羌活 防风(各一两) 黄连(一两,酒炒) 黄芩(三两,酒制) 川芎(五钱) 柴
胡(七钱) 炙甘草(一两五钱)
上件共为末。每服二钱,茶汤调如膏,搽在口内,少用白汤送下。
风热头痛者,此方主之。
风者,天之阳气也。人身六阳之气,皆聚于头,复感于风,是重阳而实矣,故令热痛。
辛甘发散为阳,故用羌活、陈风、川芎、柴胡、甘草。乃黄芩、黄连者,苦寒之品也,以羌
活之属君之,则能去热于高巅之上矣。
人参 白术 茯苓 甘草 当归 川芎 芍药 地黄
血虚头痛、眩晕,此方主之。
气血,人身之阴阳也,两相得则治,一有失则病。故阴血虚损,则阳气独治,阳气亲上,
故令头痛、眩晕。是方也,当归、川芎、芍药、地黄,味浓养血之品也。复用人参、白术、
茯苓、甘草甘温之品以养气者,何哉?太极之妙,阴生于阳,故兼用此辈以益气耳。或问∶
头痛而用人参,阳邪不益亢乎?余曰∶虚火可补,人参、黄 之类,此之谓也。
苦瓜蒂 赤小豆(等分)
湿热淫于巅顶之上,头目偏痛者,令病患噙水一口,以此药一字,吹入痛边鼻中,泄出
黄水即减。
苦能涌泄,故用瓜蒂。燥能胜湿,故用赤豆。实者泻之,故行搐法,乃直捣巢穴之兵也。
凡
羌活、防风(各一两),黄连(一两,经酒炒制),黄芩(三两,经酒制),川芎(五钱),柴胡(七钱),炙甘草(一两五钱)。
以上药材共同研磨成粉末。每次服用二钱,用茶汤调制成膏状,涂抹在口腔内,少量用白开水送服。
对于风热引起的头痛,此方为主治方剂。
风,是天的阳气。人身的六条阳经之气,都汇聚于头部,如果再感受风邪,这就形成了重阳而实盛的状态,所以导致发热和疼痛。
辛味和甘味的药物具有发散作用,属于阳的性质,因此使用羌活、防风、川芎、柴胡、甘草。至于黄芩、黄连,则是苦寒性质的药物,以羌活等药作为君药来引导它们,就能清除高巅之上的热邪了。
气和血,是人身的阴阳,两者协调则身体安康,一旦失衡就会生病。因此,如果阴血虚损,阳气就会独自亢盛,阳气趋向于上部,从而导致头痛、眩晕。这个方子中,当归、川芎、芍药、地黄,是味道浓厚、能够养血的药物。再用人参、白术、茯苓、甘草这些甘温性质的药物来补气,为什么呢?这是出于太极的奥妙,阴生于阳,所以兼用这些药物来益气罢了。有人问:头痛却用人参,难道不会助长阳邪更加亢盛吗?我回答说:虚火可以通过补益的方法治疗,像人参、黄芪这类药物,说的就是这种情况。
湿热之邪泛滥于头顶之上,导致头目偏侧疼痛的,让病人含一口水,取药粉一字量,吹入疼痛一侧的鼻孔中,排出黄水后症状即可减轻。
苦味能涌吐泄降,所以使用瓜蒂。燥性能胜湿,所以使用赤小豆。实证应当泻除,所以采用搐鼻法,这就像是直捣敌人巢穴的军队一样。
Notopterygii Rhizoma et Radix (Qianghuo) and Saposhnikoviae Radix (Fangfeng), each one tael; Coptidis Rhizoma (Huanglian), one tael, stir-fried with wine; Scutellariae Radix (Huangqin), three taels, processed with wine; Chuanxiong Rhizoma (Chuanxiong), five qian; Bupleuri Radix (Chaihu), seven qian; Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gancao), one tael and five qian.
The above ingredients are ground together into powder. For each dose of two qian, mix with tea soup to form a paste, apply inside the mouth, and swallow with a small amount of plain boiled water.
For headache caused by Wind-Heat, this formula is indicated.
Wind is the Yang Qi of Heaven. The Qi of the six Yang meridians in the human body all converge at the head. If exposed to Wind pathogen, it results in an excess condition of double Yang, thus causing heat and pain.
Acrid and Sweet flavors disperse and belong to Yang; therefore, Notopterygii Rhizoma et Radix (Qianghuo), Saposhnikoviae Radix (Fangfeng), Chuanxiong Rhizoma (Chuanxiong), Bupleuri Radix (Chaihu), and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhi Gancao) are used. As for Scutellariae Radix (Huangqin) and Coptidis Rhizoma (Huanglian), they are Bitter-Cold substances. Guided by Notopterygii Rhizoma et Radix (Qianghuo) as the Sovereign drug, they can clear Heat from the high summit of the head.
Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Rubra (Shaoyao), and Rehmanniae Radix Preparata (Shudi).
For headache and vertigo caused by Blood Deficiency, this formula is indicated.
Qi and Blood are the Yin and Yang of the human body. When they harmonize, health is maintained; when there is imbalance, disease occurs. Therefore, if Yin Blood is deficient, Yang Qi becomes hyperactive alone. Since Yang Qi tends to rise, it causes headache and vertigo. In this formula, Angelicae Sinensis Radix (Danggui), Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix Rubra (Shaoyao), and Rehmanniae Radix Preparata (Shudi) are rich-flavored substances that nourish Blood. Why add Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Poria (Fuling), and Glycyrrhizae Radix et Rhizoma (Gancao), which are Sweet-Warm substances to nourish Qi? This is due to the subtlety of Taiji: Yin is born from Yang. Thus, these are used concurrently to benefit Qi. One might ask: "If Renshen is used for headache, will it not exacerbate the Yang Pathogen?" I reply: "Deficient Fire can be treated by tonification. Substances like Ginseng Radix (Renshen) and Astragali Radix (Huangqi) exemplify this."
Momordicae Fructus Spatulate Calyx (Kugua Di) and Vigna umbellata Seed (Chixiaodou), in equal proportions.
When Damp-Heat floods over the top of the head, causing unilateral headache and eye pain, have the patient hold a mouthful of water, take one zi amount of this medicine, and blow it into the nostril on the painful side. Symptoms will subside once yellow fluid is discharged.
Bitter flavor induces vomiting and purging, hence Cucumis Melo Fructus Spatulate Calyx (Gua Di) is used. Dryness can overcome Dampness, hence Vigna umbellata Seed (Chixiaodou) is used. Excess conditions should be purged, hence the nasal insufflation method is employed, acting like troops striking directly at the enemy's nest.