曲白术（以上各一钱） 麦 面 半夏（汤洗） 橘皮（以上各一钱五分）
上 咀，每服五钱，水二大盏，煎至一盏，去渣热服食前。（《兰室》）
顺气和中汤，此药升阳而补气，头痛自愈方。（原有治验，宜参。）
黄 （一钱半） 人参（一钱） 甘草（炙七分） 白术 陈皮 当归 白芍（各五
分） 升麻 柴胡（各五分） 细辛 蔓荆子 川芎（各二分）
上 咀，作一服，水二盏，煎至一盏，去渣温服，食后服之，一服减半，再服痊愈。（《宝鉴》）
《薛氏》商仪部劳则头痛，余作阳虚不能上升，以补中益气汤加蔓荆子而痊。
《金匮翼》新定，治气虚头痛，于本方去柴胡、细辛、川芎，加细茶。
芎辛导痰汤，治痰厥头痛。
川芎 细辛 南星 陈皮（去白） 茯苓（各一钱半） 半夏（二钱） 枳实（麸炒） 甘草（各一钱）
上作一服，水二钟，生姜七片，煎至一钟，食后服。
（《奇效》）
治一切头疼，服药不效者。用甘草一两半，水一碗，煎七分，去滓
温服。未效，加二两。（《卫生易简》）
解毒诸方 张三锡屡见头苦痛，百方不应，询之，曾生过梅疮。用土茯苓四两，白藓皮、苦参、
金银花各三钱，黄柏一钱，皂角子三十粒，薏苡、木通、防风各二钱，气虚加参、 ，血
虚加四物，大获奇验，身痛亦效。（《六要》）
（按∶先教谕曰∶所谓愈毒汤，即此方也。）
头风神方。沈观颐中丞传自一道人。予仆妇患此痛甚，欲自缢，服二剂，数年不发。
土茯苓（忌铁四两） 金银花（三两） 蔓荆子（一钱） 玄参（八分） 防风（一钱） 明天麻
（一钱） 辛荑花（五分） 川芎（五分） 黑豆（四十九粒） 灯心（二十根） 芽茶（五钱）
河水、井水各一钟半，煎一钟服。（《广笔记》）《医通》山牛汤，治霉疮头痛不止，于本方去蔓荆子、灯心。
搐鼻诸方（熏法附） 《博济方》治偏头疼，至灵散。
雄黄、细辛等分，研令细，每用一字以下，左边疼嗅入右鼻，右边疼嗅入左鼻。（《本草》）
偏头痛方，裕陵传王荆公偏头痛方，云是禁中秘方。用生萝菔汁一蚬壳，仰卧注鼻中，左痛注右，右
痛注左，或两鼻皆注亦可，数十年患皆一注而愈。荆公与仆言，已愈数人。（《苏沈》）
治风头痛及偏头疼，宜用吹鼻散方。
瓜蒂末（一钱） 地龙末（一钱） 苦瓠末（一钱） 硝石末（一钱） 麝香末（一钱）
上件药末都研令匀，先含水满口，后搐药末半字深入鼻中，当取下恶物神效。（《圣惠》）（按∶又
有苦葫芦子一味方。）
治偏正头风、夹脑风并一切头风，不问年深日近，克日取效，名透顶散。
细辛（长白者三茎） 瓜蒂（七个） 丁香（三粒） 糯米（七粒） 脑子（一豆大） 麝香（一黑豆大）
上先将脑、麝乳钵内研令极细，却将前四味碾内事治为末，入乳钵内，荡起脑、麝令匀，用瓦瓶子盛之，
坚闭瓶口，患人随左右搐之，一大豆许，量久出冷涎一升许即安。（《本事续集》）
沐头洗项，水湿因而入脑，致痛如掣如锁，宜以瓜蒂为
细末，患人口先含水，以瓜蒂末搐入鼻中，沥出恶水，其痛即愈。（《续易简后集》）
碧云散，治结毒入于颠顶，以致头痛如破者，吹之。
鹅不食草（一两） 川芎（一两） 青黛（一钱）
共为细末，患者口噙凉水，以芦筒吹药疼之左右鼻内，取嚏为效。（外科正宗）
搐鼻诸方，《本事》独用辛温，东垣、河间并用辛凉。夫久蓄之风，多化为热，而闭郁之气，非温不
通，随病斟酌从多从少，则贤者之责也。（《金匮翼》）（按∶《医通》
有程文彬治验，辨搐鼻诸法，欠确，不录。）
偏正头疼、夹脑风，用地龙去土焙干一分，乳香半两，别研为细末，每用半钱，以纸一条，掺药在上，
拈作纸拈，不蘸油，香炉上烧烟熏鼻内。（《琐碎录》）
外敷方法 天阴雨湿即疼者，用桂末一两，酒调如膏，敷顶上及太阳穴。（《永类》）
头风饼子，有用五味子、全蝎、土狗各七个，醋和作饼者。有用南星、川芎等分，同连须葱白捣烂作
饼者。有用蓖麻子、乳香者。有用大黄、芒硝同井底泥捣贴者。然外治之药，无论邪之寒热，并宜辛温开达，
徒用苦寒，郁闭益甚，苟非热极，不可轻用。（《金匮翼》）
砭血法 尝治一老妇人，头痛久岁不已。因视其手足有血络皆紫黑，遂用三棱针，尽刺出其血如
墨汁者数盏。后视其受病之经，灸刺之而得痊愈。即经所谓大痹为恶，及头痛久痹
不去身，视其血络，尽出其血是也。（《纲目》）
偏正头风，久而不愈，乃内挟痰涎风火，郁遏经络，气血壅滞，甚则目昏紧小，二便秘涩，宜砭出
其血，以开郁解表。（《内科摘要》）
灸法 欲灸头风，宜先囟会、百会、前顶等穴。其头风连目痛者，当灸上星、神聪、后顶等穴。予
尝自灸验，教人灸亦验云。（《资生》）
有士人患脑热疼，甚则自床投下，以脑柱地，或得冷水粗得，而疼终不已，服诸药不效，人教灸囟会
