【方歌】发际疮生发际边，形如黍豆痒疼坚，顶白肉赤初易治，
胖入肌厚最缠绵。
【注】此证生项后发际，形如黍豆，项白肉赤坚硬，痛如锥刺
，痒如火燎，破津脓水，亦有浸淫发内者，此内郁湿热
，外兼受风相搏而成也。初宜绀珠丹汗之，次用酒制防
通圣散清解之，外搽黄连膏效。惟胖人项后发际，肉厚
而多折纹，其发反刺疮内，因循日久，不瘥，又兼受风
寒凝结，形如卧瓜，破烂津水，时破时敛，俗名谓之肉
龟。经年不愈，亦无伤害，常用琥珀膏贴之，可稍轻也
。
方剂：琥珀膏
组成：定粉（一两） 血余（八钱）
轻粉（四钱） 银朱（七钱）
花椒（十四粒） 黄蜡（四两）
琥珀（末，五分） 麻油（十二两）
将血余、花椒、麻油炸焦，捞去渣，下黄蜡溶化尽
，用夏布滤净，倾入磁盆内，预将定粉、银朱、轻粉、
琥珀四味，各研极细，共合一处，徐徐下入油内，用柳
枝不时搅之，以冷为度。绵燕脂摊贴，红绵纸摊贴亦可
。
【方歌】琥珀膏能治诸疮，活瘀解毒化腐良，定血轻朱椒蜡珀，
麻油熬膏亦疗疡。
又方：绀珠丹（即万灵丹，见肿疡门）
防风通圣散（见前秃疮）
黄连膏（见鼻部鼻疮）
【方歌】头风引目眉棱痛，风火寒痰有四因，或由杨梅毒攻顶，
或因产后被风侵。
【注】此证畏寒、恶风，其痛走注不定，得暖少减者，风痛也
；寒热口苦，大渴，二便秘，不眠者，火痛也；手足厥
冷，面青唇白，气逆不渴，小水白者，寒痛也；身重肢
酸，胸烦作呕，口吐痰沫者，痰痛也。以上四证，旧有
古方羌活冲和汤倍川芎加菊花，随经形证，加引治之。
倘若因循失治，风攻眉棱酸痛，眼皮跳动，渐攻睛珠，
起蓝云遮睛，多致损目。若只眉棱酸痛，以碧云散常吸
之甚效。
方剂：羌活冲和汤
组成：防风 白芷（各一钱）
细辛 甘草（生，各五分）
生地 苍术
黄芩（各一钱） 羌活（一钱五分）
川芎（二钱）
引加葱头三根，生姜一片，红枣肉二枚，水煎食远
服。
痛由项后起，属膀胱经，倍羌活加〔高〕本。
痛由耳后起，属胆经，加柴胡。
痛由太阳牵引头额两目，属胃经，倍白芷加葛根、
〔火段〕石膏。
头痛兼有腹痛身重，属脾经，倍苍术。
头痛兼有足冷，气逆，属肾经，倍细辛；甚者加麻
黄、生附子，减黄芩。
头痛兼有呕涎沫者，手足厥冷，属肝经，加吴茱萸
。
头痛有火热渴，倍酒洗黄芩，加生石膏。便秘者加
生大黄。
头痛吐痰涎，四肢不冷者，加半夏。
【方歌】冲和头风风伤目，风火寒痰四因生，日久眉棱酸痛跳，
遮睛损目此能清。防风白芷细辛草，生地苍芩羌活芎，
详在随加引经药，葱姜红枣水煎成。
又方：碧云散
组成：川芎 鹅不食草（各一两）
细辛 辛荑（各二钱）
青黛（一钱）
共为细末，患者口噙凉水，令人以芦筒吹入左右鼻
孔内，取嚏为效。每用少许，鼻常吸之，其效缓。
【方歌】碧云散去头风证，眉棱酸痛更堪医，鹅不食草辛荑黛，
芎细同研不时吸。
又方：贴两太阳穴法
主治：治头痛如破。
组成：雀脑 川芎
白附子（各等份）
研末，葱汁调稠，纸摊贴左右太阳穴效。
产后风寒侵脑，头痛不可发汗，宜用四物汤，倍川
芎加荆芥穗服之，其效缓。
杨梅毒入脑髓，以致头痛者，治在本门。
又方：四物汤（见溃疡门）
【方歌】发际疮生在发际边缘，形状像黍米或豆子，又痒又痛且质地坚硬，疮顶白色、周围肌肉发红，初期容易治疗；若患者肥胖，项后皮肤厚腻，病情则最为缠绵难愈。
【注】此证生于项后发际处，形状如黍豆，项部皮肤白而周围肌肉赤红，质地坚硬，疼痛如锥刺，瘙痒如火燎，破溃后流出脓水，也有蔓延至头发内部的。这是体内湿热郁结，外部兼受风邪侵袭，内外相搏而成的。初期适宜用绀珠丹（即万灵丹）通过发汗法治疗，随后用酒制的防风通圣散进行清热解表治疗，外用黄连膏涂抹效果显著。只有肥胖之人项后发际处，肉质厚实且多有褶皱，头发反而刺入疮口内，因循日久不愈，又兼受风寒凝结，形状像卧着的瓜，破烂流水，时而破溃时而收敛，俗称为“肉龟”。经年不愈，也无大害，常用琥珀膏贴敷，可稍见减轻。
方剂：琥珀膏
组成：定粉（一两） 血余（八钱）
轻粉（四钱） 银朱（七钱）
花椒（十四粒） 黄蜡（四两）
琥珀（研末，五分） 麻油（十二两）
将血余、花椒、麻油炸至焦黑，捞出药渣，加入黄蜡使其完全溶化，用夏布过滤干净，倒入磁盆内。预先将定粉、银朱、轻粉、琥珀四味药材分别研磨成极细粉末，混合在一起，徐徐倒入油中，用柳枝不时搅拌，以冷却为度。可用绵燕脂摊涂贴敷，用红绵纸摊涂贴敷也可以。
