局方川芎茶调散治头风上攻偏正头痛
方见伤风门
秘藏彻清膏
川芎 薄荷叶(各三分) 本(一钱) 甘草(生半钱) 炙甘草(半钱) 蔓荆子 细辛(
各一分)
上为末每二钱茶清下食后服
按此手足少阳厥阴太阳少阴经药也
元戎治三阳头痛
羌活 防风 荆芥 升麻 葛根 白芷 石膏 柴胡 川芎 芍药 细辛 葱白(连须)
若阴证头痛只用温中药足矣如理中姜附辈此则专治三阳头痛也
仲景麻黄汤治太阳伤寒头痛无汗
桂枝汤治太阳伤风头痛有汗
二方并见伤寒门
局方如圣饼子治风寒伏留阳经气厥痰饮头痛
防风 天麻(各半两) 南星 干姜 川芎 甘草(炙各一两) 半夏(半两) 川乌(去皮
一两)
上细末蒸饼糊丸捻作饼子每五饼同荆芥穗细嚼茶清下
按此足三阳经药也
秘藏羌活附子汤治冬月大寒犯脑令人脑痛齿亦痛名曰脑风
麻黄(不去节) 黑附子 防风 白芷 白僵蚕 黄柏(各二分) 羌活 苍术(各半钱)
升麻(二分) 黄 (一分) 甘草(二分) 佛耳草(三分无寒嗽去之)
上 咀水煎服
按此手足太阳阳明太阴经药也
宝鉴川芎神功散治风热上攻偏正头痛
川芎 川乌 白芷 南星 麻黄(各半两) 甘草(一分)
上为末每服三钱姜水煎服
按此手足少阳厥阴手阳明太阴经药也
三因芎辛汤治伤风寒生冷及气虚痰厥头疼如破兼眩晕呕吐
附子(去皮脐生用) 乌头(生) 天南星 干姜 甘草(炙) 川芎 细辛(各等分)
上锉散每四钱姜五片茶芽少许煎服
按此足少阳经药也
严氏小芎辛汤治风寒在脑或感邪湿头重头疼眩晕呕吐
川芎(一两) 细辛 白术 甘草(炙各半钱)
上 咀每四钱生姜五片茶芽少许煎服
局方加减三五七散治风寒入脑阳虚头痛
山茱萸(去核三斤) 细辛(一斤半) 干姜(炮三斤) 防风(四斤) 附子(三十五只炮去
皮脐) 茯苓(去皮三斤)
上为末每二钱温酒调下
按以上二方亦足少阴经药也
局方川芎茶调散治疗头风上攻引起的偏头痛和正头痛。
该方剂记载于伤风门。
秘藏彻清膏：
川芎、薄荷叶（各三分）、藁本（一钱）、生甘草（半钱）、炙甘草（半钱）、蔓荆子、细辛（各一分）。
以上药物研为细末，每次取二钱，用茶水送服，饭后服用。
按语：此方包含手足少阳经、厥阴经、太阳经、少阴经的药物。
元戎治三阳头痛：
羌活、防风、荆芥、升麻、葛根、白芷、石膏、柴胡、川芎、芍药、细辛、葱白（带须）。
如果是阴证头痛，仅使用温中药物即可，如理中汤、姜附类药物等。此方专门治疗三阳头痛。
仲景麻黄汤治疗太阳伤寒引起的头痛、无汗。
桂枝汤治疗太阳伤风引起的头痛、有汗。
这两个方剂均见于伤寒门。
局方如圣饼子治疗风寒潜伏留滞于阳经，导致气机逆乱、痰饮内停引起的头痛。
防风、天麻（各半两）、天南星、干姜、川芎、炙甘草（各一两）、半夏（半两）、川乌（去皮，一两）。
以上药物研为细末，用蒸饼糊制成丸药，搓成饼状。每次取五饼，同荆芥穗一起细细咀嚼，用茶水送下。
按语：此方包含足三阳经的药物。
秘藏羌活附子汤治疗冬季大寒侵袭脑部，导致脑痛且牙齿也痛，名为脑风。
麻黄（不去节）、黑附子、防风、白芷、白僵蚕、黄柏（各二分）、羌活、苍术（各半钱）、升麻（二分）、黄芪（一分）、甘草（二分）、佛耳草（三分，若无寒咳则去掉）。
以上药物切碎，用水煎服。
按语：此方包含手足太阳经、阳明经、太阴经的药物。
宝鉴川芎神功散治疗风热上攻引起的偏头痛和正头痛。
川芎、川乌、白芷、天南星、麻黄（各半两）、甘草（一分）。
以上药物研为细末，每次服用三钱，用生姜水煎服。
按语：此方包含手足少阳经、厥阴经、手阳明经、太阴经的药物。
三因芎辛汤治疗因伤风寒、生冷饮食以及气虚痰厥引起的剧烈头痛，兼有眩晕、呕吐症状。
附子（去皮脐，生用）、乌头（生）、天南星、干姜、炙甘草、川芎、细辛（各等分）。
以上药物锉碎，每次取四钱，加生姜五片、少许茶芽，煎服。
按语：此方包含足少阳经的药物。
严氏小芎辛汤治疗风寒在脑部，或感受邪湿导致的头重、头痛、眩晕、呕吐。
川芎（一两）、细辛、白术、炙甘草（各半钱）。
以上药物切碎，每次取四钱，加生姜五片、少许茶芽，煎服。
局方加减三五七散治疗风寒侵入脑部、阳气虚弱引起的头痛。
山茱萸（去核，三斤）、细辛（一斤半）、炮干姜（三斤）、防风（四斤）、炮附子（去皮脐，三十五只）、茯苓（去皮，三斤）。
以上药物研为细末，每次取二钱，用温酒调服。
按语：以上两个方剂也是足少阴经的药物。
Ju Fang Chuanxiong Chatiao San (Chuanxiong Tea-Flushed Powder from the Bureau of Imperial Medical Establishment) treats head wind attacking upward, causing lateral and frontal headaches.
This formula is recorded in the Wind-Cold section.