而愈。热疼且可灸，况冷疼乎。凡脑痛、脑旋、脑泻，先宜灸囟会，而强
间等穴盖其次也。（同上）
附眉棱骨痛（证治互见前） 眉眶痛，属风热与痰，作风痰治，类痛风。（《丹溪》）
眼眶骨痛，痛有二证∶眼属肝，有肝虚而痛，才见光明，则眶骨痛甚，宜生熟地黄丸（用二地、石斛、枳
壳、羌、防、牛膝、甘菊、杏仁）。又有肝经停饮一证，发则眉棱骨痛，眼不可开，昼静夜剧，宜导痰饮，或
芎辛汤去茶芽，或二陈汤吞青川白丸子，并于痰饮门选药。（《要诀》）
眉骨者，目系之所过，上抵于脑，为目属于脑也。若诸阳经，或挟外邪，郁成风热毒，上攻于头脑，下
注于睛目，遂从目系过眉骨相并而痛。若心肝壅热，上攻目晴而痛，则亦目系与眉骨牵连并痛。
若胸膈风痰上攻者亦然。（《准绳》）
此证多属阳明风热，有虚实二途。虚而痛者，见光明即发，选奇汤加归、芍。实则眼不可开，昼静
夜剧，选奇汤加葱、豉，风盛加葛根，火盛加石膏。大抵此证清火散痛，不
应即当滋阴。若泛用风药，则火热上升，其痛愈甚矣。（《医通》）
眉棱骨痛，忌、宜俱同阴虚头痛。（《本草经疏》）
冰玉汤，治眉棱骨痛不可忍者，此痰厥也。（《杨氏》）（即小半夏汤）
选奇汤，治眉骨痛不可忍。
羌活 防风（各三钱） 甘草（三钱炙用） 黄芩（酒制一钱。冬月不用。如能食热痛，加黄芩。）
上 咀，每服三钱，水二盏。煎至一盏，去滓稍热，食后时时服之。（《试效》）《统旨》祛风清上散，
治风热上功，眉棱骨痛，于本方加白芷，柴胡，川芎、荆芥。
面痛 面为阳明部分，而阳维起于诸阳之会，皆在于面，故面痛皆因于火，而有虚实之殊。暴痛
多实，久痛多虚。高者抑之，郁者开之，血热者凉之，气虚者补之，不可专以苦寒降火为事。许学士治鼻
间痛云云，以犀角升麻汤与之。有老人过劳，饥则面痛，补中益气加芩、栀、连翘、鼠粘、黑参。因郁结
积成胃热，遂患面痛，越鞠丸加山栀、连翘、贝母、橘红之类。（《医通》）（按∶此系《准绳》节文。）
犀角升麻汤。王检正希皋，昔患鼻额间痛，或麻痹不仁，如是者数年。忽一日连口唇颊车发际皆痛，不
可开口，虽言语饮食亦相妨，左额与颊上常如糊急，手触之则痛。予作足阳明经络受风毒，传入经络，血
凝滞而不行，故有此证。或者以排风、小续命、透冰丹之类与之，皆不效。予制此汤赠之，服数日而愈。
上等犀角（镑一两一分） 真川升麻（一两） 防风（去钗股） 羌活（去芦各三分） 白芷
（不见火） 黄芩（去皮） 川芎（洗） 白附子（炮各半两） 甘草（炙一分）
上粗末，每服四大钱，水一盏半，煎至八分，去滓通口服，食后临卧，日三四服。足阳明胃也，胃中腥
五味，无所不纳，其腐熟水谷之毒，皆聚于胃。故方以犀角为主，解饮食之毒，升麻佐之，余药皆涤除
风热。（《本事》）（足阳明胃也以下，参《医通》节录。）
颈项痛 颈痛，因头痛牵引致痛者，当于头痛诸证中求药。若别无处，独在颈者，非是风邪，即是
气挫，亦有落枕而成痛者，并宜和气饮，食后服。（《要诀》）（和气饮方见《和剂》。）
治肾气上攻，项背不能转侧，椒附散。
大附子（一枚，六钱以上者，炮，去皮脐，末之。）
上每末二大钱，好川椒二十粒，用白面填满，水一盏半，生姜七片，同煎至七分，去椒入盐，通口
空心服。一亲患项筋痛，连及背胛不可转，服诸风药皆不效。予尝忆《千金髓》有肾气攻背项强一证，予
处此方与之，两服顿瘥，自尔与人皆有验。盖肾气自腰挟脊上至曹溪穴，然后入泥丸宫。曹溪一穴，非精
于般运者不能透。今逆行至此不得通，用椒以引归经则安矣。曹溪穴即风府穴是也。（《本事》）
颈项强痛，多有挟痰难以回顾者，乃痰客太阳，二陈加酒芩、羌活、红花。（《医通》）
回头散，治头项强急筋痛，或锉沉转项不得者。乌药顺气散（方见中风中）加羌活、独活、木瓜。
（《金匮翼》）
天白蚁 治头内如虫蛀响，名天白蚁，用茶子细末吹鼻中。（《准绳》）
头内如虫蛀响者，名天白蚁，多属于火，亦有因痰湿在上者。丹溪云∶瘦人皆属于火，宜薄荷、栀子、
茯苓、甘草、细辛、川芎、黄芩、石膏、芽茶之类。肥人皆属湿痰，半夏、茯苓、枳实、黄连、天麻、胆
星、苍术、黄柏、芽茶之类。戴复庵云∶头中鸣响，有虚有实。实者，用凉膈散、礞石丸下夺之。虚者，非
独参、保元、六味、八味、茸朱丹、鹿茸丸等药调补不应也。丹方用茶子为细末，吹鼻中。盖响属
火，茶子轻清，行清道，散遏伏之火故也。凡头风药中必用茶引，即此可悟。（《医通》）（按∶
《兰台轨范》曰∶此奇病，不可不知。）
【曲白术散】
白术（以上各一钱） 麦面 半夏（汤洗） 橘皮（以上各一钱五分）
将药材切碎，每次服用五钱，加水两大盏，煎煮至一盏，去渣后趁热在饭前服用。（出自《兰室秘藏》）
【顺气和中汤】
