〔丹〕一丈夫因浴冷水，发热头痛，脉紧，此有寒湿也，宜温药汗之。
苍术 麻黄 干葛（各钱半） 甘草（炙些） 陈皮 川芎（各二钱）
分二帖服，得汗后知病退，又与下补药。
芍药（半两） 陈皮 半夏（各三钱） 白术 苍术 人参 木通（各二钱） 甘草（五分）
分四帖，姜水煎服。
一妇人头痛发热而渴。
白术（半两） 陈皮 川芎（各三钱） 干葛（二钱） 木通（钱半） 甘草（炙些）
上分四帖，水煎温服。
〔《活》〕若已发汗，或未发汗，头痛如破者，用连须葱白汤。
连须葱白汤方
葱白（连须，切，半升） 生姜（二两）
上以水二升，煮取一升，分二次温服。再不止者，宜服后方。
葛根葱白汤方
葛根 芍药 知母（各半两） 葱白 川芎 生姜（各一两）
上以水三升，煎至一升，热服。
若非次头疼，胸中满，及发寒热，脉紧而不大者，即是膈上有涎，宜用瓜蒂末一钱，暖水调下，吐涎立愈。
〔云〕伤寒汗下后，头痛起目眩者，宜独活汤。
防风 独活 旋复花 当归（各七钱）
上 咀，姜水同煎服。
伤寒热病后，头痛不止者，用石膏川芎汤。
石膏 川芎（各一两）
上 咀，每服五钱，水煎服。
〔海〕太阳头痛，有汗桂枝汤，无汗麻黄汤。阳明头痛，白虎汤。少阳头痛，小柴胡汤。太阴头痛，脉浮
桂枝汤，脉沉理中汤。少阴头痛，小柴胡汤。厥阴头痛，外伤本经，桂枝麻黄各半汤。呕而微吐苦水者，吴茱
萸汤。
〔垣〕太阴头痛者，必有痰也，少阴头痛者，足寒而气逆也。盖太阴少阴二经，虽不至头，然痰与气逆壅
于膈中，则头上气不得畅降而为痛也。
〔云〕如脉浮而头痛，过在手足太阳，刺完骨、京骨。如脉浮而长，过在手足阳明，刺合谷、冲阳。如脉
浮而弦，过在手足少阳，刺阳池、丘墟、风府、风池，此刺头痛之法也。
〔《集》〕伤寒头痛，刺合谷、攒竹。
【丹溪】有一位男子因洗冷水澡，出现发热、头痛、脉象紧的症状，这是寒湿之邪所致，适宜用温性药物发汗治疗。
苍术 麻黄 干葛（各一钱半） 甘草（炙过少许） 陈皮 川芎（各二钱）
分为两帖服用，出汗后感觉病势减退，再给予下面的补益药物。
芍药（半两） 陈皮 半夏（各三钱） 白术 苍术 人参 木通（各二钱） 甘草（五分）
分为四帖，用姜水煎服。
另一位妇人头痛、发热且口渴。
白术（半两） 陈皮 川芎（各三钱） 干葛（二钱） 木通（一钱半） 甘草（炙过少许）
以上药材分为四帖，用水煎煮后温服。
【《活人书》】如果已经发过汗，或者尚未发过汗，但头痛剧烈如要破裂者，使用连须葱白汤。
连须葱白汤方
葱白（带根须，切碎，半升） 生姜（二两）
以上药材用水二升，煮取一升，分两次温服。如果疼痛仍不止，适宜服用下方的方剂。
葛根葱白汤方
葛根 芍药 知母（各半两） 葱白 川芎 生姜（各一两）
以上药材用水三升，煎煮至一升，趁热服用。
如果是非发作性的头痛，伴有胸中胀满，以及忽冷忽热，脉象紧而不大者，这就是膈上有痰涎，适宜用瓜蒂末一钱，用温水调服，吐出痰涎即可立即痊愈。
【云岐子】伤寒经过发汗或攻下治疗后，出现头痛并伴有目眩者，适宜用独活汤。
防风 独活 旋复花 当归（各七钱）
以上药材捣碎，用姜水同煎服用。
伤寒热病之后，头痛不止者，使用石膏川芎汤。
石膏 川芎（各一两）
以上药材捣碎，每次服用五钱，用水煎服。
【海藏】太阳经头痛，有汗的用桂枝汤，无汗的用麻黄汤。阳明经头痛，用白虎汤。少阳经头痛，用小柴胡汤。太阴经头痛，脉浮的用桂枝汤，脉沉的用理中汤。少阴经头痛，用小柴胡汤。厥阴经头痛，若是外伤本经，用桂枝麻黄各半汤。呕吐且微吐苦水者，用吴茱萸汤。
【李东垣】太阴经头痛的人，一定伴有痰湿；少阴经头痛的人，足部寒冷且气机上逆。因为太阴和少阴两条经脉虽然不到达头部，但如果痰湿和气机上逆壅塞于膈中，导致头部的清气不能顺畅下降，从而引发头痛。
【云岐子】如果脉象浮而头痛，病位在手足太阳经，针刺完骨穴、京骨穴。如果脉象浮而长，病位在手足阳明经，针刺合谷穴、冲阳穴。如果脉象浮而弦，病位在手足少阳经，针刺阳池穴、丘墟穴、风府穴、风池穴，这就是针刺治疗头痛的方法。
[Danxi] A male patient developed fever, headache, and a tight pulse after bathing in cold water. This indicates the presence of cold-dampness, and it is appropriate to treat with warm herbs to induce sweating.
Cangzhu (Atractylodis Rhizoma), Mahuang (Ephedrae Herba), Gange (Puerariae Radix) (each 1.5 qian); Gancao (Licorice Root, processed with honey, a little); Chenpi (Citri Reticulatae Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 2 qian).