【方歌】琥珀膏能治疗各种疮疡，具有活血祛瘀、解毒、化腐生肌的良好功效，配方包含定粉、血余、轻粉、银朱、花椒、黄蜡和琥珀，用麻油熬制成膏也能治疗疮疡。
又方：绀珠丹（即万灵丹，见肿疡门）
防风通圣散（见前秃疮）
黄连膏（见鼻部鼻疮）
【方歌】头风引发眼部及眉棱骨疼痛，风、火、寒、痰是四种病因，有的由杨梅毒攻冲头顶引起，有的因产后受风邪侵袭所致。
【注】此证表现为畏寒、恶风，疼痛游走不定，遇暖稍减的，属于风痛；伴有寒热、口苦、大渴、二便不通、失眠的，属于火痛；手足厥冷、面色青紫、嘴唇苍白、气逆但不口渴、小便清白的，属于寒痛；身体沉重、肢体酸痛、心胸烦闷作呕、口吐痰沫的，属于痰痛。以上四种证候，旧有古方羌活冲和汤倍加川芎并加入菊花，根据经络和具体症状，加入引经药进行治疗。倘若因循拖延失治，风邪攻冲眉棱骨导致酸痛，眼皮跳动，逐渐攻冲眼球，出现蓝云遮睛，多会导致视力受损。如果仅是眉棱骨酸痛，常用碧云散吸入鼻腔，效果甚佳。
方剂：羌活冲和汤
组成：防风 白芷（各一钱）
细辛 甘草（生，各五分）
生地 苍术
黄芩（各一钱） 羌活（一钱五分）
川芎（二钱）
引经药加葱头三根，生姜一片，红枣肉二枚，水煎，饭后服用。
疼痛从项后起，属膀胱经，倍加羌活并加入藁本。
疼痛从耳后起，属胆经，加入柴胡。
疼痛从太阳穴牵引至头额及两眼，属胃经，倍加白芷并加入葛根、煅石膏。
头痛兼有腹痛、身体沉重，属脾经，倍加苍术。
头痛兼有足冷、气逆，属肾经，倍加细辛；严重者加入麻黄、生附子，减少黄芩用量。
头痛兼有呕吐涎沫、手足厥冷，属肝经，加入吴茱萸。
头痛伴有火热、口渴，倍加酒洗黄芩，加入生石膏。便秘者加入生大黄。
头痛吐痰涎，四肢不冷的，加入半夏。
【方歌】冲和汤治疗头风伤目，风火寒痰四种病因产生，日久眉棱骨酸痛跳动，遮睛损目此方能清除。配方含防风、白芷、细辛、甘草、生地、苍术、黄芩、羌活、川芎，详细在于随症加入引经药，葱姜红枣水煎成。
又方：碧云散
组成：川芎 鹅不食草（各一两）
细辛 辛荑（各二钱）
青黛（一钱）
共同研磨成细末，患者口中含着凉水，让人用芦筒吹入左右鼻孔内，以打喷嚏为有效。每次用少许，经常吸入鼻腔，效果较缓。
【方歌】碧云散去除头风证，眉棱骨酸痛更值得医治，配方含鹅不食草、辛荑、青黛、川芎、细辛同研，不时吸入。
又方：贴两太阳穴法
主治：治疗头痛剧烈如破碎感。
组成：雀脑 川芎
白附子（各等份）
研磨成末，用葱汁调成稠状，用纸摊涂贴于左右太阳穴，效果显著。
产后风寒侵入脑部，头痛不可使用发汗法，适宜用四物汤，倍加川芎并加入荆芥穗服用，效果较缓。
杨梅毒进入脑髓导致头痛的，治疗方法在本门（指梅毒专论章节）。
[Verse] Scabies at the hairline occurs at the edge of the hairline, resembling millet grains or beans; it is itchy, painful, and firm. The top is white while the surrounding flesh is red; it is easy to treat in the early stage. However, in obese individuals with thick skin at the nape, the condition is most lingering and difficult to cure.
[Note] This condition arises at the hairline behind the neck, resembling millet grains or beans. The skin of the neck is white, while the surrounding flesh is red and hard. The pain feels like a needle prick, and the itching feels like burning fire. After rupture, pus flows out; sometimes it spreads into the hair. This is caused by internal damp-heat stagnation