徐(三四)暑风热头痛。宜清散。
鲜荷叶边(三钱) 鲜菊叶(一钱) 木通(八分) 羚羊角(一钱) 连翘壳(一钱五分) 黑山栀(一钱五分)
蔓荆子(一钱)
杨(三三)阳浮头痛。暮热早凉。脉小音嘶。面赤肉 。此属谋虑伤肝。肝阳挟内风上冒。致有巅顶之疾。是内伤
之症。非清散所能治之。复脉去参、姜、桂。加鸡子黄。白芍。
生鸡子黄(一枚) 细生地(三钱) 炙甘草(三分) 清阿胶(三钱) 麦冬(一钱五分) 南枣(三钱) 生
白芍(一钱五分) 大麻仁(一钱五分)
戴(五九)左偏头痛。目眶浮肿。肝阳挟内风。上冒所致。
桑叶(一钱五分) 粉丹皮(一钱五分) 羚羊角(八分) 豆皮(一钱五分) 白甘菊(一钱) 连翘(一钱
五分) 大生地(三钱) 赤芍(一钱) 加九孔石决明( 研,三钱)
夏(廿八)肝厥心痛。呕吐妨食。渴饮。进河间方。
金铃子(三钱) 制香附(三钱) 橘红(炒,一钱) 炒延胡(一钱) 郁金(一钱) 炒小茴香(七分) 南
楂炭(二钱)
凌(四二)嗔怒动肝木。厥伤营络。能食心痛。得嗳稍舒。拟辛甘理阳方。
粗桂枝(八分) 制半夏(一钱五分) 炙草(五分) 归身(一钱五分) 高良姜(一钱) 茯苓(三钱) 生
白芍(一钱五分)
冯(廿二)心痛如轧。经来两至。肝阴久亏。乃肝木阳化。内风不熄。拟以咸苦。佐以微辛。使从阴和阳。
阿胶(二钱) 牡蛎(三钱) 川楝子(一钱) 当归(一钱) 川芎(三分) 小川连(四分) 生白芍(一钱
五分)
徐(三十四岁):暑热夹风引起的头痛。适宜采用清热疏散的方法治疗。
鲜荷叶边(三钱) 鲜菊叶(一钱) 木通(八分) 羚羊角(一钱) 连翘壳(一钱五分) 黑山栀(一钱五分)
蔓荆子(一钱)
杨(三十三岁):阳气浮越引起的头痛。傍晚发热,早晨凉爽。脉象细小,声音嘶哑。面色红赤,肌肉消瘦。这属于因谋虑过度损伤肝脏所致。肝阳挟带内风上冲头部,导致头顶部位的疾病。这是内伤类的病症,不是清热疏散法所能治疗的。使用复脉汤去掉人参、干姜、肉桂,加入鸡蛋黄和白芍。
生鸡蛋黄(一枚) 细生地(三钱) 炙甘草(三分) 清阿胶(三钱) 麦冬(一钱五分) 南枣(三钱) 生白芍(一钱五分) 大麻仁(一钱五分)
戴(五十九岁):左侧偏头痛。眼眶浮肿。这是肝阳挟带内风上冲头部所致。
桑叶(一钱五分) 粉丹皮(一钱五分) 羚羊角(八分) 豆皮(一钱五分) 白甘菊(一钱) 连翘(一钱五分) 大生地(三钱) 赤芍(一钱) 加九孔石决明(研碎,三钱)
夏(二十八岁):肝气厥逆引起的心痛。呕吐,妨碍进食,口渴想喝水。采用刘河间(刘完素)的方剂治疗。
金铃子(三钱) 制香附(三钱) 橘红(炒,一钱) 炒延胡索(一钱) 郁金(一钱) 炒小茴香(七分) 南楂炭(二钱)
凌(四十二岁):愤怒触动肝木之气。厥逆损伤营血脉络。能进食但心痛,打嗝后稍感舒缓。拟定辛甘理阳方治疗。
粗桂枝(八分) 制半夏(一钱五分) 炙甘草(五分) 当归身(一钱五分) 高良姜(一钱) 茯苓(三钱) 生白芍(一钱五分)
冯(二十二岁):心痛如被挤压。月经每两个月来一次。肝阴长期亏损,导致肝木阳气化火,内风不止。拟定以咸味和苦味为主,佐以微辛味的治疗方法,使阴阳调和。
阿胶(二钱) 牡蛎(三钱) 川楝子(一钱) 当归(一钱) 川芎(三分) 小川连(四分) 生白芍(一钱五分)
Xu (34 years old): Headache caused by summer-heat and wind-heat. It is appropriate to use clearing and dispersing methods.
