论曰伤寒头痛者,邪气循阳脉上攻于头也,是以伤寒伤风温病热病风温病,皆有头痛证
者,盖头痛皆阳证也。故太阳头痛,必发热恶寒,阳明头痛,不恶寒反恶热,少阳头痛,脉
弦细而发热,至于三阴脉,从足至胸,皆不至头,惟厥阴脉挟胃属肝络胆。循喉咙上颃颡。
连目出额,故仲景止有厥阴头痛一证,治以吴茱萸汤者是也。
治伤寒太阳病,头痛发热,汗出恶风。桂枝汤方
桂枝(去粗皮) 芍药(各三两) 甘草(炙二两)
上三味, 咀如麻豆,每服五钱匕,水一盏半,入生姜一枣大拍碎,枣三枚去核,同煎
至八分,去滓温服,以热稀粥投之助药力。
治伤寒后不大便六七日,头痛有热。承气汤方
大黄(四两) 浓朴(去粗皮生姜汁炙二两) 枳实(去瓤麸炒三个)
上三味, 咀如麻豆,每服三钱匕,水一盏半,煎至八分,去滓温服。
治伤寒太阳病,头痛发热,身疼腰痛,骨节疼,恶风无汗而喘者。麻黄汤方
麻黄(去根节煮去沫三两焙) 桂(去粗皮二两) 甘草(炙一两) 杏仁(七十个去
皮尖双仁)
上四味, 咀如麻豆,每服五钱匕,水一盏半,煎至八分,去滓温服取汗。
治伤寒已发汗或未发汗,头疼如破。连须葱白汤方
连须葱白(寸切三茎) 生姜(切二两)
上二味,分作三服,每服以水二盏,煎至一盏,去滓通口服,此汤不瘥者,服葛根葱白
汤。
治伤寒头疼不止。葛根葱白汤方
葛根(锉) 芍药 知母(各半两) 芎 (三分)
上四味, 咀如麻豆大,每服五钱匕,水一盏半,入葱白三寸,生姜一枣大各拍碎,同
煎至
治伤寒脉弦细,头痛发热者,属少阳也,少阳不可发汗。宜用小柴胡汤方
柴胡(去苗二两) 黄芩(去黑心) 人参 甘草(炙各三分) 半夏(六钱洗去滑)
上五味, 咀如麻豆大,每服五钱匕,水一盏半,生姜一枣大,枣三枚去核,同煎至八
分,
治伤寒厥阴证,干呕吐涎沫头痛。吴茱萸汤方
吴茱萸(三两洗焙) 人参(一两半)
上二味, 咀如麻豆大 每服五钱匕,水一盏半,入生姜一枣大拍碎,枣三枚去核,同
煎至八分,去滓温服。
治伤寒头痛痰盛。石膏丸方
石膏(细研水飞过四两) 乌头(去皮脐生用一两) 硝石(研一两半) 太阴玄精石
(研二两)
上四味,捣研为末,和匀如粉,以生姜自然汁,煮面糊和丸,如梧桐子大,每服十丸至
十五丸,荆芥茶下,甚者不过三服。
治伤寒头疼壮热,化痰发汗,圣白散方
附子(一枚大者炮裂去皮脐) 白附子(生) 天南星(炮) 半夏(洗去滑为末生姜
汁和作饼焙干) 麻黄(去根节各半两) 石膏(碎研一两) 麝香(研半钱) 白芷(一
分)
上八味,捣罗六味为末,入石膏麝香末,同研令匀,每服半钱匕,热葱茶调下,甚者连
进三服。
治伤寒头痛。太一散方
附子(大者炮裂去皮脐一两) 甘草(生) 石苇(去毛各半两) 石膏(研) 滑石
(研各二两)
上五味,捣罗三味为细散,入石膏滑石末同研匀,每服二钱匕,葱白薄荷茶调下。
治伤寒头痛。白藓皮汤方
白藓皮 菊花 石膏(研) 荆芥穗(各一两) 桂(去粗皮一分) 甘草(炙半两) 麻
黄(去节二两)
上七味,粗捣筛,每服三钱匕,水一盏,煎七分,去滓温服。
治伤寒头痛不止。茶调散方
石膏(碎研二两) 羌活(去芦头生用) 苍术(去皮) 甘草(半生半炙) 芎 茵
陈蒿 荆芥穗(各一两) 桂(去粗皮半两)
上八味,捣罗为散,每服一钱匕,用腊茶末一钱匕,同葱白煎汤点热服。
治伤寒头痛目眩汗出。麝香丸方
麝香(研) 龙脑研(各一分) 丹砂(一两半研) 雄黄(研) 木香 赤箭(各一
两) 牛黄(研) 白花蛇肉 乌蛇肉(各酒浸炙) 干蝎(炒去土) 羚羊角(镑各半两)
天南星(炮) 麻黄(去根节各二两) 白附子(生) 天麻(酒浸焙) 防风(去叉) 零
陵香叶 藿香叶 天雄(炮裂去皮脐各三分)
上一十九味,捣罗十四味为末,入麝香等五味,研匀炼蜜。丸如小鸡头实大,每服二丸
细嚼,温酒下,不拘时候。
治伤寒头痛。天南星丸方
天南星(末二两) 石膏(末一两水飞过)
上二味,填牛胆中,用薄荷包,更用荷叶外包,于风道中挂,以清明节候,入龙脑少许,
滴雪水,丸如鸡头大,每服一丸烂嚼,薄荷汤下。
治伤寒头痛不止。黄芩汤方
黄芩(去黑心) 石膏(碎) 茵陈蒿 柴胡(去苗) 桔梗(锉炒) 牡丹皮 荆芥
穗栀子
仁(各一分) 麻黄(去根节半两)
上九味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓食后温服。
治伤寒头疼不可忍。石膏汤方
石膏(碎) 麻黄(去根节各一两) 何首乌(去黑皮半两) 葛根(锉三分)
上四味,粗捣筛,每服三钱匕,生姜三片,水一盏,同煎至八分,去滓温服。
治伤寒头痛。石膏煮散方
石膏(研水飞过一两半) 旋复花(一两) 白蒺藜(炒) 甘菊花 山栀子仁 茵陈
蒿太
阴玄精石(研) 芎 (各半两)
上八味,捣罗六味为细末,入石膏等研匀,每服三钱匕,水一盏,入荆芥少许,同煎至
七分,不去滓温服,不拘时候。
治伤寒头疼不止。芎 饮方
芎 (半两) 马牙硝(研) 石膏(研各一两)
上三味,粗捣筛,每服二钱匕,水一盏,入生姜三片,好茶一钱匕,同煎至六分,去滓
温服,不拘时候。
治伤寒头疼鼻塞。一字散方
芎 (一两) 草乌头(炮裂去皮尖一两半) 石膏(研一两) 雄黄(二钱醋浸一宿
焙研)
上四味,捣罗三味为散,入雄黄末研匀,每服一字,入腊茶半钱匕,葱白一寸,煎汤点
服。
治伤寒头疼胸中满,及发寒热,脉紧而不大者,是膈上有涎。宜用瓜蒂散方
瓜蒂(一两)
上一味,捣罗为散,每服一钱匕,温熟水调下,吐涎愈。
治伤寒头痛,自汗,壮热,身体拘急,喘粗骨节酸疼。人参汤方
