治噫气咳逆，亦治伤寒咳逆，日夜不定。
筚澄茄 良姜（各二两）
上为末，每服二钱，水一盏，煎六分沸，投醋半盏；取出呷之。
橘皮（三两，汤浸，去幅，锉） 枳壳（一两，去幅，麸炒。）
上锉碎，以水一升，煎至五合，去滓，通热顿服。
吴茱萸（半两，汤浸七次，焙干，微炒） 青橘皮（半两，汤浸去白，焙）
上 咀，每服三钱，水一中盏，入生姜半分，同煎至五分，去滓，不拘时热服。
治咳逆服药无效者。
硫黄 乳香
上各等分为末，用酒煎 急令患人嗅之。
雄黄（二钱）
上为末，用酒一盏，煎七分，急令患人嗅其热气即止。
头痛为病，《灵枢》云∶厥头痛取足六经，手少阴真头痛，其脑尽痛，手足寒至节，
死不治。《难经》曰∶手三阳之脉，受风寒伏留而不去，则名厥头痛。入连在脑者，名真头
痛。《内经》云∶寸口脉中短者，曰头痛。《脉经》云∶阳弦则头痛。又云∶寸口脉浮，中
风发热头痛，脉紧头痛，是伤寒脉紧上寸口者风头痛。《脉诀》云∶头痛短涩应须死，浮滑
风痰皆易除。《内经》云∶东风生于春，病在肝俞，在头项，故春气者，病在头。又诸阳会
于头面，如足太阳膀胱之脉，起于目内 ，上 交巅，上入络脑，还出别下项，病冲头痛。
又足少阳胆之脉，起于目锐 ，上抵头角，病在头角额痛。夫风从上受之，风寒伤上，邪从
外入，客于经络，令人振寒头痛，身重恶寒，治在风池风府，调其阴阳，不足则补，有余汗
之则愈，此伤寒头痛也。头痛耳鸣，九窍不利者，肠胃之所生，乃气虚头痛也。心烦头痛者
，痞在膈中，过在手巨阳少阴，乃湿热头痛也。如气上而不下，头痛巅疾者，下虚上实也。
过在足少阴巨阳，甚则入肾，寒湿头痛也。如头半寒痛者，先取手少阳阳明，后取足少阳阳
明，此偏头痛也。有真头痛者，甚则入连于脑。手足寒至节者，旦发夕死，夕发旦死。有厥
逆头痛者，所犯大寒，内至骨髓，髓者以脑为至，脑逆故令头痛，齿亦痛。东垣云∶凡头痛
皆以风药治之者，终其大体而言之也。高巅之上，惟风可用，缓药之薄者，阴中之阳，乃自
地升天者也。然亦有三阴三阳病症者，太阳头痛，恶风脉浮紧，以芎羌活独活麻黄之类为多
；少阳头痛，脉弦缓，往来寒热，柴胡为多；阳明头痛，自汗发热，恶寒，脉浮缓长实者，
升麻葛根石膏白芷为多；太阴头痛必有痰，体重腹痛，为痰癖，其脉沉缓，苍术半夏南星为
多；少阴头痛，三阴三阳，经不流行，两足寒，气逆为寒厥，其脉沉细，麻黄附子细辛为多
；厥阴头痛项痛，或痰吐涎沫厥冷，其脉浮缓，吴茱萸汤主之。诸血虚头痛，当归川芎为多
；诸气虚头痛，人参黄 为多。为多者主治实药也，兼见何证以佐使药治之，此立方之大法
也。气血俱虚头痛者，调中益气汤中少加川芎蔓荆子细辛，其效不可尽述。半夏白术天麻汤
治痰厥头痛药也，清空膏乃风湿热头痛药也，羌活附子汤治厥逆头痛药也。如湿气在头者，
以苦吐之，不可执方而治。所论头痛大法甚详着矣，世之方论，又言头风病名，何以此不见
发明，请言其略。凡邪令人头痛者，其邪一也，但有新久去留之分耳。浅而近者名头痛，其
痛卒然而至，易于解散速安也；深而远者为头风，其痛作止不常，愈后遇触复发也，皆当验
其邪所从来而施治之。观于《试效方》载∶洁古老人壮岁，时病头痛，每发时两颊青黄，晕
眩，目不欲开，懒于言语，身体沉重，兀兀欲吐食，数日方过，乃曰此太阴厥阴合而为病，
名曰风痰。以水煮金花丸，更灸侠溪二穴二七壮，不旬日愈。以是观之，岂非头风乎？于此
不言风者，是言经之本也，世言风者，是言经之标乎，何不明少阳厥阴头痛者，令人偏头痛
，其经肝胆风木为邪也，后人遂以此而名头风，可谓不求其本欤？洁古云∶夫大头风证者，
是阳明邪热太甚资实，少阳相火而为之也。多在少阳，或在阳明，或传太阳，视其肿势在何
