麻黄（不去根节） 乌头（炮，去皮） 南星（炮，各半两） 白附子（炮，一两） 全
蝎（炒，五枚） 辰砂（研，一分） 麝香（研，一钱） 白姜（炮，一分）
上为细末，酒调一字服讫，去枕卧少时。
裕陵传王荆公偏头疼方，云是禁中秘方。用生芦菔（即萝卜汁）一蚬壳，仰卧注鼻中，
左痛注左，右痛注右，或两鼻皆注。亦可数十年患，皆一注而愈。东坡云∶荆公与仆言已愈
数人。此方自后晁将仕明甫云∶是有效。
治头风痛不可忍者。
硝石 人中白 脑子（等分）
上研令极细，用一字搐入鼻中。
此一卷论项筋拘挛强痛。每得斯疾，疗之似易而实难。然方册中所载亦少，纵有言之，
议论亦略。以仆考之，然既有斯疾，必有是方，何古人言此疾证尚且略，又无的然之论。
详之必是挟诸疾而生，所以绝无专门。余因暇日摭古名方，以备检阅。然自明学识浅鄙，未
必全备。博学之士见其遗缺，倘能补而完之，不亦宜乎！咸淳元年上元日，药隐老人书于存
心堂。
夫颈项之处，乃属足太阳膀胱之经。又许太学云是足少阴肾之经，盖肾与膀胱为表里故
也。以感外邪论之，则有太阳经，先因感风，又感寒湿，致令外证发热恶寒，与伤寒相似。
颈项强急，腰身反张如中风状，螈 口噤，其身体KT KT 。古人以强直为 其脉沉迟弦
细。新产血虚多汗出，喜中风，亦有此证。以上并载第三卷第二论中，言之甚详，不复赘录。
又有挫枕转项不得者，与三五七散（方见《和剂》）、追风散，仍与急风散搽项上。
若因被风吹，头目昏眩，太阳并脑俱痛，项背筋脉拘急，可与蝎附散、都梁丸。
许太学治项筋强痛，不可转侧者，以木瓜煎。
麻黄（不去除根和节） 乌头（炮制，去皮） 天南星（炮制，各半两） 白附子（炮制，一两） 全蝎（炒制，五枚） 辰砂（研细，一分） 麝香（研细，一钱） 白姜（炮制，一分）
以上药物研磨成细末，用酒调服“一字”的量，服完后去掉枕头躺卧片刻。
宋裕陵（宋神宗）传授给王荆公（王安石）治疗偏头痛的方子，说是宫廷秘方。使用生萝卜汁（即芦菔汁）一蚬壳的量，仰卧并将药液滴入鼻中，左侧头痛滴左鼻，右侧头痛滴右鼻，或者双鼻都滴。即使是患病数十年的人，也能一次滴注而痊愈。苏东坡说：王安石曾告诉我，此方已治愈了数人。此后，晁将仕明甫也说此方有效。
用于治疗剧烈难忍的头风痛。
以上药物研磨至极细，取“一字”量吹入鼻中。
这一卷论述项部筋脉拘挛强痛。每当患上这种病，治疗看似容易实则困难。然而医书中所记载的也很少，即使有提及，议论也很简略。据我考证，既然有这种病，必然有相应的方剂，为何古人对此病证的论述尚且简略，又没有确切的理论？仔细分析，这必定是夹杂其他疾病而产生的，所以完全没有专门针对此病的论述。我趁闲暇之日搜集古代名方，以备查阅。然而陈自明学识浅薄鄙陋，未必完全完备。博学之士若发现其中的遗漏缺失，若能补充完善，不也是应该的吗！咸淳元年上元日，药隐老人书写于存心堂。
颈项部位，属于足太阳膀胱经。另外许太学说这是足少阴肾经，大概是因为肾与膀胱互为表里的缘故。从感受外邪的角度来看，涉及太阳经，起初因感受风邪，又感受寒湿，导致出现发热恶寒的外证，与伤寒相似。表现为颈项强急，腰身反张如同中风的样子，抽搐、口噤，身体僵硬不适。古人认为强直的症状其脉象沉迟弦细。新产后血虚多汗出，容易感受风邪，也有这种证候。以上内容均记载在第三卷第二论中，论述非常详细，不再赘述。
又有因挫伤或枕头不当导致转头困难的，可用三五七散（方剂见《太平惠民和剂局方》）、追风散，并配合急风散涂抹项部。
Ephedrae Herba (Mahuang, 麻黄) [roots and nodes not removed] Aconiti Lateralis Radix Preparata (Fuzi, 附子) [prepared, skin removed] Pinelliae Rhizoma Preparatum (Banxia, 半夏) [Note: Text says Nanting, usually refers to Pinelliae Rhizoma or Arisaemae Rhizoma; WHO term for Nanting is Pinelliae Rhizoma Preparatum or Arisaematis Rhizoma. Given context of wind-phlegm, likely Pinellia/Arisaema. Let's use Pinelliae Rhizoma Preparatum as standard for processed Nanting in many contexts, or Arisaematis Rhizoma. I will use Pinelliae Rhizoma Preparatum (Banxia, 半夏) as it is the most common counterpart, but strictly "Nanting" is often Arisaematis Rhizoma. Let's stick to the literal translation of the herb name if ambiguous, but WHO prefers specific Latin. Nanting = Pinelliae Rhizoma Preparatum (Banxia) or Arisaematis Rhizoma. In Song dynasty texts, Nanting often refers to Pinellia. I will use Pinelliae Rhizoma Preparatum.] *Correction*: Actually, Nanting (南星) is typically Arisaematis Rhizoma (Tian Nanxing). I will use Arisaematis Rhizoma (Tian Nanxing, 天南星). Bai Fuzi (白附子) Typhonii Rhizoma (Baifuzi, 白附子) [prepared]. Scorpio (Quanxie, 全蝎) [stir-fried]. Cinnabarum (Chensha, 辰砂) [ground]. Moschus (Shexiang, 麝香) [ground]. Zingiberis Rhizoma Recens Preparatum (Shengjiang/Shengjiang? Text says Bai Jiang, likely Ginger prepared). Zingiberis Rhizoma (Shengjiang, 生姜) or Zingiberis Rhizoma Preparatum [prepared].
Grind the above into a fine powder. Mix with wine and administer one "yi" (a small measure) at a time. After ingestion, remove the pillow and lie down for a short while.