人参 甘草(炙各二两) 桂(去粗皮) 陈橘皮(汤浸去白焙) 白茯苓(去黑皮) 防
风(去叉) 五味子 柴胡(去苗各一两) 附子(炮裂去皮脐) 半夏(生姜汁浸一复时
各半两)
上一十味,锉如麻豆大,每服三钱匕,水一盏,入生姜二片,枣二枚劈破,同煎至七分,
去
治风气不和,头昏目眩,鼻塞声重,语声不出,身体倦,肢节疼痛,痰壅咳嗽,寒热往
来。消风羌活汤方
羌活(去芦头) 甘菊花 麻黄(去根节) 芎 防风(去叉) 石膏(研) 前胡
(去芦头) 黄芩(去黑心各三两) 甘草(炙锉) 枳壳(麸炒去瓤四两) 白茯苓(去
黑皮) 蔓荆实(各半斤) 细辛(去苗叶半两)
上一十三味,粗捣筛,每服三钱匕,水一盏,煎至七分,去滓温服,不计时候。
治伤寒解表止头痛,兼治破伤风,及一切诸风。麻黄丸方
麻黄(去根节汤煮掠去沫焙干) 乌头(水浸三日日一易曝干炮裂去皮脐) 天南星(炮
捣末) 半夏(汤洗去滑七遍) 石膏(泥裹火 通赤研各四两) 白芷(三两) 甘草(炙
锉一两) 龙脑(研半两) 麝香(研一分)
上九味,将八味捣研为末,水煮天南星和丸,如小弹子大,每服一丸,葱茶或葱酒嚼下,
薄荷茶亦得,连二三服,此本白龙丸,后又加麻黄寒水石,用石膏末为衣,治伤寒至佳,小
伤风服之立瘥,解表药中,此尤神速。
治伤寒头痛三日以里。可服白雪丸方
乌头(去皮脐) 附子(去皮脐) 白附子 天南星 天麻 麻黄(去根节) 甘草(并
生用等分)
上七味,捣罗为末,水浸宿炊饼,和丸如樱桃大,火 寒水石粉为衣,每服一丸,热酒
或葱茶嚼下,良久以热粥投之。
治初得伤寒,头痛壮热。前胡汤方
前胡(去芦头) 半夏(汤洗七遍去滑生姜汁炙切焙) 玄参(坚者) 旋复花 甘草
(炙锉) 桂(去粗皮) 黄芩(去黑心) 桔梗(锉炒) 生干地黄(焙各一两)
上九味,粗捣筛,每服五钱匕,水一盏半,生姜五片,煎至八分,去滓热服,不拘时候。
治伤寒头痛身热,百节疼痛。四白散方
蒺藜子(炒去角) 白芷 白附子(炮) 白僵蚕(炒等分)
上四味,捣罗为散,每服二钱匕,茶清或酒调下,不拘时候。
论述说:伤寒引起的头痛,是邪气沿着阳经向上攻冲头部所致。因此,无论是伤寒、伤风、温病还是热病,都会出现头痛的症状,这是因为头痛都属于阳证。所以,太阳经头痛,必定伴有发热和恶寒;阳明经头痛,不恶寒反而怕热;少阳经头痛,脉象弦细且伴有发热。至于三阴经的经脉,从足部上行至胸部,都不到达头部,只有厥阴经夹着胃,归属于肝,联络胆,沿着喉咙上行至鼻咽部(颃颡),连接眼睛并出于前额。所以张仲景只记载了厥阴头痛这一种证型,治疗使用吴茱萸汤,就是这种情况。
治疗伤寒太阳病,出现头痛、发热、出汗、怕风的症状。桂枝汤方:
桂枝(去掉粗皮)三两,芍药三两,甘草(炙制)二两。
以上三味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,放入生姜一块(大枣大小)拍碎,红枣三枚去核,一同煎煮至八分满,滤去药渣,温服。服药后喝热稀粥以助药力发汗。
治疗伤寒后六七天不大便,头痛且有发热症状。承气汤方:
大黄四两,浓朴(去掉粗皮,用生姜汁炙制)二两,枳实(去掉瓤,麸皮炒制)三个。
以上三味药,切碎如麻豆大小,每次服用三钱匕,加水一盏半,煎煮至八分满,滤去药渣,温服。
治疗伤寒太阳病,出现头痛、发热、身体疼痛、腰痛、骨节疼痛、怕风、无汗且喘息的症状。麻黄汤方:
麻黄(去掉根和节,煮去浮沫,焙干)三两,桂枝(去掉粗皮)二两,甘草(炙制)一两,杏仁(七十枚,去皮尖及双仁者)。
以上四味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,煎煮至八分满,滤去药渣,温服以取汗。
治疗伤寒已经发汗或尚未发汗,头痛剧烈如要破裂。连须葱白汤方:
带根的葱白(切一寸长)三茎,生姜(切片)二两。
以上两味药,分为三次服用。每次用水二盏,煎煮至一盏,滤去药渣,通口服。如果此汤无效,则服用葛根葱白汤。
治疗伤寒头痛不止。葛根葱白汤方:
葛根(锉碎),芍药,知母(各半两),川芎(三分)。
以上四味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,放入葱白三寸、生姜一块(大枣大小)拍碎,一同煎煮至……(原文此处缺失“八分”等字样,依惯例补全为煎至八分满,滤去药渣温服)。
治疗伤寒脉象弦细,头痛发热的,属于少阳病,少阳病不可发汗。宜用小柴胡汤方:
柴胡(去掉苗)二两,黄芩(去掉黑心部分),人参,甘草(炙制,各三分),半夏(六钱,洗去滑腻)。
以上五味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,放入生姜一块(大枣大小)、红枣三枚去核,一同煎煮至八分满……(原文此处缺失后续步骤,依惯例补全为滤去药渣温服)。
治疗伤寒厥阴证,干呕、吐涎沫、头痛。吴茱萸汤方:
吴茱萸(三两,洗净焙干),人参(一两半)。
以上两味药,切碎如麻豆大小,每次服用五钱匕,加水一盏半,放入生姜一块(大枣大小)拍碎,红枣三枚去核,一同煎煮至八分满,滤去药渣,温服。
治疗伤寒头痛痰多。石膏丸方:
石膏(细研,水飞法处理)四两,乌头(去皮脐,生用)一两,硝石(研细)一两半,太阴玄精石(研细)二两。
以上四味药,捣碎研成粉末,混合均匀如粉状,用生姜自然汁煮面糊调和,制成梧桐子大小的丸剂。每次服用十丸至十五丸,用荆芥茶送下,严重的不过三服即可痊愈。
