin Head Swelling), use Gan Jie Tang (Licorice and Platycodon Decoction) plus Shu Niu Zi, Da Huang, Mang Xiao.
[Zhu Zhenheng (Danxi)] Da Tou Tian Xing Bing (Big Head Epidemic Disease).
Qiang Huo (Notopterygium Rhizome), Jiu Qin (Wine-processed Scutellaria Root), Jiu Zheng Da Huang (Wine-steamed Rhubarb Root).
[*Su Wen*] Jue of Ju Yang (Taiyang) meridian leads to head swelling and heaviness. (Full text see "Jue".)
[*Shan*] For Da Tou Feng (Big Head Wind), apply mixture of well-bottom mud, Da Huang, and Mang Xiao externally. (Contraindicated for exterior syndromes, indicated for interior syndromes.)
Yun Qi (Five Movements and Six Qi) Theory: Da Tou Bing all belong to Fire. As the classic states, "swelling above" refers to this category. The classic says: When Shaoyang governs the Heaven, Wind and Heat distribute together, Taiyin dampness flows horizontally, Cold arrives out of season. People suffer from upper body disorders, oppression, swelling, and color changes. It also says: When Shaoyin governs the Heaven, Heat diseases arise above, Cold diseases arise below. People suffer from dry throat and upper swelling. In the final Qi, Dryness command prevails, residual fire is blocked internally, causing upper swelling, cough, and asthma. The treatment formula, Dongyuan's Pu Ji Xiao Du Yin Zi, fits this perfectly.