肿成手按论纷纷（按之 而不起为气肿，即起为水肿，张景岳又反其说，）水气同源不必
分
（气滞水亦滞，气行水亦行。）六部浮沉兼表里，五皮（饮）授受语殷勤（出华元化《中藏经》。）小（青
龙（汤）真武（汤）功崇本，附子（麻黄附子甘草汤）麻甘（麻黄甘草汤）勇冠军。肤肿另从九气治，茯苓导
水（汤）得传闻（茯苓导水汤诸家极赞其妙，余熟闻而未试。
头痛详于《伤寒》。太阳痛在后，阳明痛在前，少阳痛在侧。其余头痛，逍遥散加防
风、半夏、玉竹、白芷、川芎，可以统治之。此方多用风药，以巅顶之上，惟风药可到也。若
血虚头痛，诸药不效者，宜当归补血汤，加鹿茸一两。肾虚头痛者，宜左归饮加肉苁蓉三、
四钱，川芎二钱，细辛一钱五分主之。惟真头痛，痛甚，脑尽痛，手足寒至节不治。骆龙吉
用三五七散救之，其方附子三两，山茱萸五两，干山药七两，为末，食后姜枣汤调下三钱是
也。或以吴茱萸大剂，镇厥阴之逆，以厥阴之脉会于巅故也，可救十中之？。
（经义）《平人气象论》曰∶“寸口之脉，中手短者，目头痛。”《着至教论》曰∶“三阳
独至者，是三阳并至。并至如风雨，上为巅疾，下为漏病。”《经脉篇》曰∶“膀胱，足太
阳也，是动则病冲，头痛目似脱，项如拔。”《脉要精微论》曰∶“来疾去徐，上实下虚，
为厥巅疾。”《风论》曰∶“风气循风府而上，则为脑风。”又曰∶“新沐中风，则为首风
。”又曰∶“风入系头，则为目风眼寒。”《奇病论》曰∶“人有病头痛，以数步不已，当
有所犯，内至脑髓，髓者，以脑为主，脑逆故令头痛，齿亦痛，病名曰厥逆。”《厥病论》
曰∶“真头痛，头痛甚，脑尽痛，手足寒至节，不治。”
关于水肿形成后按压反应的讨论众说纷纭（按压后凹陷不起为气肿，即起为水肿，张景岳又提出了相反的观点），其实水与气同源，不必强行区分（气滞则水亦滞，气行则水亦行）。通过六部脉象的浮沉兼察表里，五皮饮这一方剂的传授教导十分恳切（出自华元化的《中藏经》）。小青龙汤、真武汤功效崇高且根本，附子汤（此处指麻黄附子甘草汤）、麻黄甘草汤勇猛冠绝群方。皮肤肿胀另从九种气机失调来治疗，茯苓导水汤得自传闻（茯苓导水汤各家极赞其妙，我虽熟闻却未曾试用）。
头痛在《伤寒论》中有详细论述。太阳经头痛在后头，阳明经头痛在前额，少阳经头痛在侧头部。其余类型的头痛，使用逍遥散加入防风、半夏、玉竹、白芷、川芎，可以统摄治疗。此方多用风药，因为头顶之上，只有风药能够到达。如果是血虚引起的头痛，诸药无效时，适宜用当归补血汤，加入一两鹿茸。肾虚引起的头痛，适宜用左归饮加入肉苁蓉三至四钱，川芎二钱，细辛一钱五分为主治。唯有真头痛，疼痛剧烈，脑部全部疼痛，手足寒冷直至关节，属于不治之症。骆龙吉使用三五七散救治它，该方由附子三两，山茱萸五两，干山药七两，研为末，饭后用姜枣汤调服三钱即是此方。也有人用大剂量的吴茱萸，以镇压厥阴经的逆气，因为厥阴经脉会合于巅顶的缘故，这样可以挽救十分中的几分呢？
（经文义理）《素问·平人气象论》说：“寸口脉，按之短促的，是目痛。”《素问·着至教论》说：“三阳经独盛而至，是三阳经并至。并至如风雨般猛烈，上发为巅顶疾病，下发为漏病。”《灵枢·经脉篇》说：“膀胱，属足太阳经，发生变动则病冲逆，头痛眼珠似脱出，项部如被拔起。”《素问·脉要精微论》说：“脉来急去缓，上部实下部虚，为厥逆巅疾。”《素问·风论》说：“风气循风府穴而上行，则为脑风。”又说：“刚洗过头就受中风，则为首风。”又说：“风邪侵入系连头部的脉络，则为目风眼寒。”《素问·奇病论》说：“有人患头痛，走几步路也不缓解，应当有所触犯，内达脑髓，髓以脑为主，脑气逆乱故令头痛，牙齿也痛，病名叫做厥逆。”《素问·厥病论》说：“真头痛，头痛非常剧烈，脑部全部疼痛，手足寒冷直至关节，属于不治之症。”
Discussions on the formation of edema and the reaction to palpation are numerous (Depression that does not rise immediately after pressing indicates Qi edema, whereas one that rises immediately indicates Water edema; Zhang Jingyue proposed the opposite view). Since Qi and Water share the same origin, there is no need to strictly distinguish them (When Qi stagnates, Water also stagnates; when Qi moves, Water also moves). By examining the floating and sinking qualities of the six pulse positions to assess both exterior and interior conditions, the transmission of the Wupi Yin (Five-Peel Decoction) was taught with great earnestness (originating from Hua Yuanhua's *Zhongzangjing*). The Xiao Qinglong Tang (Minor Blue Dragon Decoction) and Zhenwu Tang (True Warrior Decoction) possess lofty efficacy rooted in fundamental principles, while Fuzi Tang (here referring to Mahuang Fuzi Gancao Tang, Ephedra, Aconite, and Licorice Decoction) and Magan Tang (Mahuang Gancao Tang, Ephedra and Licorice Decoction) demonstrate courageous supremacy. For skin swelling, treatment should alternatively address the nine types of Qi disorders; the Fuling Daoshui Tang (Poria Water-Draining Decoction) is known through hearsay (Various schools highly praise its subtlety, though I have heard much of it without having tested it personally).
