〔《摘》〕头风面肿项强不得回顾∶天牖（五分，留七呼，不宜补，亦不宜灸，若灸之则面肿胀，合当取下
穴。 （六分，留三呼，泻五吸，后取天牖、风池即瘥，此古流注之法。）
〔洁〕头风∶后溪 京骨
上手足太阳。
〔《玉》〕头痛呕吐∶神庭（一分。）印堂（在两眉中，沿皮透左攒竹，补三吸，转归元穴，退针沿皮透右
攒竹，补三吸。）
〔《摘》〕风痰头痛∶丰隆（五分，灸亦得。）肾厥头痛∶涌泉（三分，弹针出血。）
尝治一老妇人头痛，久岁不已，因视其手足有血络，皆紫黑，遂用三棱针尽刺出其血，如墨汁者数盏，
后视其受病之经灸刺之，而得全愈。即经所谓大痹为恶，及头痛，久痹不去身，视其血络，尽出其血是也。
〔《甲》〕脑风头痛，恶见风寒，鼽衄鼻窒，喘息不通，承灵主之。头痛身热，引两颔急（一作痛），脑空主之。
头痛，目窗、天冲、风池主之。（以上诸穴在头部第三行也。）善嚏头痛，身热，颔厌主之。热病头痛，引目
外而急，烦满汗不出，引颔齿面赤皮疼，悬厘主之。热病，偏头痛，引目外 ，悬厘主之。醉酒风热，发两角眩（一
云两目）痛，不能饮食，烦满呕吐，率谷主之。（《千金》云∶此条在风篇。）颈额 满，引牙齿口噤不开，急痛
不能言，曲鬓主之。（以上诸穴皆在耳前也。）头痛引颈，窍阴主之。头风耳后痛，烦心及足不收，失履，口 僻，颈
顶摇 ，牙车急，完骨主之。（以上诸穴皆在耳后也。）头目瞳子痛，不可以视，侠项强急，不
可以顾，阳白主之。头痛目眩，颈项强急，胸胁相引，
不得倾侧，本神主之。（以上诸穴皆在面部也。）头痛振寒，清冷渊主之。头痛项背急，消泺主之。
头风痛，鼻鼽衄，眉头痛，善嚏，目如欲脱，汗出寒热，面赤颊中痛，项强不可左右顾，目系急，
螈，攒竹主之。头眩痛重，目如脱，项似拔，狂见鬼，目上反，项直不可顾，暴挛足不任身，痛
欲拆，天柱主之。风眩头痛，鼻不利，时嚏，清涕自出，风门主之。暴病头痛，身热痛，肌肉动，耳
聋恶风，目 烂赤，项不可以顾，髀枢痛，泄肠 ，束骨主之。风眩头痛，少海主之。厥头痛，
面浮肿，烦心，狂见鬼，喜笑不休，发于外，有所大喜，喉痹不能言，丰隆主之。阳厥凄凄而寒，
少腹坚，头痛，胫股腹痛，消中，小便不利，善呕，三里主之。厥头痛，面肿起，商丘主之。厥头
痛，孔最主之。头重顶痛目不明，风到脑中寒，重衣不热，汗出，头中，恶风，刺脑户主之。头重
目瞑，厥，寒热，项强难以顾，汗不出，陶道主之。头痛如破，身热如火，汗不出，螈 ，里急，
腰股相引痛，命门主之。
〔《素》〕寸口之脉，中手短者，曰头痛。（平人气象论）推而下之，下而不上，头项痛。
〔《脉》〕诊头痛目痛，久视无所见者死。（久视不见，见诸脉病杂法。下而不上，《甲乙经》
作卒视上而不下者是。）病若头痛目痛，脉急短涩死。（未详其义。）
【《针灸资生经》】头风、面部肿胀、项部僵硬不能回顾：取天牖穴（进针五分，留针七次呼吸的时间，不宜用补法，也不宜艾灸，如果艾灸会导致面部肿胀，应当取下穴）。取天窗穴（进针六分，留针三次呼吸的时间，泻法操作五次吸气的时间，之后再取天牖穴、风池穴，病即可痊愈，这是古代流注针法的应用）。
【李东垣】治疗头风：取后溪穴、京骨穴。这两穴分别属于手太阳小肠经和足太阳膀胱经。
【《玉龙歌》】头痛伴呕吐：取神庭穴（进针一分）。取印堂穴（位于两眉之间，沿皮向左透刺攒竹穴，补法操作三次吸气的时间，然后退针至原位，再沿皮向右透刺攒竹穴，补法操作三次吸气的时间）。
【《针灸资生经》】风痰引起的头痛：取丰隆穴（进针五分，艾灸也可以）。肾厥引起的头痛：取涌泉穴（进针三分，弹针使其出血）。
我曾经治疗一位老年妇女的头痛，多年不愈。观察她手足部位的血络，颜色都是紫黑色的，于是用三棱针全部刺破放出血液，流出的血像墨汁一样有好几盏的量。之后针对受病的经脉进行艾灸和针刺治疗，最终完全治愈。这正是《内经》所说的“大痹转为恶疾”，以及“头痛，久痹不去身，视其血络，尽出其血”的道理。
