升麻冒风汤 升麻冒风葛芷苍,柴 蔓归草蔻羌,甘柏麻黄姜枣煮,能消面肿与牙眶。
余论
阴脉至颈胸而还,惟阳脉上头,故面独耐寒。而足阳明胃经,起鼻交额中,入齿挟口环
唇,倚颊上耳前,胃中风热,乘之令人面肿。(肺风、斑靥,方见外科)
头疼即非真头疼,气火虚风痰火盛,若是真疼手足青,旦发夕兮归幽冥。加味芎归治诸
痛,
治头痛妙方 土茯苓四两(忌铁器) 金银花三钱 蔓荆子一钱 玄参八分 防风一钱
明天麻一钱 辛夷花五分 川芎五分 黑豆四十九粒 灯心三十根 牙茶五钱。
河水井水各一钟半,煎一钟服。
羌吴汤 羌吴汤 麻升 ,黄柏芩连芎与归,细蔓红花苍术半,头顶项痛实时移。
单方
闹杨花、川芎各等分。为极细末,左痛吹左鼻,右痛吹右鼻,连打数嚏鼻清水,即愈
又方
头风偏正最堪怜,近日奇方治远年,可取黄牛脑一个,川芎白芷各三钱,共为细末擦于
脑,瓷器盛末加酒煎,顿热食之酒尽量,醉目酒醒痛安然。(一方用猪脑)
余论
王节斋云∶久病头痛,略感风寒便发者,内郁热而标寒也。本有郁热,毛窍常疏,故风
易入,寒束其热,故痛愈甚。世人用辛散之剂,虽能散其标之寒邪,然以热济本病益深,当
泻火凉血,而佐以辛温,则痛可愈,而根可除。
升麻冒风汤:由升麻、葛根、白芷、苍术组成;辅以柴胡、蔓荆子、当归、甘草、豆蔻、羌活。用甘草、黄柏、麻黄、生姜、大枣煎煮,能够消除面部肿胀和眼眶肿痛。
余论:阴经的脉气运行至颈部和胸部即返回,只有阳经的脉气上行至头部,所以面部特别耐寒。足阳明胃经,起于鼻旁交于额中,入齿中挟口环绕嘴唇,沿颊部上至耳前。胃中风热侵袭,会导致面部肿胀。(肺风、色斑雀斑,方剂见外科部分)
头痛如果不是真正的“真头疼”,多因气火、虚风、痰火旺盛所致。如果是真正的“真头疼”,手足会发青,早晨发作晚上就会死亡(归入幽冥)。加味芎归汤可治疗各种疼痛。
治头痛妙方:土茯苓四两(忌用铁器),金银花三钱,蔓荆子一钱,玄参八分,防风一钱,明天麻一钱,辛夷花五分,川芎五分,黑豆四十九粒,灯心草三十根,牙茶五钱。用河水和井水各一钟半,煎至一钟服用。
羌吴汤:羌活、吴茱萸、麻黄、升麻,配合黄柏、黄芩、黄连、川芎、当归,加上细辛、蔓荆子、红花、苍术各半量,能即时缓解头顶和颈项的疼痛。
单方:闹杨花(映山红/杜鹃花)、川芎各等分。研成极细粉末,左侧头痛吹入左鼻孔,右侧头痛吹入右鼻孔,连续打喷嚏流出清水后,即可痊愈。
又一方:头风偏头痛或正头痛最令人怜悯,近日有奇方可治愈多年旧疾。可取黄牛脑一个,川芎、白芷各三钱,共研为细末涂抹于脑部(或填入鼻腔?原文“擦于脑”疑为笔误或特定用法,此处直译:涂抹于脑/头部相关部位),用瓷器盛放药末,加酒煎煮,趁热服下并尽量饮酒,醉后酒醒疼痛安然消失。(另一方法使用猪脑)
余论:王节斋说:久病头痛,稍微感受风寒就发作的,是内部郁积热邪而外部表现为寒邪。体内本有郁热,毛孔常处于疏松状态,所以风邪容易侵入,寒邪束缚住热邪,导致疼痛更加剧烈。世人使用辛散的药物,虽然能发散表层的寒邪,但用热性药物助长根本的热病会使病情更深重。应当泻火凉血,并佐以辛温药物,这样疼痛可以痊愈,病根也能去除。
Shengma Maofeng Decoction (Cimicifugae Rhizoma Wind-Dispelling Decoction): Composed of Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Baizhi (Angelicae Dahuricae Radix), Cangzhu (Atractylodis Rhizoma); assisted by Chaihu (Bupleuri Radix), Manjingzi (Vittaginis Fructus), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Doukou (Amomi Fructus Rotundus), Qianghuo (Notopterygii Rhizoma et Radix). Decocted with Gancao, Huangbai (Phellodendri Cortex), Mahuang (Ephedrae Herba), Shengjiang (Zingiberis Rhizoma Recens), and Dazao (Jujubae Fructus), it can eliminate facial swelling and orbital pain.