此药能升举阳气并补益元气，头痛自然痊愈的方剂。（原有治疗验证，可供参考。）
黄芪（一钱半） 人参（一钱） 甘草（炙七分） 白术 陈皮 当归 白芍（各五分） 升麻 柴胡（各五分） 细辛 蔓荆子 川芎（各二分）
将药材切碎，作为一服，加水两盏，煎煮至一盏，去渣后温服，饭后服用。第一服减半量，再服即可痊愈。（出自《脾胃论》/《宝鉴》）
《薛氏医案》记载：商仪部因劳累则头痛，我认为是阳虚不能上升所致，用补中益气汤加蔓荆子而治愈。
《金匮翼》新定方：治疗气虚头痛，在本方中去掉柴胡、细辛、川芎，加入细茶。
【芎辛导痰汤】
治疗痰厥头痛。
川芎 细辛 天南星 陈皮（去白） 茯苓（各一钱半） 半夏（二钱） 枳实（麸炒） 甘草（各一钱）
作为一服，加水两钟，生姜七片，煎煮至一钟，饭后服用。
（出自《奇效良方》）
治疗各种头痛，服药无效者。用甘草一两半，水一碗，煎至七分，去渣温服。若未见效，加至二两。（出自《卫生易简方》）
【解毒诸方】
张三锡多次见到头部剧烈疼痛，百方无效，询问得知患者曾患梅毒疮。用土茯苓四两，白鲜皮、苦参、金银花各三钱，黄柏一钱，皂角子三十粒，薏苡仁、木通、防风各二钱，气虚加人参、黄芪，血虚加四物汤，获得极大疗效，身体疼痛也有效。（出自《医学六要》）
（按语：先前的教谕说：所谓愈毒汤，就是这个方子。）
【头风神方】
沈观颐中丞从一位道人处传来。我的仆妇患有此痛甚剧，欲自缢，服用两剂后，数年未复发。
土茯苓（忌铁器，四两） 金银花（三两） 蔓荆子（一钱） 玄参（八分） 防风（一钱） 明天麻（一钱） 辛荑花（五分） 川芎（五分） 黑豆（四十九粒） 灯心草（二十根） 芽茶（五钱）
河水和井水各一钟半，煎煮至一钟服用。（出自《广笔记》）《医宗必读》山牛汤：治疗梅毒头痛不止，在本方中去掉蔓荆子、灯心草。
【搐鼻诸方（熏法附）】
《博济方》治疗偏头痛的至灵散。
雄黄、细辛等分，研成细末，每次取一字以下，左边疼嗅入右鼻，右边疼嗅入左鼻。（出自《本草纲目》引《本草》）
偏头痛方，裕陵皇帝传自王安石的偏头痛方，说是宫廷秘方。用生萝卜汁一蚬壳量，仰卧注入鼻中，左痛注右，右痛注左，或两鼻皆注亦可，数十年患病者一次注入即愈。王安石对仆人言，已治愈数人。（出自《苏沈良方》）
治疗风头痛及偏头痛，宜用吹鼻散方。
瓜蒂末（一钱） 地龙末（一钱） 苦瓠末（一钱） 硝石末（一钱） 麝香末（一钱）
上述药末都研匀，先含水满口，后将药末半字深入鼻中搐入，应当吐出恶物，神效。（出自《太平圣惠方》）（按语：又有单用苦葫芦子一味方的记载。）
治疗偏正头风、夹脑风及一切头风，不论病程长短，当日取效，名为透顶散。
细辛（长白者三茎） 瓜蒂（七个） 丁香（三粒） 糯米（七粒） 脑子（一豆大） 麝香（一黑豆大）
先将脑、麝在乳钵内研极细，再将前四味碾为末，放入乳钵内，荡起脑、麝令其均匀，用瓦瓶子盛装，严密封闭瓶口。患者随左右鼻孔搐入一大豆许量，根据时间长短，流出冷涎约一升后即安。（出自《本事方续集》）
沐头洗项，水湿因而入脑，导致痛如牵引如锁扣般，宜以瓜蒂为细末，患者口中先含水，将瓜蒂末搐入鼻中，沥出恶水，其痛即愈。（出自《续易简后方集》）
【碧云散】
治疗结毒入于头顶，以致头痛如破者，吹入鼻中。
鹅不食草（一两） 川芎（一两） 青黛（一钱）
共为细末，患者口含凉水，以芦筒吹药入疼痛侧左右鼻内，以打喷嚏为有效。（出自《外科正宗》）
关于搐鼻诸方，《本事方》独用辛温，东垣、河间并用辛凉。久蓄之风，多化为热，而闭郁之气，非温不通，应根据病情斟酌使用多少，这是贤者的责任。（出自《金匮翼》）（按语：《医宗必读》有程文彬的治疗验证，辨析搐鼻诸法，不够确切，故不录。）
偏正头疼、夹脑风，用地龙去土焙干一分，乳香半两，另研为细末，每次用半钱，用纸条一条，撒药在上面，捻成纸捻，不蘸油，在香炉上烧烟熏鼻内。（出自《琐碎录》）
【外敷方法】
天阴雨湿即疼者，用桂末一两，酒调如膏，敷于头顶及太阳穴。（出自《永类钤方》）
头风饼子，有用五味子、全蝎、土狗各七个，醋和作饼的。有用南星、川芎等分，同连须葱白捣烂作饼的。有用蓖麻子、乳香的。有用大黄、芒硝同井底泥捣贴的。然而外治之药，无论邪之寒热，均宜辛温开达，徒用苦寒，会使郁闭更甚，除非热极，不可轻用。（出自《金匮翼》）
【砭血法】
曾治疗一位老妇人，头痛多年不愈。观察其手足血络皆紫黑，遂用三棱针，尽刺出其血如墨汁者数盏。后观察其受病之经脉，灸刺之而痊愈。即经书所说“大痹为恶”，以及“头痛久痹不去身，视其血络，尽出其血”的道理。（出自《本草纲目》）
