雷头风者，头痛而起核块，或头中如雷之鸣。盖为邪风所客，风动则有声也。亦有因痰
热者，盖痰生热，热生风也。其法轻则散之，甚则吐之下之。
（新定）消风散热方
薄荷（七分） 连翘 黄芩 黑山栀 犀角 荆芥 牛蒡子（各一钱） 桔梗 甘草（各五
分）
上作一服水煎。
二仙散 子和云∶雷头风，每用此药吐之，次用神芎丸下之，一名茶调散。
瓜蒂 好茶（等分）
上为末，每二钱，齑汁调，空心服之，取吐。
神芎丸（方见湿热头痛门。）
治痰火上升，壅于气道，兼乎风火，头中痛而有声，轻如蝉鸣，重如雷响。
半夏（一两，牙皂姜汁煮） 大黄（酒浸透，湿纸包煨，再浸再煨三次，二两） 天虫 连
翘橘
红桔梗 天麻（各五钱） 片芩（七钱，酒炒） 薄荷叶（三钱） 香白芷 青礞石 粉草（各
一钱）
上为末，水浸蒸饼丸，如绿豆大，食后临卧，茶吞二钱，以痰利为度。然后用清痰降火
煎药调理。
大头痛者，头痛而肿大如斗，乃天行疫疠病也。
普济消毒饮子
黄芩（酒炒） 川连（各一两，酒炒） 薄荷（一钱） 橘红（二钱） 元参（二钱） 甘草（二
钱，生） 连
翘（一钱） 鼠粘子（一钱） 板蓝根（一钱） 马勃（一钱） 天虫（炒，七分） 升麻（七分） 柴
胡桔梗（各二钱）
上共为细末，用汤调，时时服。或拌蜜丸噙化，或加防风、薄荷、川芎、当归， 咀，
如麻
豆大，每服五钱，水煎去渣，热服之。食后时时服之，如大便硬，加酒煨大黄一钱，或二钱
以利之。肿热甚者，宜砭刺之。一方无薄荷，有人参三钱。
东垣监济源税时，长夏多疫疠病，初觉憎寒体重，次传头面肿盛，目不能开，上气喘急
，咽
喉不利，舌干口燥，欲云大头天行，亲戚不相访问，传染多死。张县丞亦患此，医以承气汤
加蓝根下之稍缓。翌日其病如故，下之又缓，莫能愈，渐至危笃。东垣诊之，谓曰∶夫身半
以上，天之气也，身半以下，地之气也，此邪客于心肺之间，上攻头目而肿痛，反以承气下
之，泻胃中之实热，是诛伐无过也。夫安知适其病所为故哉。遂处方用黄连、黄芩味苦寒，
泻心肺间热以为君，元参咸微寒，甘草甘寒，泻火补气以为臣，连翘、鼠粘子、薄荷苦辛平
，板蓝根味甘寒，马勃、白僵蚕味苦平，散肿消毒，定喘以为佐，升麻、柴胡苦平，行少阳
、阳明二经，使气得升，桔梗味苦辛温，为舟楫不令下行，服之良愈。乃施其方，全活甚众
，名普济消毒饮子。
雷头风，是指头痛并且头部出现肿块，或者感觉头脑中像打雷一样鸣响。这是因为邪风侵袭所致，风邪扰动就会产生声音。也有因为痰热引起的，因为痰产生热，热生风。治疗方法轻症用发散法，重症用催吐和泻下法。
（新定）消风散热方
薄荷（七分） 连翘 黄芩 黑山栀 犀角 荆芥 牛蒡子（各一钱） 桔梗 甘草（各五分）
以上药材作为一剂，用水煎煮。
二仙散 张子和说：治疗雷头风，每次用此药催吐，随后用神芎丸泻下，神芎丸又名茶调散。
瓜蒂 好茶（等量）
以上研为细末，每次取二钱，用醋汁调和，空腹服用，以引起呕吐为度。
神芎丸（方剂见湿热头痛门。）
治疗痰火上升，壅塞于气道，兼有风火，导致头脑疼痛且有声音，轻时像蝉鸣，重时像雷响。
半夏（一两，用牙皂和姜汁煮） 大黄（酒浸透，用湿纸包裹煨制，再浸再煨三次，共两两） 天虫（白僵蚕） 连翘 橘红 桔梗 天麻（各五钱） 片芩（七钱，酒炒） 薄荷叶（三钱） 香白芷 青礞石 粉草（各一钱）
以上研为细末，用水浸泡蒸饼做丸，如绿豆大小，饭后及睡前，用茶送服二钱，以痰液通畅为度。然后用清化痰热、降火的汤药进行调理。
普济消毒饮子
黄芩（酒炒） 川连（各一两，酒炒） 薄荷（一钱） 橘红（二钱） 元参（二钱） 甘草（二钱，生用） 连翘（一钱） 鼠粘子（牛蒡子，一钱） 板蓝根（一钱） 马勃（一钱） 天虫（炒，七分） 升麻（七分） 柴胡 桔梗（各二钱）
以上共同研为细末，用开水冲调，时时服用。或者拌蜜做成丸剂含化，或者加防风、薄荷、川芎、当归，切碎，如麻豆大小，每次服用五钱，水煎去渣，热服。饭后时时服用，如果大便干硬，加酒煨大黄一钱或二钱以通利大便。肿胀热势严重的，宜用砭石刺破放血。另一版本没有薄荷，有人参三钱。
