属痰者多。有热，有风，有血虚。在左属风，荆芥、薄荷；属血虚，川芎、当归
在右属痰，苍术、半夏；属热，酒芩为主。又属湿痰，川芎、南星、苍术。偏头风，在左
属风者，用荆芥、薄荷。此二味，即是治之主药。有君臣佐使之分，凡主病者为君而多，
次之，佐又次之，须要察其兼见何症而佐使之。如有痰，即以二陈汤治痰而佐之，他症皆
仿此。又须察识病情，全在活法，出入加减，不可执方。
入方
酒片芩（一两） 苍术 羌活 防风（各五钱） 细辛（二钱） 苍耳（三钱）
上为末。每服三钱，生姜一大片，同擂匀。茶汤荡起服之。
又方
酒片芩（五钱） 苍术（二钱半） 羌活 苍耳 川芎 生甘草 酒黄连（各一钱半） 半夏曲（炒
三钱半）
上为末。服法同前。
又方
酒片芩（一两） 苍术 羌活 川芎（各五钱） 苍耳 细辛（各三钱）
上为末。服法同前。
又方 湿痰头风。
片芩（酒炒，三钱） 苍术（酒炒，一两） 川芎 细辛（各二钱） 甘草（一钱）
上为末。服法同前。
瘦人搐药
软石膏 朴硝（各五钱） 脑子 荆芥 檀香皮 薄荷（各一钱） 白芷 细辛（各二钱）
上为末。搐鼻内。
头痒风屑发黄方
用大黄酒浸炒为末，茶调服。
一粒金搐鼻方 治偏头风。
荜茇（不以多少，研细，用 猪胆汁拌匀，再入胆内，
悬阴干） 本 玄胡索 白芷 川芎（各一两） 青黛（二两）
上为末，入制荜茇末一两半，用无根水丸。每用一粒，长流水化开
鼻。以铜钱二三文口咬定，出涎。
治头风
乌头尖（七个） 荆芥 防风 甘草 蔓荆子 台芎 桔梗 麻黄
上为末。茶调。
一人头风鼻塞。
南星 苍术 酒芩 辛荑 川芎
上为末。茶调。
〔附录〕头风用热药多，间有挟热而不胜热剂者，宜消风散、茶调散服之。头风发动，顶
后两项筋紧吊起痛者，看其人挟寒挟虚，宜三五七散。头风，九月取菊花作枕，最良。《素
论头风者，本于风寒入于脑髓耶。《本事方》论妇人患头风者，十居其半，或者妇人无巾以
御风寒焉耳。男子间有患者。若经年不愈者，宜灸囟会、百会、前顶、上星等穴，瘥。
附方
消风散
荆芥穗 甘草（炙） 川芎 羌活 人参 茯苓 防风 白僵蚕（炒） 藿香 蝉蜕（去土，炒，各
二两） 浓朴（姜制，半两） 陈皮（去白，半两）
上为末。每服二钱，荆芥汤或茶清调下。
茶调散
薄荷（去梗不见火，八两） 川芎（四两） 羌活 甘草 白芷（各二两） 细辛（去叶，一两） 防风
二两半） 荆芥（去梗，四两）
上为细末。每服二钱，食后，茶清调下。常服清头目。
三五七散
细辛（一斤半） 干姜（炮，二斤） 防风（四斤） 山茱萸（去核） 茯苓（各三斤） 附子（三十五个
炮，去皮脐）
上为细末。每服二钱，温酒食前调下。
属于痰邪引起的偏头风居多。病因包括有热、有风、有血虚。疼痛在左侧的，多属风邪所致，用药以荆芥、薄荷为主；若属血虚，则用川芎、当归。疼痛在右侧的，多属痰邪所致，用药以苍术、半夏为主；若属热邪，则以酒制黄芩为主。另外，若属湿痰，可用川芎、天南星、苍术。对于偏头风，在左侧属风邪的，使用荆芥、薄荷。这两味药即是治疗的主药。方剂中需遵循君臣佐使的原则，凡是主治疾病的药物为君药，用量最大；其次是臣药，再次是佐使药。必须观察患者兼见什么症状，从而确定佐使之药。如果有痰，就用二陈汤来治痰并作为佐使药，其他病症都仿照此法。又须仔细辨别病情，关键在于灵活运用，根据情况出入加减，不可拘泥于固定方剂。
入方（第一个方剂）：
酒制黄芩片（一两）、苍术、羌活、防风（各五钱）、细辛（二钱）、苍耳子（三钱）。
以上药物研成细末。每次服用三钱，加生姜一大片，一同研磨均匀。用茶汤冲服。
第二个方剂：
酒制黄芩片（五钱）、苍术（二钱半）、羌活、苍耳子、川芎、生甘草、酒制黄连（各一钱半）、半夏曲（炒，三钱半）。
以上药物研成细末。服用方法同前。
第三个方剂：
酒制黄芩片（一两）、苍术、羌活、川芎（各五钱）、苍耳子、细辛（各三钱）。
以上药物研成细末。服用方法同前。
第四个方剂：治疗湿痰引起的头风。
黄芩片（酒炒，三钱）、苍术（酒炒，一两）、川芎、细辛（各二钱）、甘草（一钱）。
以上药物研成细末。服用方法同前。
瘦人用的搐鼻药：
软石膏、朴硝（各五钱）、脑子（冰片）、荆芥、檀香皮、薄荷（各一钱）、白芷、细辛（各二钱）。
以上药物研成细末，搐入鼻内。
治疗头痒、风屑发黄方的方剂：
用大黄经黄酒浸泡后炒制，研成细末，用茶调服。
一粒金搐鼻方：治疗偏头风。
荜茇（不限多少，研细，用猪胆汁拌匀，再放入猪胆内，悬挂阴干）、藁本、玄胡索、白芷、川芎（各一两）、青黛（二两）。
以上药物研成细末，加入制好的荜茇细末一两半，用无根水制成丸药。每次取一粒，用长流水化开滴入鼻中。用两三文铜钱咬住嘴唇，促使涎液流出。
治疗头风的方剂：
乌头尖（七个）、荆芥、防风、甘草、蔓荆子、台芎（即川芎的一种）、桔梗、麻黄。