治疗伤寒头痛壮热,化痰发汗。圣白散方:
附子(一枚大的,炮裂去皮脐),白附子(生用),天南星(炮制),半夏(洗去滑腻,用生姜汁和成饼焙干),麻黄(去根节,各半两),石膏(碎研)一两,麝香(研细)半钱,白芷(一分)。
以上八味药,将其中六味捣罗成末,加入石膏和麝香的末,共同研磨均匀。每次服用半钱匕,用热葱茶调服,严重的连续服用三服。
治疗伤寒头痛。太一散方:
附子(大的,炮裂去皮脐)一两,甘草(生用),石苇(去毛,各半两),石膏(研细),滑石(研细,各二两)。
以上五味药,将其中三味捣罗成细散,加入石膏和滑石的末共同研磨均匀。每次服用二钱匕,用葱白薄荷茶调服。
治疗伤寒头痛。白藓皮汤方:
白藓皮,菊花,石膏(研细),荆芥穗(各一两),桂枝(去掉粗皮)一分,甘草(炙制)半两,麻黄(去节)二两。
以上七味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至七分,滤去药渣,温服。
治疗伤寒头痛不止。茶调散方:
石膏(碎研)二两,羌活(去芦头生用),苍术(去皮),甘草(一半生用一半炙制),川芎,茵陈蒿,荆芥穗(各一两),桂枝(去掉粗皮)半两。
以上八味药,捣罗成散剂。每次服用一钱匕,用腊茶末一钱匕,同葱白煎汤冲服,趁热服用。
治疗伤寒头痛、目眩、出汗。麝香丸方:
麝香(研细),龙脑(研细,各一分),丹砂(一两半,研细),雄黄(研细),木香,赤箭(天麻,各一两),牛黄(研细),白花蛇肉,乌蛇肉(各酒浸炙干),干蝎(炒去土),羚羊角(镑片,各半两),天南星(炮制),麻黄(去根节,各二两),白附子(生用),天麻(酒浸焙干),防风(去叉枝),零陵香叶,藿香叶,天雄(炮裂去皮脐,各三分)。
以上十九味药,将其中十四味捣罗成末,加入麝香等五味,研磨均匀,炼蜜为丸,如小鸡头果实大小。每次服用二丸,细细咀嚼,温酒送下,不限时候。
治疗伤寒头痛。天南星丸方:
天南星(末)二两,石膏(末一两,水飞处理)。
以上两味药,填入牛胆中,用薄荷包裹,再用荷叶外包,挂在通风处,利用清明节气的湿气,加入少许龙脑,滴入雪水,制成鸡头大小的丸剂。每次服用一丸,烂嚼后用薄荷汤送下。
治疗伤寒头痛不止。黄芩汤方:
黄芩(去掉黑心部分),石膏(碎),茵陈蒿,柴胡(去苗),桔梗(锉碎炒制),牡丹皮,荆芥穗,栀子仁(各一分),麻黄(去根节)半两。
以上九味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至七分,滤去药渣,饭后温服。
治疗伤寒头痛难以忍受。石膏汤方:
石膏(碎),麻黄(去根节,各一两),何首乌(去黑皮)半两,葛根(锉碎)三分。
以上四味药,粗捣筛过,每次服用三钱匕,放入生姜三片,加水一盏,一同煎煮至八分,滤去药渣,温服。
治疗伤寒头痛。石膏煮散方:
石膏(研细,水飞)一两半,旋复花一两,白蒺藜(炒),甘菊花,山栀子仁,茵陈蒿,太阴玄精石(研细),川芎(各半两)。
以上八味药,将其中六味捣罗成细末,加入石膏等药研磨均匀。每次服用三钱匕,加水一盏,放入少许荆芥,一同煎煮至七分,不去药渣,温服,不限时候。
治疗伤寒头痛不止。川芎饮方:
川芎(半两),马牙硝(研细),石膏(研细,各一两)。
以上三味药,粗捣筛过,每次服用二钱匕,加水一盏,放入生姜三片,好茶一钱匕,一同煎煮至六分,滤去药渣,温服,不限时候。
治疗伤寒头痛鼻塞。一字散方:
川芎(一两),草乌头(炮裂去皮尖)一两半,石膏(研细)一两,雄黄(二钱,醋浸一夜后焙干研细)。
以上四味药,将其中三味捣罗成散,加入雄黄末研磨均匀。每次服用“一字”量,加入腊茶半钱匕,葱白一寸,煎汤冲服。
治疗伤寒头痛胸中胀满,以及发冷发热,脉象紧而不大的,这是膈上有痰涎。宜用瓜蒂散方:
瓜蒂(一两)。
以上一味药,捣罗成散剂。每次服用一钱匕,用温熟水调服,吐出痰涎即愈。
治疗伤寒头痛,自汗,壮热,身体拘急,呼吸急促,骨节酸痛。人参汤方:
人参,甘草(炙制,各二两),桂枝(去粗皮),陈橘皮(汤浸去白焙干),白茯苓(去黑皮),防风(去叉枝),五味子,柴胡(去苗,各一两),附子(炮裂去皮脐),半夏(生姜汁浸泡一个时辰,各半两)。
以上十味药,锉碎如麻豆大小,每次服用三钱匕,加水一盏,放入生姜二片,红枣二枚劈破,一同煎煮至七分,滤去药渣……(原文此处缺失温服说明,依惯例补全为温服)。
治疗风气不和,头晕目眩,鼻塞声重,声音不出,身体疲倦,肢节疼痛,痰壅咳嗽,寒热往来。消风羌活汤方:
羌活(去芦头),甘菊花,麻黄(去根节),川芎,防风(去叉枝),石膏(研细),前胡(去芦头),黄芩(去黑心,各三两),甘草(炙制锉碎),枳壳(麸炒去瓤)四两,白茯苓(去黑皮),蔓荆实(各半斤),细辛(去苗叶)半两。
以上十三味药,粗捣筛过,每次服用三钱匕,加水一盏,煎煮至七分,滤去药渣,温服,不限时候。
治疗伤寒解表止头痛,兼治破伤风,及一切诸风。麻黄丸方:
麻黄(去根节,汤煮掠去浮沫焙干),乌头(水浸三日,每日一换,曝干炮裂去皮脐),天南星(炮制捣末),半夏(汤洗去滑七遍),石膏(泥裹火煅通红研细,各四两),白芷(三两),甘草(炙制锉碎)一两,龙脑(研细)半两,麝香(研细)一分。
以上九味药,将其中八味捣研成末,水煮天南星和丸,如小弹子大小。每次服用一丸,用葱茶或葱酒嚼服,薄荷茶也可以,连续服用二三服。此方本名为白龙丸,后又加入麻黄和寒水石,用石膏末为衣,治疗伤寒极佳,轻微伤风服用后立即痊愈,在解表药中,此方尤为神速。
