病源谓痰水在于胸膈之上,又犯大寒,使阳气不行,令痰水结聚不散,而阴气逆上,上
与风痰相结,上冲于头,即令头痛,或数岁不已,久连脑痛,故云膈痰风厥头痛,若手足寒
冷至节则死。(出第二十卷中)
千金疗卒头痛如破,非中冷又非中风,其病是胸膈中痰,厥气上冲所致,名为厥头痛,
吐之则瘥方。
但单煮茗作饮二三升许,适冷暖饮三升,须臾适吐,适吐毕又饮,能如此数过,剧者须
吐胆汁乃止,不损人,渴而则瘥。(集验同出第十八卷中)
千金翼葱白汤,主冷热膈痰,发时头痛闷乱,欲吐不得方。
葱白(二七茎) 乌头(二分炮) 甘草(二分炙) 真珠(一分研) 常山(二分) 桃
叶(一
把)
上六味切,以酒四升,水四升,合煮取三升,去滓,纳真珠,服一升得吐止。忌海藻菘
菜猪肉冷水生葱生菜生血等物。(千金深师同)
又疗痰饮头痛,往来寒热方。
常山(一两) 云母粉(二两)
上二味为散,熟汤服方寸匕,吐之止,若吐不尽,更服。忌生葱生菜。(深师云用云母
半两炼之余同并出第十九卷中)
备急葛氏主卒头痛如破,非中冷又非中风,是胸膈中痰厥气上冲所致,名厥头痛,吐即
瘥疗方。
釜下墨(四分) 附子(三分炮)
上二味捣散,以冷水服方寸匕,当吐愈。一方有桂心一分。忌猪肉冷水。(文仲肘后同)
又方
以盐汤吐,不吐撩出。(张文仲同)
又方
苦参 桂心 半夏(洗)
上三味等分为末,苦酒和,以涂痛上则瘥。忌生葱羊肉饧。(肘后同)
又方
常山(四分) 甘草(半两)
上二味切,以水七升,煮取三升,服一升不吐,更服亦可,纳蜜半升。忌生葱生菜海藻
菘菜。(千金肘后延年同)
又方
乌梅(三十枚) 盐(三指撮)
上二味,以酒三升,煮取一升,一服当吐愈。(肘后同)
《病源》认为,痰饮停聚在胸膈之上,又遭受严重寒邪侵袭,导致阳气运行受阻,致使痰饮凝结积聚而不消散,阴气随之逆乱上冲,与风痰相互搏结,向上冲击头部,从而引发头痛。这种病症可能持续数年不愈,长期牵连脑部疼痛,因此称为“膈痰风厥头痛”。如果手足冰冷延伸至关节部位,则预后不良,属于死证。(出自第二十卷)
《千金方》治疗突然发作的剧烈头痛,感觉如同破裂一般,既不是感受冷邪也不是中风所致。其病因是胸膈中的痰饮,以及厥逆之气上冲所引起,命名为“厥头痛”,采用催吐法即可痊愈的方法如下:
仅单独煮茶作为饮品,约二三升,待温度适宜时饮用三升,不久便会自然呕吐。呕吐结束后再次饮用,若能如此反复多次,病情严重者必须吐出胆汁才能停止,此法不损伤人体,若感到口渴则疾病自愈。(《集验方》同样记载于第十八卷)
《千金翼方》葱白汤,主治冷热交杂的膈痰,发作时头痛、头闷且心烦意乱,想吐却吐不出来的方剂。
葱白(十四茎) 乌头(二分,炮制) 甘草(二分,炙烤) 真珠(一分,研碎) 常山(二分) 桃叶(一把)
以上六味药切碎,用酒四升、水四升,共同煎煮至剩余三升,滤去药渣,加入真珠粉,服用一升,以能产生呕吐感为度即止。忌食海藻、菘菜(白菜)、猪肉、冷水、生葱、生菜及生血等食物。(《千金方》与《深师方》相同)
以上两味药研成散剂,用熟汤送服方寸匕,以能吐出痰涎为度;若未吐尽,可再次服用。忌食生葱、生菜。(《深师方》记载使用云母半两,炼制的其余步骤相同,均出自第十九卷)
《备急葛氏方》治疗突然发作的剧烈头痛,感觉如同破裂一般,既不是感受冷邪也不是中风所致,而是胸膈中的痰饮和厥逆之气上冲所引起,命名为“厥头痛”,催吐后即可痊愈的治疗方法如下:
以上两味药捣碎成散剂,用冷水送服方寸匕,应当通过呕吐而痊愈。另一版本方中加有桂心一分。忌食猪肉、冷水。(《文仲方》与《肘后备急方》相同)
又一方
用盐汤催吐,若不能自行呕吐,可用工具掏取出来。(《张文仲方》相同)
又一方
以上三味药等分为末,用醋调和,涂抹于疼痛部位即可痊愈。忌食生葱、羊肉、饴糖。(《肘后备急方》相同)
又一方
以上两味药切碎,用水七升,煎煮至剩余三升,服用一升,若不呕吐,也可再次服用,并加入蜂蜜半升。忌食生葱、生菜、海藻、菘菜。(《千金方》、《肘后备急方》、《延年方》相同)
又一方
以上两味药,用酒三升,煎煮至剩余一升,一次服用,应当通过呕吐而痊愈。(《肘后备急方》相同)
The *Bing Yuan* (Source of Diseases) states that phlegm-fluids accumulate above the chest and diaphragm. If one is exposed to severe cold, it obstructs the circulation of Yang Qi, causing the phlegm-fluids to condense and stagnate without dispersing. Consequently, Yin Qi rebels and ascends, binding with wind-phlegm and rushing upward to the head, thereby causing headache. This condition may persist for several years without ceasing, extending over time to cause chronic brain pain; hence it is termed "diaphragmatic phlegm wind-jue headache." If the hands and feet become cold up to the joints, the prognosis is fatal. (From Volume 20)
The *Qian Jin Fang* treats sudden, severe headache as if the head were breaking, which is neither caused by cold invasion nor wind-stroke. The pathology involves phlegm in the chest and diaphragm, along with rebellious Qi rushing upward, named "Jue Headache" (Headache due to Rebellious Qi). The method to induce vomiting leads to recovery:
Boil tea alone to make a drink, approximately two or three sheng. Drink three sheng when the temperature is suitable. Soon after, natural vomiting will occur. After vomiting ceases, drink again. If this process is repeated several times, in severe cases, vomiting must continue until bile is expelled, at which point it stops. This method does not harm the body; if thirst arises, the disease heals. (Also recorded in the *Ji Yan Fang*, Volume 18)