部分，随经取之。湿热为肿，木盛为痛，此邪见于头风，在两耳前后，所主其病也。治之大
不宜药速，速则过其病，所谓上热未除，中寒复生，必伤人命。此病自外支内者，是血病，
况头部分受邪，见于无形迹之部，当先缓而后急。先缓者，谓邪气在上，着无形之分部，既
着无形，无所不至，若用重剂速下，过其病，难已。虽用缓药，若急服之，或食前或顿服，
皆失缓体，则药不能除病，当徐徐浸渍无形之邪也，或药性味形体不离缓体是也。且缓急者
，谓缓剂已泻，邪气入于中，是到阴部，来于有形质之所，若不速去，则损阴也，此终治却
为客邪，当急去之，治客以急也。且治主病当缓者，谓阳邪在上，阴邪在下，本家病也，若
急治之，不能解分而益乱也。治客以急者，谓阳分受阴邪，阴分受阳邪，此客气急除去之也
。假令少阳阳明为邪，出于耳之前后也。阳明为邪者，首大肿也，先以黄芩黄连甘草汤，通
炒煎，少少不住服，服毕不愈，用新瓦上炒鼠粘子待香，同大黄煎去滓，内芒硝，俱各等分
，亦时时呷之，无令饮食。在前得微利，则邪气去。若阳明行经之药，升麻葛根芍药甘草，
太阳行经，独活防风之类是也。又以东垣治验，其所论制方，自有来矣。天之四时，民多疫
疠，初觉增寒体重，次传头面肿盛，目不能开，上喘，咽喉不利，舌干口燥，俗云大头天行
，亲戚不相访问，虑其传染之故。得此病者五六日，医以承气加蓝根下之，稍缓，翌日其病
如故，再下之，又缓，终莫能愈。洁古谓之曰∶夫身半以上，天之气也。身半以下，地之气
也。此邪热客于心肺之间，上攻头目，而为肿盛，以承气下之，泻胃中之实热，是诛罚无过
。殊不知适其所至为故，遂处方用药，黄芩黄连味苦寒，泻心肺热，以为君；橘红苦平，玄
参苦寒，生甘草甘寒，人参甘温，泻火补气，以为臣；连翘鼠粘子薄荷味辛平，板蓝根味苦
寒，马勃白僵蚕味苦平，散肿消毒，以为佐；升麻柴胡平行少阳阳明二经不得伸，桔梗味辛
温，为舟楫，不令下行。共为细末，一半用白沸汤调，时时呷下一半，用蜜为丸，噙化之，
服尽良愈。如大便硬者，加酒煨大黄一钱或二钱以利之。肿势甚者，宜砭刺之，是皆深得
病机之道。详尽立议处方，以为后人之规焉。
治疗呃逆和咳嗽气逆，也治疗伤寒引起的咳嗽气逆，发作时间日夜不固定。
荜澄茄、良姜（各二两）
将上述药材研成细末，每次服用二钱，用水一盏，煎煮至六分满并沸腾，加入半盏醋；取出后小口慢饮。
橘皮（三两，用热水浸泡，去除白色内层，切碎）、枳壳（一两，去除白色内层，用麸皮炒制）
将上述药材切碎，用水一升，煎煮至五合，滤去药渣，趁热一次性服下。
吴茱萸（半两，用热水浸泡七次，焙干，微炒）、青橘皮（半两，用热水浸泡去除白色内层，焙干）
将上述药材切碎，每次服用三钱，用水一中盏，加入生姜半分，一同煎煮至五分，滤去药渣，不拘泥于具体时间，趁热服用。
治疗咳嗽气逆服药无效的情况。
硫黄、乳香
将上述药材等量研成细末，用酒煎煮，立即让患者嗅闻其气味。
雄黄（二钱）
将上述药材研成细末，用酒一盏，煎煮至七分，立即让患者嗅闻其热气即可停止症状。
头痛这一病症，《灵枢》说：厥头痛应取足部六经穴位治疗；手少阴经的真头痛，疼痛遍及脑部，手足寒冷至关节，属于死证，无法治愈。《难经》说：手三阳经脉，受风寒潜伏停留而不消散，称为厥头痛。疼痛牵连到脑部的，称为真头痛。《内经》说：寸口脉短促的，称为头痛。《脉经》说：脉象阳弦则头痛。又说：寸口脉浮，中风发热头痛，脉紧头痛，这是伤寒脉紧上达寸口，属于风头痛。《脉诀》说：头痛且脉短涩应当死亡，脉浮滑的风痰都容易消除。《内经》说：东风生于春季，病在肝俞穴，部位在头项，所以春气致病，病位在头部。另外诸阳经会聚于头面，如足太阳膀胱经，起于目内眦，上行交会于巅顶，入络脑部，复出别下行项部，病邪冲逆导致头痛。