治风邪客于脑,头痛至甚,及偏正头疼,夹脑风,连眉骨
者。
草乌(生用,一两,一方用盐炒) 新茶芽 细辛(去苗,各二两)
上锉如麻豆大,每服三钱,水一盏半,入真麝香一捻,同煎八分,去滓热服。一方无
麝香,为细末,茶清调下,食后服。
治脑风头痛甚者。
白花蛇(去骨,酒浸三宿,炙,二两) 蒺藜(炒,去角,一分) 荜澄茄(二十枚) 白
附子(五枚,酒浸一宿,切作片,炒干) 蔓荆子(酒浸一宿,焙,一分)
上为细末,每服一钱,用薄荷自然汁和温酒半盏,食后调服,忌发风之物。
湖南押衙颜思退,传头风掣疼。
黄蜡(二斤) 盐(半斤)
上二味相和,于锡罗中熔令相入,捏作一兜盔,势可合脑,大小搭头至额,头痛立止
治头风攻注,口眼不正。
全蝎(二枚,去毒) 赤足蜈蚣(一条,醋炙) 麝香(一字,别研) 辰砂(一字,
别研)
上为细末,同研匀,每服一字,食后温酒调服。
丹溪论曰∶眩晕分之为二,皆由痰火为病。以此分为二者,眩虽属痰火,未尝不由肾虚
兼风邪所得;盖痰者,本流动之物,又因火动而助其愈盛,火性炎上,得风则愈炽,风火两
动,痰之愈作。经云∶诸风掉眩,皆属肝木。《原病式》云∶风火皆属乎阳,多为兼化,阳
主乎动,而两动相搏,则为旋转也。若人患此,头旋目眩,卒然恶心欲吐,眼花视物不的,
如屋旋转,起则晕倒。其病所苦何经所受而致此?曰∶静顺清谧,水之化也;动乱挠扰,火
之用也。脑者,地气之所生,故藏阴于目,为瞳子系肾水,至阴所主,二者喜静谧而恶动扰
。静谧则清明内持,动扰则掉摇散乱,故脑转目眩,此之谓也。《灵枢经》云∶五脏六腑之
精气,皆上注于目为睛也。筋骨气血之精与脉,并系于目,上属于脑,出于项中,故邪之中
项者,乘其身形之虚,深则随目系以入于脑,入于脑则脑转,脑转则目系急,目系急则目眩
也。乃必肾不交,风火兼化而致然也。夫风者,有内外之分。风从外入者则兼化也,由内之
散者,乃火之生风也,医者察审内伤外感之由。脉浮自汗,项强不仁为伤风,脉紧无汗,筋
挛掣痛为感寒,脉虚烦闷者为暑,脉沉滞吐逆者为湿,寸脉俱沉,此为异耳。至于七情内伤
者,使藏气不平,郁而生涎,结而为饮,随气上攻,令人头晕眉棱骨痛,目不可开。其证妇
人得之,盖妇人性多偏怒,经曰∶天之气曰风,人之气曰怒。怒则致伤肝木,木动生风,令
人头目旋晕,皆由此哉。妇人本阴血王之,因产难崩漏,亏损过极,使阳气无根据为眩晕也。
男子患此,或因金疮吐衄,便利之损,或酒醉行房,劳伤精血,肾气不能归元,而诸气逆上
,是为头目眩晕也。学人于此,当分标本,别其盛衰,用药施治,如鼓应桴,无不效矣。
治疗风邪侵袭脑部,头痛剧烈,以及偏侧或正中的头痛,夹脑风,牵连眉骨疼痛的方剂。
草乌(生用,一两,另一法用盐炒) 新茶芽 细辛(去苗,各二两)
以上药材锉碎如麻豆大小,每次服用三钱,加水一盏半,加入真麝香一捻,共同煎煮至八分满,滤去药渣,趁热服用。另一法不加麝香,将药研为细末,用茶清调服,饭后服用。
治疗脑风引起的剧烈头痛。
白花蛇(去骨,酒浸三天,炙干,二两) 蒺藜(炒,去角,一分) 荜澄茄(二十枚) 白附子(五枚,酒浸一夜,切片,炒干) 蔓荆子(酒浸一夜,焙干,一分)
以上药材研为细末,每次服用一钱,用薄荷自然汁和温酒半盏,饭后调服,忌食发风之物。
湖南押衙颜思退,传授治疗头风牵引疼痛的方法。
黄蜡(二斤) 盐(半斤)
以上两味药混合,在锡罗中熔化使其融合,捏成一个头盔形状,大小贴合头部至额头,头痛立即停止。
治疗头风攻注,导致口眼歪斜。
全蝎(二枚,去毒) 赤足蜈蚣(一条,醋炙) 麝香(一字,另研) 辰砂(一字,另研)
以上药材研为细末,混合均匀,每次服用一字,饭后用温酒调服。
上方使用二陈汤煎煮饮用,再服用青州白丸子,立见疗效。