【《甲乙经》】脑风引起的头痛，怕见风寒，鼻塞流涕或鼻出血，呼吸喘息不通畅，由承灵穴主治。头痛伴有身体发热，牵引两侧下颌拘急（一说为疼痛），由脑空穴主治。头痛，由目窗穴、天冲穴、风池穴主治。（以上穴位均在头部第三行。）善于打喷嚏且头痛，身体发热，由颔厌穴主治。热病引起的头痛，牵引眼部外侧拘急，心烦胀满无汗，牵引下颌牙齿及面部皮肤疼痛发红，由悬厘穴主治。热病，偏头痛，牵引眼部外侧，由悬厘穴主治。醉酒感受风热，导致两侧角（一说为双眼）疼痛，不能进食，心烦胀满呕吐，由率谷穴主治。（《千金方》说：此条记载在风病篇中。）颈额部胀满，牵引牙齿口噤不开，剧烈疼痛不能说话，由曲鬓穴主治。（以上穴位都在耳前。）头痛牵引颈部，由窍阴穴主治。头风引起耳后疼痛，心烦以及双脚无力，穿不稳鞋，口眼歪斜，颈顶部摇动，牙关紧急，由完骨穴主治。（以上穴位都在耳后。）头目瞳孔疼痛，不能视物，颈部侧面僵硬拘急，不能回顾，由阳白穴主治。头痛目眩，颈项僵硬拘急，胸胁相互牵引，不能倾斜侧身，由本神穴主治。（以上穴位都在面部。）头痛伴有寒战，由清冷渊穴主治。头痛项背拘急，由消泺穴主治。
头风痛，鼻流清涕或鼻出血，眉棱骨痛，容易打喷嚏，眼睛感觉要脱出，出汗且忽冷忽热，面部红赤脸颊中间疼痛，颈部僵硬不能左右回顾，目系拘急，肌肉抽搐，由攒竹穴主治。头晕沉重疼痛，眼睛感觉要脱出，颈部像被拔起一样，发狂看见鬼魂，眼球上翻，颈部僵硬不能回顾，突然痉挛双脚无法支撑身体，疼痛欲裂，由天柱穴主治。风邪眩晕头痛，鼻气不利，时常打喷嚏，清涕自出，由风门穴主治。突发疾病头痛，身体发热疼痛，肌肉跳动，耳聋怕风，眼睛红肿糜烂，颈部不能回顾，大腿根部疼痛，腹泻肠鸣，由束骨穴主治。风邪眩晕头痛，由少海穴主治。厥头痛，面部浮肿，心烦，发狂看见鬼魂，喜笑不止，病因在于外部，因大喜所致，喉痹不能说话，由丰隆穴主治。阳厥症，凄凄怕冷，小腹部坚硬，头痛，小腿和大腿腹痛，消渴病，小便不利，容易呕吐，由足三里穴主治。厥头痛，面部肿胀突起，由商丘穴主治。厥头痛，由孔最穴主治。头重顶痛视力不明，寒气侵入脑中，穿厚衣服也不觉得热，出汗，头部受风邪侵袭，针刺脑户穴主治。头重眼睛昏花，厥逆，寒热交替，颈部僵硬难以回顾，不出汗，由陶道穴主治。头痛如破裂感，身体发热如火，不出汗，肌肉抽搐，里急，腰部和腿部相互牵引疼痛，由命门穴主治。
【《素问》】寸口脉象，按之感觉短促的，称为头痛。（出自《平人气象论》）脉气推向下行而不能上行，会导致头项疼痛。
【《脉经》】诊断头痛目痛，长时间注视后看不见东西的，预后不良致死。（长时间注视后看不见，见于《诸脉病杂法》。下而不上，《甲乙经》作卒视上而不下者是。）如果病症是头痛目痛，脉象急短涩的，预后不良致死。（其含义不详。）
[Excerpt from *Zhenjiu Jiayi Jing*] Headwind with facial swelling and neck stiffness preventing looking back: Treat Tiānyǒu (LI16) [acupoint] (insert 5 fen, retain for seven breaths; do not use tonification, nor moxibustion. If moxibustioned, it causes facial swelling; one should instead treat Xiàguān (ST7) [acupoint]. Insert 6 fen, retain for three breaths, apply reducing method during five inhalations, then treat Tiānyǒu (LI16) and Fēngchí (GB20) [acupoints] to recover. This is the ancient flowing acupoint method.)
