【 丸】治鹤膝风及腰膝风缩。胡楚望博士病风疰。手足指节如桃李。痛不可忍。服之
悉愈。
(一条。头尾全者) 白附子 阿魏(研) 桂心
白芷(各一两) 乳香(七钱五分) 当归 北漏芦
芍药 威灵仙 地骨皮 牛膝 羌活 安息香 桃仁(各一两。生。同安息香研) 没药(七钱五分)
上十六味。 、桃仁、白附、阿魏、桂心、白芷、安息香、乳香、没药九味。同童子小便并
酒二升炒热。冷处入余药为末。蜜丸弹子大。空心温酒化下一丸。无时头痛门并治法方。
太阳头痛恶风寒。诸血虚头痛。(川芎主之)
少阳头痛。脉弦细寒热。(柴胡主之)
阳明头痛。自汗发热不恶寒。(白芷主之)
诸气虚诸气血俱虚。头痛。(黄 主之)
太阴头痛必有痰。体重或腹痛为痰癖。(半夏主之)
厥阴头痛项痛。其脉浮。微缓。知欲入太阳病矣。必有痰。(吴茱萸主之)
少阳头痛。手三部三阳经不流行。而足寒气逆。为寒厥矣。(细辛主之)
【救苦神白散】治男子妇人偏正头疼。眉骨两太阳穴痛。及热上攻头目。目赤不已。项筋
拘急。耳作蝉鸣。
川芎 甘松 白芷 赤芍药
两头尖 川乌(去皮。各六分) 甘草(炙。八钱)
上为末。每服二钱。茶清调下。服后饮热汤半盏。投之。
【川芎散】治头风偏正头疼昏眩。妙。
川芎 细辛 羌活 槐花
石膏 香附子 甘草(炙。各半两) 荆芥
薄荷 茵陈 防风(去叉) 菊花(各一两)
上十二味为末。每服二钱。食后茶清调下。日三服。忌动风物。
【石膏散】治头疼不可忍。
麻黄(去节根) 石膏(各一两) 葛根(七钱半) 何首乌(半两)
上为末。每服三钱。用水一盏。生姜三片。煎至七分。去渣温服。极者三服神效。
【川芎神功散】治风热上攻。偏正头疼。无问轻重久新。并皆治之。
川芎(一两) 甘草(二钱半) 川乌(生。去皮) 南星
麻黄(去节) 白芷(各半两)
上为末。每服三钱。水一盏。姜三片。煎七分。入清酒半盏。和渣。温服。避风如人行五七里
再服。汗出为度。其痛立愈。
【茯苓半夏汤】 治风热痰逆呕吐。或眩运头痛。
赤茯苓(去皮) 黄芩 橘皮(去白。各一分) 甘草(一钱)
半夏(三个大者。水煮三沸。各切三四片焙)
上 咀作一服。水二盏。姜三片。煎至一盏。去渣分三服一日。以效为度。
【乳香盏落散】治男子妇人偏正头疼不可忍。大有神效。
御米壳(去蒂。四两) 柴胡(去苗) 桔梗(去芦) 甘草(炒)
陈皮(各一两)
上为末。每服三钱。水一盏。灯草十茎。长四指。煎至七分。去渣食后服。
【清空膏】治偏正头痛。年深不愈。及暗风湿热头痛。上壅损目。及脑痛不止。
羌活 防风(去芦。各一两) 甘草(炙。一两半) 柴胡(七钱)
川芎(五钱) 黄芩(三两。半炒半酒浸焙) 黄连(酒洗。炒。一两)
上同为末。每服二钱匕。热盏入茶少许。调如膏。以匙抄入口内。少用白汤下。临卧。如苦头痛
。每服加细辛二分。如太阴脉缓有痰。名痰厥头疼。去羌活、防风、川芎、甘草、加半夏一两半
。如头疼服之不愈。减羌
活、防风、川芎一半。加柴胡一倍。
【白虎加白芷汤】治阳明头痛发热。恶寒而渴。止于白虎汤加吴白芷。根据本方煎。
【石膏散】治头疼。
川芎 石膏 白芷(各等分)
上末四钱。热茶清调下。
【如圣散】治眼目及头风偏头痛。
麻黄(烧灰。半两) 盆硝(二钱半) 麝香(少许) 脑子(少许)
上为末。搐鼻内神效。
【半夏茯苓天麻汤】治痰厥头痛。头旋眼黑。烦闷恶心。气短促。言语心神颠倒。目不
敢开。如在风云中。头痛如裂。身重如山。四肢厥冷。
天麻 黄 人参 苍术
