【歌】头风素有热和痰，忽冒风寒脑髓间。何故女人多病此？为无巾帻御风寒。
【论】夫头风，即首风也。孙思邈云∶新沐浴竟取风，为首风。经云∶首风之状，头面多汗，恶寒，当
先风一日则病甚，头痛不可以出内，至其风日则病稍愈。又云∶头风者，本于风寒入于脑髓也。盖头者，为诸
阳之会，其人素有痰火，风寒客之，则热郁而闷痛，故妇人多患此者，为无巾帻以御风寒故也，有偏、有正。
丹溪云∶头风属痰者多，有热、有风、有血虚。在左属风与血虚；在右属痰与热。善治者，究此病情，全在活
法，出入加减，无不奏效也。
风与血虚
头风在左，属风与血虚。风者，荆芥、薄荷之类。风热者，消风散、茶调散。血虚者，芎归汤，或四
物汤加荆芥、
防风、白芷、酒芩、薄荷、蔓荆子之类。（以上诸方俱见头痛证下。）
痰
头风在右者属痰，苍术、半夏之类。湿痰头风，用酒芩三钱、苍术四钱、川芎、细辛各二钱、甘草一钱，
末之，姜、茶擂匀调服，或二陈汤加酒芩、薄荷、川芎、细辛，或导痰汤加酒芩、苍术。（以上二方，俱见痰证。）
火
头风属火者，酒芩为主，或二陈汤、酒芩、薄荷、川芎、细辛，（方见痰证。）或防风通圣散，（方见头
痛证。）或消风百解散。凡用芩、连，须用酒炒，以其上行头角故也。
消风百解散
治半边头风作痛，因火热上冲之证。
荆芥（一钱） 白芷（一钱） 陈皮（八分） 麻黄（一钱） 苍术（一钱，米泔浸，冬七日、夏三日、春、
秋五日．晒干，炒燥） 甘草（八分）
上锉，一剂，水二盏，煎八分，食远服。
附方
治偏头疼至妙之药。
羌活（去芦，一钱） 独活（去芦，一钱） 川芎（一钱） 白芷（一钱） 细辛（一钱） 本（一钱，去
芦） 防风（一钱，去芦） 黄芩（酒炒，一钱）
上锉，一剂，水二盏，煎八分，食后热服。
又方
治半 头痛极效。
香白芷（一钱） 天南星（一钱） 川乌（八分） 半夏（八分）
上为末，每服一钱，水调服，妇人加甘草一钱。
【歌诀】头风病素来多由热邪和痰湿引起，忽然遭受风寒侵袭头部脑髓之间。为什么女性患此病较多？是因为她们缺乏巾帻（头饰/头巾）来抵御风寒。
【论述】所谓头风，就是首风。孙思邈说：刚洗完澡就吹风，会导致首风。医经记载：首风的症状是头面部多汗，怕冷，在刮风前一天病情加重，头痛剧烈无法出门或待在室内，到了刮风的日子病情稍有好转。又说：头风病，根源在于风寒侵入脑髓。因为头部是诸阳经汇聚之处，如果患者体内素有痰火，风寒外邪客居其中，就会导致热邪郁结而产生闷痛，所以妇女多患此病，是因为没有巾帻来抵御风寒的缘故。头风有偏侧发作和正中发作两种情况。朱丹溪说：头风属于痰证的居多，有的伴有热邪，有的伴有风邪，有的属于血虚。疼痛在左侧的属于风邪与血虚；疼痛在右侧的属于痰湿与热邪。善于治疗的人，必须探究这种病情的机理，关键在于灵活运用，根据病情加减方药，没有不奏效的。
风邪与血虚型
头风疼痛在左侧，属于风邪与血虚。针对风邪，使用荆芥、薄荷之类的药物。如果是风热证，使用消风散、茶调散。如果是血虚证，使用芎归汤，或者四物汤加入荆芥、防风、白芷、酒黄芩、薄荷、蔓荆子等药物。（以上各方均见“头痛”章节下。）
痰湿型
头风疼痛在右侧，属于痰湿，使用苍术、半夏之类的药物。如果是湿痰引起的头风，用酒黄芩三钱、苍术四钱、川芎、细辛各二钱、甘草一钱，研成细末，用生姜和茶擂碎调和后服用；或者使用二陈汤加入酒黄芩、薄荷、川芎、细辛；或者使用导痰汤加入酒黄芩、苍术。（以上两方，均见“痰证”章节。）
火邪型
头风属于火邪的，以酒黄芩为主药，或者使用二陈汤加酒黄芩、薄荷、川芎、细辛（方剂见“痰证”章节），或者使用防风通圣散（方剂见“头痛”章节），或者使用消风百解散。凡是使用黄芩、黄连时，必须用酒炒制，因为它们能上行至头部两侧的缘故。
消风百解散
治疗半边头风作痛，因火热上冲所致的证候。
荆芥（一钱） 白芷（一钱） 陈皮（八分） 麻黄（一钱） 苍术（一钱，用米泔水浸泡，冬季七日、夏季三日、春秋五日，晒干后炒燥） 甘草（八分）
以上药材切碎，取一剂，加水两盏，煎煮至八分，饭后较远时间服用。
附方
治疗偏头痛极为有效的药物。
羌活（去芦头，一钱） 独活（去芦头，一钱） 川芎（一钱） 白芷（一钱） 细辛（一钱） 藁本（一钱，去芦头） 防风（一钱，去芦头） 黄芩（酒炒，一钱）
以上药材切碎，取一剂，加水两盏，煎煮至八分，饭后热服。
又一方
治疗半侧头痛极其有效。
香白芷（一钱） 天南星（一钱） 川乌（八分） 半夏（八分）
以上药材研为细末，每次服用一钱，用水调服，妇女服用时加甘草一钱。
[Verse] Headwind (Toufeng) is inherently caused by heat and phlegm, suddenly invaded by wind-cold into the brain marrow. Why do women suffer from this disease more often? It is because they lack head coverings to ward off wind and cold.