[Li Dongyuan] Treating headwind: Hòuxī (SI3) [acupoint], Jīnggǔ (BL64) [acupoint].
These belong to the Hand-Taiyang Small Intestine Meridian and Foot-Taiyang Bladder Meridian respectively.
[Excerpt from *Yulong Ge*] Headache with vomiting: Shéntíng (GV24) [acupoint] (insert 1 fen). Yìntáng (EX-HN3) [acupoint] (located between the eyebrows, subcutaneously penetrate leftCuánzhú (BL2) [acupoint], apply tonification during three inhalations, withdraw needle to original position, then subcutaneously penetrate right Cuánzhú (BL2) [acupoint], apply tonification during three inhalations.)
[Excerpt from *Zhenjiu Jiayi Jing*] Headache caused by wind-phlegm: Fēnglóng (ST40) [acupoint] (insert 5 fen; moxibustion is also acceptable). Kidney-Jue headache: Yǒngquán (KI1) [acupoint] (insert 3 fen, flick needle to induce bleeding.)
I once treated an elderly woman with chronic headache lasting many years. Observing purple-black blood vessels on her hands and feet, I used a three-edged needle to pierce all these collateral vessels, draining several cups of dark, ink-like blood. Subsequently, treating the affected meridians with moxibustion and acupuncture led to complete recovery. This aligns with the *Classic of Internal Medicine*'s statement: "Great Bi transforms into malignant disease," and "Headache, long-standing Bi not leaving the body, observe the blood collaterals, exhaust the blood."