橘皮 泽泻 白茯苓 炒曲(各五分)
白术(一钱) 半夏(一钱半。泡) 麦 (一钱半) 干姜(泡。二钱。一方二分) 黄柏(二分。酒洗)
上 咀。每服五钱。水二盏。煎至一盏。去渣。稍热。食后服。此头痛为足太阴痰厥头痛。非
半夏不能疗。眼
黑头旋。风虚内作。非天麻不能除。天麻苗谓之定风草。独不为风所摇。以治内风之神药。内风者
、虚风是也。黄 甘温。泻火补元气。实表虚。止自汗。人参甘温。调中补气泻火。二术甘温。除
湿补中益气。泽泻、茯苓。利小便。导湿。橘皮苦温。益气调中而升阳。炒曲消食、荡胃中滞气。
麦宽中而助胃气。干姜辛热。以涤中寒。黄柏苦寒。用酒洗。以疗冬日少火在泉而发躁也。
【川芎散】治偏头痛神效。
白僵蚕(六钱。生用) 甘菊花 石膏 川芎(各三钱)
上四味为末。每服三钱。茶清调下。食后无时服。忌猪肉荞麦面。
【丸剂】治疗鹤膝风以及腰膝部位的风邪收缩。胡楚望博士患有风疰(一种由风邪引起的慢性消耗性疾病)。手足指节肿大如同桃李果实,疼痛难以忍受。服用此药后全部痊愈。
(取一条头尾完整者)白附子、阿魏(研磨)、桂心、白芷(各一两)、乳香(七钱五分)、当归、北漏芦、芍药、威灵仙、地骨皮、牛膝、羌活、安息香、桃仁(各一两,生用,与安息香一同研磨)、没药(七钱五分)。
以上十六味药。将桃仁、白附子、阿魏、桂心、白芷、安息香、乳香、没药这九味药,同童便(童子尿)和酒二升一起炒热,冷却后加入其余药物研为细末,用蜂蜜制成如弹子大小的丸药。空腹时用温酒送服一丸,不拘时间。头痛门的治疗方法和方剂如下:
太阳头痛(足太阳膀胱经受邪所致),伴有恶风寒;各种血虚引起的头痛。(以川芎为主药)
少阳头痛(足少阳胆经受邪所致),脉象弦细,伴有寒热往来。(以柴胡为主药)
阳明头痛(足阳明胃经受邪所致),自汗出、发热但不恶寒。(以白芷为主药)
太阴头痛(足太阴脾经受邪所致)必定有痰湿,身体沉重或腹痛,属于痰癖证。(以半夏为主药)
厥阴头痛(足厥阴肝经受邪所致)伴有项部疼痛,脉象浮而微缓,知道病邪欲传入太阳经了,必定有痰湿。(以吴茱萸为主药)
少阳头痛,手三阳经气血不流通,且足部寒气上逆,属于寒厥证。(以细辛为主药)
【救苦神白散】治疗男女性偏头痛或正头痛,眉骨及两侧太阳穴疼痛,以及热气上攻头目,眼睛红肿不止,颈部筋脉拘急,耳朵发出蝉鸣声。
川芎、甘松、白芷、赤芍药、两头尖、川乌(去皮,各六分)、甘草(炙,八钱)。
以上药物研为细末。每次服用二钱,用清茶调服。服药后喝半盏热汤,以此助药力发散。
【川芎散】治疗头风引起的偏头痛或正头痛,伴有昏眩。效果奇妙。
川芎、细辛、羌活、槐花、石膏、香附子、甘草(炙,各半两)、荆芥、薄荷、茵陈、防风(去叉刺)、菊花(各一两)。
以上十二味药研为细末。每次服用二钱,饭后用清茶调服,每日三次。忌食动风之物。
麻黄(去节根)、石膏(各一两)、葛根(七钱半)、何首乌(半两)。
以上药物研为细末。每次服用三钱,用水一盏,生姜三片,煎至七分,去渣温服。病情严重者服用三次即见神效。
【川芎神功散】治疗风热上攻引起的偏头痛或正头痛,无论轻重新旧,均能治疗。
川芎(一两)、甘草(二钱半)、川乌(生,去皮)、南星、麻黄(去节)、白芷(各半两)。
以上药物研为细末。每次服用三钱,用水一盏,生姜三片,煎至七分,加入清酒半盏,连同药渣一起温服。服药后避风行走五七里路再服,以出汗为度,疼痛立即停止。