偏正头风，久而不愈，乃内挟痰涎风火，郁遏经络，气血壅滞，甚则目昏紧小，二便秘涩，宜砭出其血，以开郁解表。（出自《内科摘要》）
【灸法】
欲灸头风，宜先灸囟会、百会、前顶等穴。其头风连目痛者，当灸上星、神聪、后顶等穴。我曾亲自灸验，教人灸也有效。（出自《资生经》）
有士人患脑热疼，甚则从床上摔下，以脑柱地，或用冷水稍得缓解，但疼痛终不停止，服诸药无效，有人教灸囟会而愈。热疼且可灸，何况冷疼呢。凡脑痛、脑旋、脑泻，先宜灸囟会，而强间等穴则是其次。（同上）
【附眉棱骨痛（证治互见前）】
眉眶痛，属风热与痰，作风痰治疗，类似痛风。（出自《丹溪心法》）
眼眶骨痛，痛有二证：眼属肝，有肝虚而痛，才见光明，则眶骨痛甚，宜用生熟地黄丸（用地黄、石斛、枳壳、羌活、防风、牛膝、甘菊、杏仁）。又有肝经停饮一证，发作时眉棱骨痛，眼不可开，昼静夜剧，宜用导痰饮，或芎辛汤去茶芽，或二陈汤吞青川白丸子，并于痰饮门选药。（出自《脉诀刊误》/《要诀》）
眉骨者，是目系所经过之处，上抵于脑，因为目属于脑。若诸阳经，或挟外邪，郁成风热毒，上攻于头脑，下注于睛目，遂从目系过眉骨相并而痛。若心肝壅热，上攻目睛而痛，则也是目系与眉骨牵连并痛。若胸膈风痰上攻者亦然。（出自《医学准绳六要》）
此证多属阳明风热，有虚实二途。虚而痛者，见光明即发，选用奇汤加当归、白芍。实则眼不可开，昼静夜剧，选用奇汤加葱、豉，风盛加葛根，火盛加石膏。大抵此证清火散痛，不应即当滋阴。若泛用风药，则火热上升，其痛愈甚矣。（出自《医宗必读》）
【冰玉汤】
治疗眉棱骨痛不可忍者，此为痰厥。（出自《杨氏家藏方》）（即小半夏汤）
【选奇汤】
治疗眉骨痛不可忍。
羌活 防风（各三钱） 甘草（三钱炙用） 黄芩（酒制一钱。冬月不用。如能食热痛，加黄芩。）
切碎，每次服用三钱，加水两盏。煎至一盏，去渣稍热，饭后时时服用。（出自《试效方》）《统旨》祛风清上散，治疗风热上攻，眉棱骨痛，在本方加白芷、柴胡、川芎、荆芥。
【面痛】
面部为阳明部分，而阳维脉起于诸阳之会，皆在于面，故面痛皆因于火，而有虚实之殊。暴痛多实，久痛多虚。高者抑之，郁者开之，血热者凉之，气虚者补之，不可专以苦寒降火为事。许学士治疗鼻间痛云云，给予犀角升麻汤。有老人过劳，饥则面痛，用补中益气汤加黄芩、栀子、连翘、鼠粘子、黑参。因郁结积成胃热，遂患面痛，用越鞠丸加山栀、连翘、贝母、橘红之类。（出自《医宗必读》）（按语：此系《医学准绳六要》节文。）
【犀角升麻汤】
王检正希皋，昔日患鼻额间痛，或麻痹不仁，如是者数年。忽一日连口唇颊车发际皆痛，不可开口，虽言语饮食亦相妨，左额与颊上常如糊急，手触之则痛。我认为是足阳明经络受风毒，传入经络，血凝滞而不行，故有此证。有人用排风、小续命、透冰丹之类与之，皆不效。我制作此汤赠之，服数日而愈。
上等犀角（镑一两一分） 真川升麻（一两） 防风（去钗股） 羌活（去芦各三分） 白芷（不见火） 黄芩（去皮） 川芎（洗） 白附子（炮各半两） 甘草（炙一分）
粗末，每次服用四大钱，水一盏半，煎至八分，去渣通口服，饭后临卧，日三四服。足阳明胃也，胃中腥五味，无所不纳，其腐熟水谷之毒，皆聚于胃。故方以犀角为主，解饮食之毒，升麻佐之，余药皆涤除风热。（出自《本事方》）（足阳明胃也以下，参《医宗必读》节录。）
【颈项痛】
颈痛，因头痛牵引致痛者，当于头痛诸证中求药。若别无处，独在颈者，非是风邪，即是气挫，亦有落枕而成痛者，并宜和气饮，食后服用。（出自《脉诀刊误》/《要诀》）（和气饮方见《和剂局方》。）
治疗肾气上攻，项背不能转侧，椒附散。
大附子（一枚，六钱以上者，炮，去皮脐，末之。）
每次取末二大钱，好川椒二十粒，用白面填满，水一盏半，生姜七片，同煎至七分，去椒入盐，空腹通口服。一亲戚患项筋痛，连及背胛不可转，服诸风药皆不效。我曾忆《千金髓方》有肾气攻背项强一证，我处方此方与之，两服顿瘥，自尔与人皆有验。盖肾气自腰挟脊上至曹溪穴，然后入泥丸宫。曹溪一穴，非精于般运者不能透。今逆行至此不得通，用椒以引归经则安矣。曹溪穴即风府穴是也。（出自《本事方》）
颈项强痛，多有挟痰难以回顾者，乃痰客太阳，二陈汤加酒芩、羌活、红花。（出自《医宗必读》）
【回头散】
治疗头项强急筋痛，或锉沉转项不得者。乌药顺气散（方见中风中）加羌活、独活、木瓜。（出自《金匮翼》）
【天白蚁】
治疗头内如虫蛀响，名天白蚁，用茶子细末吹鼻中。（出自《医学准绳六要》）