治疗伤寒头痛三天以内。可服白雪丸方:
乌头(去皮脐),附子(去皮脐),白附子,天南星,天麻,麻黄(去根节),甘草(均生用,等分)。
以上七味药,捣罗成末,用水浸泡过的宿炊饼和丸,如樱桃大小,用火煅寒水石粉为衣。每次服用一丸,用热酒或葱茶嚼服,过一会儿喝热稀粥助药力。
治疗初得伤寒,头痛壮热。前胡汤方:
前胡(去芦头),半夏(汤洗七遍去滑,生姜汁炙切焙干),玄参(质地坚硬的),旋复花,甘草(炙制锉碎),桂枝(去粗皮),黄芩(去黑心),桔梗(锉碎炒制),生干地黄(焙干,各一两)。
以上九味药,粗捣筛过,每次服用五钱匕,加水一盏半,生姜五片,煎煮至八分,滤去药渣,热服,不限时候。
治疗伤寒头痛身热,百节疼痛。四白散方:
蒺藜子(炒去角),白芷,白附子(炮制),白僵蚕(炒制,等分)。
以上四味药,捣罗成散剂。每次服用二钱匕,用茶清或酒调服,不限时候。
Commentary states: Headache caused by cold damage (Shanghan) results from pathogenic factors ascending along the Yang meridians to attack the head. Therefore, conditions such as cold damage, wind strike, warm disease, and heat disease all present with headache symptoms, because headaches are generally Yang syndromes. Thus, Taiyang headache is invariably accompanied by fever and aversion to cold; Yangming headache presents without aversion to cold but with aversion to heat; Shaoyang headache features a wiry and fine pulse accompanied by fever. As for the three Yin meridians, they ascend from the feet to the chest and do not reach the head. Only the Jueyin meridian runs alongside the stomach, connects to the Liver, and links to the Gallbladder; it ascends along the throat to the nasopharynx (hangsang), connects to the eyes, and emerges at the forehead. Consequently, Zhang Zhongjing records only one type of Jueyin headache, which is treated with Wuzhuyu Tang (Evodia Decoction).
For treating Taiyang syndrome of cold damage, presenting with headache, fever, sweating, and aversion to wind: Guizhi Tang (Cinnamon Twig Decoction) formula.
Guizhi (Cinnamomi Ramulus, remove coarse bark) 3 liang, Shaoyao (Paeoniae Radix Alba) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 2 liang.
The above three ingredients are chopped like hemp or soybeans. Each dose consists of 5 qianbi (approx. 15-20g depending on era/measure), boiled in 1.5 zhan of water with ginger (size of a jujube, crushed) and 3 jujubes (pitted). Simmer until reduced to 0.8 zhan, strain, and take warm. Follow with hot thin porridge to assist the medicinal power in inducing sweating.
For treating constipation for six or seven days after cold damage, accompanied by headache and fever: Chengqi Tang (Major Order the Qi Decoction) formula.
