产后头痛多由血虚，其证朝轻夜重，时作时止，虽太阳巅顶亦痛，惟眉棱骨不痛，不可作外感治，宜芎归
汤加荆芥穗（二钱），或玉露散。若风寒头痛则无时间断，并眉棱骨亦痛，虽属风寒，宜四物汤加柴胡（一钱）。
若手足搐搦，切牙头痛而昏晕者，尤宜急治。先服加减四物汤，后服秦艽汤。若头痛作呕不食，乃血虚火炎上
也。宜用麦冬（去心），橘红煎汤服，如呕止而头仍痛，宜加天冬（去心）。
芎归汤
当归 川芎（各五钱）
水煎服。
玉露散
桔梗 川芎 白芷（各二钱） 赤芎（一钱五分） 人参 赤茯苓 甘草（各一钱） 当归（五分）
水煎服。
四物汤
熟地黄 当归（各三钱） 白芍（二钱） 川芎（一钱）
水煎服。
加减四物汤
川芎 当归 羌活 防风 香附（炒） 白芷 甘草（各一钱） 苍术（制） 细辛（各七分）
水煎热服。
有汗，气虚头痛也，加白芍二钱，肉桂一钱五分，生姜三片；痰癖头痛，加半夏（制）三钱，茯苓一钱，
生姜三片；热厥头痛，加白芷三钱，石膏二钱，知母一钱；寒厥头痛，加天麻三钱，附子一钱五分，生姜三片。
秦艽汤
秦艽 石膏（各一钱） 炙甘草 川芎 当归 白芍 羌活 独活 防风 黄芩 白术（蜜炙） 熟地黄
茯苓（各五分） 生地黄（六分） 白芷（七分） 细辛（三分）
水煎服。
冬加生姜三片，春夏加知母。
产后头痛大多由血虚引起，其症状表现为早晨轻、晚上重，疼痛时发时止。虽然太阳经循行的巅顶部位也会疼痛，但眉棱骨不痛，不能当作外感病来治疗，适宜使用芎归汤加入荆芥穗（二钱），或者使用玉露散。如果是风寒引起的头痛，则没有间歇时间，并且眉棱骨也会疼痛，虽然属于风寒证，适宜使用四物汤加入柴胡（一钱）。如果出现手足抽搐、咬牙、头痛并伴有昏晕的情况，尤其需要紧急治疗。先服用加减四物汤，随后服用秦艽汤。如果头痛伴随呕吐、无法进食，这是血虚导致火气上炎的表现。适宜用麦冬（去心）、橘红煎汤服用，如果呕吐停止但头痛依旧，适宜加入天冬（去心）。
玉露散
桔梗、川芎、白芷（各二钱），赤芍药（此处原文为赤芎，通常指赤芍或特定炮制川芎，依原文保留赤芎，但在中医语境中常指赤芍或活血之品，此处按字面翻译为Chi Xiong/Red Chuanxiong，若依标准术语多指赤芍 Chi Shao，但鉴于原文写赤芎，且川芎已有，此处暂译为Chi Xiong (Red Chuanxiong) 或根据上下文理解为活血药，为严谨起见，保留原名拼音 Chi Xiong，释义为 Red Chuanxiong，注：古籍中赤芎有时通赤芍，但此处严格按原文提取实体），人参、赤茯苓、甘草（各一钱），当归（五分）
用水煎煮后服用。
四物汤
熟地黄、当归（各三钱），白芍（二钱），川芎（一钱）
用水煎煮后服用。
加减四物汤
川芎、当归、羌活、防风、香附（炒）、白芷、甘草（各一钱），苍术（制）、细辛（各七分）
加热后煎煮服用。
如果有汗出，属于气虚头痛，加入白芍二钱、肉桂一钱五分、生姜三片；有痰癖（痰饮积聚）引起的头痛，加入半夏（制）三钱、茯苓一钱、生姜三片；热厥（热邪内闭导致的四肢逆冷等症）引起的头痛，加入白芷三钱、石膏二钱、知母一钱；寒厥（寒邪内盛导致的四肢逆冷等症）引起的头痛，加入天麻三钱、附子一钱五分、生姜三片。
秦艽汤
秦艽、石膏（各一钱），炙甘草、川芎、当归、白芍、羌活、独活、防风、黄芩、白术（蜜炙）、熟地黄、茯苓（各五分），生地黄（六分），白芷（七分），细辛（三分）
用水煎煮后服用。
冬季加生姜三片，春、夏季加知母。
Postpartum headache is mostly caused by blood deficiency. The symptoms present as lighter in the morning and heavier at night, with pain occurring intermittently. Although pain may occur at the vertex (the top of the head where the Taiyang meridian travels), the supraorbital ridge does not hurt. It should not be treated as an external contraction. The appropriate treatment is Xiongui Tang (Cnidium and Angelica Decoction) added with Jingjie Sui (Schizonepeta Spike, 2 qian), or Yulu San (Jade Dew Powder). If the headache is due to wind-cold, there are no intervals of relief, and the supraorbital ridge also hurts. Although it belongs to wind-cold syndrome, the appropriate treatment is Siwu Tang (Four Substances Decoction) added with Chaihu (Bupleurum Root, 1 qian). If convulsions of the hands and feet, teeth grinding, headache accompanied by dizziness and fainting occur, urgent treatment is especially required. First, administer Jiajian Siwu Tang (Modified Four Substances Decoction), followed by Qinjiao Tang (Gentiana Macrophylla Decoction). If headache is accompanied by vomiting and inability to eat, this indicates fire flaming upward due to blood deficiency. It is appropriate to use Maidong (Ophiopogon Tuber, heart removed) and Juhong (Pomelo Peel, red part) decocted in water for administration. If vomiting stops but the headache persists, add Tiandong (Asparagus Tuber, heart removed).