头内如虫蛀响者，名天白蚁，多属于火，亦有因痰湿在上者。丹溪说：瘦人皆属于火，宜薄荷、栀子、茯苓、甘草、细辛、川芎、黄芩、石膏、芽茶之类。肥人皆属湿痰，半夏、茯苓、枳实、黄连、天麻、胆星、苍术、黄柏、芽茶之类。戴复庵说：头中鸣响，有虚有实。实者，用凉膈散、礞石丸下夺之。虚者，非独参、保元、六味、八味、茸朱丹、鹿茸丸等药调补不应也。丹方用茶子为细末，吹鼻中。盖响属火，茶子轻清，行清道，散遏伏之火故也。凡头风药中必用茶引，即此可悟。（出自《医宗必读》）（按语：《兰台轨范》曰：此奇病，不可不知。）
[Qu Bai Zhu San]
Baizhu (1 qian each of the above) Mai Mian (Wheat Flour), Banxia (Pinelliae Rhizoma, washed with decoction), Jupi (Citri Reticulatae Pericarpium, 1.5 qian each of the above).
Crush the herbs. Take 5 qian per dose, add two large zhan of water, boil to one zhan, remove dregs, and take hot before meals. (From *Lanshi Midang*)
[Shunqi Hezhong Tang]
This formula raises Yang and tonifies Qi; headache will heal spontaneously. (Original clinical verification available for reference.)
Huangqi (Astragali Radix, 1.5 qian), Renshen (Ginseng Radix, 1 qian), Gancao (Licorice Root, honey-fried, 0.7 qian), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), Xixin (Asari Radix et Rhizoma), Manjingzi (Vittariae Spora), Chuanxiong (Chuanxiong Rhizoma) (each 0.5 qian for Huangqi, Renshen, Gancao, Baizhu, Chenpi, Danggui, Baishao; each 0.2 qian for Shengma, Chaihu, Xixin, Manjingzi, Chuanxiong).
Crush the herbs, prepare as one dose. Add two zhan of water, boil to one zhan, remove dregs, and take warm after meals. Reduce the first dose by half; subsequent doses lead to recovery. (From *Baojian*)
*Xuexi Yi'an* records: Shang Yibu suffered headache upon exertion. I diagnosed it as Yang deficiency failing to ascend, and cured him using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with added Manjingzi.
*Jingui Yi* new prescription: For Qi-deficiency headache, remove Chaihu, Xixin, and Chuanxiong from this formula, and add Xi Cha (Fine Tea).
[Xiongxin Daotan Tang]
Treats Phlegm-Jue headache.
Chuanxiong, Xixin, Nanxing (Arisaematis Rhizoma), Chenpi (scraped white), Fuling (Poria, each 1.5 qian), Banxia (Pinelliae Rhizoma, 2 qian), Zhishi (Immature Bitter Orange Fruit, bran-fried), Gancao (Licorice Root, each 1 qian).
