论曰头者、诸阳所聚,产后气血虚损,风邪客搏阳经,注于脑络,不得疏通,故为头痛
也。
治产后气血虚,头痛不定。茯苓汤方
白茯苓(去黑皮) 羌活(去芦头) 当归(切焙) 人参 附子(炮裂去皮脐) 芎
石膏
上八味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后风虚,头痛昏眩。羌活汤方
羌活(去芦头) 当归(切焙) 白茯苓(去黑皮) 甘菊花 石膏(火 ) 乌头(炮
裂去皮
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后伤风头痛,风眩口 耳聋。大三五七散方
天雄(炮裂去皮脐) 细辛(去苗叶各二两) 山茱萸 干姜(炮各五两) 山芋 防
风(去
上六味,捣罗为散,每服二钱匕,清酒调下,日再,未知稍加。
治产后伤风冷,头疼痛,目眩恶心。防风汤方
防风(去叉) 独活(去芦头) 黄 羚羊角(镑) 枳壳(去瓤麸炒) 乌头(炮
裂去皮脐)
上九味,锉如麻豆,每服三钱匕,水一盏,入生姜三片,薄荷三叶,同煎至七分,去
滓温服,不拘时候。
治产后风虚,头痛运旋,干呕不能饮食。人参煮散方
人参 前胡(去芦头洗切) 白术 枳壳(去瓤麸炒) 葛根(锉) 芎 石膏(火
)
上一十味,捣罗为粗散,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后伤寒,头痛目眩。麻黄汤方
麻黄(去根节汤煮掠去沫) 葛根 石膏(火 ) 桂(去粗皮) 附子(炮裂去皮脐)
芍药
上一十味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后风热,头痛目掣动。防风汤方
防风(去叉) 升麻 黄芩(去黑心) 芍药 石膏(生) 葛根(锉) 芎 羌活
(各一
上八味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓服,不拘时候。
治产后伤风头痛,眩闷倒旋。茯苓前胡汤方
白茯苓(去黑皮) 前胡(去芦头) 菊花 白术 附子(炮裂去皮脐) 细辛(去苗
叶) 芎
上八味,锉如麻豆,每服二钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后气虚,头痛不可忍。独胜汤方
附子(大者一枚炮裂去皮脐)
上一味,锉如麻豆,每服三钱匕,水一盏,入生姜三片,枣一枚擘,同煎至七分,去
滓温服,不拘时。
治产后头痛目眩呕逆。羌活汤方
羌活(去芦头) 白茯苓(去黑皮) 人参 附子(炮裂去皮脐) 当归(切焙) 石
膏(火 )
上七味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后伤风头痛,目昏眩。茯苓黄 汤方
白茯苓(去黑皮) 黄 (锉) 菊花 独活(去芦头) 枳壳(去瓤麸炒) 当归(切
焙)
上九味,锉如麻豆,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后伤风寒,头目热痛。羚羊角汤方
羚羊角(镑) 石膏(火 ) 当归(切焙) 芍药 生干地黄 白茯苓(去黑皮) 麦
门冬(
上九味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不拘时候。
治产后头痛。吹鼻方
地龙(炒一钱) 麝香(半钱)
上二味合研细,每用小豆许,吹两鼻中。
又方
苦葫芦子
上一味,捣罗为末,吹半字入鼻中,其痛立止,偏痛者,随左右用之。
论述说:头部是诸阳经汇聚之处,产后气血虚弱亏损,风邪侵袭搏结于阳经,注入脑络,导致气机不得疏通,因此发生头痛。
治疗产后气血虚弱,头痛发作无定处。茯苓汤方
白茯苓(去除黑色外皮) 羌活(去除芦头) 当归(切片焙干) 人参 附子(炮制裂开,去除皮和脐) 川芎 石膏
以上八味药,锉碎如麻豆大小,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后风虚,头痛伴有昏眩。羌活汤方
羌活(去除芦头) 当归(切片焙干) 白茯苓(去除黑色外皮) 甘菊花 石膏(火煅) 乌头(炮制裂开,去除皮)
以上八味药,粗捣后过筛,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后伤风头痛,风眩伴口噤耳聋。大三五七散方
天雄(炮制裂开,去除皮和脐) 细辛(去苗叶各二两) 山茱萸 干姜(炮制各五两) 山芋 防风(去...)
以上六味药,捣碎过罗制成散剂,每次服用二钱匕,用清酒调服,每日两次,若未见效可稍加剂量。
治疗产后伤风冷,头疼痛,目眩恶心。防风汤方
防风(去叉枝) 独活(去除芦头) 黄芪 羚羊角(镑片) 枳壳(去瓤麸炒) 乌头(炮制裂开,去除皮和脐)
以上九味药,锉碎如麻豆大小,每次服用三钱匕,用水一盏,加入生姜三片,薄荷三叶,同煎至七分满,去渣滓温服,不限具体时间。
治疗产后风虚,头痛眩晕,干呕不能饮食。人参煮散方
人参 前胡(去芦头洗净切片) 白术 枳壳(去瓤麸炒) 葛根(锉碎) 川芎 石膏(火煅)
以上十味药,捣碎过罗制成粗散,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后伤寒,头痛目眩。麻黄汤方
麻黄(去根节,汤煮掠去沫) 葛根 石膏(火煅) 桂枝(去除粗皮) 附子(炮制裂开,去除皮和脐) 芍药
以上十味药,锉碎如麻豆大小,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后风热,头痛目掣动。防风汤方
防风(去叉枝) 升麻 黄芩(去黑心) 芍药 石膏(生用) 葛根(锉碎) 川芎 羌活(各一...)