李东垣在监管济源税务时，长夏季节多发生疫疠病，起初觉得怕冷身体沉重，随后传染至头面部肿胀严重，眼睛无法睁开，上部气喘急促，咽喉不利，舌干口燥，人们称之为“大头天行”，亲戚不敢互相访问，传染后大多死亡。张县丞也患此病，医生用承气汤加板蓝根泻下，病情稍缓。第二天病情依旧，再次泻下后仍稍缓，不能痊愈，逐渐变得危重。李东垣诊察后说：身半以上是天的气，身半以下是地的气，这邪气客居在心肺之间，向上攻冲头目导致肿痛，反而用承气汤泻下，是泻除胃中的实热，这是诛伐无罪之处。怎么知道要针对病因治病呢？于是处方用黄连、黄芩味苦寒，泻心肺间的热作为君药，元参咸微寒，甘草甘寒，泻火补气作为臣药，连翘、鼠粘子、薄荷味苦辛平，板蓝根味甘寒，马勃、白僵蚕味苦平，散肿解毒，定喘作为佐药，升麻、柴胡味苦平，运行少阳、阳明二经，使气机得以升发，桔梗味苦辛温，作为舟楫防止药力下行，服用后痊愈。于是施行此方，救活很多人，命名为普济消毒饮子。
Lei Tou Feng (Thunderhead Wind) refers to headache accompanied by nodules or lumps on the head, or a sensation of thunderous roaring within the head. This is caused by the invasion of pathogenic wind; when wind moves, it produces sound. It may also be caused by phlegm-heat, as phlegm generates heat, and heat generates wind. The treatment method for mild cases is dispersion, while for severe cases, emesis and purgation are used.
(Xin Ding) Xiao Feng San Re Fang (Eliminate Wind and Clear Heat Decoction)
Bohe (Menthae Haplocalycis Herba, 7 fen) Lianqiao (Forsythiae Fructus) Huangqin (Scutellariae Radix) Hei Shanzhi (Gardeniae Fructus carbonized) Xijiao (Rhinocerotis Cornu) Jingjie (Schizonepetae Herba) Niubangzi (Arctii Fructus, each 1 qian) Jiegeng (Platycodonis Radix) Gancao (Glycyrrhizae Radix et Rhizoma, each 5 fen)
Take all ingredients as one dose, decoct in water.
Er Xian San (Two Immortals Powder) Zhang Zihe stated: For Lei Tou Feng, use this medicine to induce vomiting, followed by Shen Xiong Wan to purge. Shen Xiong Wan is also known as Cha Tiao San.
Gua Di (Cucumeris Fructus) Hao Cha (Good Tea, equal parts)
Grind into powder. Take 2 qian each time, mix with vinegar juice, take on an empty stomach to induce vomiting.
Shen Xiong Wan (See formula in Damp-Heat Headache section.)
Treats rising phlegm-fire obstructing the airway, combined with wind-fire, causing headache with noise, light like cicada chirping, heavy like thunder.
