黄连 阿胶 生地黄 地榆 川芎 白术 防风 荆芥 升麻 甘草
白水煎服
当归（二钱） 五味子（一钱） 炒黄柏（二钱） 蛤粉（一钱） 滑石（一钱五分） 青
黛（五
分）
方见衄血
麦门冬（二两） 生地黄（二两酒浸） 当归（二两） 五味子（五钱）
炼蜜为丸桐子大每服六十丸滚白汤送下
又方
黄连（一钱） 当归（一钱） 地榆（一钱） 生地黄（七分） 黄芩（七分） 黄柏
（七分） 甘
草（五钱） 芍药（七分） 升麻（七分） 川芎（一钱） 陈皮（七分） 槐角子（一钱）
石榴皮
（一钱
水二钟煎八分空心服
（附眉棱痛）
风寒 痰厥 肾虚 血气虚
夫诸阳脉会于头面故风寒之邪从外而入客于经络令人振寒头痛亦有七情不顺胸膈停痰厥
而头痛厥者逆也逆壅而冲于头也肾虚头痛由体虚之人禀赋素弱相火妄动嗜欲无时以致精滑盗
汗此下虚而上实也有妇人新产之后大伤气血亦令头痛至于真头痛者甚则脑尽痛手足寒至节者
死又有头疯一症与头痛无异但新旧浅深之不同耳盖诸痛不一当究其所因而治之
仲景云头痛颈项强急恶寒身重此伤寒头痛也
内经云头痛耳鸣九窍不利肠胃之所生乃气虚头痛也
丹溪云头痛多主于痰头眩目不明身体沉重兀兀欲吐此痰厥头痛也
戴云人之头面独居于上惟风邪乘虚而入与正气相搏伏留不散发为偏正头疼
当归、升麻、槐花、青皮、熟地黄、川芎、荆芥、白术，用白水煎煮后服用。
黄连、阿胶、生地黄、地榆、川芎、白术、防风、荆芥、升麻、甘草，用白水煎煮后服用。
当归（二钱）、五味子（一钱）、炒黄柏（二钱）、蛤粉（一钱）、滑石（一钱五分）、青黛（五分）。
此方见“衄血”条下。
麦门冬（二两）、生地黄（二两，酒浸）、当归（二两）、五味子（五钱），炼蜜制成梧桐子大小的丸剂，每次服用六十丸，用滚开的白开水送服。
又一方：
黄连（一钱）、当归（一钱）、地榆（一钱）、生地黄（七分）、黄芩（七分）、黄柏（七分）、甘草（五钱）、芍药（七分）、升麻（七分）、川芎（一钱）、陈皮（七分）、槐角子（一钱）、石榴皮（一钱），用水二钟煎至八分，空腹服用。
（附眉棱骨痛）
病因包括风寒、痰厥、肾虚、气血虚。
凡是阳经脉气汇聚于头面部，因此风寒之邪从外部侵入，客居于经络，使人出现恶寒战栗、头痛等症状；也有因七情不畅，导致胸膈间停聚痰浊，引发厥逆而头痛的，这是气机逆乱壅塞冲犯头部所致。肾虚引起的头痛，是由于体质虚弱之人禀赋素来不足，相火妄动，嗜欲无度，导致精液滑泄、盗汗，这属于下虚而上实的证候。还有妇女新产之后，大伤气血，也会引起头痛。至于真头痛，严重时会头脑尽痛，手足寒冷直至关节，这种病症预后不良，多致死亡。此外还有头风这一病症，与头痛无异，只是新旧、浅深有所不同罢了。大概各种疼痛不一，应当探究其病因进行治疗。
张仲景说：头痛、颈项强急、恶寒、身体沉重，这是伤寒引起的头痛。
《内经》说：头痛、耳鸣、九窍不利，是由肠胃功能失调产生的，这是气虚引起的头痛。
朱丹溪说：头痛多由痰湿引起，伴有头晕目眩、视物不明、身体沉重、恶心欲吐，这是痰厥引起的头痛。
戴元礼说：人的头面单独居于上部，只有风邪乘虚而入，与正气相搏结，伏留体内不散，发为偏头痛或正头痛。
Angelicae Sinensis Radix (Danggui), Cimicifugae Rhizoma (Shengma), Sophorae Flavescentis Flos (Huaihua), Citri Reticulatae Pericarpium Viride (Qingpi), Rehmanniae Radix Praeparata (Shudihuang), Chuanxiong Rhizoma (Chuanxiong), Schizonepetae Herba (Jingjie), Atractodis Rhizoma (Baizhu), decocted in plain water and taken orally.