赤茯苓(去皮)、黄芩、橘皮(去白,各一分)、甘草(一钱)、半夏(三个大的,水煮三沸,切成三四片焙干)。
以上药物切碎作为一剂,用水二盏,生姜三片,煎至一盏,去渣分三次在一日内服完,以见效为标准。
【乳香盏落散】治疗男女性偏头痛或正头痛,疼痛难以忍受,大有神效。
御米壳(去蒂,四两)、柴胡(去苗)、桔梗(去芦)、甘草(炒)、陈皮(各一两)。
以上药物研为细末。每次服用三钱,用水一盏,灯草十茎,长约四指,煎至七分,去渣饭后服用。
【清空膏】治疗偏头痛或正头痛,多年不愈,以及暗风湿热引起的头痛,热气上壅损伤眼睛,以及脑痛不止。
羌活、防风(去芦,各一两)、甘草(炙,一两半)、柴胡(七钱)、川芎(五钱)、黄芩(三两,一半炒一半酒浸焙)、黄连(酒洗,炒,一两)。
以上药物共同研为细末。每次取二钱匕,放入热茶杯中加少许茶,调成膏状,用勺子舀入口内,少量用白开水送下。临睡前服用。如果是苦头痛,每服增加细辛二分。如果是太阴脉缓且有痰,名为痰厥头疼,去掉羌活、防风、川芎、甘草,加半夏一两半。如果头痛服用此方不愈,减少羌活、防风、川芎的一半,加倍柴胡用量。
【白虎加白芷汤】治疗阳明头痛伴有发热,恶寒且口渴。即在白虎汤基础上加吴白芷。按照本方煎煮。
以上药物研为细末四钱,用热茶清调服。
麻黄(烧成灰,半两)、盆硝(二钱半)、麝香(少许)、脑子(少许,即冰片)。
以上药物研为细末,搐入鼻内,神效。
【半夏茯苓天麻汤】治疗痰厥头痛,头晕眼花,烦闷恶心,气短促,言语错乱心神颠倒,眼睛不敢睁开,感觉如在风云之中,头痛如裂,身体沉重如山,四肢厥冷。
天麻、黄耆(黄芪)、人参、苍术、橘皮、泽泻、白茯苓、炒曲(各五分)、白术(一钱)、半夏(一钱半,泡制)、麦冬(一钱半)、干姜(泡,二钱,另一版本为二分)、黄柏(二分,酒洗)。
以上药物切碎。每次服用五钱,用水二盏,煎至一盏,去渣,稍热,饭后服用。这种头痛属于足太阴痰厥头痛,非半夏不能治疗。眼黑头晕,是风虚内生所致,非天麻不能消除。天麻的苗称为定风草,唯独不被风吹摇,是治疗内风的神药。内风,就是虚风。黄耆甘温,泻火补元气,固表止虚汗。人参甘温,调和脾胃补气泻火。二术(苍术、白术)甘温,除湿补中益气。泽泻、茯苓利小便,引导湿气排出。橘皮苦温,益气调中并升发阳气。炒曲消食,清除胃中滞气。麦冬宽中并助胃气。干姜辛热,以涤除中焦寒邪。黄柏苦寒,用酒洗,以治疗冬日少火在泉而引发的烦躁。
以上四味药研为细末。每次服用三钱,用清茶调服,饭后随时服用。忌食猪肉、荞麦面。
[Tablet] Treats "Crane's Knee Wind" (a condition characterized by swelling of the knee joint resembling a crane's knee) and wind contraction in the waist and knees. Dr. Hu Chuwang suffered from Fengzhu (a chronic wasting disease caused by wind pathogens). The joints of his hands and feet swelled like peaches or plums, and the pain was unbearable. After taking this medicine, he recovered completely.
