（东垣）
治脾胃内伤，眼黑头眩，头痛如裂，身重如山，恶心烦闷，四肢厥冷，谓之足太阴痰厥
头痛（痰厥者，湿痰厥逆而上也。痰逆则上实，故令头痛、目眩、眼前见黑色也。东垣曰∶
太阴头痛，必有痰也；少阴头痛，足寒而气逆也；太阴、少阴二经虽不上头，然痰与气逆壅
于膈中
半夏（姜制） 麦芽（钱半） 神曲（炒） 白术（炒，一钱） 苍术（泔浸） 人参 黄
（蜜
服五钱。
此足太阴药也。痰厥头痛，非半夏不能除（半夏燥痰而能和胃）；头旋眼黑，虚风内作，
非天麻不能定（天麻有风不动，名定风草）；黄 、人参甘温，可以泻火，亦可以补中；二
术甘苦而温，可以除痰，亦可以益气（去湿故除痰，健脾故益气）；苓、泻泻热导水；陈皮
调气升阳；神曲消食，荡胃中滞气；麦芽化结，助戊己营运（胃为戊土，脾为己土）；干姜
辛热，以涤中寒；黄柏苦寒，酒洗，以疗少火在泉发燥也（李东垣曰∶夫风从上受之，风寒
伤上，邪从外入，令人头痛，身重恶寒，此伤寒头痛也；头痛耳鸣，九窍不利，肠胃之所生，
乃气虚头痛也；心烦头痛者，病在手太阳、少阴，乃湿热头痛也；如气上不下，头痛巅疾者，
下虚上实也，病在足太阳、少阴，甚则入肾，寒湿头痛也；如头半边痛者，先取手少阳、阳
明，次取足少阳、阳明，此偏头痛也。有厥逆头痛者，所犯大寒，内至骨髓，髓者以脑为主，
脑逆故令头痛，齿亦痛；有真头痛者，甚则脑尽痛，手足寒至节，死不治。头痛每以风药治
之者，高巅之上，唯风可到，味之薄者，阴中之阳，乃自地升天者也。太阳头痛，恶风寒，
脉浮紧，川芎、羌活、麻黄之类为主；少阳头痛，脉弦细，往来寒热，柴胡、黄芩为主；阳
明头痛，自汗，发热恶寒，脉浮缓长实者，升麻、葛根、白芷、石膏为主；太阴头痛，必有
痰、体重，或腹痛，为痰癖，其脉沉缓，苍术、半夏、南星为主；少阴头痛，三阴三阳经不
流行而足寒气逆，为寒厥，其脉沉细，麻黄附子细辛汤主之；厥阴头顶痛，或吐涎沫，厥冷，
脉沉缓，吴茱萸汤主之；血虚头痛，当归、川芎为主；气虚头痛，人参、黄 为主；气血俱
虚头痛，补中益气汤少加川芎、蔓荆子、细辛。清空膏，风湿头痛药也；白术半夏天麻汤，
痰厥头痛药也；羌活附子汤，厥逆头痛药也。如湿气在头者，以苦吐之，不可执方而治。昂
按∶以苦吐之，瓜蒂散
（李东垣）
治疗脾胃内伤，眼睛发黑、头晕目眩，头痛剧烈如撕裂一般，身体沉重如同压着山石，恶心烦闷，四肢冰冷，这被称为足太阴痰厥。
头痛（所谓痰厥，是因为湿痰逆乱向上冲逆。痰气上逆则上部实证，所以导致头痛、目眩、眼前出现黑色景象。李东垣说：太阴经头痛，必定有痰；少阴经头痛，脚冷且气机上逆。虽然太阴、少阴两条经脉不直接上行至头部，但痰与气逆壅塞在膈中）。
半夏（姜汁制）、麦芽（一钱半）、神曲（炒制）、白术（炒制，一钱）、苍术（用淘米水浸泡）、人参、黄耆（蜜炙）、茯苓、泽泻、陈皮、干姜、黄柏（酒洗）、天麻。
以上药物，每服五钱。
这是足太阴脾经的药物。痰厥引起的头痛，非半夏不能去除（因为半夏能燥湿化痰并能和胃）；头晕眼花，是虚风在内产生，非天麻不能平息（天麻在有风时也不动摇，名为定风草）；黄耆、人参味甘性温，既能泻火，又能补益中气；白术、苍术味甘苦性温，既能除痰，又能益气（因为去除了湿气所以能除痰，因为健运了脾气所以能益气）；茯苓、泽泻能泻热并引导水湿下行；陈皮能调理气机并升发阳气；神曲能消食化积，清除胃中的停滞之气；麦芽能化解结滞，辅助戊己二土的运化（胃属戊土，脾属己土）；干姜味辛性热，用来涤荡中焦的寒邪；黄柏味苦性寒，经酒洗后，用来治疗少火在泉引发的燥热（李东垣说：风邪从上部受袭，风寒损伤上部，邪气从外部进入，使人头痛、身重、恶寒，这是伤寒头痛；头痛耳鸣，九窍不通利，是由肠胃虚弱产生的，这是气虚头痛；心烦头痛，病在手太阳、少阴经，这是湿热头痛；如果气机上逆不下行，头痛位于头顶的疾病，属于下虚上实，病在足太阳、少阴经，严重时入肾，这是寒湿头痛；如果是头半边痛，先取手少阳、阳明经穴，再取足少阳、阳明经穴，这是偏头痛。