Mizang Cheqing Gao (Secret Collection's Clearing-Paste):
Chuanxiong Rhizome (3 fen), Menthae Haplocalycis Herba (3 fen), Ligustici Wallichii Rhizoma et Radix (1 qian), Raw Glycyrrhizae Radix et Rhizoma (0.5 qian), Honey-fried Glycyrrhizae Radix et Rhizoma (0.5 qain), Viticis Fructus, Asari Radix et Rhizoma (1 fen).
Grind the above ingredients into a fine powder. Take 2 qian per dose, administered with clear tea water after meals.
Note: This formula contains herbs belonging to the Hand-Shaoyang, Foot-Shaoyang, Hand-Jueyin, Foot-Jueyin, Hand-Taiyang, Foot-Taiyang, Hand-Shaoyin, and Foot-Shaoyin meridians.
Yuan Rong's Treatment for Three-Yang Headaches:
Notopterygii Rhizoma et Radix, Saposhnikoviae Radix, Schizonepetae Spica, Cimicifugae Rhizoma, Puerariae Lobatae Radix, Angelicae Dahuricae Radix, Gypsum Fibrosum, Bupleuri Radix, Chuanxiong Rhizome, Paeoniae Radix Rubra or Alba, Asari Radix et Rhizoma, Scallion White (with roots).
If the headache is due to Yin syndrome, using warming middle-jiao formulas such as Lizhong Tang (Regulate the Middle Decoction) or Jiang-Fu preparations (Ginger and Aconite formulas) is sufficient. This formula specifically treats Three-Yang headaches.
Zhongjing's Mahuang Tang (Ephedra Decoction) treats Taiyang Cold Damage (Taiyang Shanghan) characterized by headache and absence of sweating.
Guizhi Tang (Cinnamon Twig Decoction) treats Taiyang Wind Strike (Taiyang Shangfeng) characterized by headache and presence of sweating.
Both formulas are found in the Cold Damage section.
Ju Fang Rusheng Bingzi (Bureau of Imperial Medical Establishment's Like-Sage Cakes) treats headaches caused by cold-wind lurking and remaining in the Yang meridians, leading to Qi rebellion and phlegm-fluid retention.
Saposhnikoviae Radix, Gastrodiae Rhizoma (each 0.5 liang), Arisaematis Rhizoma, Zingiberis Rhizoma Recens, Chuanxiong Rhizome, Honey-fried Glycyrrhizae Radix et Rhizoma (each 1 liang), Pinelliae Rhizoma (0.5 liang), Aconiti Lateralis Radix Preparata (skin removed, 1 liang).