又足少阳胆经，起于目外眦，上行抵住头角，病邪在头角额部疼痛。风邪从上部受之，风寒损伤上部，邪气从外部进入，客居经络，使人寒战头痛，身体沉重恶寒，治疗应在风池、风府穴，调和阴阳，不足则补，有余则发汗即可痊愈，这是伤寒头痛。头痛耳鸣，九窍不通利的，是肠胃所生，属于气虚头痛。心烦头痛的，痞塞在膈中，病位在手巨阳、手少阴经，属于湿热头痛。如气机上逆不下，头痛且为巅顶疾病的，是下虚上实。病位涉及足少阴、足太阳经，严重时入肾，属于寒湿头痛。如头部一侧寒冷疼痛的，先取手少阳、手阳明经穴，后取足少阳、足阳明经穴，这是偏头痛。有真头痛的，严重时牵连脑部。手足寒冷至关节的，早晨发病晚上死亡，晚上发病早晨死亡。有厥逆头痛的，因触犯大寒，寒气内至骨髓，骨髓以脑为最深处，脑气逆乱故令头痛，牙齿也痛。李东垣说：凡是头痛都用风药治疗的，是从大体上来说的。高处的头顶，只有风药可用，药性轻薄的缓药，属于阴中之阳，是从地升天的药物。然而也有三阴三阳病症的区别，太阳头痛，恶风脉浮紧，多用川芎、羌活、独活、麻黄等药；少阳头痛，脉弦缓，往来寒热，多用柴胡；阳明头痛，自汗发热，恶寒，脉浮缓长实，多用升麻、葛根、石膏、白芷；太阴头痛必有痰，身体沉重腹痛，为痰癖，脉沉缓，多用苍术、半夏、南星；少阴头痛，三阴三阳经气不流通，两足寒冷，气逆为寒厥，脉沉细，多用麻黄、附子、细辛；厥阴头痛项痛，或吐涎沫四肢厥冷，脉浮缓，用吴茱萸汤主治。各种血虚头痛，多用当归、川芎；各种气虚头痛，多用人参、黄芪。所谓“多用”是指主治实证的主药，兼见何种证候便佐使相应药物来治疗，这是立方的大法。气血俱虚头痛的，在调中益气汤中少量加入川芎、蔓荆子、细辛，疗效不可尽述。半夏白术天麻汤是治疗痰厥头痛的药，清空膏是治疗风湿热头痛的药，羌活附子汤是治疗厥逆头痛的药。如湿气在头部的，用苦味药催吐，不可拘执一方而治。所论述的头痛大法非常详尽，世上的方论，又提到头风病名，为什么这里没有发明阐述，请简要说明。凡是邪气令人头痛的，邪气是一样的，只是有新久去留的区别罢了。浅近的叫头痛，其痛突然而至，易于解散迅速安宁；深远的叫头风，其痛发作停止不固定，痊愈后遇触发作，都应当验证邪气来源而施治。观察《试效方》记载：洁古老人在壮年时，时常患头痛，每次发作时两颊青黄，晕眩，眼睛不想睁开，懒于言语，身体沉重，昏昏欲吐食，数日后才过去，他说这是太阴厥阴合而为病，名叫风痰。用水煮金花丸，再灸侠溪穴十四壮，不到十天痊愈。由此看来，难道不是头风吗？这里不说风，是说经络的根本，世人说风，是说经络的标象，为什么不阐明少阳厥阴头痛使人偏头痛，是因为肝胆风木为邪气，后人便以此命名头风，可以说是不探求根本吗？洁古说：大头风证，是阳明邪热太甚滋实，少阳相火为之所致。多在少阳，或在阳明，或传太阳，视肿胀形势在哪个部分，随经取穴治疗。湿热导致肿胀，木盛导致疼痛，这种邪气见于头风，在两耳前后，是其所主之病。治疗此病不宜用药过速，过速则超过病位，所谓上热未除，中寒复生，必伤人命。此病由外支内的是血病，况且头部分受邪，见于无形迹的部位，应当先缓而后急。先缓，是说邪气在上，附着于无形的分部，既然附着于无形，无所不至，若用重剂速下，超过病位，难以治愈。虽用缓药，若急服，或饭前或顿服，都失去缓体之意，则药不能除病，应当徐徐浸渍无形的邪气，或者药性味形体不离缓体之意。且缓急之说，谓缓剂已泻，邪气入于中，到达阴部，来到有形质之所，若不速去，则损伤阴气，这是最终治疗客邪，应当急去之，治客邪用急法。且治主病当缓者，谓阳邪在上，阴邪在下，是本家病，若急治之，不能解分而更加混乱。