有厥逆头痛的，是遭受了大寒，寒气内达骨髓，髓以脑为主，脑气逆乱所以导致头痛，牙齿也痛；有真头痛的，严重到脑部全部疼痛，手脚寒冷直到关节，死亡无法治愈。头痛通常用风药治疗，是因为高处的巅顶，只有风药能够到达，气味薄弱的药物，属于阴中之阳，是从地上升向天的。太阳头痛，恶风怕冷，脉象浮紧，以川芎、羌活、麻黄等为主药；少阳头痛，脉象弦细，忽冷忽热，以柴胡、黄芩为主药；阳明头痛，自汗出，发热恶寒，脉象浮缓长而实，以升麻、葛根、白芷、石膏为主药；太阴头痛，必定有痰、身体沉重，或者腹痛，为痰癖，脉象沉缓，以苍术、半夏、南星为主药；少阴头痛，三阴三阳经气血不流通且脚冷气逆，为寒厥，脉象沉细，用麻黄附子细辛汤主治；厥阴经头顶痛，或者吐涎沫，四肢厥冷，脉象沉缓，用吴茱萸汤主治；血虚头痛，以当归、川芎为主药；气虚头痛，以人参、黄耆为主药；气血俱虚头痛，用补中益气汤少量加入川芎、蔓荆子、细辛。清空膏，是治疗风湿头痛的药；白术半夏天麻汤，是治疗痰厥头痛的药；羌活附子汤，是治疗厥逆头痛的药。如果湿气在头部，应用苦味药催吐，不可拘泥于固定方剂治疗。汪昂按语：用苦味药催吐，如瓜蒂散）。
(Li Dongyuan)
Treats internal injury of the Spleen and Stomach, characterized by blacking out of the eyes, dizziness, headache as if splitting, heaviness of the body as if weighed down by mountains, nausea, restlessness, and cold limbs. This is called Phlegm-Jue of the Foot-Taiyin (Phlegm-Jue: a syndrome caused by phlegm obstructing the Taiyin channel).
Headache (In cases of Phlegm-Jue, damp-phlegm rebels upward. When phlegm rebels, the upper part becomes excess, thus causing headache, dizziness, and visual obscurations of black spots. Li Dongyuan stated: Taiyin headache must involve phlegm; Shaoyin headache involves cold feet and rebellious Qi. Although the Taiyin and Shaoyin meridians do not directly ascend to the head, phlegm and rebellious Qi can become congested in the diaphragm.)
Banxia (Prepared with Ginger Juice), Maiya (1.5 qian), Shenqu (Stir-fried), Baizhu (Stir-fried, 1 qian), Cangzhu (Soaked in rice water), Renshen, Huangqi (Honey-fried), Fuling, Zexie, Chenpi, Ganjiang, Huangbai (Washed with wine), Tianma.