以上八味药,粗捣过筛,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后伤风头痛,眩闷倒旋。茯苓前胡汤方
白茯苓(去除黑色外皮) 前胡(去芦头) 菊花 白术 附子(炮制裂开,去除皮和脐) 细辛(去苗叶) 川芎
以上八味药,锉碎如麻豆大小,每次服用二钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后气虚,头痛剧烈不可忍受。独胜汤方
附子(大者一枚,炮制裂开,去除皮和脐)
以上一味药,锉碎如麻豆大小,每次服用三钱匕,用水一盏,加入生姜三片,枣一枚掰开,同煎至七分满,去渣滓温服,不限时间。
治疗产后头痛目眩呕逆。羌活汤方
羌活(去芦头) 白茯苓(去黑皮) 人参 附子(炮制裂开,去除皮和脐) 当归(切焙) 石膏(火煅)
以上七味药,锉碎如麻豆大小,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后伤风头痛,目昏眩。茯苓黄芪汤方
白茯苓(去黑皮) 黄芪(锉碎) 菊花 独活(去芦头) 枳壳(去瓤麸炒) 当归(切焙)
以上九味药,锉碎如麻豆大小,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
治疗产后伤风寒,头目热痛。羚羊角汤方
羚羊角(镑片) 石膏(火煅) 当归(切焙) 芍药 生干地黄 白茯苓(去黑皮) 麦门冬(...)
以上九味药,粗捣过筛,每次服用三钱匕,用水一盏,煎煮至七分满,去渣滓温服,不限具体时间。
Commentary states: The head is the gathering place of all Yang meridians. Postpartum, Qi and Blood are deficient and damaged. Wind pathogenic factors invade and contend with the Yang meridians, entering the brain collaterals, obstructing their free flow, thus causing headache.
For treating postpartum deficiency of Qi and Blood with indefinite headache. Fuling Tang (Poria Decoction)
Bai Fuling (Poria, removed black skin) Qiang Huo (Notopterygii Rhizoma et Radix, removed rhizome head) Dang Gui (Angelicae Sinensis Radix, sliced and roasted) Ren Shen (Ginseng Radix) Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) Xiong Qiong (Ligustici Chuanxiong Rhizoma) Shi Gao (Gypsum Fibrosum)
The above eight herbs are chopped like hemp seeds. Each dose is three qian bi (approx. 9-10g), decocted in one zhan (approx. 200ml) of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum wind-deficiency with headache and dizziness. Qiang Huo Tang (Notopterygium Decoction)
Qiang Huo (Notopterygii Rhizoma et Radix, removed rhizome head) Dang Gui (Angelicae Sinensis Radix, sliced and roasted) Bai Fuling (Poria, removed black skin) Gan Ju Hua (Chrysanthemi Flos) Shi Gao (Gypsum Fibrosum, calcined) Wu Tou (Aconiti Radix, processed until cracked, skin removed)
The above eight herbs are coarsely crushed and sieved. Each dose is three qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum wind-strike headache, wind-dizziness with locked jaw and deafness. Da San Wu Qi San (Great Three-Five-Seven Powder)
Tian Xiong (Aconiti Radix lateralis cum medulla, processed until cracked, skin and umbilicus removed) Xi Xin (Asari Radix et Rhizoma, removed seedlings and leaves, 2 liang each) Shan Zhu Yu (Corni Fructus) Gan Jiang (Zingiberis Rhizoma Recens, processed, 5 liang each) Shan Yu (Dioscoreae Rhizoma) Fang Feng (Saposhnikoviae Radix, removed...)
The above six herbs are pounded, sifted into powder. Each dose is two qian bi, taken with clear wine. Twice daily. If ineffective, slightly increase the dose.