Fresh Lotus Leaf Edge (San Qian) Fresh Chrysanthemum Leaf (Yi Qian) Tong Cao (Ba Fen) Antelope Horn (Yi Qian) Forsythia Husk (Yi Qian Wu Fen) Gardenia Fruit (Yi Qian Wu Fen)
Vitex Fruit (Yi Qian)
Yang (33 years old): Headache due to floating Yang. Fever in the evening, coolness in the morning. Pulse is small, voice is hoarse. Face is red, flesh is emaciated. This belongs to liver injury caused by excessive deliberation. Liver Yang carries internal wind upward to invade the head, resulting in pathology at the vertex. This is an internal injury syndrome, not treatable by clearing and dispersing methods. Use Fumai Decoction removing Ginseng, Dried Ginger, and Cinnamon Twig, adding Egg Yolk and White Peony Root.
Raw Egg Yolk (One Piece) Fine Rehmannia Root (San Qian) Honey-fried Licorice Root (San Fen) Clear Donkey-hide Gelatin (San Qian) Ophiopogon Tuber (Yi Qian Wu Fen) Southern Jujube (San Qian) Raw White Peony Root (Yi Qian Wu Fen) Hemp Seed (Yi Qian Wu Fen)
Dai (59 years old): Left-sided migraine. Eyebrow sockets are swollen. This is caused by Liver Yang carrying internal wind upward to invade the head.
Mulberry Leaf (Yi Qian Wu Fen) Moutan Bark (Yi Qian Wu Fen) Antelope Horn (Ba Fen) Soybean Skin (Yi Qian Wu Fen) White Chrysanthemum Flower (Yi Qian) Forsythia Fruit (Yi Qian Wu Fen) Large Rehmannia Root (San Qian) Red Peony Root (Yi Qian) Add Nine-hole Abalone Shell (Ground, San Qian)
Xia (28 years old): Heart pain caused by Liver Qi rebellion. Vomiting, obstruction of food intake, thirst with desire to drink. Adopt Liu Hejian's formula.
Golden Bell Fruit (San Qian) Processed Cyperus Rhizome (San Qian) Tangerine Peel (Stir-fried, Yi Qian) Stir-fried Corydalis Rhizome (Yi Qian) Curcuma Aromatica Rhizome (Yi Qian) Stir-fried Fennel Fruit (Qi Fen) Charred Hawthorn Fruit (Er Qian)
Ling (42 years old): Anger stirs up Liver Wood. Rebellion injures Ying collaterals. Capable of eating but suffering from heart pain, slightly relieved after belching. Prescribe Xin-Gan Liyang Formula.
Rough Cinnamon Twig (Ba Fen) Processed Pinellia Tuber (Yi Qian Wu Fen) Honey-fried Licorice Root (Wu Fen) Angelica Sinensis Root Body (Yi Qian Wu Fen) Galangal Rhizome (Yi Qian) Poria (San Qian) Raw White Peony Root (Yi Qian Wu Fen)
Feng (22 years old): Heart pain as if being crushed. Menstruation occurs twice a month. Liver Yin has been deficient for a long time, leading to transformation of Liver Wood into Yang fire, and internal wind failing to subside. Prescribe Salty-Bitter method assisted by slightly Acrid-Sweet, to harmonize Yin and Yang.
Donkey-hide Gelatin (Er Qian) Oyster Shell (San Qian) Toosendan Fruit (Yi Qian) Angelica Sinensis Root (Yi Qian) Ligusticum Rhizome (San Fen) Small Coptis Rhizome (Si Fen) Raw White Peony Root (Yi Qian Wu Fen)