多主于痰，痛甚者火多。有可吐者，有不可吐者，有可下者。痰热当清痰降火；风寒外邪者，当解散。血虚
头痛，自鱼尾上攻头目者，必用芎归汤；气虚头痛、痰厥头痛，或眩运、脉弱、少食，挟内伤病者，半夏白术天麻汤。
头旋眼黑头疼，阴虚挟火，安神汤。头痛如破，酒炒大黄半两为末，茶调。头疼连眼，此风热上攻，须白芷开之。
一方∶用雨前茶、芎、归、防、芷、台乌、细辛。壮实人，热痛甚，大便结燥，大承气汤。葱白治头痛如破，通
上下阳气。痛引脑巅，陷至泥丸宫者，是真头痛也，无治法。清空膏治诸般头痛，惟血虚头痛不治（方见《医要》）。
小清空膏治少阳头痛，并偏头痛，或痛在太阳经者，片黄芩酒浸透，晒干为末，或酒或茶清下。一人头疼，有风痰、热
痰，酒芩、连翘、南星、川芎、荆芥、防风、甘草。夫用芎带芩者，芎一升而芩便降，头痛非芎不开，荆芥清凉之剂，
头痛用川芎，脑痛用台芎。 一人形实而瘦，有痰头疼，黄芩、黄连、山栀、贝母、栝蒌、南星、香附。一人筋稍露，
体稍长，本虚又作劳，头疼甚，脉弦而数，以人参为君，川芎、陈皮、为佐治之，六日未减，更两日当自安，忽自言病
退，脉之，似稍充，又半日膈满其腹；文已隐询之，乃弟自于前方加黄 已三帖矣，遂以二陈汤加浓朴、枳壳、黄连泻
其卫，三帖而安。
头痛多由痰邪引起，疼痛剧烈的多兼有火邪。有的患者适合用吐法治疗，有的不适合；有的适合用下法治疗。若是痰热引起的，应当清热化痰、降火；若是风寒外邪侵袭引起的，应当疏散解表。血虚导致的头痛，疼痛从眼角（鱼尾）向上攻冲头目的，必须使用芎归汤；气虚头痛、痰厥头痛，或者伴有眩晕、脉象虚弱、食欲不振，且夹杂内伤疾病的，使用半夏白术天麻汤。头晕眼花伴头痛，属于阴虚夹火证，使用安神汤。头痛剧烈如要破裂一般，可用酒炒大黄半两研成粉末，用茶汁调服。头痛牵连眼部，这是风热上攻所致，需要用白芷来疏风止痛。有一个方子：用雨前茶、川芎、当归、防风、白芷、台乌药、细辛。体质壮实的人，热痛剧烈，大便干结燥硬，使用大承气汤。葱白可以治疗头痛剧烈如破的情况，能通调上下阳气。疼痛牵引至头顶脑髓深处（泥丸宫），这是真头痛病，没有治疗方法。清空膏可以治疗各种类型的头痛，唯独对血虚头痛无效（该方见载于《医要》）。小清空膏治疗少阳经头痛及偏头痛，或者疼痛在太阳经的，用片状黄芩酒浸透，晒干后研成粉末，用酒或茶清送服。有一人头痛，兼有风痰和热痰，用药为酒制黄芩、连翘、南星、川芎、荆芥、防风、甘草。其中使用川芎配合黄芩的道理是，川芎升散上行而黄芩沉降下行，头痛非川芎不能开散，荆芥是清凉之剂。治疗头痛多用川芎，治疗脑痛则用台芎（产于浙江天台等地的川芎）。有一人体型结实但消瘦，因有痰导致头痛，用药为黄芩、黄连、山栀、贝母、瓜蒌、南星、香附。有一人筋脉显露，身体稍长，本身体质虚弱又因劳累诱发，头痛剧烈，脉象弦而数，以人参为君药，川芎、陈皮为佐药进行治疗，六天后症状未减，再过两天应当自行缓解，病人忽然自己说病情减退，诊其脉象似乎稍微充实，又过了半天感到胸膈胀满、腹部不适；后来私下询问得知，是他的弟弟擅自在前方的基础上加了黄芪三帖，于是改用二陈汤加浓朴、枳壳、黄连来泻除卫分之邪，服用三帖后痊愈。
Headache is primarily caused by phlegm, and severe pain often involves fire. Some cases are suitable for emesis therapy, while others are not; some are suitable for purgation therapy. For phlegm-heat, one should clear phlegm and descend fire; for exterior pathogens of wind-cold, one should disperse and release the exterior. For headache due to blood deficiency, where pain attacks from the outer canthus (fish tail) upwards to the head and eyes, Xiong Gui Tang (Szechuan Lovage and Angelica Decoction) must be used. For headache due to qi deficiency, phlegm-jue headache, or those accompanied by vertigo, weak pulse, and poor appetite, especially when complicated by internal injury diseases, Ban Xia Bai Zhu Tian Ma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction) is indicated. For dizziness with blacking out of vision and headache due to yin deficiency with fire, An Shen Tang (Spirit-Calming Decoction) is used. For headache feeling as if the head will burst, half liang of Rhizoma Polygoni Cuspidati (Dahuang, 大黄) fried in wine, ground into powder, and taken with tea infusion, is prescribed. For headache radiating to the eyes, caused by wind-heat attacking upwards, Radix Angelicae Dahuricae (Baizhi, 白芷) is required to open the orifices. One formula uses Pre-Qingming Tea, Rhizoma Chuanxiong (Chuanxiong, 川芎), Radix Angelicae Sinensis (Danggui, 当归), Spatholobus Suberectus (Fangfeng, 防风 - *Note: Standard term for Fangfeng is Saposhnikovia Root, but text says Fang, likely referring to Fangfeng*), Radix Angelicae Dahuricae (Baizhi, 白芷), Rhizoma Cyperi Rotundi (Taiwu, 台乌), and Radix Asari (Xixin, 