Coptidis Rhizoma (Huanglian), Ecoris Cordyceps (Ejiao), Rehmannie Radix Recens (Shengdihuang), Sanguisorbae Radix (Diyu), Chuanxiong Rhizoma (Chuanxiong), Atractodis Rhizoma (Baizhu), Saposhnikoviae Radix (Fangfeng), Schizonepetae Herba (Jingjie), Cimicifugae Rhizoma (Shengma), Glycyrrhizae Radix et Rhizoma (Gancao), decocted in plain water and taken orally.
Angelicae Sinensis Radix (Danggui, 2 qian), Schisandrae Fructus (Wuweizi, 1 qian), Phellodendri Cortex Cocta (Chao Huangbai, 2 qian), Concha Meretricis et Cyclinae (Ge Fen), Talcum (Huashi, 1.5 qian), Indigo Naturalis (Qingdai, 0.5 fen).
See the section on Epistaxis (Nuxue) for this formula.
Ophiopogonis Radix (Maidong, 2 liang), Rehmannie Radix Recens (Shengdihuang, 2 liang, soaked in wine), Angelicae Sinensis Radix (Danggui, 2 liang), Schisandrae Fructus (Wuweizi, 5 qian), processed with refined honey to make pills the size of paulownia seeds. Take 60 pills each time, washed down with boiling plain water.
Another formula:
Coptidis Rhizoma (Huanglian, 1 qian), Angelicae Sinensis Radix (Danggui, 1 qian), Sanguisorbae Radix (Diyu, 1 qian), Rehmannie Radix Recens (Shengdihuang, 7 fen), Scutellariae Radix (Huangqin, 7 fen), Phellodendri Cortex (Huangbai, 7 fen), Glycyrrhizae Radix et Rhizoma (Gancao, 5 qian), Paeoniae Radix Alba (Shaoyao, 7 fen), Cimicifugae Rhizoma (Shengma, 7 fen), Chuanxiong Rhizoma (Chuanxiong, 1 qian), Citri Reticulatae Pericarpium (Chenpi, 7 fen), Sophorae Tonkinensis Fructus (Huaijiaozhi, 1 qian), Punicae Granati Pericarpium (Shiliupi, 1 qian), decocted in two zhong of water until reduced to eight parts, taken on an empty stomach.
(Attached: Supraorbital Pain)
Etiologies include Wind-Cold, Phlegm-Jue, Kidney Deficiency, and Qi-Blood Deficiency.
Since all Yang meridians converge on the head and face, pathogenic factors of Wind-Cold enter from the exterior and lodge in the collaterals, causing chills, headache, etc. There are also cases where emotional stagnation leads to phlegm retention in the chest and diaphragm, resulting in Jue-ni (rebellious qi) and headache; this is due to rebellious and obstructive qi rushing upward to the head. Headache caused by Kidney Deficiency occurs in individuals with weak constitutions whose innate endowment is deficient, leading to hyperactivity of Ministerial Fire and unrestrained desires, resulting in seminal emission and night sweats; this is a pattern of deficiency below and excess above. Furthermore, after childbirth, women suffer severe depletion of Qi and Blood, which also causes headache. As for True Headache (Zhen Toutong), it is characterized by pain throughout the entire brain, coldness of the hands and feet extending to the joints, a condition that is fatal. Additionally, there is a condition called Head Wind (Tou Feng), which is identical to headache but differs in terms of chronicity and depth. Generally, various pains differ, and treatment should be based on investigating the underlying cause.
Zhang Zhongjing stated: "Headache, stiffness and rigidity of the neck and occiput, aversion to cold, and heaviness of the body" constitute headache due to Cold Damage (Shanghan).
The *Neijing* states: "Headache, tinnitus, and dysfunction of the nine orifices" are generated by the intestines and stomach; this constitutes headache due to Qi Deficiency.
Zhu Danxi stated: "Headache is mostly governed by Phlegm," accompanied by dizziness, blurred vision, heaviness of the body, and a sensation of nausea; this constitutes Phlegm-Jue headache.
Dai Yuanli stated: The human head and face reside exclusively at the highest point. Only when pathogenic Wind enters due to deficiency and contends with healthy Qi, lodging and failing to disperse, does it manifest as lateral or frontal headache.