Prepare as one dose. Add two zhong of water and seven slices of Shengjiang (Fresh Ginger), boil to one zhong, and take after meals. (From *Qixiao Liangfang*)
For all types of headache unresponsive to medication: Use Gancao (1.5 liang), boil in one bowl of water until reduced to 0.7 parts, remove dregs, and take warm. If ineffective, increase to 2 liang. (From *Weisheng Yijian Fang*)
[Dujie Zhufang]
Zhang Sanxi frequently observed severe headaches unresponsive to myriad prescriptions. Upon inquiry, he learned the patient had previously suffered from syphilitic sores. He used Tufuling (Smilax Glabrae Rhizoma, 4 liang), Baixianpi (Dictamni Cortex, 3 qian), Kushen (Sophorae Flavescentis Radix, 3 qian), Huangbai (Phellodendri Cortex, 1 qian), Zaojiaozizi (Gleditsiae Fructus Seed, 30 grains), Yiyiren (Coicis Semen, 2 qian), Mutong (Akebiae Caulis, 2 qian), Fangfeng (Saposhnikoviae Radix, 2 qian). For Qi deficiency, add Renshen and Huangqi; for Blood deficiency, add Siwu Tang (Four Substances Decoction). This yielded remarkable results, also alleviating body pain. (From *Yixue Liuyao*)
(Note: The former Instructor stated: "The so-called Yuduo Tang is precisely this formula.")
[Toufeng Shenfang]
Transmitted by Vice Minister Shen Guanyi from a Daoist priest. My servant's wife suffered severely from this pain, attempting suicide. After two doses, she did not relapse for years.
Tufuling (avoid iron, 4 liang), Jinyinhua (Lonicerae Japonicae Flos, 3 liang), Manjingzi (Vittariae Spora, 1 qian), Xuanshen (Scrophulariae Radix, 0.8 fen), Fangfeng (Saposhnikoviae Radix, 1 qian), Tianma (Gastrodiae Rhizoma, 1 qian), Xinyihua (Magnoliae Flos, 0.5 fen), Chuanxiong (Chuanxiong Rhizoma, 0.5 fen), Heidou (Sojae Semen Nigrum, 49 grains), Xincaogen (Juncus Effusus, 20 roots), Yacha (Sprouted Tea, 5 qian).
Boil with 1.5 zhong each of river water and well water down to one zhong, and take. (From *Guangbiji*) *Yitong* Shanniu Tang: For syphilitic headache persisting, remove Manjingzi and Xincaogen from this formula.
[Chubi Zhufang (Moxibustion Method Attached)]
*Boji Fang* Zhi Ling San for treating migraines.
Xionghuang (Realgar), Xixin (Asari Radix et Rhizoma) in equal parts, ground fine. Use less than one zi per application. For left-sided pain, sniff into the right nostril; for right-sided pain, sniff into the left nostril. (From *Bencao*)
Migraine Formula: Transmitted from Emperor Yuling via Wang Anshi, said to be a secret palace recipe. Use raw Luoban juice (Radish Juice) in the amount of one shell. Lie supine and instill into the nose: left pain into right nostril, right pain into left nostril, or both. Decades-long cases were cured in one application. Wang Anshi told his servants that several people were cured. (From *Su Shen Liangfang*)
For Wind-headache and migraine, use Chuibi San (Snuff Powder):
Gouti (Trichosanthis Fructus, 1 qian), Dilong (Pheretima, 1 qian), Ku Hu (Bitter Bottle Gourd, 1 qian), Xiaoshi (Natrii Sulfas, 1 qian), Shexiang (Moschus, 1 qian).
Grind all powders uniformly. First fill the mouth with water, then insufflate half a zi of powder deep into the nose. Expelling foul matter yields miraculous effects. (From *Taiping Shenghui Fang*) (Note: There is also a single-ingredient formula using Ku Hulu Zi.)
For lateral/corrective wind-headache, Jiannaofeng (Brain-clamping Wind), and all wind-headaches, regardless of duration, effective on the day, named Touting San:
Xixin (three long white stems), Gouti (seven pieces), Dingxiang (Caryophylli Flos, three grains), Nuomi (Glutinous Rice, seven grains), Naonao (Borneol, size of one bean), Shexiang (Moschus, size of one black soybean).
First grind Borneol and Moschus finely in a mortar. Then grind the other four ingredients into powder, mix with the Borneol and Moschus in the mortar. Store in a clay bottle, tightly sealed. Patient insufflates an amount the size of a large soybean into either nostril. Depending on duration, expelling about one sheng of cold saliva brings relief. (From *Benshi Fujiji*)
After washing hair and neck, if water-dampness enters the brain causing pain like traction or locking, use Gouti ground fine. Patient fills mouth with water, then insufflates Gouti powder into the nose to drain foul water; pain ceases immediately. (From *Xu Yijian Houji*)
[Biyun San]
Treats toxic accumulation entering the vertex, causing headache as if breaking. Snuff into nose.
Ebusicao (Centipedae Herba, 1 liang), Chuanxiong (Chuanxiong Rhizoma, 1 liang), Qingdai (Indigo Naturalis, 1 qian).
Grind fine. Patient holds cool water in mouth. Use a reed tube to blow powder into the painful side's nostrils. Sneezing indicates efficacy. (From *Waike Zhengzong*)
Regarding snuff formulas: *Benshi Fang* uses only acrid-warm herbs; Dongyuan and Hejian use acrid-cool. Long-standing wind often transforms into heat, but stagnant Qi requires warmth to unblock. One must adjust based on the disease; this is the responsibility of the wise. (From *Jingui Yi*) (Note: *Yitong* records Cheng Wenbin's verification,辨析 of snuff methods, which is deemed inaccurate and thus omitted.)
