秘藏青空膏治偏头疼年深不愈者及疗风湿热头痛上壅损目
羌活 防风(各一两) 柴胡(七钱) 川芎(五钱) 甘草(炙一两半) 黄连(炒一两) 细
挺子黄芩(三两一半酒洗一半炒)
上为末每服二钱匕热茶调如膏抄在口内少用白汤送下如苦头痛加细辛二分如太阴脉缓有
痰减
去羌活防风川芎甘草加半夏(一两半)如偏头痛服之不愈减羌活防风川芎一半加柴胡一倍 如阳
明头痛只与白虎汤中加白芷
按此足三阳经药也
川芎散治头目不清利
川芎(三分) 羌活 防风 本 升麻 甘草(各一钱) 柴胡(七分) 黄芩(炒四钱半)
黄连(四钱半酒洗) 生地黄(一钱)
上为末每服一二钱茶清调下
按此亦三阳经药也
细辛散治偏正头疼
细辛(二分) 川芎(七分) 柴胡(二钱) 黄芩(二钱一半酒洗一半炒) 瓦粉(二钱) 炙
甘草(一钱半) 黄连(七分) 芍药(半钱)
上 咀每服三钱煎服
按此少阳少阴太阴经药也
宝鉴石膏散治头疼
川芎 石膏 白芷(等分)
上为末每服四钱热茶清调下
按此阳明少阳经药也以上东垣治风热头痛诸方多不同者以其有脏腑经络之异也今不详载
其方然
有用羌活防风川芎柴胡升麻 本细辛之异者行各经也有用黄芩黄连黄柏知母石膏生地黄之异
者分各脏泻火也用泽泻茯苓者导湿也又使邪气自天而降也用黄 者补气行气也各随病而增损
之意不可拘执也
秘藏青空膏,用于治疗病程长久、久治不愈的偏头痛,以及治疗风湿热邪上壅导致的头痛并损伤眼睛。
羌活(一两)、防风(一两)、柴胡(七钱)、川芎(五钱)、炙甘草(一两半)、黄连(炒制,一两)、细挺子黄芩(三两半,一半用酒洗,一半炒制)。
以上药物研为细末,每次服用二钱匕,用热茶调成膏状,抹在口腔内,稍后用白开水送下。如果是苦痛性质的头痛,加细辛二分;如果太阴脉象缓弱且有痰湿,则减去羌活、防风、川芎、甘草,加入半夏(一两半)。如果是偏头痛,服用此方后未痊愈,将羌活、防风、川芎减半,柴胡加倍。如果是阳明头痛,只使用白虎汤中加入白芷。
按语:这是足三阳经的药物。
川芎散,用于治疗头目不清爽、不利。
川芎(三分)、羌活(一钱)、防风(一钱)、藁本(一钱)、升麻(一钱)、炙甘草(一钱)、柴胡(七分)、炒黄芩(四钱半)、酒洗黄连(四钱半)、生地黄(一钱)。
以上药物研为细末,每次服用一二钱,用茶水清液调服。
按语:这也是三阳经的药物。
细辛散,用于治疗偏头痛和正头痛。
细辛(二分)、川芎(七分)、柴胡(二钱)、酒洗一半炒一半的黄芩(二钱半)、瓦粉(二钱)、炙甘草(一钱半)、黄连(七分)、芍药(半钱)。
以上药物切碎,每次服用三钱,煎汤服用。
按语:这是少阳、少阴、太阴经的药物。
宝鉴石膏散,用于治疗头痛。
以上药物研为细末,每次服用四钱,用热茶水清液调服。
按语:这是阳明、少阳经的药物。以上均为李东垣治疗风热头痛的各方,大多不同,是因为脏腑经络的差异所致。现在不详载这些方剂,然而其中有使用羌活、防风、川芎、柴胡、升麻、藁本、细辛等不同药物的,是为了通行各条经络;有使用黄芩、黄连、黄柏、知母、石膏、生地黄等不同药物的,是为了分别清泻各脏之火;有用泽泻、茯苓的,是为了引导湿气下行;又使邪气从天降而解;有用黄芪的,是为了补气行气。这都是根据病情增减变化的意思,不可拘泥固执。
Mizang Qingkong Gao is indicated for chronic, intractable hemianalgesia (hemicephalic pain) and for treating headache caused by the upward congestion of wind-damp-heat pathogenic factors, which damages the eyes.