以上药物研成细末。用茶调服。
一人患头风导致鼻塞：
天南星、苍术、酒制黄芩、辛夷、川芎。
以上药物研成细末。用茶调服。
〔附录〕治疗头风多用热性药物，间或有夹杂热邪而不能耐受热剂的，宜服用消风散、茶调散。头风发作时，如果头顶后方两侧筋脉紧绷吊起而痛，要看患者是否夹杂寒邪或虚证，宜服用三五七散。治疗头风，在九月采集菊花做枕头，效果最好。《素问》论头风，认为是风寒侵入脑髓所致。《本事方》论述妇女患头风的，十居其半，或许是妇女没有巾帽来抵御风寒的缘故。男子间有患病的。如果是多年不愈的，宜灸囟会、百会、前顶、上星等穴位，可痊愈。
附方：
消风散：
荆芥穗、甘草（炙）、川芎、羌活、人参、茯苓、防风、白僵蚕（炒）、藿香、蝉蜕（去土，炒，各二两）、浓朴（姜制，半两）、陈皮（去白，半两）。
以上药物研成细末。每次服用二钱，用荆芥汤或茶清调下。
茶调散：
薄荷（去梗，不见火，八两）、川芎（四两）、羌活、甘草、白芷（各二两）、细辛（去叶，一两）、防风（二两半）、荆芥（去梗，四两）。
以上药物研成细末。每次服用二钱，饭后，用茶清调下。常服可清利头目。
三五七散：
细辛（一斤半）、干姜（炮，二斤）、防风（四斤）、山茱萸（去核）、茯苓（各三斤）、附子（三十五个，炮，去皮脐）。
以上药物研成细末。每次服用二钱，温酒在饭前调下。
Cases of hemicephalia (hemianopia/headache) caused by phlegm are common. The etiology includes heat, wind, and blood deficiency. Pain on the left side is attributed to wind, treated with Jingjie (Schizonepetae Herba) and Bohe (Menthae Haplocalycis Herba); if attributed to blood deficiency, use Chuanxiong (Chuanxiong Rhizoma) and Danggui (Angelicae Sinensis Radix). Pain on the right side is attributed to phlegm, treated with Cangzhu (Atractylodis Rhizoma) and Banxia (Pinelliae Rhizoma); if attributed to heat, Jiuhuangqin (Scutellariae Radix processed with wine) is the primary herb. Additionally, for damp-phlegm, Chuanxiong, Nanting (Arisaematis Rhizoma), and Cangzhu may be used. For hemicephalia on the left side attributed to wind, Jingjie and Bohe are employed. These two herbs constitute the principal medicinals. Formulas must adhere to the principles of Jun-Chen-Zuo-Shi (Monarch-Minister-Assistant-Courier). The herb that treats the main disease serves as the Monarch and is used in the largest quantity; the Minister follows, and the Assistant-Courier is next. One must observe the accompanying symptoms to determine the Assistant-Courier herbs. If there is phlegm, Erchen Tang (Two-Aged Decoction) should be used to treat phlegm as an Assistant-Courier; other conditions follow this pattern. Furthermore, one must carefully discern the condition of the disease, relying on flexible application, making additions and subtractions as needed, and not adhering rigidly to fixed formulas.