(Take one whole piece with head and tail intact): Baifuzi (Aconiti Kusnezoffii Rhizoma), Awei (Ferulae Resina), Guixin (Cinnamomi Cortex), Baizhi (Angelicae Dahuricae Radix) [each 1 liang], Xuxiang (Boswelliae Resina) [7 qian 5 fen], Danggui (Angelicae Sinensis Radix), Beiloulou (Lehmannia's Root), Shaoyao (Paeoniae Radix), Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma / or sometimes Glehniae Radix depending on context, here likely Salvia or similar acrid-warm herb for wind-damp), Digupi (Lycii Cortex), Niuxi (Achyranthis Bidentatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Anshixiang (Styrax), Taoren (Persicae Semen) [each 1 liang, raw, ground together with Anshixiang], Moyao (Myrrhae Resina) [7 qian 5 fen].
The above sixteen ingredients. Take nine ingredients: Taoren, Baifuzi, Aw ei, Guixin, Baizhi, Anshixiang, Xuxiang, and Moyao. Stir-fry them until hot with Tongzi Xiaoshui (Child's Urine) and Er Sheng (2 sheng) of wine. Let cool, then add the remaining medicines, grind into fine powder, and make pills the size of bullet seeds using honey. Take one pill dissolved in warm wine on an empty stomach, at any time.
Methods and formulas for treating headache in the Taiyang chapter:
Taiyang headache (headache due to pathogen invading the Foot-Taiyang Bladder channel), accompanied by aversion to wind and cold; various headaches due to Blood deficiency. (Chuanxiong is the principal herb.)
Shaoyang headache (headache due to pathogen invading the Foot-Shaoyang Gallbladder channel), wiry and thin pulse, alternating chills and fever. (Chaihu is the principal herb.)
Yangming headache (headache due to pathogen invading the Foot-Yangming Stomach channel), spontaneous sweating, fever, no aversion to cold. (Baizhi is the principal herb.)
Various headaches due to Qi deficiency or combined Qi and Blood deficiency. (Huangqi is the principal herb.)
Taiyin headache (headache due to pathogen invading the Foot-Taiyin Spleen channel) must involve Phlegm, with heavy body or abdominal pain, classified as Tanpi (Phlegm accumulation). (Banxia is the principal herb.)
Jueyin headache (headache due to pathogen invading the Foot-Jueyin Liver channel) accompanied by neck pain, floating and slightly slow pulse, indicating the pathogen is about to enter the Taiyang stage; there must be Phlegm. (Wuzhuyu is the principal herb.)
Shaoyang headache, where the three Yang meridians of the hand do not circulate freely, and cold qi in the feet reverses upward, constituting Hanjue (Cold Jue syndrome). (Xixin is the principal herb.)
[Jiu Ku Shen Bai San] Treats men and women with lateral or central headaches, pain in the brow bones and both Taiyang acupoints, heat attacking the head and eyes causing persistent redness, stiffness of the neck tendons, and cicada-like ringing in the ears.
Chuanxiong, Gansong, Baizhi, Chishao Yao (Red Peony Root), Liangtoujian (Gastrodiae Rhizoma / or specific local herb), Chuanwu (Aconiti Radix, peeled) [each 6 fen], Gancao (Licorice Root, roasted) [8 qian].
Grind the above into powder. Take 2 qian per dose, mixed with clear tea water. After taking, drink half a cup of hot soup to assist the dispersing action.