Supplementary Discussion: The Yin meridians' qi flows to the neck and chest and returns, whereas only the Yang meridians' qi ascends to the head; therefore, the face is particularly resistant to cold. The Foot-Yangming Stomach Meridian originates at the side of the nose, intersects at the forehead, enters the teeth, flanks the mouth, and circles the lips, ascending along the cheek to the front of the ear. Wind-heat invading the stomach leads to facial swelling. (Lung wind, freckles, see Surgical Department for formulas)
Headache that is not "True Headache" is often caused by Qi-fire deficiency-wind or phlegm-fire excess. If it is True Headache, the hands and feet turn blue/black, and if it occurs in the morning, death comes by evening (returning to the underworld). Jiawei Xionggui Decoction (Modified Ligusticum and Angelica Decoction) treats various pains.
Wonderful Formula for Treating Headache: Tufuling (Smilacis Glabrae Rhizoma) 4 liang (avoid iron vessels), Jinyinhua (Lonicerae Japonicae Flos) 3 qian, Manjingzi (Vittaginis Fructus) 1 qian, Xuanshen (Scrophulariae Radix) 8 fen, Fangfeng (Saposhnikoviae Radix) 1 qian, Tianma (Gastrodiae Rhizoma) 1 qian, Xinyihua (Magnoliae Flos) 5 fen, Chuanxiong (Chuanxiong Rhizoma) 5 fen, Heidou (Sojae Semen Nigrum) 49 grains, Dengxincao (Junci Medulla) 30 roots, Yacha (Tea Leaves) 5 qian. Decoct with 1.5 zhong each of river water and well water until reduced to 1 zhong, then take orally.
Qiangwu Tang (Notopterygium and Evodia Decoction): Qianghuo, Wuzhuyu (Evodiae Fructus), Mahuang, Shengma, combined with Huangbai, Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Chuanxiong, and Danggui, plus half dosage of Xixin (Asari Radix et Rhizoma), Manjingzi, Honghua (Carthami Flos), and Cangzhu, can instantly relieve pain in the vertex and neck.
Single Herb Prescription: Naoyanghua (Rhododendri Mollis Flos) and Chuanxiong in equal parts. Grind into an extremely fine powder. For left-sided headache, insufflate into the left nostril; for right-sided headache, into the right nostril. After several sneezes clear nasal discharge, it will be cured.
Another Formula: Migraine or frontal headache is most pitiable; a recent miraculous formula cures chronic cases. Take one cow brain, Chuanxiong and Baizhi each 3 qian. Grind into a fine powder and apply to the brain/head area. Place the powder in a porcelain vessel, add wine, decoct, drink while hot, and consume as much wine as possible. Upon waking from drunkenness, the pain will vanish peacefully. (Another method uses pig brain)
Supplementary Discussion: Wang Jiezhai stated: For chronic headache triggered by slight exposure to wind-cold, there is internal heat stagnation with external cold manifestation. Since there is pre-existing internal heat and pores are often loose, wind easily enters, and cold constrains the heat, causing severe pain. People use acrid-dispersing agents which can disperse superficial cold pathogens, but using heat-promoting drugs exacerbates the underlying heat disease. One should purge fire and cool blood, assisted by acrid-warm herbs, so the pain heals and the root cause is eliminated.