Formula 1:
Jiu Pian Qin (Scutellariae Radix processed with wine slices, 1 liang), Cangzhu (Atractylodis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix) (each 5 qian), Xixin (Asari Radix et Rhizoma, 2 qian), Cang'erzi (Xanthii Fructus, 3 qian).
Grind the above into fine powder. Take 3 qian per dose, mix evenly with a large slice of Shengjiang (Zingiberis Rhizoma Recens), and take with tea infusion.
Formula 2:
Jiu Pian Qin (Scutellariae Radix processed with wine slices, 5 qian), Cangzhu (Atractylodis Rhizoma, 2.5 qian), Qianghuo, Cang'erzi, Chuanxiong, Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Jiu Huanglian (Coptidis Rhizoma processed with wine) (each 1.5 qian), Banxia Qu (Pinelliae Fermentatum, stir-fried, 3.5 qian).
Grind the above into fine powder. Administration is the same as above.
Formula 3:
Jiu Pian Qin (Scutellariae Radix processed with wine slices, 1 liang), Cangzhu, Qianghuo, Chuanxiong (each 5 qian), Cang'erzi, Xixin (each 3 qian).
Grind the above into fine powder. Administration is the same as above.
Formula 4: Treats headwind caused by damp-phlegm.
Pian Qin (Scutellariae Radix, wine-fried, 3 qian), Cangzhu (Atractylodis Rhizoma, wine-fried, 1 liang), Chuanxiong, Xixin (each 2 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian).
Grind the above into fine powder. Administration is the same as above.
Snuffing Powder for Thin Individuals:
Ruan Shigao (Gypsum Fibrosum), Puxiao (Natrii Sulfas) (each 5 qian), Naonao (Borneolum Syntheticum), Jingjie, Tanxiangpi (Santal Albi Cortex), Bohe (each 1 qian), Baizhi (Angelicae Dahuricae Radix), Xixin (each 2 qian).
Grind the above into fine powder and insufflate into the nose.
Formula for Itchy Head and Yellowish Dandruff:
Use Dahuang (Rhei Radix et Rhizoma) soaked in Huangjiu (Chinese Rice Wine) and stir-fried, ground into powder, taken with tea mixture.
Yili Jin Snuffing Formula: Treats hemicephalia.