[Chuanxiong San] Treats Toufeng (Wind-Headache) causing lateral or central headaches with dizziness. Excellent efficacy.
Chuanxiong, Xixin, Qianghuo, Huaihua (Sophorae Flos), Shigao (Gypsum Fibrosum), Xiangfuzi (Cyperi Rhizoma), Gancao (Licorice Root, roasted) [each half liang], Jingjie (Schizonepetae Herba), Bohe (Menthae Haplocalycis Herba), Yichen (Artemisiae Scopariae Herba), Fangfeng (Saposhnikoviae Radix, de-stemmed), Juhua (Chrysanthemi Flos) [each 1 liang].
Grind the above twelve ingredients into powder. Take 2 qian per dose after meals, mixed with clear tea water. Take three times daily. Avoid foods that stir up Wind.
[Shigao San] Treats unbearable headaches.
Mahuang (Ephedrae Herba, nodes and roots removed), Shigao (Gypsum Fibrosum) [each 1 liang], Gegen (Puerariae Lobatae Radix) [7 qian 5 fen], Heshouwu (Polygoni Multiflori Radix) [half liang].
Grind into powder. Take 3 qian per dose with one zhan of water and three slices of fresh ginger. Decoct to seven-tenths, strain, and take warm. For severe cases, three doses yield miraculous results.
[Chuanxiong Shengong San] Treats headaches (lateral or central) caused by Wind-Heat attacking upward, regardless of severity or duration (new or old).
Chuanxiong (1 liang), Gancao (Licorice Root) [2 qian 5 fen], Chuanwu (Aconiti Radix, raw, peeled), Nanxing (Arisaematis Rhizoma), Mahuang (Ephedrae Herba, nodes removed), Baizhi (Angelicae Dahuricae Radix) [each half liang].
Grind into powder. Take 3 qian per dose with one zhan of water and three slices of ginger. Decoct to seven-tenths, add half a zhan of clear wine, and take warm including the dregs. Avoid wind and walk for five to seven li before taking the second dose. Stop when sweating occurs; the pain will cease immediately.
[Fuling Banxia Tang] Treats vomiting due to Wind-Heat and Phlegm rebellion, or dizziness and headache.
Chi Fuling (Red Poria, peeled), Huangqin (Scutellariae Radix), Ju Pi (Citri Reticulatae Pericarpium, white pith removed) [each 1 fen], Gancao (Licorice Root) [1 qian], Banxia (Pinelliae Rhizoma, three large pieces boiled three times, sliced 3-4 times and dried).
Cut the above into small pieces for one dose. Use two zhan of water and three slices of ginger. Decoct to one zhan, strain, and divide into three doses taken within one day. Continue until effective.
[Ruxiang Zhanluo San] Treats unbearable lateral or central headaches in men and women. Highly effective.
Yumiqiao (Papaveris Pericarpium, calyx removed) [4 liang], Chaihu (Bupleuri Radix, de-seeded), Jiegeng (Platycodonis Radix, de-rhizome), Gancao (Licorice Root, roasted), Chenpi (Citri Reticulatae Pericarpium) [each 1 liang].
Grind into powder. Take 3 qian per dose with one zhan of water and ten stalks of Dengcao (Junci Medulla), four fingers long. Decoct to seven-tenths, strain, and take after meals.
[Qingkong Gao] Treats chronic lateral or central headaches, as well as headaches caused by latent Wind-Damp-Heat obstructing upwards damaging the eyes, and unceasing brain pain.
Qianghuo, Fangfeng (de-rhizome) [each 1 liang], Gancao (Licorice Root, roasted) [1 liang 5 qian], Chaihu [7 qian], Chuanxiong [5 qian], Huangqin (Scutellariae Radix) [3 liang, half roasted, half soaked in wine and dried], Huanglian (Coptidis Rhizoma, washed in wine, roasted) [1 liang].