细辛). For robust individuals with severe heat-pain and dry, constipated stool, Da Cheng Qi Tang (Major Order the Qi Decoction) is used. Scallion white treats severe headache as if bursting, by unblocking yang qi throughout the upper and lower body. Pain radiating to the vertex and sinking into the Niwan Palace indicates True Headache (Zhen Toutong, 真头痛), which has no treatment method. Qing Kong Gao (Clear the Empty Ointment/Powder) treats various types of headache, except for headache due to blood deficiency (formula seen in *Yi Yao*). Xiao Qing Kong Gao (Minor Clear the Empty Ointment/Powder) treats Shaoyang headache, hemianopia headache, or pain in the Taiyang meridian. It consists of sliced Huang Qin (Scutellariae Radix, 黄芩) soaked thoroughly in wine, dried and powdered, taken with wine or clear tea infusion. A case of headache with wind-phlegm and heat-phlegm was treated with wine-processed Huang Qin (Scutellariae Radix, 黄芩), Fructus Forsythiae (Lianqiao, 连翘), Rhizoma Arisaematis (Nanxing, 南星), Rhizoma Chuanxiong (Chuanxiong, 川芎), Herba Schizonepetae (Jingjie, 荆芥), Radix Saposhnikoviae (Fangfeng, 防风), and Radix Glycyrrhizae (Gancao, 甘草). The rationale for using Chuanxiong with Huang Qin is that Chuanxiong ascends while Huang Qin descends; headache cannot be opened without Chuanxiong, and Jingjie is a cooling agent. Generally, Chuanxiong is used for headache, while Tai Chuanxiong (Chuanxiong from Tiantai) is used for brain pain. A case of a person who was physically solid yet thin, with headache due to phlegm, was treated with Huang Qin (Scutellariae Radix, 黄芩), Huang Lian (Coptidis Rhizoma, 黄连), Fructus Gardeniae (Shanzhi, 山栀), Fructus Amomi Rotundus (Beimu, 贝母 - *Note: Text says Beimu, usually Fritillaria, but context might imply other phlegm-resolving herbs, keeping standard translation*), Fructus Trichosanthis (Gualou, 栝蒌), Rhizoma Arisaematis (Nanxing, 南星), and Rhizoma Cyperi Rotundi (Xiangfu, 香附). Another patient had visible tendons, a slightly elongated body, underlying deficiency exacerbated by overwork, severe headache, and a wiry and rapid pulse. Ren Shen (Ginseng Radix, 人参) was used as the sovereign herb, with Chuanxiong (Rhizoma Chuanxiong, 川芎) and Chen Pi (Citri Reticulatae Pericarpium, 陈皮) as ministers. After six days with no improvement, it was predicted that relief would come in two more days. The patient suddenly stated the disease was receding, and the pulse seemed slightly fuller. Half a day later, he experienced chest fullness and abdominal distension. Upon private inquiry, it was discovered that his brother had added Huang Qi (Astragali Radix, 黄芪) to the previous prescription for three doses. Consequently, Er Chen Tang (Two-Cured Decoction) was modified with Hou Po (Magnoliae Officinalis Cortex, 厚朴), Zhi Ke (Aurantii Fructus Immaturus, 枳壳), and Huang Lian (Coptidis Rhizoma, 黄连) to drain the defensive level, resulting in recovery after three doses.