（东垣） 治脾胃内伤，眼黑头眩，头痛如裂，身重如山。恶心烦闷，四肢厥
足太阴痰厥头痛。（痰厥者，湿痰厥逆而生也。痰逆则上实，故令头痛目眩，眼前
东垣曰∶太阴头痛，必有痰也。少阴头痛，足寒而气逆也。太阴少阴二经，虽不
痰与气逆，壅于膈中，头上气不得畅而为痛也。）
半夏（姜制） 麦芽（钱半） 神曲（炒） 白术（炒一钱） 苍术（泔浸） 人参 黄
（蜜炙） 陈
五钱。
痰厥头痛，非半夏不能除。（半夏燥痰，而能和胃。）头旋眼黑，虚风内作，非天麻不能
定。
湿故
结，
发躁
痛也
乃湿
头痛
所犯
手
乃自地升天者也。太阳头痛，恶风寒，脉浮紧，川芎羌活独活麻黄之类为主。少阳头痛，脉
弦细，往来寒热，柴胡黄芩为主。阳明头痛，自汗，发热，恶寒，脉浮缓长实者，升麻葛根
白芷石膏为主。太阴头痛，必有痰，体重或腹痛，为痰癖，其脉沉缓，苍术半夏南星为主。
少阴头痛，三阴三阳，经不流行，而足寒气逆，为寒厥，其脉沉细，麻黄附子细辛汤主之。
厥阴头项痛，或吐涎沫，厥冷，脉浮缓，吴茱萸汤主之。血虚头痛，当归川芎为主。气虚头
痛，人参黄 为主。气血俱虚头痛，调中益气汤，少加川芎蔓荆子细辛。清空膏，风湿头痛
药也。白术半夏天麻汤，痰厥头痛药也。羌活附子汤，厥逆头痛药也。如湿气在头者，以苦
吐之，不可执方而治。按以苦吐之者，瓜蒂散浓茶之类是也。或搐去鼻中黄水，亦治湿气在
头之捷法。）
（李东垣）治疗脾胃内伤，眼前发黑、头晕目眩，头痛剧烈如撕裂般，身体沉重如同背负重物。恶心烦闷，四肢厥冷。
这是足太阴脾经的痰厥头痛。（所谓痰厥，是指湿痰阻滞气机导致厥逆而产生的病症。痰邪上逆则上部实证，因此导致头痛、目眩，眼前发黑。）
李东垣说：太阴头痛，必定有痰。少阴头痛，表现为脚冷且气机上逆。太阴和少阴两经，虽然不……（原文此处似有缺漏或排版错乱，结合后文理解为这两经病变与痰和气逆有关）。痰与气逆，壅塞在膈中，头部的气机不得通畅从而产生疼痛。）
半夏（姜制） 麦芽（一钱半） 神曲（炒） 白术（炒一钱） 苍术（泔水浸泡） 人参 黄耆（蜜炙） 陈皮 甘草（原文“陈”、“五钱”及药材名因OCR识别问题分散，根据方剂组成补全逻辑，但严格依原文提取实体，此处仅翻译可见部分）……五钱。
痰厥头痛，非半夏不能消除。（半夏能燥湿化痰，并能调和胃气。）头旋眼黑，是虚风在内作祟，非天麻不能定止。
（原文中间夹杂了一些关于六经头痛的描述，如下：）
太阳头痛，怕风怕冷，脉象浮紧，以川芎、羌活、独活、麻黄等药为主。少阳头痛，脉象弦细，忽冷忽热，以柴胡、黄芩为主。阳明头痛，自汗，发热，怕冷，脉象浮缓长实，以升麻、葛根、白芷、石膏为主。太阴头痛，必定有痰，身体沉重或腹痛，为痰癖，脉象沉缓，以苍术、半夏、南星为主。少阴头痛，三阴三阳经气不流通，脚冷且气逆，属于寒厥，脉象沉细，用麻黄附子细辛汤主治。厥阴头痛连及项部，或吐涎沫，四肢厥冷，脉象浮缓，用吴茱萸汤主治。血虚头痛，以当归、川芎为主。气虚头痛，以人参、黄耆为主。气血俱虚头痛，用调中益气汤，少量加入川芎、蔓荆子、细辛。清空膏，是治疗风湿头痛的药。白术半夏天麻汤，是治疗痰厥头痛的药。羌活附子汤，是治疗厥逆头痛的药。如果湿气在头部，应用苦味药催吐，不可拘泥于固定方剂治疗。按：所谓用苦味药催吐，指的是瓜蒂散、浓茶之类。或者通过搐鼻去除鼻中的黄水，也是治疗湿气在头部的快捷方法。）
(Li Dongyuan) Treats internal injury of the Spleen and Stomach, characterized by blacking out of the eyes, dizziness (Xuanxuan), severe headache as if splitting, and a heavy body as if carrying a mountain. Nausea, restlessness, and cold extremities.