Bibo (Long Pepper Fruit, amount unspecified, finely ground, mixed evenly with Zhudanshui (Porcine Bile), placed back into the gallbladder, and dried in the shade), Ben (Ligustici Rhizoma), Xuanshusuo (Corydalis Rhizoma), Baizhi, Chuanxiong (each 1 liang), Qingdai (Indigo Naturalis, 2 liang).
Grind the above into fine powder, add 1.5 liang of the prepared Bibo powder, and form pills using Wugen Shui (water collected from rain or dew). Use one pill at a time, dissolve it in Changliushui (flowing water), and instill into the nose. Hold two or three copper coins in the mouth to induce salivation.
Formula for Treating Headwind:
Wutou Jian (Aconiti Lateralis Radix Preparata tip, 7 pieces), Jingjie, Fangfeng, Gancao, Manjingzi (Viticis Semen), Taixiong (Chuanxiong), Jiegeng (Platycodonis Radix), Mahuang (Ephedrae Herba).
Grind the above into fine powder. Take with tea mixture.
Case: A patient with headwind causing nasal congestion.
Nanting (Arisaematis Rhizoma), Cangzhu, Jiu Qin (Scutellariae Radix processed with wine), Xinti (Magnoliae Flos), Chuanxiong.
Grind the above into fine powder. Take with tea mixture.
[Appendix] Treatments for headwind often use hot-natured medicines. Occasionally, patients have concurrent heat and cannot tolerate hot agents; in such cases, Xiaofeng San (Wind-Expelling Powder) or Chatiao San (Tea-Mixed Powder) should be taken. When headwind attacks, if the tendons behind the vertex and on both sides are tight and pulling with pain, assess whether cold or deficiency is involved; Sanwuqi San (Three-Five Seven Powder) is appropriate. For headwind, making pillows with Chujuhua (Chrysanthemi Flos) harvested in the ninth month is most beneficial. *Suwen* states that headwind originates from wind-cold invading the brain marrow. *Benshi Fang* discusses that women suffer from headwind in half of all cases, perhaps because women lack head coverings to ward off wind and cold. Men occasionally suffer from it. For chronic cases lasting years, moxibustion on Xinhui (GV22), Baihui (GV20), Qanding (GV21), and Shangxing (GV23) acupoints can lead to recovery.
Attached Formulas:
Xiaofeng San (Wind-Expelling Powder):
Jingjiesui (Schizonepetae Spica), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chuanxiong, Qianghuo, Renshen (Ginseng Radix), Fuling (Poria), Fangfeng, Baijiangcan (Bombyx Batryticatus, stir-fried), Huoxiang (Agastaches Herba), Chantui (Cicadae Periostracum, cleaned and stir-fried) (each 2 liang), Nongpo (Magnoliae Officinalis Cortex, ginger-processed, 0.5 liang), Chenpi (Citri Reticulatae Pericarpium, pith removed, 0.5 liang).
Grind the above into fine powder. Take 2 qian per dose, administered with Jingjie decoction or clear tea.
Chatiao San (Tea-Mixed Powder):
Bohe (Menthae Haplocalycis Herba, stems removed, not exposed to fire, 8 liang), Chuanxiong (4 liang), Qianghuo, Gancao, Baizhi (each 2 liang), Xixin (Asari Radix et Rhizoma, leaves removed, 1 liang), Fangfeng (2.5 liang), Jingjie (Schizonepetae Herba, stems removed, 4 liang).
Grind the above into fine powder. Take 2 qian per dose after meals, administered with clear tea. Regular use clears the head and eyes.
Sanwuqi San (Three-Five Seven Powder):
Xixin (1.5 jin), Ganjiang (Zingiberis Rhizoma, processed, 2 jin), Fangfeng (4 jin), Shanzhuyu (Corni Fructus, pits removed), Fuling (Poria) (each 3 jin), Fuzi (Aconiti Lateralis Radix Preparata, 35 pieces, processed, skin and umbilicus removed).
Grind the above into fine powder. Take 2 qian per dose, administered with warm wine before meals.