The Cong Bai Tang (Scallion White Decoction) from the *Qian Jin Yi Fang* treats mixed cold-heat phlegm in the diaphragm, characterized by headache, mental confusion, and a desire to vomit but inability to do so during attacks.
Cong Bai (Scallion White, 14 stalks) Wutou (Aconiti Lateralis Radix Praeparata, 2 fen, prepared) Gancao (Licorice Root, 2 fen, honey-fried) Zhenzhu (Pearl, 1 fen, ground) Changshan (Dichroae Radix, 2 fen) Taoye (Peach Leaf, 1 bunch)
Cut the above six herbs. Combine with four sheng of wine and four sheng of water. Boil together until three sheng remain. Strain the dregs, add the ground Pearl, and take one sheng. Stop when vomiting occurs. Avoid consuming Algae, Song Cai (Chinese Cabbage), pork, cold water, raw scallions, raw vegetables, and raw blood products. (Same as *Qian Jin Fang* and *Shen Shi Fang*)
Another formula treats headache due to phlegm-fluids accompanied by alternating chills and fever.
Changshan (Dichroae Radix, 1 liang) Yunmu Fen (Mica Powder, 2 liang)
Grind the above two ingredients into powder. Take one fang cun bi (a spoonful measure) with warm cooked liquid. Induce vomiting until relief is achieved; if vomiting is incomplete, administer again. Avoid raw scallions and raw vegetables. (*Shen Shi Fang* specifies using half a liang of refined mica; the rest is the same. From Volume 19)
The *Bei Ji Ge Shi Fang* treats sudden, severe headache as if the head were breaking, neither caused by cold invasion nor wind-stroke, but by phlegm and rebellious Qi in the chest and diaphragm rushing upward, named "Jue Headache." Vomiting leads to recovery.
Fu Xia Mo (Soot from the bottom of a cauldron, 4 fen) Fuzi (Prepared Aconite Root, 3 fen, prepared)
Crush the above two ingredients into powder. Take one fang cun bi with cold water. Recovery is expected through vomiting. Another version includes Gui Xin (Cinnamon Twig Heart, 1 fen). Avoid pork and cold water. (Same as *Wen Zhong Fang* and *Zhou Hou Bei Ji Fang*)
Another formula
Use salt water to induce vomiting. If vomiting does not occur spontaneously, use tools to extract the contents. (Same as *Zhang Wen Zhong Fang*)
Another formula
Kushen (Sophorae Flavescentis Radix) Guixin (Cinnamomi Ramulus) Banxia (Pinelliae Rhizoma Preparatum, washed)
Grind the above three herbs into equal parts of powder. Mix with Ku Jiu (Vinegar) and apply to the painful area for recovery. Avoid raw scallions, mutton, and Yi Tang (Maltose). (Same as *Zhou Hou Bei Ji Fang*)
Another formula
Changshan (Dichroae Radix, 4 fen) Gancao (Licorice Root, half a liang)
Cut the above two herbs. Add seven sheng of water and boil until three sheng remain. Take one sheng. If vomiting does not occur, another dose may be taken. Add half a sheng of honey. Avoid raw scallions, raw vegetables, algae, and Chinese cabbage. (Same as *Qian Jin Fang*, *Zhou Hou Bei Ji Fang*, and *Yan Nian Fang*)
Another formula
Wumei (Mume Fructus, 30 pieces) Yan (Salt, a pinch of three fingers)
Combine the above two ingredients. Add three sheng of wine and boil until one sheng remains. Take once; recovery is expected through vomiting. (Same as *Zhou Hou Bei Ji Fang*)