Take five qian per dose.
This formula acts on the Foot-Taiyin (Spleen) meridian. For headache caused by Phlegm-Jue, only Banxia can eliminate it (because Banxia dries phlegm and harmonizes the Stomach); for dizziness and blacking out of the eyes, which are caused by internal deficiency-wind, only Tianma can settle it (Tianma does not move even in wind, hence named "Wind-Stabilizing Grass"); Huangqi and Renshen are sweet and warm, capable of clearing deficient fire and tonifying the Middle Jiao; Baizhu and Cangzhu are sweet, bitter, and warm, capable of eliminating phlegm and benefiting Qi (eliminating dampness removes phlegm; strengthening the Spleen benefits Qi); Fuling and Zexie clear heat and guide water downward; Chenpi regulates Qi and raises Yang; Shenqu digests food and sweeps away stagnant Qi in the Stomach; Maiya resolves knots and assists the transportation of Wu and Ji Earth (the Stomach belongs to Wu Earth, the Spleen to Ji Earth); Ganjiang is acrid and hot, used to scour mid-jiao cold; Huangbai is bitter and cold, washed with wine to treat dryness caused by ministerial fire at the bottom (Li Dongyuan said: Wind pathogen is received from above; wind-cold injures the upper body, and evil enters from outside, causing headache, heaviness, and aversion to cold—this is Cold Damage headache; headache with tinnitus and dysfunction of the nine orifices arises from the intestines and stomach, this is Qi-deficiency headache; heart vexation with headache indicates disease in the Hand-Taiyin and Hand-Shaoyin meridians, this is Damp-Heat headache; if Qi rebels upward without descending, causing headache at the vertex, this is lower deficiency and upper excess, involving the Foot-Taiyang and Foot-Shaoyin meridians, severe cases entering the Kidney, this is Cold-Damp headache; if pain is on one side of the head, first select points from the Hand-Shaoyang and Yangming meridians, then the Foot-Shaoyang and Yangming meridians—this is migraines. There is Jue-ni headache caused by severe cold penetrating to the bone marrow; since marrow governs the brain, brain rebellion causes headache and toothache. There is True Headache, where pain extends throughout the brain, with cold limbs reaching the joints, which is fatal and untreatable. Headaches are generally treated with wind-dispelling herbs because the high vertex can only be reached by wind herbs; substances with thin flavors belong to Yin within Yang, rising from earth to heaven. Taiyang headache, with aversion to wind and cold, floating-tight pulse, is primarily treated with Chuanxiong, Qianghuo, Mahuang, etc.; Shaoyang headache, with string-taut-thin pulse and alternating chills and fever, is primarily treated with Chaihu, Huangqin; Yangming headache, with spontaneous sweating, fever, aversion to cold, and floating-slow-long-excess pulse, is primarily treated with Shengma, Gegen, Baizhi, Shigao; Taiyin headache, necessarily with phlegm, body heaviness, or abdominal pain (phlegm-stagnation), with a sinking-slow pulse, is primarily treated with Cangzhu, Banxia, Nanting; Shaoyin headache, with non-circulation of the three Yin and three Yang meridians, cold feet, and rebellious Qi constituting Cold Jue, with a sinking-thin pulse, is primarily treated with Ma Huang Fu Zi Xi Xin Tang; Jueyin headache at the vertex, or with vomiting of saliva/foam, cold limbs, and sinking-slow pulse, is primarily treated with Wu Zhu Yu Tang; Blood-deficiency headache is primarily treated with Danggui, Chuanxiong; Qi-deficiency headache is primarily treated with Renshen, Huangqi; Combined Qi and Blood deficiency headache is treated with Bu Zhong Yi Qi Tang with small additions of Chuanxiong, Manjingzi, Xi Xin. Qing Kong Gao is for Wind-Damp headache; Bai Zhu Ban Xia Tian Ma Tang is for Phlegm-Jue headache; Qiang Huo Fu Zi Tang is for Jue-ni headache. If dampness resides in the head, bitter emetics should be used; one must not rigidly adhere to a fixed formula. Ang notes: Using bitter emetics, such as Gou Di San...)