治风成寒热，头目昏眩，肢体疼痛，手足麻痹，上膈壅滞。
人参（两半） 麻黄（二两） 川芎 独活 细辛 甘草（一两） 为细末，每五钱，
水盏半。生
按风成为寒热，乃风入胃中，而酿营卫之偏胜。前胃风汤，正驱胃风使从外解之药。此
因风
营卫
术为
热四
治诸风证，偏正头痛。
防风通圣散，四物汤，黄连解毒汤，各一料。加羌活 细辛 甘菊花 天麻 独活 薄
荷
按外风与身中之火热相合，以阳从阳，必上攻于头。然风火盛，营血必亏，故其药如是
也。
（东垣） 治正偏头痛，年深不愈，及风湿热上壅头目，及脑苦痛不止。（偏头痛者，
少阳相火也。丹溪曰∶有痰者多，左属风属火，多血虚。右属痰属热，多气虚。准绳曰∶医
书多分头痛头风为二门，然一病也。浅而近者名头痛，深而远者为头风，当验其邪所从来而
治之。）
黄芩（酒炒） 黄连（酒炒） 羌活 防风（一两） 柴胡（七钱） 川芎（五钱） 甘
草（炙两半）
脉缓有痰，去羌
柴胡一倍。（散
垣曰∶太阴头痛
气壅于膈中，头
热干之，则浊阴
芎入厥阴，为通阴阳气血之使。甘草入太阴，散寒而缓痛，辛甘发散为阳也，芩连苦寒，以
羌防之属升之，则能去湿热于高巅之上矣。（芩连用酒炒，非独制其寒，欲其上升也。丹溪
曰∶清空膏，诸般头痛皆治。惟血虚头痛，从鱼尾相连痛者不治。鱼尾，眼角也。又云∶治
少阳头痛，如痛在太阳厥阴者勿用，盖谓巅顶痛也。头痛，用羌活防风柴胡川芎升麻细辛
本之异者，分各经也。用黄芩黄连黄柏石膏知母生地之异者，分各脏泻火也。用茯苓泽泻者，
导湿也。用参 者
从缓治也。若急
治疗风邪侵入导致的寒热交替，头部和眼睛昏沉眩晕，肢体疼痛，手足麻木，上焦胸膈气机壅滞。
人参（半两） 麻黄（二两） 川芎 独活 细辛 甘草（一两），研成细末，每次服用五钱，加水一盏半，煎煮后服用。
按语：所谓“风成为寒热”，是因为风邪进入胃中，导致营卫之气偏盛偏衰。前面的“胃风汤”，正是驱除胃中风邪，使其从体表解出的方药。此方……（原文此处有残缺/错简，似指因风邪导致营卫失调，故用白术等药……热四……）
治疗各种风证引起的偏头痛和正头痛。
防风通圣散、四物汤、黄连解毒汤，各取一料。加入羌活、细辛、甘菊花、天麻、独活、薄荷。
按语：外感风邪与体内的火热相结合，阳邪跟随阳位，必然向上攻冲头部。然而风火炽盛时，营血必然亏损，所以用药如此配伍。
（李东垣）治疗正偏头痛，日久不愈，以及风湿热邪上壅头目，导致脑部剧烈疼痛不止。（关于偏头痛，属于少阳相火。朱丹溪说：有痰湿的多见，左侧属风属火，多兼血虚；右侧属痰属热，多兼气虚。《准绳》说：医书多将头痛和头风分为两类，其实是一种病。病位浅且病程近的叫头痛，病位深且病程远的叫头风，应当根据邪气来源来治疗。）
黄芩（酒炒）、黄连（酒炒）、羌活、防风（一两）、柴胡（七钱）、川芎（五钱）、甘草（炙，半两）。
若脉缓且有痰湿，去掉羌活，柴胡用量加倍。（发散……）
李东垣说：太阴头痛……气壅滞于胸膈中，头部……热邪煎熬，则浊阴……川芎入厥阴经，作为通达阴阳气血的使者。甘草入太阴经，散寒而缓解疼痛，辛甘合用发散为阳。黄芩、黄连苦寒，配合羌活、防风等升提之品，就能清除高巅之上的湿热。（黄芩、黄连用酒炒，不仅是为了制约其寒性，更是为了引导药力上行。朱丹溪说：清空膏能治疗各种头痛。只有血虚头痛，表现为眼角相连处疼痛的，难以治愈。鱼尾，即眼角。又说：治疗少阳头痛，如果疼痛在太阳经或厥阴经者勿用，因为指的是巅顶痛。头痛用药，如羌活、防风、柴胡、川芎、升麻、细辛、藁本的差异，是区分各条经络。用黄芩、黄连、黄柏、石膏、知母、生地的差异，是区分各脏腑泻火。用茯苓、泽泻的，是为了导湿。用人参……是从缓治。如果急……）
Translation of the classical text into modern vernacular Chinese, then into academic English based on WHO standards.