Dahuang (Rhei Radix et Rhizoma) 4 liang, Houpo (Magnoliae Officinalis Cortex, remove coarse bark, fry with ginger juice) 2 liang, Zhishi (Immature Bitter Orange, remove pulp, stir-fry with bran) 3 pieces.
The above three ingredients are chopped like hemp or soybeans. Each dose consists of 3 qianbi, boiled in 1.5 zhan of water until reduced to 0.8 zhan, strained, and taken warm.
For treating Taiyang syndrome of cold damage, presenting with headache, fever, body pain, lower back pain, joint pain, aversion to wind, anhidrosis, and wheezing: Mahuang Tang (Ephedra Decoction) formula.
Mahuang (Ephedrae Herba, remove roots and joints, boil to remove foam, dry) 3 liang, Guizhi (Cinnamomi Ramulus, remove coarse bark) 2 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 1 liang, Xingren (Prunus Armeniaca Seed, 70 seeds, remove skins and tips, discard double-kernel ones).
The above four ingredients are chopped like hemp or soybeans. Each dose consists of 5 qianbi, boiled in 1.5 zhan of water until reduced to 0.8 zhan, strained, and taken warm to induce sweating.
For treating severe headache resembling bursting, whether sweating has been induced or not in cold damage: Lianxu Congbai Tang (Green Onion White with Roots Decoction) formula.
Lianxu Congbai (Allii Fistulosi Bulbus with roots, cut into 1-cun segments) 3 stems, Shengjiang (Zingiberis Rhizoma Recens, sliced) 2 liang.
The above two ingredients are divided into three doses. Each dose is boiled in 2 zhan of water until reduced to 1 zhan, strained, and taken orally. If this decoction is ineffective, use Gegen Congbai Tang (Puerariae Radix and Green Onion White Decoction).
For treating persistent headache due to cold damage: Gegen Congbai Tang (Puerariae Radix and Green Onion White Decoction) formula.
Gegen (Puerariae Radix, shaved/crushed), Shaoyao (Paeoniae Radix Alba), Zhimu (Anemarrhenae Rhizoma) each 0.5 liang, Xiong (Chuanxiong Rhizoma) 0.3 fen.
The above four ingredients are chopped like hemp or soybeans. Each dose consists of 5 qianbi, boiled in 1.5 zhan of water with 3 cun of green onion white and ginger (size of a jujube, crushed) until reduced to 0.8 zhan, strained, and taken warm.
For treating cold damage with wiry and fine pulse, headache, and fever, belonging to Shaoyang: Shaoyang syndrome should not be treated with diaphoresis. Use Xiaochaihu Tang (Minor Bupleurum Decoction) formula.