治客邪用急者，谓阳分受阴邪，阴分受阳邪，这是客气，急除去之。假如少阳阳明为邪，出于耳之前后。阳明为邪者，头部肿大，先用黄芩黄连甘草汤，通炒煎，少量不停服用，服完不愈，用新瓦上炒牛蒡子待香，同大黄煎去滓，内芒硝，各等分，也时时呷之，不让进食。在前得微利，则邪气去。若是阳明行经之药，如升麻、葛根、芍药、甘草；太阳行经，如独活、防风之类。又以东垣的治疗经验，他所论述的制方，自有来历。天之四时，民众多疫疠，初觉增寒体重，次传头面肿盛，眼睛不能睁开，上喘，咽喉不利，舌干口燥，俗云大头天行，亲戚不相访问，担心传染的缘故。得此病者五六日，医生用承气汤加蓝根下之，稍缓，第二天病情如故，再下之，又缓，终不能愈。洁古对他说：身半以上，是天之气。身半以下，是地之气。此邪热客于心肺之间，上攻头目，而为肿盛，用承气汤下之，是泻胃中之实热，这是诛罚无过。殊不知适其所至为故，于是处方用药，黄芩黄连味苦寒，泻心肺热，作为君药；橘红苦平，玄参苦寒，生甘草甘寒，人参甘温，泻火补气，作为臣药；连翘、牛蒡子、薄荷味辛平，板蓝根味苦寒，马勃、白僵蚕味苦平，散肿消毒，作为佐药；升麻、柴胡平行少阳阳明二经不得伸，桔梗味辛温，作为舟楫，不令下行。共为细末，一半用白沸汤调，时时呷下；一半用蜜为丸，噙化之，服尽良愈。如大便硬的，加酒煨大黄一钱或二钱以利之。肿势甚重的，宜砭刺之，这都是深得病机之道。详尽立议处方，作为后人的规范。
Treat hiccup and cough with rebellious Qi, also treat cough with rebellious Qi caused by Shanghan (Cold Damage), occurring irregularly day and night.
Bichengqie (Fructus Galangae) and Liangjiang (Rhizoma Alpiniae Officinarum) (each 2 liang).
Grind the above into powder. Take 2 qian each time, add one zhan of water, boil to six-tenths full until boiling, add half a zhan of vinegar; take out and sip slowly.
Jupi (Pericarpium Citri Reticulatae) (3 liang, soaked in hot water, remove the white pith, cut into pieces), Zhike (Fructus Aurantii) (1 liang, remove the white pith, stir-fry with bran).
Cut the above into pieces, add one sheng of water, boil to five he, filter out the dregs, drink while hot in one dose.
Wuzhuyu (Fructus Evodiae) (half liang, soak in hot water seven times, dry by baking, slight stir-fry), Qingjupi (Pericarpium Citri Reticulatae Viride) (half liang, soak in hot water, remove the white pith, bake).