**Treatment of Wind-Induced Alternating Chills and Fever, Dizziness, Limb Pain, Numbness, and Upper Jiao Stagnation**
Treats alternating chills and fever caused by wind invasion, dizziness and vertigo of the head and eyes, pain in the limbs, numbness of the hands and feet, and stagnation in the upper jiao (chest and diaphragm).
*Ren Shen* (Ginseng Radix et Rhizoma, 0.5 liang), *Ma Huang* (Ephedrae Herba, 2 liang), *Chuan Xiong* (Ligusticum Chuanxiong Rhizoma), *Du Huo* (Angelicae Pubescentis Radix), *Xi Xin* (Asari Radix et Rhizoma), *Gan Cao* (Glycyrrhizae Radix et Rhizoma, 1 liang). Grind into a fine powder. Take 5 qian per dose, decoct with 1.5 cups of water, and take after cooking.
Note: The condition described as "wind becoming chills and fever" occurs when wind pathogen enters the stomach, causing an imbalance in the excess or deficiency of Ying (Nutritive) and Wei (Defensive) Qi. The previously mentioned *Wei Feng Tang* (Stomach Wind Decoction) is precisely a formula to expel stomach wind, allowing it to resolve from the exterior. This [formula]... [Text fragment missing/corrupted regarding Bai Zhu and heat].
**Treatment of Various Wind Syndromes Causing Migraine and Frontal Headache**
*Fang Feng Tong Sheng San* (Saposhnikoviae Decoction for Unblocking Wind), *Si Wu Tang* (Four Substances Decoction), *Huang Lian Jie Du Tang* (Coptis Decoction for Resolving Toxicity), each one portion. Add *Qiang Huo* (Notopterygii Rhizoma et Radix), *Xi Xin* (Asari Radix et Rhizoma), *Gan Ju Hua* (Chrysanthemi Flos), *Tian Ma* (Gastrodiae Rhizoma), *Du Huo* (Angelicae Pubescentis Radix), *Bo He* (Menthae Haplocalycis Herba).
Note: Exogenous wind combines with internal fire. Yang pathogens follow Yang positions, inevitably attacking upwards towards the head. However, when wind and fire are excessive, Ying Blood must be deficient; hence the composition of these herbs.
(Li Dongyuan) Treats persistent migraine and frontal headache, as well as wind-damp-heat pathogen obstructing the head and eyes, causing unceasing severe brain pain. (Regarding migraine, it belongs to Shaoyang Ministerial Fire. Zhu Danxi stated: Cases with phlegm are common. Left-sided pain relates to wind and fire, often accompanied by blood deficiency. Right-sided pain relates to phlegm and heat, often accompanied by qi deficiency. *Zhun Sheng* states: Medical texts often divide headache and Tou Feng (Wind Headache) into two categories, but they are essentially the same disease. Superficial and recent onset is called headache; deep and chronic onset is called Tou Feng. Treatment should be based on the origin of the pathogen.)
*Huang Qin* (Scutellariae Radix, wine-fried), *Huang Lian* (Coptidis Rhizoma, wine-fried), *Qiang Huo* (Notopterygii Rhizoma et Radix), *Fang Feng* (Saposhnikoviae Radix, 1 liang), *Chai Hu* (Bupleuri Radix, 7 qian), *Chuan Xiong* (Ligusticum Chuanxiong Rhizoma, 5 qian), *Zhi Gan Cao* (Prepared Glycyrrhizae Radix et Rhizoma, 0.5 liang).
If the pulse is slow and there is phlegm, remove *Qiang Huo* and double the dosage of *Chai Hu*. (Dispersing...)
Li Dongyuan said: Taiyin headache... Qi stagnates in the chest and diaphragm, the head... Heat pathogen scorches, leading to turbid yin... *Chuan Xiong* enters the Jueyin channel, acting as an envoy to unblock Yin-Yang and Qi-Blood. *Gan Cao* enters the Taiyin channel, disperses cold and relieves pain; Acrid-Sweet combination disperses and generates Yang. *Huang Qin* and *Huang Lian* are bitter-cold; combined with ascending herbs like *Qiang Huo* and *Fang Feng*, they can clear damp-heat from the high summit of the head. (*Huang Qin* and *Huang Lian* are wine-fried not only to moderate their cold nature but to guide the medicinal action upward. Zhu Danxi stated: *Qing Kong Gao* (Clear Sky Paste) treats all types of headaches. Only blood-deficiency headaches presenting as pain connecting from the outer canthus are incurable. 'Yu Wei' refers to the outer canthus. Furthermore: For Shaoyang headaches, if the pain is in the Taiyang or Jueyin channels, do not use it, as this refers to vertex headache. Differences in using *Qiang Huo*, *Fang Feng*, *Chai Hu*, *Chuan Xiong*, *Sheng Ma*, *Xi Xin*, *Gao Ben* distinguish the affected meridians. Differences in using *Huang Qin*, *Huang Lian*, *Huang Bo*, *Shi Gao*, *Zhi Mu*, *Sheng Di* distinguish the affected zang organs for clearing fire. Use of *Fu Ling* and *Ze Xie* is to drain dampness. Use of *Ren Shen*... indicates gradual treatment. If acute...)