The formula for hemianopia (偏头疼) transmitted by Emperor Shenzong (Yuling) to Wang Anshi (Jinggong) was said to be a secret palace prescription. Use one shell of fresh Raphani Fructus juice (Luofu, radish juice). While lying supine, instill the juice into the nostril corresponding to the side of the pain (left for left, right for right), or into both nostrils. Even if the condition has persisted for decades, it can be cured with a single instillation. Su Dongpo stated: Jinggong told me that this formula had already cured several people. Later, Chao Mingfu also confirmed its efficacy.
This section treats severe, unbearable cephalalgia due to Wind-Cold (Tou Feng Tong).
Natrii Sulfas (Xiaoshi, 硝石). Urinis Sedimentum (Ren Zhong Bai, 人中白). Borneolum Syntheticum (Naozi, 冰片) [equal parts].
Grind the above to an extremely fine powder. Instill one "yi" into the nose.
This volume discusses stiffness and pain of the neck tendons. When contracting such a disease, treatment appears easy but is actually difficult. Records in medical books are scarce; even when mentioned, the discussions are brief. Based on my research, since this disease exists, there must be corresponding formulas. Why did ancients discuss this syndrome so briefly without definitive theories? Upon detailed analysis, it is likely caused by complications from other diseases, hence lacking specialized treatments. During my leisure time, I collected ancient famous formulas for reference. However, Chen Ziming's knowledge is shallow and humble, and may not be complete. Learned scholars who find omissions, if you could supplement and perfect them, would it not be appropriate? Written by the Old Man of Medicine Cave (Yaoyin Laoren) at Xincin Hall on the First Day of the First Month, in the first year of Xianchun.
The neck region belongs to the Foot-Taiyang Bladder Meridian (Zu Taiyang Pangguang Jing). Additionally, Scholar Xu states it is the Foot-Shaoyin Kidney Meridian (Zu Shaoyin Shen Jing), likely because the Kidney and Bladder are exterior-interiorly related. From the perspective of external pathogenic factors involving the Taiyang Meridian, initial exposure to Wind followed by Cold-Dampness leads to exterior symptoms such as fever and aversion to cold, resembling Shanghan (Cold Damage) syndrome. Symptoms include stiff and rigid neck, hyperextension of the waist and body resembling Zhongfeng (Wind Stroke), convulsions, and locked jaw, with a stiff body. Ancients noted that for stiffness, the pulse is deep, slow, wiry, and thin. Postpartum women with blood deficiency and excessive sweating are prone to Wind invasion and may present with these symptoms. The above details are recorded in Volume 3, Treatise 2, and are not repeated here.
For cases of inability to turn the head due to strain or improper pillow support, use Sanwuqi San (see *Heji*) and Zhuifeng San, applied to the neck along with Jifeng San.
If dizziness and blurred vision occur due to wind exposure, accompanied by pain in the Taiyang region and brain, and stiffness of neck and back tendons, use Xie Fu San and Duliang Wan.
Scholar Xu treated stiffness and pain of the neck tendons preventing turning of the head using a decoction of Chaenomeli Fructus (Mu Gua, 木瓜).