Chop the above, take 3 qian each time, add one zhong zhan of water, add half a fen of Shengjiang (Fresh Ginger Rhizome), decoct together to five fen, filter out the dregs, take hot at any time.
For cases where medication for cough with rebellious Qi is ineffective.
Liuhuang (Sulfur) and Ruxiang (Resina Draconis).
Grind each in equal parts into powder, decoct with wine, immediately have the patient inhale the fumes.
Xionghuang (Realgar) (2 qian).
Grind into powder, add one zhan of wine, decoct to seven-tenths, immediately have the patient inhale the hot steam to stop the symptom.
Regarding headache as a disease, *Ling Shu* states: For Jue Tou Tong (Rebellious Headache), select acupoints from the six meridians of the foot; Zhen Tou Tong (True Headache) of the Hand Shaoyin meridian involves pain throughout the brain, with cold hands and feet extending to the joints, which is a fatal condition untreatable. *Nan Jing* states: When the meridians of the three Yang channels of the hand are affected by wind-cold that lingers without dissipating, it is named Jue Tou Tong (Rebellious Headache). If the pain extends to connect with the brain, it is named Zhen Tou Tong (True Headache). *Nei Jing* states: A short pulse at the Cun Kou (Radial Artery) indicates Tou Tong (Headache). *Mai Jing* states: A Yang-chord-like pulse indicates Tou Tong (Headache). It further states: A floating pulse at Cun Kou with wind-stroke fever and headache, or a tight pulse indicating headache, refers to Feng Tou Tong (Wind Headache) where the tight pulse of Shanghan (Cold Damage) reaches the Cun Kou. *Mai Jue* states: Headache with a short and choppy pulse indicates death, while floating and slippery pulses indicate wind-phlegm which is easy to eliminate. *Nei Jing* states: East wind arises in spring, affecting the Ganshu (Liver Transporter) point, located at the head and neck; thus, spring qi pathology affects the head. Furthermore, all Yang meridians converge on the head and face. For instance, the Foot Taiyang Bladder Meridian originates from the inner canthus, ascends to meet at the vertex, enters to network the brain, emerges to descend separately at the nape; pathological rebellion causes headache. The Foot Shaoyang Gallbladder Meridian originates from the outer canthus, ascends to reach the temporal angle; pathology causes pain in the temporal angle and forehead. Wind pathogen is received from the upper part; wind-cold damages the upper part, pathogen enters from outside, lodges in the meridians, causing chills, headache, heavy body, and aversion to cold. Treatment should focus on Fengchi (GB20) and Fengfu (GV16) acupoints, regulating Yin and Yang; deficiency requires tonification, excess requires diaphoresis for recovery. This is Shanghan Tou Tong (Headache due to Cold Damage). Headache with tinnitus and dysfunction of the nine orifices arises from the stomach and intestines, constituting Qi Deficiency Headache. Heart irritability with headache, with stagnation in the chest, involving the Hand Taiyang and Hand Shaoyin meridians, constitutes Damp-Heat Headache. If Qi rebels upward without descending, causing headache and disorders of the vertex, it is Lower Deficiency and Upper Excess. Involvement of the Foot Shaoyin and Foot Taiyang meridians, progressing to the Kidney, constitutes Cold-Damp Headache. If only one side of the head suffers cold pain, first select Hand Shaoyang and Hand Yangming points, then Foot Shaoyang and Foot Yangming points; this is Pian Tou Tong (Hemicrania). True Headache, when severe, connects to the brain. With cold hands and feet extending to the joints, morning onset leads to evening death, evening onset leads to morning death. Jue Ni Tou Tong (Rebellious Headache due to Reversal) results from exposure to severe cold, penetrating to the bone marrow; since the brain is the ultimate extent of marrow, brain Qi rebellion causes headache, and teeth also hurt. Li Dongyuan stated: Treating all headaches with Wind-dispersing herbs is a general principle. At the high peak, only Wind herbs are applicable; light and mild herbs belong to Yang within Yin, rising from earth to heaven. However, there are distinctions among the Three Yin and Three Yang syndromes. Taiyang Headache presents with aversion to wind, floating and tight pulse, treated mostly with Xiong (Ligusticum