Grind the above into a fine powder. Use steamed cake paste to form pills, shaped into cakes. Chew five cakes thoroughly together with Schizonepetae Spica, and swallow with clear tea water.
Note: This formula contains herbs belonging to the Foot-Taiyang, Foot-Yangming, and Foot-Shaoyang meridians.
Mizang Qianghuo Fuzi Tang (Secret Collection's Notopterygium and Aconite Decoction) treats severe winter cold invading the brain, causing brain pain and toothache, named "Brain Wind" (Naofeng).
Ephedrae Herba (without removing joints), Aconiti Lateralis Radix Preparata (Black Aconite), Saposhnikoviae Radix, Angelicae Dahuricae Radix, Bombyx Batryticatus, Phellodendri Cortex (each 2 fen), Notopterygii Rhizoma et Radix, Atractylodis Macrocephalae Rhizoma (each 0.5 qian), Cimicifugae Rhizoma (2 fen), Astragali Membranacei Radix (1 fen), Glycyrrhizae Radix et Rhizoma (2 fen), Petasitae Japonicae Flos (3 fen; remove if no cold cough).
Cut the ingredients and decoct in water for administration.
Note: This formula contains herbs belonging to the Hand-Taiyang, Foot-Taiyang, Hand-Yangming, Foot-Yangming, Hand-Taiyin, and Foot-Taiyin meridians.
Baojian Chuanxiong Shengong San (Treasure Mirror's Chuanxiong Divine Merit Powder) treats headaches caused by wind-heat attacking upward, affecting both lateral and frontal areas.
Chuanxiong Rhizome, Aconiti Lateralis Radix Preparata, Angelicae Dahuricae Radix, Arisaematis Rhizoma, Ephedrae Herba (each 0.5 liang), Glycyrrhizae Radix et Rhizoma (1 fen).
Grind into a fine powder. Take 3 qian per dose, decocted with ginger water.
Note: This formula contains herbs belonging to the Hand-Shaoyang, Foot-Shaoyang, Hand-Jueyin, Foot-Jueyin, Hand-Yangming, and Foot-Taiyin meridians.
Sanyin Xiongxin Tang (Three Causes' Chuanxiong and Asari Decoction) treats severe headaches resembling breaking, accompanied by dizziness and vomiting, caused by injury from cold-wind, raw/cold food, Qi deficiency, and phlegm-rebellion.
Aconiti Lateralis Radix Preparata (skin and umbilicus removed, used raw), Aconiti Radix (raw), Arisaematis Rhizoma, Zingiberis Rhizoma Recens, Honey-fried Glycyrrhizae Radix et Rhizoma, Chuanxiong Rhizome, Asari Radix et Rhizoma (equal parts).
Cut into pieces. Take 4 qian per dose, add five slices of fresh ginger and a little tea bud, decoct and take.
Note: This formula contains herbs belonging to the Foot-Shaoyang meridian.
Yan Shi Xiaoxiongxin Tang (Physician Yan's Small Chuanxiong and Asari Decoction) treats heavy head, headache, dizziness, and vomiting caused by cold-wind in the brain or invasion of pathogenic dampness.
Chuanxiong Rhizome (1 liang), Asari Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Honey-fried Glycyrrhizae Radix et Rhizoma (each 0.5 qian).
Cut into pieces. Take 4 qian per dose, add five slices of fresh ginger and a little tea bud, decoct and take.
Ju Fang Jiajian Sanwuqi San (Bureau of Imperial Medical Establishment's Modified Sanwuqi Powder) treats headaches caused by cold-wind entering the brain and Yang deficiency.
Corni Fructus (pitted, 3 jin), Asari Radix et Rhizoma (1.5 jin), Prepared Zingiberis Rhizoma (3 jin), Saposhnikoviae Radix (4 jin), Aconiti Lateralis Radix Preparata (skin and umbilicus removed, 35 pieces), Poria (skin removed, 3 jin).
Grind into a fine powder. Take 2 qian per dose, mixed with warm wine.
Note: The above two formulas also contain herbs belonging to the Foot-Shaoyin meridian.