[Discussion] "Headwind" (Toufeng) is also known as "Shoufeng" (Wind of the Head). Sun Simiao stated: Exposing oneself to wind immediately after bathing causes Shoufeng. The Classics state: The symptoms of Shoufeng include excessive sweating on the head and face, aversion to cold, and worsening of the condition one day before windy weather; the headache is so severe that one cannot go out or stay indoors. On the day of the wind, the condition improves slightly. It is also stated that Toufeng originates from wind-cold invading the brain marrow. Since the head is the confluence of all Yang meridians, if a person has pre-existing phlegm-fire in their body, and wind-cold external pathogens lodge within, the heat becomes stagnant causing dull pain. Therefore, women are prone to this disease due to the lack of head coverings to resist wind and cold. Toufeng can manifest as unilateral or central pain. Zhu Danxi stated: Most cases of Toufeng are related to phlegm, accompanied by heat, wind, or blood deficiency. Pain on the left side indicates wind and blood deficiency; pain on the right side indicates phlegm and heat. Skilled practitioners must investigate the pathology of this condition, relying entirely on flexible methods and appropriate modifications of prescriptions, achieving efficacy without fail.
Wind and Blood Deficiency Type
When Toufeng pain is on the left, it belongs to wind and blood deficiency. For wind, herbs such as Jingjie (Schizonepetae Herba) and Bohe (Menthae Haplocalycis Herba) are used. For wind-heat, Xiaofeng San (Eliminate Wind Powder) or Chatiao San (Tea-Powdering Powder) are used. For blood deficiency, Xionggui Tang (Ligusticum and Angelica Decoction) or Siwu Tang (Four Substances Decoction) added with Jingjie, Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Jiuhuangqin (Scutellariae Radix fried with wine), Bohe, and Manjingzi (Vittariae Spora) are used. (All the above formulas are listed under the section on Headache.)
Phlegm-Dampness Type
When Toufeng pain is on the right, it belongs to phlegm-dampness, treated with herbs such as Cangzhu (Atractylodis Rhizoma) and Banxia (Pinelliae Rhizoma). For headwind caused by damp-phlegm, use Jiuhuangqin (3 qian), Cangzhu (4 qian), Chuanxiong (2 qian), Xixin (Asari Radix et Rhizoma, 2 qian), and Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), grind into powder, mix evenly with pounded ginger and tea, and take with water. Alternatively, use Erchen Tang (Two Aged Things Decoction) added with Jiuhuangqin, Bohe, Chuanxiong, and Xixin; or Daotan Tang (Guiding Phlegm Decoction) added with Jiuhuangqin and Cangzhu. (The above two formulas are listed under the section on Phlegm.)
Fire Type
When Toufeng belongs to fire, Jiuhuangqin is the main herb. Alternatively, use Erchen Tang added with Jiuhuangin, Bohe, Chuanxiong, and Xixin (formula see Phlegm section); or Fangfeng Tongsheng San (Wind-Barrier Unblocking Strength Powder) (formula see Headache section); or Xiaofeng Baijie San (Eliminate Wind Hundred-Release Powder). Whenever Huangqin (Scutellariae Radix) and Lian (Coptidis Rhizoma) are used, they must be fried with wine, as they have an ascending action to the temples and head.
Xiaofeng Baijie San
Treats unilateral headwind pain caused by upward rushing of fire-heat.
Jingjie (1 qian) Baizhi (1 qian) Chenpi (8 fen) Mahuang (Ephedrae Herba, 1 qian) Cangzhu (1 qian, soaked in rice wash water: 7 days in winter, 3 days in summer, 5 days in spring and autumn, dried and stir-fried until dry) Gancao (8 fen)
Cut the above ingredients into small pieces. Take one dose, add two cups of water, decoct until reduced to eight-tenths, and take far after meals.
Supplementary Formula
An excellent medicine for treating migraines.
Qianghuo (Notopterygii Rhizoma et Radix, remove rhizome stump, 1 qian) Duhuo (Angelicae Pubescentis Radix, remove rhizome stump, 1 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian) Baizhi (1 qian) Xixin (1 qian) Gaoben (Ligustici Wallichii Rhizoma et Radix, remove rhizome stump, 1 qian) Fangfeng (1 qian, remove rhizome stump) Huangqin (fried with wine, 1 qian)
Cut the above ingredients into small pieces. Take one dose, add two cups of water, decoct until reduced to eight-tenths, and take hot after meals.
Another Formula
Extremely effective for treating half-head pain.
Xiangbaizhi (1 qian) Tiannanxing (Arisaematis Rhizoma Praeparatum, 1 qian) Chuanwu (Aconiti Radix Preparata, 8 fen) Banxia (Pinelliae Rhizoma, 8 fen)
Grind the above ingredients into fine powder. Take 1 qian per dose, mixed with water. For women, add Gancao (1 qian).