Qianghuo (Notopterygii Rhizoma et Radix, 1 liang), Fangfeng (Saposhnikoviae Radix, 1 liang), Chaihu (Bupleuri Radix, 7 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma, 5 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 1.5 liang), Huanglian (Coptidis Rhizoma, stir-fried, 1 liang), Xitingzi Huangqin (Scutellariae Radix, 3.5 liang; half washed with wine, half stir-fried).
The above ingredients are ground into powder. Each dose consists of 2 qianbi (a small spoonful measure), mixed with hot tea to form a paste, applied inside the mouth, and subsequently swallowed with plain boiled water. If the headache is characterized by bitter pain, add Xixin (Asari Radix, 2 fen). If the Taiyin pulse is slow and there is phlegm, remove Qianghuo, Fangfeng, Chuanxiong, and Zhigancao, and add Banxia (Pinelliae Rhizoma, 1.5 liang). If hemianalgesia persists after taking this formula, reduce the dosage of Qianghuo, Fangfeng, and Chuanxiong by half, and double the dosage of Chaihu. For Yangming headache, use only Baihu Tang (White Tiger Decoction) with the addition of Baizhi (Angelicae Dahuricae Radix).
Note: These are herbs belonging to the Foot Three Yang meridians.
Chuanxiong San is indicated for unclear vision and dullness of the head and eyes.
Chuanxiong (Ligustici Chuanxiong Rhizoma, 3 fen), Qianghuo (Notopterygii Rhizoma et Radix, 1 qian), Fangfeng (Saposhnikoviae Radix, 1 qian), Bencao (Ligustici Sinensis Rhizoma, 1 qian), Shengma (Cimicifugae Rhizoma, 1 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 1 qian), Chaihu (Bupleuri Radix, 7 qian), Huangqin (Scutellariae Radix, stir-fried, 4.5 qian), Huanglian (Coptidis Rhizoma, washed with wine, 4.5 qian), Shengdihuang (Rehmanniae Radix, 1 qian).
The above ingredients are ground into powder. Each dose consists of 1-2 qian, taken with clear tea infusion.
Note: These are also herbs belonging to the Three Yang meridians.
Xixin San is indicated for hemianalgesia and frontal headache.
Xixin (Asari Radix, 2 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma, 7 qian), Chaihu (Bupleuri Radix, 2 qian), Huangqin (Scutellariae Radix, half washed with wine, half stir-fried, 2.5 qian), Wafen (Tegula Pulvis, 2 qian), Zhigancao (Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, 1.5 qian), Huanglian (Coptidis Rhizoma, 7 qian), Shaoyao (Paeoniae Radix Alba, 0.5 qian).
The above ingredients are cut into pieces. Each dose consists of 3 qian, decocted in water and taken orally.
Note: These are herbs belonging to the Shaoyang, Shaoyin, and Taiyin meridians.
Baojian Shigao San is indicated for headache.
Chuanxiong (Ligustici Chuanxiong Rhizoma), Shigao (Gypsum Fibrosum), Baizhi (Angelicae Dahuricae Radix) in equal proportions.
The above ingredients are ground into powder. Each dose consists of 4 qian, taken with hot clear tea infusion.
Note: These are herbs belonging to the Yangming and Shaoyang meridians. The above are various formulas from Li Dongyuan for treating wind-heat headache. They differ significantly because of variations in zang-fu organs and meridians involved. Although the specific formulas are not detailed here, the principles are as follows: Different herbs such as Qianghuo, Fangfeng, Chuanxiong, Chaihu, Shengma, Ligusticum, and Xixin are used to promote circulation in respective meridians; different herbs such as Huangqin, Huanglian, Huangbai, Zhimu, Shigao, and Shengdihuang are used to clear fire from respective zang organs; Zexie and Fuling are used to guide dampness downward, allowing pathogens to descend from the heavens; Huangqi is used to tonify qi and promote qi movement. These modifications follow the principle of increasing or decreasing based on the disease condition and should not be rigidly adhered to.