This is Phlegm-Jue Headache of the Foot-Taiyin Meridian. (Phlegm-Jue refers to the condition generated by damp-phlegm causing Jue-reversal. When phlegm rebels upward, it creates excess in the upper part, thus causing headache, dizziness, and blacking out of the eyes.)
Li Dongyuan stated: Taiyin headache must involve phlegm. Shaoyin headache presents with cold feet and rebellious Qi. The Taiyin and Shaoyin meridians... [Text fragment] ...Phlegm and rebellious Qi obstruct the middle Jiao (Diaphragm), preventing the Qi in the head from flowing freely, resulting in pain.)
Banxia (Ginger-processed) Maiya (1.5 qian) Shenqu (Stir-fried) Baizhu (Stir-fried, 1 qian) Cangzhu (Soaked in rice wash water) Renshen Huangqi (Honey-roasted) Chenpi ... 5 qian.
For Phlegm-Jue headache, only Banxia can eliminate it. (Banxia dries phlegm and harmonizes the Stomach.) For dizziness and blacking out of the eyes, caused by internal deficiency-wind, only Tianma can settle it.
[Regarding Six Meridian Headaches:]
Taiyang headache involves aversion to wind and cold, with a floating-tight pulse; main herbs include Chuanxiong, Qianghuo, Duhuo, and Mahuang.
Shaoyang headache features a wiry-thin pulse and alternating chills and fever; main herbs are Chaihu and Huangqin.
Yangming headache presents with spontaneous sweating, fever, aversion to cold, and a floating-slow-long-excess pulse; main herbs are Shengma, Gegen, Baizhi, and Shigao.
Taiyin headache necessarily involves phlegm, heaviness of the body or abdominal pain, known as Tanpi (phlegm-stasis); pulse is deep-slow; main herbs are Cangzhu, Banxia, and Nanxing.
Shaoyin headache involves stagnation of Qi in the Three Yin and Three Yang meridians, cold feet and rebellious Qi, constituting Cold-Jue; pulse is deep-thin; treated with Mahuang Fuzi Xixin Tang.
Jueyin headache extends to the neck, possibly with spitting of saliva/froth, cold limbs, and a floating-slow pulse; treated with Wuzhuyu Tang.
Blood-deficiency headache is primarily treated with Danggui and Chuanxiong.
Qi-deficiency headache is primarily treated with Renshen and Huangqi.
Headache due to combined Qi and Blood deficiency is treated with Tiaozhong Yiqi Tang, with small additions of Chuanxiong, Manjingzi, and Xixin.
Qingkong Gao is a formula for Wind-Damp headache.
Baizhu Banxia Tianma Tang is a formula for Phlegm-Jue headache.
Qianghuo Fuzi Tang is a formula for Jue-reversal headache.
If dampness resides in the head, bitter-emetics should be used; one must not rigidly adhere to a single formula. Note: Bitter emetics refer to such things as Guiti San or strong tea. Alternatively, using nasal insufflation to remove yellow fluid from the nose is also an effective method for treating dampness in the head.)