Divide into two doses for administration. After sweating occurs and the disease recedes, administer the following tonic prescription.
Shaoyao (Paeoniae Radix Alba) (0.5 liang); Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Tuber) (each 3 qian); Baizhu (Atractylodis Macrocephalae Rhizoma), Cangzhu (Atractylodis Rhizoma), Renshen (Ginseng Radix et Rhizoma), Mutong (Akebiae Caulis) (each 2 qian); Gancao (Licorice Root) (0.5 fen).
Divide into four doses, decoct with ginger water, and take warm.
Another female patient presented with headache, fever, and thirst.
Baizhu (Atractylodis Macrocephalae Rhizoma) (0.5 liang); Chenpi (Citri Reticulatae Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 3 qian); Gange (Puerariae Radix) (2 qian); Mutong (Akebiae Caulis) (1.5 qian); Gancao (Licorice Root, processed with honey, a little).
The above ingredients are divided into four doses, decocted with water, and taken warm.
[From *Huo Ren Shu*] If sweating has already been induced, or if it has not yet been induced, but the headache is severe as if the head were breaking apart, use Lianxu Congbai Tang (Scallion White Decoction with Roots).
Formula for Lianxu Congbai Tang (Scallion White Decoction with Roots):
Congbai (Allii Fistulosi Bulbus, with roots, chopped, 0.5 sheng); Shengjiang (Zingiberis Rhizoma Recens) (2 liang).
Boil the above ingredients in two sheng of water until one sheng remains. Divide into two doses and take warm. If the pain does not cease, it is appropriate to take the following formula.
Formula for Gegen Congbai Tang (Kudzu and Scallion White Decoction):
Gegen (Puerariae Radix), Shaoyao (Paeoniae Radix Alba), Zhimu (Anemarrhenae Rhizoma) (each 0.5 liang); Congbai (Allii Fistulosi Bulbus), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shengjiang (Zingiberis Rhizoma Recens) (each 1 liang).
Boil the above ingredients in three sheng of water until one sheng remains. Take hot.
If there is non-paroxysmal headache accompanied by chest fullness, alternating chills and fever, and a tight but not large pulse, this indicates phlegm-fluid retention above the diaphragm. It is appropriate to use Guadi Mo (Cuscuta Seed Powder? Note: Guadi usually refers to Melon Seed/Trichosanthes Semen used for emesis, specifically Gua Di Zi or similar emetic agents like Chai Tou in some contexts, here translated as Guadi Powder) one qian, mixed with warm water and administered. Vomiting the phlegm-fluid will lead to immediate recovery.
[Yunqizi] After sweating or purgation in Shanghan (Cold Damage), if headache arises accompanied by vertigo/dizziness, Duhuo Tang (Angelica Pubescens Decoction) is appropriate.
Fangfeng (Saposhnikoviae Radix), Duhuo (Angelicae Pubescentis Radix), Xuanjinhua (Inulae Flos), Danggui (Angelicae Sinensis Radix) (each 7 qian).
Coarsely crush the above ingredients, decoct with ginger water, and take.
After the heat stage of Shanghan (Cold Damage) or febrile disease, if headache persists, use Shigao Chuanxiong Tang (Gypsum and Ligusticum Decoction).
Shigao (Gypsum Fibrosum), Chuanxiong (Ligustici Chuanxiong Rhizoma) (each 1 liang).
Coarsely crush the above ingredients. Each dose is five qian, decocted with water and taken.
[H aizang ] Taiyang (Greater Yang) channel headache: if there is sweating, use Guizhi Tang (Cinnamon Twig Decoction); if there is no sweating, use Mahuang Tang (Ephedra Decoction). Yangming (Yang Brightness) channel headache: use Baihu Tang (White Tiger Decoction). Shaoyang (Lesser Yang) channel headache: use Xiaochaihu Tang (Minor Bupleurum Decoction). Taiyin (Greater Yin) channel headache: if the pulse is floating, use Guizhi Tang (Cinnamon Twig Decoction); if the pulse is deep, use Lizhong Tang (Regulate the Middle Decoction). Shaoyin (Lesser Yin) channel headache: use Xiaochaihu Tang (Minor Bupleurum Decoction). Jueyin (Terminal Yin) channel headache due to external injury to the channel itself: use Guizhi Mahuang Gehan Tang (Cinnamon Twig and Ephedra Half-Size Decoction). For vomiting with slight expulsion of bitter fluid: use Wuzhuyu Tang (Evodia Decoction).
[Lidongyuan] Patients with Taiyin (Greater Yin) channel headache must have phlegm; patients with Shaoyin (Lesser Yin) channel headache have cold feet and rebellious Qi. Although the Taiyin and Shaoyin channels do not directly reach the head, if phlegm and rebellious Qi obstruct the middle jiao (diaphragm area), the clear Qi of the head cannot descend smoothly, resulting in headache.
[Yunqizi] If the pulse is floating and there is headache, the pathology lies in the Hand and Foot Taiyang channels; puncture Wanggu (GB12) and Jinggu (BL64). If the pulse is floating and long, the pathology lies in the Hand and Foot Yangming channels; puncture Hegu (LI4) and Chongyang (ST42). If the pulse is floating and wiry, the pathology lies in the Hand and Foot Shaoyang channels; puncture Yangchi (TE4), Qiuxu (GB40), Fengfu (GV16), and Fengchi (GB20). These are the methods for puncturing to treat headache.
[From *Zhengzhi Zhunsheng*] For headache caused by Shanghan (Cold Damage), puncture Hegu (LI4) and Cuanzhu (BL2).