(头顶心也)属足太阳膀胱经(《灵枢》曰∶足太阳之脉,起于目内 ,上额交巅。《素
问》曰∶三阳并至如风雨,上为巅疾,下为漏病。又曰∶三阳者,至阳也,盖足太阳之脉,上交巅上,下属膀
胱,故上为巅疾,下为漏病。且手足三阳,皆行于头,阳气亲上,上实下虚,下虚则不固。杨上善曰∶漏病,
膀胱漏泄,言二便数而不禁守也。张洁古曰∶巅顶痛,非 本不能除,此足太阳本经药也)。又属足厥阴肝经、
督脉之交会(《灵枢》曰∶足厥阴之脉连目系,上出额,与督脉会于巅。又曰∶营气上额循巅,下项中,循脊
入,是督脉也。《素问》曰∶督脉与太阳起于目内 ,上额交巅。又曰∶春脉太过,则令善怒,忽忽眩冒而
巅疾。王海藏曰∶巨阳从头走足,唯厥阴与督脉会于巅,逆而上行。诸阳不得下,故令巅痛。钱氏泻青丸,用羌
活,以其气雄,入太阳也。泻青,乃足太阳、厥阴之药。注∶春脉,肝脉也。巨阳,即太阳也)。又属手足少
阳三焦、胆经(《灵枢》曰∶手少阳之正,指天,别于巅,入缺盆,下走三焦,散于胸中也。又曰∶足少阳之
筋,其直者循耳后,上额角,交巅上)。又属足少阴肾经(《素问》曰∶头痛巅疾,下虚上实,过在足少阴,
巨阳甚,则入肾。沈承之曰∶肺出气,肾纳气,足太阳膀胱乃肾之府,肾虚则不能纳气归原,反从足太阳,溯
而上行,入额交巅,故头痛也)。
(此处指头顶心)归属于足太阳膀胱经。《灵枢》记载:足太阳经脉,起始于目内眦,向上经过额部,交汇于巅顶。《素问》记载:三阳经气同时到达时如风雨般猛烈,向上则导致巅顶疾病,向下则导致漏泄之病。又说:三阳经是至盛的阳气,因为足太阳经脉,向上交汇于巅顶,向下联系膀胱,所以上部出现巅顶疾病,下部出现漏泄之病。而且手、足三阳经都行走在头部,阳气趋向于上部,导致上实下虚,下部虚弱则固摄无力。杨上善说:漏病,是指膀胱漏泄,意思是大小便频数且不能自控。张洁古说:巅顶疼痛,如果不使用本经药物就不能根除,这是治疗足太阳本经疾病的药物。
又归属于足厥阴肝经与督脉的交会处。《灵枢》记载:足厥阴经脉连接目系,向上出于额部,与督脉在巅顶交会。又说:营气上行至额部,沿着巅顶,下行至项中,沿着脊柱进入体内,这就是督脉。《素问》记载:督脉与太阳经起于目内眦,向上经过额部,交汇于巅顶。又说:春季脉象太过,就会导致易怒,突然感到头晕目眩并引发巅顶疾病。王海藏说:巨阳(太阳经)从头走向足,只有厥阴经与督脉在巅顶交会,逆着向上行走。诸阳经之气不得下行,所以导致巅顶疼痛。钱乙的泻青丸,使用羌活,因为其药气雄烈,能入太阳经。泻青丸,是治疗足太阳、厥阴经疾病的药物。注释:春脉,即肝脉。巨阳,即太阳经。
又归属于手少阳三焦经、足少阳胆经。《灵枢》记载:手少阳正经,指向天空,从巅部分别出来,进入缺盆,向下走三焦,散布于胸中。又说:足少阳筋,其直行者沿着耳后,向上到额角,交汇于巅顶。
又归属于足少阴肾经。《素问》记载:头痛及巅顶疾病,是由于下虚上实,病在于足少阴经,若太阳经病严重,就会传入肾脏。沈承之说:肺主呼气,肾主纳气,足太阳膀胱是肾的外府,肾虚则不能纳气归元,反而随着足太阳经,逆流而上行,进入额部交汇于巅顶,所以导致头痛。
(Here referring to the crown of the head) it belongs to the Foot-Taiyang Bladder Channel (The *Ling Shu* states: The Foot-Taiyang channel originates at the inner canthus, ascends over the forehead, and intersects at the vertex. The *Su Wen* states: When the three Yang channels arrive simultaneously, it is like wind and rain; ascending, it causes diseases of the vertex, descending, it causes leakage diseases. It also states: The three Yang channels are the most abundant Yang qi. Because the Foot-Taiyang channel ascends to intersect at the vertex and descends to connect with the bladder, hence upper vertex diseases and lower leakage diseases occur. Furthermore, all Hand and Foot Three-Yang channels travel on the head. Yang qi tends to ascend, leading to excess above and deficiency below. Deficiency below results in lack of consolidation. Yang Shangshan stated: Leakage disease refers to bladder leakage, meaning frequent urination and defecation without control. Zhang Jiegu stated: Vertex pain cannot be eradicated without using herbs of this primary channel; these are herbs for the Foot-Taiyang primary channel). It also belongs to the intersection of the Foot-Jueyin Liver Channel and the Du Mai (Governing Vessel). The *Ling Shu* states: The Foot-Jueyin channel connects with the eye system, ascends out of the forehead, and meets the Du Mai at the vertex. It also states: Ying Qi ascends to the forehead, follows the vertex, descends to the nape, and follows the spine into the interior; this is the Du Mai. The *Su Wen* states: The Du Mai and Taiyang channel originate at the inner canthus, ascend over the forehead, and intersect at the vertex. It also states: If the Spring pulse is excessive, it causes irritability, sudden dizziness and vertigo, and vertex diseases. Wang Haizang stated: Ju Yang (Taiyang) travels from head to foot; only the Jueyin and Du Mai meet at the vertex, traveling upward against the normal flow. The Qi of all Yang channels fails to descend, thus causing vertex pain. Qian Yi’s Xie Qing Wan (Drain Green Pill) uses Qiang Huo (Notopterygii Rhizoma et Radix) because its qi is vigorous and enters the Taiyang channel. Xie Qing is a formula for treating Foot-Taiyang and Jueyin channel diseases. Note: Spring pulse refers to the Liver pulse. Ju Yang refers to the Taiyang channel). It also belongs to the Hand-Shaoyang Sanjiao (Triple Burner) Channel and Foot-Shaoyang Gallbladder Channel. The *Ling Shu* states: The Zheng branch of the Hand-Shaoyang points upward, diverges at the vertex, enters the supraclavicular fossa, descends to the Sanjiao, and disperses in the chest. It also states: The straight branch of the Foot-Shaoyang sinew follows behind the ear, ascends to the frontal angle, and intersects at the vertex). It also belongs to the Foot-Shaoyin Kidney Channel. The *Su Wen* states: Headache and vertex diseases are due to deficiency below and excess above, with the pathology lying in the Foot-Shaoyin channel; if the Taiyang channel disease is severe, it transmits into the Kidney. Shen Chengzhi stated: The Lung governs exhalation, and the Kidney governs inhalation. The Foot-Taiyang Bladder is the exterior mansion of the Kidney. When the Kidney is deficient, it cannot grasp Qi and return it to its origin; instead, following the Foot-Taiyang channel, it counterflows upward, entering the forehead and intersecting at the vertex, thus causing headache).