丹溪论述说:眩晕分为两类,都是由痰火致病。以此分为二类,眩晕虽然属于痰火,但未尝不是因为肾虚兼受风邪所致;因为痰是流动之物,又因火动而助长其势更盛,火性炎上,得风则更加炽烈,风火两动,痰随之发作。经云:诸风掉眩,皆属肝木。《原病式》云:风火皆属乎阳,多为兼化,阳主乎动,而两动相搏,则为旋转也。如果人患此病,头晕目眩,突然恶心欲吐,眼花视物不清,如房屋旋转,起身则晕倒。这种痛苦是由哪条经络受邪导致的呢?回答说:静顺清谧,是水的气化表现;动乱挠扰,是火的作用表现。脑,由地气所生,故藏阴于目,瞳子系肾水,至阴所主,二者喜欢静谧而厌恶动扰。静谧则清明内持,动扰则掉摇散乱,所以脑转目眩,这就是所说的。《灵枢经》云:五脏六腑的精气,都上注于目成为睛。筋骨气血的精与脉,并系于目,上属于脑,出于项中,所以邪气中于项部,乘身形之虚,深则随目系以入于脑,入于脑则脑转,脑转则目系急,目系急则目眩也。这必然是肾不交,风火兼化而致然也。风,有内外之分。风从外入者则兼化也,由内之散者,乃火之生风也,医者察审内伤外感之由。脉浮自汗,项强不仁为伤风,脉紧无汗,筋挛掣痛为感寒,脉虚烦闷者为暑,脉沉滞吐逆者为湿,寸脉俱沉,此为异耳。至于七情内伤者,使藏气不平,郁而生涎,结而为饮,随气上攻,令人头晕眉棱骨痛,目不可开。其证妇人得之,盖妇人性多偏怒,经曰:天之气曰风,人之气曰怒。怒则致伤肝木,木动生风,令人头目旋晕,皆由此哉。妇人本阴血王之,因产难崩漏,亏损过极,使阳气无根据为眩晕也。男子患此,或因金疮吐衄,便利之损,或酒醉行房,劳伤精血,肾气不能归元,而诸气逆上,是为头目眩晕也。学人于此,当分标本,别其盛衰,用药施治,如鼓应桴,无不效矣。
A prescription for treating wind-pathogen invading the brain, causing severe headache, as well as lateral or central headaches, "brain-clamping wind" (headache involving the brain), and pain radiating to the eyebrow bones.
Caowu (Radix Aconiti Kusnezoffii, used raw, one liang; another method uses salt-fried) Xinchaye (New Tea Buds) Xixin (Herba Asari, de-radicated, two liang each).
The above herbs are chopped into pieces the size of hemp seeds. Each dose is three qian, boiled with one dan and a half of water, adding a pinch of real Moschus (Shexiang), decocted until reduced to eight fen. Strain and take hot. Another method omits Moschus, grinds the herbs into fine powder, and takes it mixed with clear tea liquor after meals.
For treating severe headache caused by brain wind.
Baihuashe (Whole Body of Deinagkistrodon acutus, bones removed, soaked in wine for three nights, roasted, two liang) Jili (Fructus Tribuli, fried, horns removed, one fen) Bidengqie (Pericarpium Schisandrae Chinensis, twenty fruits) Baifuzi (Rhizoma Typhonii Flagelliformis, five fruits, soaked in wine overnight, sliced, dried by roasting) Manjingzi (Fructus Viticis Negundo, soaked in wine overnight, dried by baking, one fen).