Chaihu (Bupleuri Radix, remove seedlings) 2 liang, Huangqin (Scutellariae Radix, remove black heart), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) each 0.3 fen, Banxia (Pinelliae Rhizoma, 6 qian, wash to remove slipperiness).
The above five ingredients are chopped like hemp or soybeans. Each dose consists of 5 qianbi, boiled in 1.5 zhan of water with ginger (size of a jujube) and 3 jujubes (pitted) until reduced to 0.8 zhan, strained, and taken warm.
For treating Jueyin syndrome of cold damage, presenting with dry retching, vomiting of saliva/froth, and headache: Wuzhuyu Tang (Evodia Decoction) formula.
Wuzhuyu (Evodiae Fructus, 3 liang, wash and dry), Renshen (Ginseng Radix et Rhizoma) 1.5 liang.
The above two ingredients are chopped like hemp or soybeans. Each dose consists of 5 qianbi, boiled in 1.5 zhan of water with ginger (size of a jujube, crushed) and 3 jujubes (pitted) until reduced to 0.8 zhan, strained, and taken warm.
For treating cold damage headache with abundant phlegm: Shigao Wan (Gypsum Pill) formula.
Shigao (Gypsum Fibrosum, finely ground and washed with water) 4 liang, Wutou (Aconiti Radix, remove skin and navel, raw) 1 liang, Xiaoshi (Natrii Nitras, ground) 1.5 liang, Taiyin Xuanjingshi (Calcitrum, ground) 2 liang.
The above four ingredients are pounded and ground into powder, mixed evenly. Bind with natural juice of fresh ginger and wheat paste to form pills the size of Sophora japonica seeds. Take 10-15 pills per dose, washed down with Jingjie tea. For severe cases, no more than three doses are needed.
For treating cold damage headache with high fever, resolving phlegm and inducing sweating: Shengbai San (Holy White Powder) formula.
Fuzi (Aconiti Lateralis Radix Praeparata, one large piece, roasted, cracked, skin and navel removed), Baifuzi (Hemerocallis Radix, raw), Tiannanxing (Arisaematis Rhizoma, roasted), Banxia (Pinelliae Rhizoma, washed to remove slipperiness, made into cakes with ginger juice and dried), Mahuang (Ephedrae Herba, remove roots and joints) each 0.5 liang, Shigao (Gypsum Fibrosum, crushed and ground) 1 liang, Shexiang (Moschus, ground) 0.5 qian, Baizhi (Angelicae Dahuricae Radix) 1 fen.
The above eight ingredients: Pound six into powder, add Shigao and Shexiang powders, grind uniformly. Take 0.5 qianbi per dose, mixed with hot scallion tea. For severe cases, administer three consecutive doses.
For treating cold damage headache: Taiyi San (Supreme One Powder) formula.
Fuzi (Aconiti Lateralis Radix Praeparata, large piece, roasted, cracked, skin and navel removed) 1 liang, Gancao (Glycyrrhizae Radix et Rhizoma, raw), Shiwei (Pyri Folium, remove hairs) each 0.5 liang, Shigao (Gypsum Fibrosum, ground), Huashi (Talcum, ground) each 2 liang.
The above five ingredients: Pound three into fine powder, mix with Shigao and Huashi powders uniformly. Take 2 qianbi per dose, mixed with green onion and mint tea.
For treating cold damage headache: Baixianpi Tang (Dictamni Cortex Decoction) formula.
Baixianpi (Dictamni Cortex), Juhua (Chrysanthemi Flos), Shigao (Gypsum Fibrosum, ground), Jingjie Sui (Schizonepetae Spica) each 1 liang, Gui (Cinnamomi Ramulus, remove coarse bark) 1 fen, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 0.5 liang, Mahuang (Ephedrae Heraba, remove joints) 2 liang.
The above seven ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, boiled in 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm.
For treating persistent headache due to cold damage: Chatiao San (Tea-Mixed Powder) formula.
Shigao (Gypsum Fibrosum, crushed and ground) 2 liang, Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head, raw), Cangzhu (Atractylodis Rhizoma, remove skin), Gancao (Glycyrrhizae Radix et Rhizoma, half raw half fried), Xiong (Chuanxiong Rhizoma), Yichen Hao (Artemisiae Scopariae Herba), Jingjie Sui (Schizonepetae Spica) each 1 liang, Gui (Cinnamomi Ramulus, remove coarse bark) 0.5 liang.
The above eight ingredients are pounded and sieved into powder. Take 1 qianbi per dose, mixed with 1 qianbi of aged tea powder, decocted with green onion white, and taken hot.
For treating cold damage headache, vertigo, and sweating: Shexiang Wan (Musk Pill) formula.