Chuanxiong), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Mahuang (Ephedrae Herba), etc. Shaoyang Headache presents with string-taut and moderate pulse, alternating chills and fever, treated mostly with Chaihu (Bupleuri Radix). Yangming Headache presents with spontaneous sweating, fever, aversion to cold, floating, moderate, long, and full pulse, treated mostly with Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Shigao (Gypsum Fibrosum), Baizhi (Angelicae Dahuricae Radix). Taiyin Headache necessarily involves Phlegm, heavy body, abdominal pain, known as Tan Pi (Phlegm Stagnation), with deep and moderate pulse, treated mostly with Cangzhu (Atractylodis Rhizoma), Banxia (Pinelliae Rhizoma), Nanxing (Arisaematis Rhizoma). Shaoyin Headache involves non-circulation of the Three Yin and Three Yang meridians, cold feet, Qi rebellion as Cold Jue (Reversal), with deep and fine pulse, treated mostly with Mahuang (Ephedrae Herba), Fuzi (Aconiti Lateralis Radix Praeparata), Xixin (Asari Radix et Rhizoma). Jueyin Headache presents with neck pain, or vomiting saliva/phlegm and cold limbs, with floating and moderate pulse, treated primarily with Wuzhuyu Tang (Evodia Decoction). Various Blood Deficiency Headaches are treated mostly with Danggui (Angelicae Sinensis Radix) and Chuanxiong (Ligustici Chuanxiong Rhizoma); various Qi Deficiency Headaches are treated mostly with Renshen (Ginseng Radix) and Huangqi (Astragali Radix). "Used mostly" refers to the principal herbs for treating excess conditions; auxiliary and guiding herbs are added based on concurrent syndromes, which is the major principle of formula construction. For Headache with both Qi and Blood Deficiency, add small amounts of Chuanxiong (Ligustici Chuanxiong Rhizoma), Manjingzi (Vernoniae Semen), and Xixin (Asari Radix et Rhizoma) to Tiao Zhong Yi Qi Tang (Regulate the Middle and Boost Qi Decoction); the efficacy is beyond description. Banxia Baizhu Tianma Tang (Pinellia, Atractylodes Macrocephala, and Gastrodia Decoction) treats Tan Jue Tou Tong (Phlegm-Reversal Headache); Qingkong Gao (Clear Empty Paste) treats Feng Shi Re Tou Tong (Wind-Damp-Heat Headache); Qianghuo Fuzi Tang (Notopterygium and Prepared Aconite Decoction) treats Jue Ni Tou Tong (Reversal Headache). For dampness in the head, use bitter herbs to induce vomiting; do not adhere rigidly to one formula. The discussed principles of headache treatment are very detailed. Worldly formulas mention the name Tou Feng (Head Wind), why is it not elucidated here? Please explain briefly. Pathogens causing headache are essentially the same, differing only in newness, duration, retention, or departure. Superficial and recent is named Tou Tong (Headache), sudden in onset, easy to disperse and resolve quickly; deep and distant is named Tou Feng (Head Wind), pain comes and goes irregularly, recurs upon trigger after recovery. One must verify the origin of the pathogen to apply treatment. Observing *Shi Xiao Fang* (Trial Effect Formulas): Elder Jiegu suffered from periodic headache in his prime. Upon onset, cheeks turned blue-yellow, dizzy, eyes unwilling to open, reluctant to speak, heavy body, drowsy wanting to vomit food, resolving after several days. He said this was a combined disease of Taiyin and Jueyin, named Feng Tan (Wind-Phlegm). Decocted Jinhua Wan (Golden Flower Pill) in water, moxaed Xiaxi (GB43) acupoint 14 times (two sets of seven), recovered in less than ten days. From this, is it not Tou Feng (Head Wind)? Here, "wind" is not mentioned because it refers to the root of the meridian; worldly mention of "wind" refers to the branch. Why not clarify that Shaoyang and Jueyin headaches cause hemicrania, as Liver-Gallbladder Wind-Wood is the pathogen? Later generations named it Tou Feng (Head Wind), arguably failing to seek the root. Jiegu stated: Da Tou Feng Zheng (Big Head Wind Syndrome) is caused by excessive Yangming pathogenic heat nourishing excess, and Shaoyang Minister Fire acting upon it. It often occurs in Shaoyang, or Yangming, or transmits to Taiyang. View the swelling in which part, select points according to the meridian. Damp-heat causes swelling, Wood excess causes pain. This pathogen appears in Tou Feng (Head Wind), around both ears, governing the disease. Treatment should not be too fast; speed exceeds the disease site, meaning Upper Heat remains