Grind all together into powder. Take 2 qian bi (two spoonfuls) per dose. Put into a hot teacup with a little tea, mix into a paste. Scoop into the mouth with a spoon, swallow with a small amount of plain warm water. Take before bed. If suffering from bitter/severe headache, add 2 fen of Xixin per dose. If the Taiyin pulse is slow and there is Phlegm, named Tanjue Headache, remove Qianghuo, Fangfeng, Chuanxiong, and Gancao; add Banxia (Pinelliae Rhizoma) 1 liang 5 qian. If the headache does not improve after taking this formula, reduce Qianghuo, Fangfeng, and Chuanxiong by half, and double the amount of Chaihu.
[Baihu Jia Baizhi Tang] Treats Yangming headache with fever, aversion to cold, and thirst. This is based on Baihu Tang (White Tiger Decoction) with added Wu Baizhi. Decoct according to the base formula.
[Shigao San] Treats headache.
Chuanxiong, Shigao (Gypsum Fibrosum), Baizhi (Angelicae Dahuricae Radix) [equal parts].
Grind into powder. Take 4 qian, mixed with hot clear tea water.
[Rusheng San] Treats eye diseases and Toufeng (Wind-Headache) causing lateral headaches.
Mahuang (Ephedrae Herba, burnt to ash) [half liang], Penxiao (Natrii Sulfas), Shexiang (Moschus), Naoz (Borneolum Syntheticum) [small amounts].
Grind into powder. Snuff into the nose for miraculous effect.
[Banxia Fuling Tianma Tang] Treats Tanjue Headache (Phlegm-Jue Headache) with dizziness, blackening of vision, restlessness, nausea, shortness of breath, confused speech and spirit, inability to open eyes, feeling as if in wind and clouds, splitting headache, heavy body, and cold limbs.
Tianma (Gastrodiae Rhizoma), Huangqi (Astragali Radix), Renshen (Ginseng Radix), Cangzhu (Atractylodis Rhizoma), Ju Pi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma), Bai Fuling (Poria), Chao Qu (Medicated Leaven) [each 5 fen], Baizhu (Atractylodis Macrocephalae Rhizoma) [1 qian], Banxia (Pinelliae Rhizoma, soaked) [1 qian 5 fen], Maidong (Ophiopogonis Radix) [1 qian 5 fen], Ganjiang (Zingiberis Rhizoma, soaked) [2 qian, another version says 2 fen], Huangbai (Phellodendri Cortex, wine-washed) [2 fen].
Cut into small pieces. Take 5 qian per dose with two zhan of water. Decoct to one zhan, strain, keep slightly warm, and take after meals. This headache belongs to Foot-Taiyin Tanjue Headache; only Banxia can treat it. Blackening of vision and dizziness are caused by internal Wind-Deficiency; only Tianma can eliminate it. The sprout of Tianma is called Dingfeng Cao (Wind-Stabilizing Grass); it alone is not shaken by wind, making it a divine herb for treating Internal Wind. Internal Wind refers to Deficiency Wind. Huangqi is sweet and warm, clears fire, tonifies Yuan Qi, consolidates the exterior, and stops spontaneous sweating. Renshen is sweet and warm, harmonizes the middle, tonifies Qi, and clears fire. Er Zhu (Cangzhu and Baizhu) are sweet and warm, remove dampness, tonify the middle, and benefit Qi. Zexie and Fuling promote urination and guide out dampness. Ju Pi is bitter and warm, benefits Qi, harmonizes the middle, and raises Yang. Chao Qu digests food and clears stagnant Qi in the stomach. Maidong moistens the middle and assists Stomach Qi. Ganjiang is acrid and hot, clearing Cold in the Middle Jiao. Huangbai is bitter and cold; washed in wine to treat irritability caused by Minister Fire in the Winter season.
[Chuanxiong San] Treats lateral headaches with miraculous effect.
Bai Jiangcan (Bombyx Batryticatus) [6 qian, raw], Gan Juhua (Chrysanthemi Flos), Shigao (Gypsum Fibrosum), Chuanxiong [each 3 qian].
Grind the above four ingredients into powder. Take 3 qian per dose, mixed with clear tea water. Take after meals at any time. Avoid pork and buckwheat noodles.