For treating postpartum wind-cold strike with headache, dizziness, and nausea. Fang Feng Tang (Saposhnikovia Decoction)
Fang Feng (Saposhnikoviae Radix, removed twigs) Du Huo (Angelicae Pubescentis Radix, removed rhizome head) Huang Qi (Astragali Radix) Ling Yang Jiao (Saigae Tataricae Cornu, shaved) Zhi Ke (Aurantii Fructus, pith and bran removed, stir-fried) Wu Tou (Aconiti Radix, processed until cracked, skin and umbilicus removed)
The above nine herbs are chopped like hemp seeds. Each dose is three qian bi, decocted in one zhan of water with three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and three leaves of Bo He (Menthae Haplocalycis Herba) until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum wind-deficiency with headache, vertigo, dry retching, and inability to eat. Renshen Zhu San (Ginseng Decoction Powder)
Ren Shen (Ginseng Radix) Qian Hu (Peucedani Radix, removed rhizome head, washed, sliced) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Zhi Ke (Aurantii Fructus, pith and bran removed, stir-fried) Ge Gen (Puerariae Lobatae Radix, chopped) Xiong Qiong (Ligustici Chuanxiong Rhizoma) Shi Gao (Gypsum Fibrosum, calcined)
The above ten herbs are pounded and sifted into a coarse powder. Each dose is three qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum cold damage with headache and dizziness. Ma Huang Tang (Ephedra Decoction)
Ma Huang (Ephedrae Herba, removed roots and joints, boiled in water to remove foam) Ge Gen (Puerariae Lobatae Radix) Shi Gao (Gypsum Fibrosum, calcined) Gui Zhi (Cinnamomi Ramulus, removed rough bark) Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) Bai Shao (Paeoniae Radix Alba)
The above ten herbs are chopped like hemp seeds. Each dose is three qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum wind-heat with headache and eye twitching. Fang Feng Tang (Saposhnikovia Decoction)
Fang Feng (Saposhnikoviae Radix, removed twigs) Sheng Ma (Cimicifugae Rhizoma) Huang Qin (Scutellariae Radix, removed black heart) Bai Shao (Paeoniae Radix Alba) Shi Gao (Gypsum Fibrosum, raw) Ge Gen (Puerariae Lobatae Radix, chopped) Xiong Qiong (Ligustici Chuanxiong Rhizoma) Qiang Huo (Notopterygii Rhizoma et Radix, each...)
The above eight herbs are coarsely crushed and sieved. Each dose is three qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum wind-strike headache with dizziness, stuffiness, and spinning sensation. Fuling Qian Hu Tang (Poria and Peucedanum Decoction)
Bai Fuling (Poria, removed black skin) Qian Hu (Peucedani Radix, removed rhizome head) Ju Hua (Chrysanthemi Flos) Bai Zhu (Atractylodis Macrocephalae Rhizoma) Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) Xi Xin (Asari Radix et Rhizoma, removed seedlings and leaves) Xiong Qiong (Ligustici Chuanxiong Rhizoma)
The above eight herbs are chopped like hemp seeds. Each dose is two qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum Qi deficiency with unbearable headache. Dusheng Tang (Unique Victory Decoction)
Fu Zi (Aconiti Lateralis Radix Praeparata, one large piece, processed until cracked, skin and umbilicus removed)
The above single herb is chopped like hemp seeds. Each dose is three qian bi, decocted in one zhan of water with three slices of Sheng Jiang (Zingiberis Rhizoma Recens) and one split Zao (Jujubae Fructus) until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum headache, dizziness, and vomiting. Qiang Huo Tang (Notopterygium Decoction)
Qiang Huo (Notopterygii Rhizoma et Radix, removed rhizome head) Bai Fuling (Poria, removed black skin) Ren Shen (Ginseng Radix) Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, skin and umbilicus removed) Dang Gui (Angelicae Sinensis Radix, sliced and roasted) Shi Gao (Gypsum Fibrosum, calcined)
The above seven herbs are chopped like hemp seeds. Each dose is three qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum wind-strike headache with dim vision and dizziness. Fuling Huang Qi Tang (Poria and Astragalus Decoction)
Bai Fuling (Poria, removed black skin) Huang Qi (Astragali Radix, chopped) Ju Hua (Chrysanthemi Flos) Du Huo (Angelicae Pubescentis Radix, removed rhizome head) Zhi Ke (Aurantii Fructus, pith and bran removed, stir-fried) Dang Gui (Angelicae Sinensis Radix, sliced and roasted)
The above nine herbs are chopped like hemp seeds. Each dose is three qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum wind-cold damage with hot pain in head and eyes. Ling Yang Jiao Tang (Saiga Decoction)
Ling Yang Jiao (Saigae Tataricae Cornu, shaved) Shi Gao (Gypsum Fibrosum, calcined) Dang Gui (Angelicae Sinensis Radix, sliced and roasted) Bai Shao (Paeoniae Radix Alba) Sheng Di Huang (Rehmanniae Radix) Bai Fuling (Poria, removed black skin) Mai Men Dong (Ophiopogonis Tuber...)
The above nine herbs are coarsely crushed and sieved. Each dose is three qian bi, decocted in one zhan of water until reduced to seven-tenths. Strain and take warm, at any time.
For treating postpartum headache. Chui Bi Fang (Nasal Insufflation Formula)
Di Long (Pheretima, fried, 1 qian) She Xiang (Moschus, 0.5 qian)
The above two herbs are ground into fine powder together. Use an amount the size of a small bean for each insufflation into both nostrils.
Another prescription
Ku Hu Lu Zi (Momordicae Fructus Amarus Semen)
The above single herb is pounded and sifted into powder. Insufflate half a zi amount into the nose; pain stops immediately. For unilateral headache, use according to the affected side.