while Middle Cold arises, harming life. This disease spreading from outside inward involves Blood pathology. Moreover, the head receives pathogen in formless regions; treatment should be slow first, then urgent. Slow first means pathogen is upper, lodging in formless divisions; once lodged in formless, it is everywhere. Using heavy agents for rapid purgation exceeds the disease site, making it hard to cure. Even using slow agents, if taken urgently, before meals, or in one dose, it loses the nature of slowness, so medicine cannot remove disease. One must slowly steep the formless pathogen, or ensure the herb's nature, flavor, and form align with slowness. Regarding slow and urgent: when slow agents purge, pathogen enters middle, reaching Yin parts, coming to substantial forms. If not removed quickly, Yin is damaged. This final treatment of guest pathogens requires urgency; treat guests with urgency. Treating main diseases slowly means Yang pathogen is upper, Yin pathogen is lower, being the home disease. Urgent treatment cannot resolve division but increases chaos. Treating guests urgently means Yang division receives Yin pathogen, Yin division receives Yang pathogen; these guest pathogens must be removed urgently. Suppose Shaoyang and Yangming are pathogens emerging before and behind ears. Yangming pathogen causes large head swelling. First use Huangqin Huanglian Gancao Tang (Scutellaria, Coptis, and Licorice Decoction), stir-fried and decocted, taken frequently in small amounts. If unresolved after finishing, stir-fry Niubangzi (Arctii Fructus) on a new tile until fragrant, decoct with Dahuang (Rhei Radix et Rhizoma), filter dregs, add Mangxiao (Natrii Sulfas), equal parts, also sip occasionally, avoid food. Mild diarrhea in front indicates pathogen departure. Yangming channel-draining herbs include Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Lobatae Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma); Taiyang channel-draining include Duhuo (Angelicae Pubescentis Radix), Fangfeng (Saposhnikoviae Radix), etc. Also, Dongyuan's clinical experience shows his formula construction has origins. Four seasons of heaven, people suffer many epidemics. Initially feel increased chills and heavy body, then transmit to swollen head and face, eyes unable to open, upper panting, throat dysfunction, dry tongue and mouth. Commonly called Da Tou Tian Xing (Big Head Epidemic), relatives avoid visits fearing contagion. After five or six days, doctors used Chengqi Tang (Harmonize the Interior Decoction) plus Lan Gen (Isatidis Radix) to purge, slightly relieved. Next day, disease remained. Purged again, slightly relieved, but ultimately not cured. Jiegu told him: Upper half of body is Heaven Qi. Lower half is Earth Qi. This pathogenic heat lodges between Heart and Lung, attacks head and eyes causing swelling. Using Chengqi Tang to purge clears Stomach excess heat, punishing the innocent. Not knowing to act according to the destination, he prescribed: Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) are bitter and cold, clearing Heart-Lung heat, as Sovereign; Juhong (Citri Reticulatae Pericarpium Rubrum) is bitter and neutral, Xuanshen (Scrophulariae Radix) is bitter and cold, Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) is sweet and cold, Renshen (Ginseng Radix) is sweet and warm, clearing fire and boosting Qi, as Ministers; Lianqiao (Forsythiae Fructus), Niubangzi (Arctii Fructus), Bohe (Menthae Haplocalycis Herba) are pungent and neutral, Banlangen (Isatidis Radix) is bitter and cold, Mabo (Fomes Officinalis), Bai Jiangcan (Bombyx Batryticatus) are bitter and neutral, dispersing swelling and detoxifying, as Assistants; Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) traverse Shaoyang and Yangming meridians without extension; Jiegeng (Platycodonis Radix) is pungent and warm, acting as a boat and oar, preventing downward movement. Grind all into fine powder. Half mixed with boiling water, sipped frequently; half made into pills with honey, held in mouth to dissolve. Finish taking, good recovery. If stool is hard, add Jiu Wei Dahuang (Wine-baked Rheum) 1 or 2 qian to promote evacuation. If swelling is severe, use Bian Ci (Bloodletting/Pricking). All deeply understand the mechanism of disease. Detailed discussion and prescription serve as norms for posterity.