For lateral/corrective headache and Jiannaofeng: Use Dilong (earthworm) dried and roasted, 1 fen; Xuxiang (Frankincense), 0.5 liang, separately ground fine. Use 0.5 qian per application. Spread powder on a paper strip, roll into a paper cigarette, do not dip in oil, burn over an incense burner, and smoke into the nose. (From *Suosuilu*)
[External Application Methods]
For pain triggered by cloudy/rainy weather: Use Guimo (Cinnamon Twig Bark powder), 1 liang, mixed with wine to paste consistency. Apply to vertex and Taiyang acupoints. (From *Yonglei Qianfang*)
Toufeng Bingzi (Headwind Cake): Some use Wuweizi (Schisandrae Fructus), Quanxie (Scorpio), Tudougou (Steleophaga Plancyi Bolkovii), seven each, mixed with vinegar into cakes. Some use Nanxing (Arisaematis Rhizoma) and Chuanxiong in equal parts, pounded with scallion whites into cakes. Some use Bamazi (Ricini Semen) and Xuxiang. Some use Dahuang (Rhei Radix et Rhizoma) and Mangxiao (Natrii Sulfas) mixed with mud from the bottom of a well for pasting. However, external treatments should generally use acrid-warm dispersants regardless of cold/heat pathogenic factors. Using purely bitter-cold herbs increases stagnation. Unless heat is extreme, they should not be used lightly. (From *Jingui Yi*)
[Biansheng Fa (Bloodletting Method)]
I once treated an elderly woman with chronic headache. Observing purple-black blood vessels on her hands and feet, I used a Sanleng needle (Tripterygium hypoglaucum lancet) to prick them, draining cups of ink-like blood. Later, I moxaed and needled the affected meridians, leading to recovery. This aligns with the Classic saying: "Great Bi manifests as evil," and "Chronic headache and Bi not leaving the body: observe blood vessels and exhaust the blood." (From *Bencao Gangmu*)
For chronic lateral/corrective wind-headache unresponsive to treatment, caused internally by Phlegm-Saliva, Wind-Fire, stagnating collaterals, and blocking Qi-Blood, potentially leading to blurred vision, tight pupils, and constipation/urinary difficulty: It is appropriate to bleed to open stagnation and release the exterior. (From *Neike Yaoyuan*)
[Moxibustion Method]
To moxa for headwind, start with Xinhui, Baihui, and Qding acupoints. For headwind with eye pain, moxa Shangxing, Shentong, and Houding acupoints. I have verified this on myself and others. (From *Zisheng Jing*)
A scholar suffered brain-heat headache, so severe he threw himself off the bed, hitting his head on the floor. Cold water provided slight relief but pain persisted despite medications. Someone advised moxaing Xinhui, which cured him. If heat-pain can be moxaed, how much more so cold-pain? For Brain Pain, Brain Vertigo, and Brain Diarrhea, first moxa Xinhui; Jiangjian and other acupoints are secondary. (Same source)
[Appendix: Meilinggu Pain (See Preceding Sections for Syndrome Differentiation)]
Eyebrow/orbital pain belongs to Wind-Heat and Phlegm; treat as Wind-Phlegm, similar to gout. (From *Danxi Xinfa*)
Orbital bone pain has two syndromes: Eyes belong to Liver. Liver deficiency causes pain, worsening upon exposure to light; use Shengshu Dihuang Wan (Rehmannia Pills). Ingredients: Dihuang (Rehmanniae Radix), Shihu (Dendrobii Caulis), Zhike (Aurantii Fructus), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Niuxi (Achyranthis Bidentatae Radix), Ganju (Chrysanthemi Flos), Xingren (Armeniacae Semen Amarum). Another syndrome is Fluid Retention in the Liver Meridian: attacks cause eyebrow bone pain, inability to open eyes, quiet during day, worse at night; use Daotan Yin (Phlegm-Dissolving Decoction), or Xiongxin Tang removing tea buds, or Erchen Tang swallowing Qingchuan Baiwan Wan. Select medicines from the Phlegm-Fluid section. (From *Yaojue*)
Meibone is where the Eye System passes, reaching up to the brain, because eyes belong to the brain. If Yang meridians carry external pathogens,郁 transforming into Wind-Heat-Toxin, attacking the brain upwards and eyes downwards, pain merges along the Eye System through the meibone. If Heart/Liver Heat attacks the eyes, pain connects Eye System and meibone. Similarly for Chest/Diaphragm Wind-Phlegm attacking upwards. (From *Zhunseng*)
This syndrome mostly belongs to Yangming Wind-Heat, with Deficiency and Excess paths. Deficiency pain triggers upon seeing light; use Xuanqi Tang plus Danggui and Baishao. Excess presents with inability to open eyes, quiet day/worse night; use Xuanqi Tang plus Congbai and Chidou, plus Gegen (Kudzu Root) for strong Wind, plus Shigypsum (Gypsum Fibrosum) for strong Fire. Generally, clear fire and dissipate pain; if ineffective, nourish Yin. Overusing Wind-dispersing herbs causes Fire-Heat to rise, worsening pain. (From *Yitong*)
Contraindications and indications for Meibone Pain are the same as for Yin-Deficiency Headache. (From *Bencao Jingshu*)
[Bingyu Tang]
Treats unbearable Meibone pain due to Phlegm-Jue. (From *Yangshi*) (i.e., Xiao Banxia Tang)
[Xuanqi Tang]
Treats unbearable Meibone pain.
Qianghuo, Fangfeng (each 3 qian), Gancao (honey-fried 3 qian), Huangqin (wine-processed 1 qian; omit in winter. If eating causes heat-pain, add Huangqin).
Crush. Take 3 qian per dose, add two zhan of water, boil to one zhan, remove dregs, take slightly warm, frequently after meals. (From *Shixiao Fang*) *Tongzhi* Qufeng Qing Shang San: For Wind-Heat attacking upper body and Meibone pain, add Baizhi, Chaihu, Chuanxiong, and Jingjie to this formula.