Xiongui Tang
Danggui (Angelica Sinensis Radix), Chuanxiong (Ligusticum Chuanxiong Rhizoma) (each 5 qian)
Decoct in water and take orally.
Yulu San
Jiegeng (Platycodon Root), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Baizhi (Angelica Dahurica Root) (each 2 qian), Chixiong (Red Chuanxiong, 1.5 qian), Renshen (Ginseng Radix et Rhizoma), Chifuling (Red Poria, 1 qian each), Gancao (Licorice Root, 1 qian), Danggui (Angelica Sinensis Radix, 0.5 qian)
Decoct in water and take orally.
Siwu Tang
Shudihuang (Prepared Rehmannia Root), Danggui (Angelica Sinensis Radix) (each 3 qian), Baishao (White Peony Root, 2 qian), Chuanxiong (Ligusticum Chuanxiong Rhizoma, 1 qian)
Decoct in water and take orally.
Jiajian Siwu Tang (Modified Four Substances Decoction)
Chuanxiong (Ligusticum Chuanxiong Rhizoma), Danggui (Angelica Sinensis Radix), Qianghuo (Notopterygium Root), Fangfeng (Saposhnikovia Root), Xiangfu (Cyperi Rhizoma, stir-fried), Baizhi (Angelica Dahurica Root), Gancao (Licorice Root) (each 1 qian), Cangzhu (Atractylodes Rhizoma, processed), Xixin (Asarum Root) (each 0.7 qian)
Decoct and take while hot.
If sweating occurs, it is a qi-deficiency headache; add Baishao (White Peony Root, 2 qian), Rougui (Cinnamon Bark, 1.5 qian), and Shengjiang (Fresh Ginger, 3 slices); if headache is due to phlegm accumulation (Tanpi), add Banxia (Pinellia Tuber, processed, 3 qian), Fuling (Poria, 1 qian), and Shengjiang (Fresh Ginger, 3 slices); if headache is due to heat-jue (heat reversal syndrome), add Baizhi (Angelica Dahurica Root, 3 qian), Shigao (Gypsum Fibrosum, 2 qian), and Zhimu (Anemarrhena Rhizome, 1 qian); if headache is due to cold-jue (cold reversal syndrome), add Tianma (Gastrodia Rhizome, 3 qian), Fuzi (Aconite Lateralis Radix Preparata, 1.5 qian), and Shengjiang (Fresh Ginger, 3 slices).
Qinjiao Tang
Qinjiao (Gentiana Macrophylla Radix), Shigao (Gypsum Fibrosum) (each 1 qian), Zhigancao (Honey-fried Licorice Root), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Danggui (Angelica Sinensis Radix), Baishao (White Peony Root), Qianghuo (Notopterygium Root), Duhuo (Angelica Pubescens Radix), Fangfeng (Saposhnikovia Root), Huangqin (Scutellaria Root), Baizhu (Atractylodes Macrocephala Rhizoma, honey-fried), Shudihuang (Prepared Rehmannia Root), Fuling (Poria) (each 0.5 qian), Shengdihuang (Rehmannia Root, 0.6 qian), Baizhi (Angelica Dahurica Root, 0.7 qian), Xixin (Asarum Root, 0.3 qian)
Decoct in water and take orally.
In winter, add 3 slices of Shengjiang (Fresh Ginger); in spring and summer, add Zhimu (Anemarrhena Rhizome).