combined with external wind invasion, where internal and external pathogens interact. Initially, Gan Zhu Dan (Wan Ling Dan) should be used to induce sweating. Subsequently, Fangfeng Tongsheng San processed with wine should be used to clear heat and resolve the exterior. Applying Huanglian Gao externally yields good results. In obese individuals, the flesh at the hairline behind the neck is thick and wrinkled, causing hairs to pierce into the sores. If neglected for a long time without healing, and combined with cold-dampness coagulation, the shape resembles a lying melon. It breaks, weeps fluid, alternates between breaking and healing, and is commonly known as "Rou Gui" (Flesh Turtle). Although it may persist for years without serious harm, applying Hupo Gao can provide slight relief.
Formula: Hupo Gao (Amber Ointment)
Composition: Ding Fen (1 liang), Xueyu (8 qian), Qingfen (4 qian), Yinzhu (7 qian), Huajiao (14 grains), Huangla (4 liang), Hupo (powdered, 5 fen), Mayou (12 liang).
Method: Deep-fry Xueyu, Huajiao, and Mayou until charred, remove residues, add Huangla and melt completely. Filter through linen cloth, pour into a ceramic basin. Pre-grind Ding Fen, Yinzhu, Qingfen, and Hupo into fine powder, mix them together, and slowly add to the oil while stirring occasionally with a willow branch until cooled. Apply using cotton胭脂 (Yanzhi) or red cotton paper.
[Verse] Hupo Gao treats various sores, effectively activating blood, resolving stasis, detoxifying, and transforming rot. It contains Ding Fen, Xueyu, Qingfen, Yinzhu, Huajiao, Huangla, and Hupo, boiled in Mayou to make an ointment that also heals ulcers.
Alternative Formula: Gan Zhu Dan (i.e., Wan Ling Dan, see Swelling/Ulcer Section); Fangfeng Tongsheng San (see Alopecia Areata section); Huanglian Gao (see Nasal Ulcer section).