The above herbs are ground into fine powder. Each dose is one qian, taken after meals mixed with natural juice of Mentha haplocalyx (Bohe) and half a zhan of warm wine. Avoid foods that trigger wind.
Yan Situi, Military Commissioner of Hunan, transmitted a method for treating head wind pulling pain.
Huangla (Beeswax, two jin) Yan (Salt, half a jin).
The above two ingredients are mixed and melted together in a tin sieve until fused, then molded into a helmet shape, sized to fit the head down to the forehead. Headache stops immediately upon application.
For treating head wind attacking and causing deviation of the mouth and eyes.
Quanxie (Scorpio, two specimens, detoxified) Chizu Wugong (Centipede, one specimen, vinegar-roasted) Shexiang (Moschus, one zi, separately ground) Chensha (Cinnabar, one zi, separately ground).
The above herbs are ground into fine powder, mixed evenly. Each dose is one zi, taken after meals mixed with warm wine.
The above prescriptions should be taken with Erchen Tang (Two-Cured Decoction) decocted as a drink, followed by Qingzhou Baiwanzi (Qingzhou White Pill), which yields immediate results.
Danxi stated: Vertigo is divided into two categories, both caused by phlegm-fire pathology. Divided into these two types, although vertigo belongs to phlegm-fire, it has never occurred without kidney deficiency combined with wind-pathogen invasion. Phlegm is inherently mobile, and its excess is aggravated by fire. Fire nature flares upward; when combined with wind, it becomes more intense. The movement of wind and fire causes phlegm to arise further. The Classics state: All wind-induced tremors and vertigo belong to Liver Wood. *Yuanbing Shi* states: Wind and fire both belong to Yang, often transforming together. Yang governs movement; when two movements clash, rotation occurs. If a person suffers from this, they experience dizziness, sudden nausea and urge to vomit, blurred vision, sensation of the room spinning, and fainting upon rising. Which meridian is affected causing this suffering? It is said: Stillness and clarity represent the transformation of Water; turmoil and disturbance represent the function of Fire. The brain is generated by Earth Qi, thus storing Yin in the eyes. The pupil is connected to Kidney Water, governed by Supreme Yin. Both prefer stillness and abhor disturbance. Stillness maintains internal clarity; disturbance causes trembling and scattering. Hence, brain rotation and eye vertigo are described as such. *Ling Shu Jing* states: The essence of the five Zang and six Fu organs all ascend to the eyes to form the visual spirit. The essence of sinews, bones, Qi, and blood, along with the vessels, connect to the eyes, ascend to the brain, and emerge from the nape. Therefore, when pathogenic factors strike the nape, taking advantage of bodily deficiency, if deep, they follow the optic system into the brain. Entering the brain causes brain rotation; brain rotation pulls the optic system taut; taut optic system causes eye vertigo. This is necessarily due to Kidney failing to interact, with wind and fire transforming jointly. Wind has internal and external distinctions. Wind entering from outside transforms jointly; wind dispersing from within is generated by fire. Physicians must examine the causes of internal injury and external contraction. Floating pulse with spontaneous sweating and stiff neck indicates wind-strike; tight pulse with no sweating and muscle spasms indicates cold-strike; deficient pulse with irritability indicates summerheat; deep and stagnant pulse with vomiting indicates dampness; both Cun pulses sinking is an anomaly. Regarding internal injuries from the seven emotions, they cause organ Qi imbalance, leading to stagnation producing saliva, condensing into fluid retention, ascending with Qi, causing dizziness, supraorbital pain, and inability to open the eyes. Women often suffer this because women's nature tends toward anger. The Classics say: Heaven's Qi is called wind; human Qi is called anger. Anger injures Liver Wood; Wood movement generates wind, causing head and eye vertigo, all originating from here. Women, originally governed by Yin Blood, may suffer extreme depletion due to difficult childbirth or metrorrhagia, leaving Yang Qi without foundation, resulting in vertigo. Men suffering this may do so due to trauma bleeding or epistaxis, loss from defecation/urination, or sexual activity while drunk, damaging essence and blood. Kidney Qi fails to return to its origin, causing various Qi to rebel upward, resulting in head and eye vertigo. Students of medicine must distinguish root and branch, assess excess and deficiency, and apply medication accordingly, achieving efficacy as swiftly as a drumbeat responding to a drumstick.