[Zhenjiu Jiayi Jing] Brainwind headache, aversion to wind and cold, rhinorrhea or epistaxis, nasal obstruction, dyspnea: Chénglíng (GV19) [acupoint] governs. Headache with fever, pulling tension in both mandibles (or pain): Nǎokōng (GB12) [acupoint] governs. Headache: Mùchuāng (GB15) [acupoint], Tiānchōng (GB15) [acupoint], Fēngchí (GB20) [acupoint] govern. (The above acupoints are in the third row of the head.) Frequent sneezing with headache, fever: Hànyàn (GB7) [acupoint] governs. Heat disease headache, pulling tension at the outer canthus, irritability, absence of sweat, pulling tension in mandible, teeth, facial redness, skin pain: Xuánlí (GB7) [acupoint] governs. Heat disease, lateral headache, pulling tension at the outer canthus: Xuánlí (GB7) [acupoint] governs. Drunkenness with wind-heat, causing pain in both temples (or eyes), inability to eat, irritability, vomiting: Lǜgǔ (GB8) [acupoint] governs. (*Qianjin Fang* states this item belongs to the Wind chapter.) Neck and forehead fullness, pulling tension in teeth, trismus, severe pain preventing speech: Qūbīn (GB9) [acupoint] governs. (The above acupoints are all anterior to the ear.) Headache pulling to the neck: Qiàoyīn (GB10) [acupoint] governs. Headwind with postauricular pain, irritability, lower limb weakness, inability to hold shoes, facial paralysis, neck nodding, tight masseter: Wángǔ (GB12) [acupoint] governs. (The above acupoints are all posterior to the ear.) Head and eye pupil pain, inability to see, stiff neck preventing turning head: Yángbái (GB14) [acupoint] governs. Headache, vertigo, stiff neck, pulling sensation in chest and hypochondrium, inability to lean sideways: Běnshén (GV13) [acupoint] governs. (The above acupoints are all on the face.) Headache with chills, Qīnglěngyuān (SI11) [acupoint] governs. Headache with stiff neck and back, Xiāoluò (SI9) [acupoint] governs.
Headwind pain, rhinorrhea or epistaxis, brow bone pain, frequent sneezing, eyes feeling like protruding, sweating with alternating chills and fever, facial redness with cheek pain, stiff neck unable to turn left or right, tense visual axis, muscle twitching: Cuánzhú (BL2) [acupoint] governs. Vertigo with heavy headache, eyes feeling like protruding, neck feeling like being pulled, mania seeing ghosts, upward deviation of eyes, stiff neck unable to look back, sudden spasm with legs unable to support body, pain as if breaking apart: Tiānzhù (BL10) [acupoint] governs. Wind-vertigo headache, nasal obstruction, frequent sneezing, spontaneous clear rhinorrhea: Fēngmén (BL12) [acupoint] governs. Sudden illness headache, fever and pain, muscle tremors, deafness, aversion to wind, red and ulcerated eyes, stiff neck unable to look back, hip joint pain, intestinal diarrhea: Shùgǔ (BL65) [acupoint] governs. Wind-vertigo headache: Shàohǎi (HT3) [acupoint] governs. Jue headache, facial swelling, irritability, mania seeing ghosts, incessant laughter, originating externally due to excessive joy, pharyngeal obstruction preventing speech: Fēnglóng (ST40) [acupoint] governs. Yang-Jue with chilling cold, hard lower abdomen, headache, calf and thigh abdominal pain, Xiao Zhong (wasting-thirst), difficult urination, frequent vomiting: Zúsānlǐ (ST36) [acupoint] governs. Jue headache, facial swelling: Shāngqiū (SP5) [acupoint] governs. Jue headache: Kǒngzuì (LU6) [acupoint] governs. Heavy head, vertex pain, blurred vision, cold invading brain, wearing thick clothes does not bring warmth, sweating, head aversion to wind: Cì Nǎohù (GV16) [acupoint] governs. Heavy head, dizziness, Jue, chills and fever, stiff neck difficult to turn, no sweat: Táo Dào (GV13) [acupoint] governs. Headache as if splitting, body heat like fire, no sweat, muscle twitching, internal urgency, pulling pain between waist and thighs: Mìngmén (GV4) [acupoint] governs.
[Huangdi Neijing Suwen] The pulse at Cun Kou, when felt as short, indicates headache. (From *Ping Ren Qi Xiang Lun*) Pushing down the pulse, if it goes down but does not come up, there is headache and neck pain.
[Mai Jing] Diagnosing headache and eye pain, where prolonged gazing results in blindness, indicates death. (Prolonged gazing without seeing is discussed in *Zhu Mai Bing Za Fa*. "Down but not up" in *Mai Jing* corresponds to "suddenly looking up but not down" in *Jiayi Jing*). If the disease presents as headache and eye pain, and the pulse is urgent, short, and choppy, it indicates death. (Meaning unclear.)