Banxia (Pinelliae Rhizoma, 1 liang, boiled with Ya Zao and Ginger Juice) Dahuang (Rhei Radix et Rhizoma, soaked in wine until permeable, wrapped in wet paper and baked, soaked and baked three times, 2 liang) Tian Chong (Bombyx Batryticatus) Lianqiao (Forsythiae Fructus) Ju Hong (Citri Reticulatae Pericarpium) Jiegeng (Platycodonis Radix) Tianma (Gastrodiae Rhizoma, each 5 qian) Pian Qin (Scutellariae Radix, 7 qian, stir-fried with wine) Bohe Ye (Menthae Haplocalycis Folium, 3 qian) Xiang Baizhi (Angelicae Dahuricae Radix) Qing Meng Shi (Calcaris Auripigmenti) Fen Cao (Glycyrrhizae Radix et Rhizoma, each 1 qian)
Grind into powder, make pills with steamed leavened dough soaked in water, size of mung beans. Take 2 qian swallowed with tea after meals and before bed, until phlegm is cleared. Then regulate with decoctions that clear phlegm and descend fire.
Da Tou Tong (Great Headache) refers to headache with swelling so large as a dou (a unit of volume), which is a pandemic disease transmitted by heaven's qi.
Pu Ji Xiao Du Yin Zi (Universal Benefit Detoxification Decoction)
Huangqin (Scutellariae Radix, stir-fried with wine) Chuan Lian (Coptidis Rhizoma, each 1 liang, stir-fried with wine) Bohe (Menthae Haplocalycis Herba, 1 qian) Ju Hong (Citri Reticulatae Pericarpium, 2 qian) Yuan Shen (Scrophulariae Radix, 2 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian, raw) Lianqiao (Forsythiae Fructus, 1 qian) Shu Niu Zi (Arctii Fructus, 1 qian) Ban Lan Gen (Isatidis Radix, 1 qian) Ma Bo (Stachydis Spica, 1 qian) Tian Chong (Bombyx Batryticatus, fried, 7 fen) Sheng Ma (Cimicifugae Rhizoma, 7 fen) Chai Hu (Bupleuri Radix) Jiegeng (Platycodonis Radix, each 2 qian)
Grind all into fine powder. Mix with boiling water and take frequently. Or mix with honey to make pills for sucking. Alternatively, add Fangfeng (Saposhnikoviae Radix), Bohe, Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), cut into pieces the size of hemp seeds. Take 5 qian each time, decoct in water, remove dregs, and take hot. Take frequently after meals. If stool is hard, add Jiu Wei Dahuang (wine-baked Rhei Radix et Rhizoma) 1 or 2 qian to promote bowel movement. For severe swelling and heat, bi-stick puncture is appropriate. Another version excludes Bohe and includes Renshen (Ginseng Radix et Rhizoma) 3 qian.
When Dongyuan supervised the tax office at Jiyuan, during the long summer, many epidemic diseases occurred. Initially, patients felt aversion to cold and heaviness of the body, then the condition spread to severe swelling of the head and face, eyes unable to open, shortness of breath from above, throat obstruction, dry tongue and mouth. People called it "Big Head Heavenly Travel." Relatives avoided visiting, and infection often led to death. Magistrate Zhang also suffered from this. Physicians treated him with Cheng Qi Tang (Order the Qi Decoction) plus Ban Lan Gen to purge, resulting in slight relief. The next day, the condition remained unchanged. After another purge, there was still slight relief, but it could not be cured, and the condition gradually became critical. Dongyuan diagnosed and said: The upper half of the body is the qi of heaven, the lower half is the qi of earth. This pathogen resides between the heart and lungs, attacking upwards to cause swelling and pain in the head and eyes. Using Cheng Qi Tang to purge clears the excess heat in the stomach, which is punishing the innocent. How can one know to treat according to the root cause? Thus, he prescribed Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix), bitter and cold, to clear heat in the heart and lungs as sovereign herbs; Yuan Shen (Scrophulariae Radix), salty and slightly cold, and Gancao (Glycyrrhizae Radix et Rhizoma), sweet and cold, to clear fire and tonify qi as minister herbs; Lianqiao (Forsythiae Fructus), Shu Niu Zi (Arctii Fructus), Bohe (Menthae Haplocalycis Herba), bitter, pungent, and neutral; Ban Lan Gen (Isatidis Radix), sweet and cold; Ma Bo (Stachydis Spica) and Bai Jiang Can (Bombyx Batryticatus), bitter and neutral, to dissipate swelling and detoxify, calm wheezing as assistant herbs; Sheng Ma (Cimicifugae Rhizoma) and Chai Hu (Bupleuri Radix), bitter and neutral, to circulate through the Shaoyang and Yangming meridians, allowing qi to ascend; Jiegeng (Platycodonis Radix), bitter, pungent, and warm, acting as a boat and oar to prevent downward flow. Taking this resulted in good recovery. He administered this prescription, saving many lives, and named it Pu Ji Xiao Du Yin Zi.