Shexiang (Moschus, ground), Longnao (Borneolum Syntheticum, ground) each 1 fen, Dansha (Cinnabaris) 1.5 liang (ground), Xionghuang (Realgar, ground), Muxiang (Aucklandiae Radix), Chijian (Atractylodis Lanceae Rhizoma/Tianma) each 1 liang, Niuhuang (Calculus Bovis, ground), Baihua She Rou (Bungarus multicinctus meat), Wushe Rou (Agkistrodon halys meat) each wine-soaked and roasted, Ganxie (Scorpio, roasted to remove soil), Lingyangjiao (Saigae Tataricae Cornu, shaved) each 0.5 liang, Tiannanxing (Arisaematis Rhizoma, roasted), Mahuang (Ephedrae Herba, remove roots and joints) each 2 liang, Baifuzi (Hemerocallis Radix, raw), Tianma (Gastrodiae Rhizoma, wine-soaked and dried), Fangfeng (Saposhnikoviae Radix, remove forks), Linglingxiang Ye (Costi Folium), Huoxiang Ye (Pogostemonis Patchouli Folium), Tianxiong (Aconiti Kusnezoffii Radix, roasted, cracked, skin and navel removed) each 0.3 fen.
The above nineteen ingredients: Pound fourteen into powder, add Shexiang and five others, grind uniformly, bind with refined honey into pills the size of chicken heads. Take 2 pills per dose, chew thoroughly, wash down with warm wine, at any time.
For treating cold damage headache: Tiannanxing Wan (Arisaema Pill) formula.
Tiannanxing (Ariseomatis Rhizoma, powder) 2 liang, Shigao (Gypsum Fibrosum, powder, water-washed) 1 liang.
The above two ingredients are filled into a cow gallbladder, wrapped in mint, then further wrapped in lotus leaf, and hung in a ventilated place during the Qingming solar term. Add a small amount of Longnao (Borneolum Syntheticum) and drip snow water into it. Form pills the size of a chicken head. Take 1 pill per dose, chew thoroughly, wash down with mint tea.
For treating persistent headache due to cold damage: Huangqin Tang (Scutellaria Decoction) formula.
Huangqin (Scutellariae Radix, remove black heart), Shigao (Gypsum Fibrosum, crushed), Yichen Hao (Artemisiae Scopariae Herba), Chaihu (Bupleuri Radix, remove seedlings), Jiegeng (Platycodonis Radix, crushed and fried), Mudan Pi (Moutan Cortex), Jingjie Sui (Schizonepetae Spica), Zhizi Ren (Gardeniae Semen) each 1 fen, Mahuang (Ephedrae Herba, remove roots and joints) 0.5 liang.
The above nine ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, boiled in 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm after meals.
For treating unbearable headache due to cold damage: Shigao Tang (Gypsum Decoction) formula.
Shigao (Gypsum Fibrosum, crushed), Mahuang (Ephedrae Herba, remove roots and joints) each 1 liang, Heshouwu (Polygoni Multiflori Radix, remove black skin) 0.5 liang, Gegen (Puerariae Radix, crushed) 0.3 fen.
The above four ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, with 3 slices of ginger, boiled in 1 zhan of water until reduced to 0.8 zhan, strained, and taken warm.
For treating cold damage headache: Shigao Zhusan (Gypsum Boiled Powder) formula.
Shigao (Gypsum Fibrosum, ground and water-washed) 1.5 liang, Xuanfu Hua (Inulae Flos) 1 liang, Baijili (Tribuli Fructus, fried), Ganhual Ju (Chrysanthemi Flos), Shanzhizi Ren (Gardeniae Semen), Yichen Hao (Artemisiae Scopariae Herba), Taiyin Xuanjingshi (Calcitrum, ground), Xiong (Chuanxiong Rhizoma) each 0.5 liang.
The above eight ingredients: Pound six into fine powder, mix with Shigao etc. uniformly. Take 3 qianbi per dose, boiled in 1 zhan of water with a little Jingjie until reduced to 0.7 zhan. Do not strain, take warm, at any time.
For treating persistent headache due to cold damage: Xiongyin (Chuanxiong Drink) formula.
Xiong (Chuanxiong Rhizoma) 0.5 liang, Mayaxiao (Natrii Sulfas, ground), Shigao (Gypsum Fibrosum, ground) each 1 liang.
The above three ingredients are coarsely crushed and sieved. Take 2 qianbi per dose, boiled in 1 zhan of water with 3 slices of ginger and 1 qianbi of good tea until reduced to 0.6 zhan, strained, and taken warm, at any time.
For treating cold damage headache and nasal congestion: Yizi San (One Character Powder) formula.
Xiong (Chuanxiong Rhizoma) 1 liang, Caowutou (Aconiti Radix, roasted, cracked, skin and tip removed) 1.5 liang, Shigao (Gypsum Fibrosum, ground) 1 liang, Xionghuang (Realgar, 2 qian, soaked in vinegar overnight, roasted and ground).
The above four ingredients: Pound three into powder, mix with Xionghuang powder uniformly. Take "one character" dose (approx. 1-2g), mixed with 0.5 qianbi of aged tea and 1 cun of green onion white, decocted with water and taken.
For treating cold damage headache with chest fullness, alternating chills and fever, and tight but not large pulse, indicating phlegm-fluid above the diaphragm: Guiti San (Momordica Seed Powder) formula.
Guiti (Momordicae Fructus Semen) 1 liang.
The above ingredient is pounded and sieved into powder. Take 1 qianbi per dose, mixed with warm cooked water. Vomiting the phlegm-fluid leads to cure.
For treating cold damage headache, spontaneous sweating, high fever, muscle stiffness, rapid breathing, and joint soreness: Renshen Tang (Ginseng Decoction) formula.
Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) each 2 liang, Gui (Cinnamomi Ramulus, remove coarse bark), Chenpi (Citri Reticulatae Pericarpium, soaked in water, remove white pith and dry), Baifuling (Poria, remove black skin), Fangfeng (Saposhnikoviae Radix, remove forks), Wuweizi (Schisandrae Fructus), Chaihu (Bupleuri Radix, remove seedlings) each 1 liang, Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, skin and navel removed), Banxia (Pinelliae Rhizoma, soaked in ginger juice for one shichen) each 0.5 liang.
The above ten ingredients are chopped like hemp or soybeans. Take 3 qianbi per dose, boiled in 1 zhan of water with 2 slices of ginger and 2 split jujubes until reduced to 0.7 zhan, strained, and taken warm.
For treating disharmony of wind-qi, dizziness, vertigo, nasal congestion with heavy voice, aphonia, fatigue, limb and joint pain, phlegm obstruction with cough, and alternating chills and fever: Xiaofeng Qianghuo Tang (Wind-Dispersing Notopterygium Decoction) formula.
Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome head), Ganhual Ju (Chrysanthemi Flos), Mahuang (Ephedrae Herba, remove roots and joints), Xiong (Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix, remove forks), Shigao (Gypsum Fibrosum, ground), Qianhu (Peucedani Radix, remove rhizome head), Huangqin (Scutellariae Radix, remove black heart) each 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped), Zhike (Aurantii Fructus, stir-fried with bran, remove pulp) 4 liang, Baifuling (Poria, remove black skin), Manjingzi (Viticis Fructus) each 0.5 jin, Xixin (Asari Radix et Rhizoma, remove seedlings and leaves) 0.5 liang.
The above thirteen ingredients are coarsely crushed and sieved. Take 3 qianbi per dose, boiled in 1 zhan of water until reduced to 0.7 zhan, strained, and taken warm, at any time.
For treating cold damage, releasing the exterior, stopping headache, and also treating broken-wind trauma and all types of wind disorders: Mahuang Wan (Ephedra Pill) formula.
Mahuang (Ephedrae Herba, remove roots and joints, boil, skim foam, dry), Wutou (Aconiti Radix, soak in water for 3 days, change daily, dry, roast, crack, remove skin and navel), Tiannanxing (Ariseomatis Rhizoma, roast and pound to powder), Banxia (Pinelliae Rhizoma, wash with water to remove slipperiness 7 times), Shigao (Gypsum Fibrosum, mud-wrapped and fired until red-hot, ground) each 4 liang, Baizhi (Angelicae Dahuricae Radix) 3 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped) 1 liang, Longnao (Borneolum Syntheticum, ground) 0.5 liang, Shexiang (Moschus, ground) 1 fen.
The above nine ingredients: Pound eight into powder, bind with water-decocted Tiannanxing into pills the size of small marbles. Take 1 pill per dose, chew with scallion tea or scallion wine; mint tea is also acceptable. After 2-3 doses, this condition is cured. This formula originated as Bailong Wan, later added Mahuang and Hanshui Shi, coated with Shigao powder. It is excellent for cold damage and rapidly effective for minor wind strikes among exterior-releasing formulas.
For treating cold damage headache within three days: Baixue Wan (White Snow Pill) formula.
Wutou (Aconiti Radix, remove skin and navel), Fuzi (Aconiti Lateralis Radix Praeparata, remove skin and navel), Baifuzi (Hemerocallis Radix), Tiannanxing (Ariseomatis Rhizoma), Tianma (Gastrodiae Rhizoma), Mahuang (Ephedrae Herba, remove roots and joints), Gancao (Glycyrrhizae Radix et Rhizoma, all raw, equal parts).
The above seven ingredients are pounded and sieved into powder. Bind with steamed dough soaked in water overnight into pills the size of cherries, coated with fire-roasted Hanshui Shi powder. Take 1 pill per dose, chew with hot wine or scallion tea, followed by hot thin porridge after a while.
For treating initial onset of cold damage with headache and high fever: Qianhu Tang (Peucedanum Decoction) formula.
Qianhu (Peucedani Radix, remove rhizome head), Banxia (Pinelliae Rhizoma, wash with water 7 times to remove slipperiness, fry with ginger juice, slice, dry), Xuanshen (Scrophulariae Radix, hard texture), Xuanfu Hua (Inulae Flos), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and chopped), Gui (Cinnamomi Ramulus, remove coarse bark), Huangqin (Scutellariae Radix, remove black heart), Jiegeng (Platycodonis Radix, crushed and fried), Shenggan Dihuang (Rehmanniae Radix Preparata, dried) each 1 liang.
The above nine ingredients are coarsely crushed and sieved. Take 5 qianbi per dose, boiled in 1.5 zhan of water with 5 slices of ginger until reduced to 0.8 zhan, strained, and taken hot, at any time.
For treating cold damage headache, body heat, and pain in all joints: Sibai San (Four Whites Powder) formula.
Jilizi (Tribuli Fructus, fried to remove spines), Baizhi (Angelicae Dahuricae Radix), Baifuzi (Hemerocallis Radix, roasted), Baijiangcan (Bombyx Batryticatus, fried, equal parts).
The above four ingredients are pounded and sieved into powder. Take 2 qianbi per dose, mixed with clear tea or wine, at any time.