[Miantong (Facial Pain)]
The face is the Yangming region. Yangwei Mai originates from the meeting of all Yang meridians, all located on the face. Thus, facial pain is caused by Fire, differing in Deficiency and Excess. Sudden pain is mostly Excess; chronic pain is mostly Deficiency. High pathogenic factors suppress them; stagnant ones disperse them; Blood-Heat cools them; Qi-Deficiency tonifies them. Do not solely rely on bitter-cold fire-draining. Scholar Xu treated nasal pain with Xijiao Shengma Tang. An elderly man suffered fatigue-induced facial pain when hungry; treated with Buzhong Yiqi Tang plus Huangqin, Zhizi, Lianqiao, Niubangzi, and Heishen. Facial pain due to depression accumulating into Stomach Heat was treated with Yueju Wan plus Zhizi, Lianqiao, Beimu, and Juhong. (From *Yitong*) (Note: This is an excerpt from *Zhunseng*.)
[Xijiao Shengma Tang]
Wang Jianzheng Xigao suffered pain between nose and forehead, or numbness, for years. Suddenly, lips, jaw, and hairline became painful, unable to open mouth, interfering with speech and eating. Left forehead and cheek felt tight like paste, painful to touch. I diagnosed Foot-Yangming Meridian receiving Wind-Toxin, transmitting to collaterals, causing blood stasis. Others tried Paifeng, Xiao Xuming, or Toubing Dan without effect. I prepared this decoction for him, curing him in days.
Top-grade Xijiao (Rhinocerotis Cornu, shaved 1.1 liang), Zhen Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Fangfeng (remove forked root), Qianghuo (remove rhizome, each 0.3 fen), Baizhi (avoid roasting), Huangqin (peeled), Chuanxiong (washed), Baifuzi (fried, each 0.5 liang), Gancao (honey-fried 0.1 fen).
Coarse powder. Take 4 qian per dose, add 1.5 zhan of water, boil to 0.8 zhan, remove dregs, drink thoroughly. After meals and before sleep, 3-4 times daily. Foot-Yangming is Stomach. Stomach accepts all flavors; toxins from rotting food accumulate there. Hence, Xijiao is chief to resolve dietary toxins, assisted by Shengma; remaining herbs clear Wind-Heat. (From *Benshi Fang*) (Foot-Yangming... paragraph referenced from *Yitong* excerpt.)
[Jingxiangtong (Neck and Occiput Pain)]
Neck pain radiating from headache should be sought among headache syndromes. If pain is isolated to the neck, it is not Wind-Evil, but Qi-stagnation or stiff neck from sleeping posture. All suit Heqi Yin, taken after meals. (From *Yaojue*) (Heqi Yin formula seen in *Heji Ju Fang*.)
For Kidney-Qi attacking upward, causing inability to turn neck/back, use Jiaofu San:
Da Fuzi (Aconiti Lateralis Radix Praeparata, one piece >6 qian, fried, skin/umbilicus removed, powdered).
Take 2 large qian of powder, 20 good Sichuan peppercorns (Zanthoxyli Pericarpium) filled with white flour. Boil with 1.5 zhan of water and seven slices of ginger to 0.7 parts. Remove peppercorns, add salt, take on empty stomach. A relative suffered neck tendon pain radiating to back, unable to turn, unresponsive to Wind medicines. I recalled *Qianjin Suifang* regarding Kidney-Qi attacking back/neck stiffness. I prescribed this, cured in two doses. Verified since. Kidney-Qi ascends from waist along spine to Caoxi Acupoint, then enters Ninian Palace. Caoxi point requires mastery of internal circulation to penetrate. Now reversing here causes blockage. Peppercorn guides Qi back to meridian, bringing peace. Caoxi Acupoint is Fengfu Acupoint. (From *Benshi Fang*)
Neck stiffness/pain often involves Phlegm making turning difficult; Phlegm residing in Taiyang. Erchen Tang plus Jiu Huangqin, Qianghuo, Honghua. (From *Yitong*)
[Huitou San]
Treats head/neck stiffness, tendon pain, or inability to turn head. Wu Yao Shunqi San (see Stroke section) plus Qianghuo, Duhuo, Mugua. (From *Jingui Yi*)
[Tianbaiyi]
Treats buzzing sound inside head like insect chewing, named Tianbaiyi. Use fine Camellia seed powder snuffed into nose. (From *Zhunseng*)
Buzzing inside head, named Tianbaiyi, mostly belongs to Fire, sometimes Phlegm-Dampness above. Danxi said: Thin people belong to Fire; use Bohe, Zhizi, Fuling, Gancao, Xixin, Chuanxiong, Huangqin, Shigypsum, Yacha. Fat people belong to Wet-Phlegm; use Banxia, Fuling, Zhishi, Huanglian, Tianma, Dansheng, Cangzhu, Huangbai, Yacha. Dai Fu'an said: Head ringing has Deficiency and Excess. Excess: use Liangge San or Mengshi Wan to purge downward. Deficiency: Dushen, Baoyuan, Liuwei, Bawei, Rongzhu Dan, Lurong Wan may fail. Alchemical formula: Camellia seed powder snuffed into nose. Sound belongs to Fire; Camellia seed is light/clear, travels clear pathways, disperses suppressed Fire. Tea is always used as guide in Headwind medicines; understand this. (From *Yitong*) (Note: *Lantai Guifan* says: This is a strange disease, must know.)