[Verse] Headwind (Tou Feng) causes pain in the eyes and brow bone. Wind, Fire, Cold, and Phlegm are the four causes. Some cases result from Yangmei Du (Syphilis toxin) attacking the crown, while others occur due to wind invasion postpartum.
[Note] This condition presents with aversion to cold and wind. Pain that wanders and decreases with warmth indicates Wind Pain. Pain accompanied by alternating chills and fever, bitter taste, extreme thirst, constipation/urinary difficulty, and insomnia indicates Fire Pain. Pain with cold extremities, blueish complexion, pale lips, rebellious Qi but no thirst, and clear urine indicates Cold Pain. Pain with heavy body, sore limbs, chest irritability, vomiting, and spitting of phlegm foam indicates Phlegm Pain. For these four conditions, the ancient formula Qianghuo Chonghe Tang, with doubled Chuanxiong and added Juhua, should be used. Based on the meridian and specific symptoms, add guiding herbs for treatment. If neglected, wind attacks the brow bone causing sour ache and eyelid twitching, gradually affecting the eyeball, leading to "blue clouds obscuring the pupil," often resulting in vision loss. If only brow bone sour ache exists, Bi Yun San inhaled nasally is very effective.
Formula: Qianghuo Chonghe Tang
Composition: Fangfeng, Baizhi (each 1 qian); Xixin, Gancao (raw, each 5 fen); Shengdi, Cangzhu, Huangqin (each 1 qian); Qianghuo (1.5 qian); Chuanxiong (2 qian).
Guiding Herbs: Add 3 scallion heads, 1 slice of fresh ginger, and 2 dates (pitted). Decoct in water and take after meals.
If pain starts from the back of the neck (Bladder Meridian), double Qianghuo and add Gaoben.
If pain starts from behind the ear (Gallbladder Meridian), add Chaihu.
If pain radiates from Taiyang to the forehead and eyes (Stomach Meridian), double Baizhi and add Gegen and Duan Shigao.
If headache is accompanied by abdominal pain and heaviness (Spleen Meridian), double Cangzhu.
If headache is accompanied by cold feet and rebellious Qi (Kidney Meridian), double Xixin; if severe, add Mahuang and Sheng Fuzi, reduce Huangqin.
If headache is accompanied by vomiting saliva and cold extremities (Liver Meridian), add Wuzhuyu.
If headache involves fire, heat, and thirst, double Jiuhuangqin and add raw Shigao. If constipated, add raw Dahuang.
If headache involves spitting phlegm but limbs are not cold, add Banxia.
[Verse] Chonghe Tang treats headwind damaging the eyes, arising from wind, fire, cold, and phlegm. Long-standing brow ache and twitching, obscuring the pupil and damaging vision, can be cleared by this formula. Ingredients include Fangfeng, Baizhi, Xixin, Gancao, Shengdi, Cangzhu, Huangqin, Qianghuo, Chuanxiong. Carefully add meridian-guiding herbs, decoct with scallion, ginger, and dates in water.
Alternative Formula: Bi Yun San
Composition: Chuanxiong, Ebusicao (each 1 liang); Xixin, Xinyi (each 2 qian); Qingdai (1 qian).
Method: Grind into fine powder. The patient holds cool water in their mouth. An assistant blows the powder into the nostrils using a reed tube until sneezing occurs. Use a small amount frequently for slower but steady effect.
[Verse] Bi Yun San eliminates headwind symptoms, especially effective for brow bone sour ache. Ingredients include Ebusicao, Xinyi, Qingdai, Chuanxiong, and Xixin ground together, inhaled periodically.
Alternative Method: Application to Both Taiyang Acupoints
Indication: Severe headache feeling like shattering.
Composition: Que Nao, Chuanxiong, Baifuzi (equal parts).
Method: Grind into powder, mix with scallion juice to form a paste, apply on paper to both Taiyang acupoints. Effective.
For postpartum wind-cold invading the brain causing headache, sweating methods are contraindicated. Siwu Tang with doubled Chuanxiong and added Jingjie Sui should be taken for a gradual effect.
Headache caused by Yangmei Du entering the brain marrow is treated in the Syphilis section.
Alternative Formula: Siwu Tang (see Ulcer Section)