Headache is detailed in the *Shanghan Lun* (Treatise on Cold Damage). Taiyang headache occurs at the back of the head, Yangming headache at the forehead, and Shaoyang headache at the sides. For other types of headache, Xiaoyao San (Free and Easy Wanderer Powder) added with Fangfeng (Saposhnikovia Root), Banxia (Pinellia Tuber), Yuzhu (Polygonatum Odoratum Rhizome), Baizhi (Angelica Dahurica Root), and Chuanxiong (Ligusticum Wallichii Rhizome) can be used for comprehensive treatment. This formula predominantly uses Wind-dispelling herbs because only such herbs can reach the vertex of the head. If the headache is caused by Blood deficiency and unresponsive to other medicines, Danggui Buxue Tang (Danggui Tonifies the Blood Decoction) with one liang of Lurong (Deer Antler) should be suitable. For kidney-deficiency headache, Zuogui Yin (Left Restoring Infusion) added with Roushouyu (Cistanche Stem), three to four qian, Chuanxiong (Ligusticum Wallichii Rhizome), two qian, and Xixin (Asarum Root), one qian five fen, serves as the primary treatment. Only "Zhen Toutong" (True Headache), characterized by severe pain throughout the brain and cold limbs extending to the joints, is considered incurable. Luo Longji used Sanwuqi San (Three-Five Seven Powder) to rescue patients; this formula consists of Fuzi (Aconite Lateral Root Prepared), three liang, Shanzhuyu (Cornus Fruit), five liang, and Ganshanyao (Dioscorea Opposita Rhizome Dried), seven liang, ground into powder, taken three qian after meals with ginger and jujube decoction. Alternatively, large doses of Wuzhuyu (Evodia Fruit) may be used to suppress the rebellious Qi of the Jueyin channel, since the Jueyin meridian converges at the vertex; however, how many out of ten cases can this save?
(The meaning of the classics) The *Pingren Qixiang Lun* (Treatise on the Pulse Manifestations of Healthy People) states: "If the Cun Kou pulse feels short upon palpation, it indicates eye pain." The *Zhezhi Jiao Lun* (Treatise on Profound Teachings) states: "When the Three Yang channels arrive exclusively, it means the Three Yang channels converge. Their convergence is like wind and rain; upward it manifests as diseases of the vertex, downward as leakage diseases." The *Jingmai Pian* (Chapter on Meridians) states: "The Bladder belongs to the Foot-Taiyang channel. When it undergoes pathological changes, it causes rushing sensations, headache with eyes feeling as if they are falling out, and the neck feeling as if being pulled." The *Maiyao Jingwei Lun* (Treatise on Essential Secrets of Pulse Diagnosis) states: "A pulse that comes rapidly and departs slowly, indicating excess above and deficiency below, constitutes Jue-di disease (rebellious disease of the vertex)." The *Feng Lun* (Treatise on Wind) states: "Wind Qi ascending along the Fengfu point results in Brain Wind." It further states: "Being struck by wind shortly after washing the hair results in First Wind." It also states: "Wind entering the system connected to the head results in Eye Wind and cold eyes." The *Qibing Lun* (Treatise on Rare Diseases) states: "There are people who suffer from headache that persists even after walking a few steps; this implies an internal invasion reaching the brain marrow. Since the brain is the master of the marrow, rebellious Qi in the brain causes headache, and the teeth also hurt. This disease is named Jueni (Rebellious Counterflow)." The *Juebing Lun* (Treatise on Jue Diseases) states: "In True Headache, the pain is extremely severe, affecting the entire brain, with cold limbs extending to the joints; it is incurable."