典藏书目

Headache and lower back pain are mainly caused by wind pathogen, wind-heat, phlegm-dampness, cold pathogen, traumatic tetanus (po shang feng), or pain resulting from excess pathogens in the lower jiao blocking internally. Severe pain is often due to fire pathogen. Pain caused by blood deficiency is difficult to treat.

Dispersing Method: For wind pathogen, cold pathogen, and traumatic tetanus, use Rusheng San (Like-Sage Powder) mixed with green onion wine for administration.

Expedient Vomiting Method: If phlegm turbidity remains above the diaphragm and qi excess leads to severe stagnation and obstruction, vomiting should be induced.

Eliminating Wind Method: For wind patterns, use Chuanxiong Chatiao San; for wind-heat patterns, use Fangfeng Tongsheng San; for wind-cold patterns, use Zhang Zhongjing's Modified Mahuang Tang.

Clearing Heat Method: Use Qingkong Gao (Clear Sky Paste), or take powdered Pian Huangqin (Scutellariae Radix slice) mixed with water; or use Baojian Shigao San.

Dispersing Dampness Method: Use Sanyin Xiongtu Tang.

Tonifying Qi Method: If caused by deficiency, use Baojian Shunqi Hezhong Tang. For yin deficiency, use Tianxiong (Aconiti Lateralis Radix Praeparata) and Chuanxiong; moxibustion alone is also effective.

Nourishing Blood Method: For blood deficiency, use Siwu Tang with doubled Chuanxiong, plus Shigao (Gypsum Fibrosum) and Jing Sui (Schizonepetae Spica). For yin deficiency, use Buyin Wan.

Guiding Out Phlegm Method: Use Qingzhou Baiwanzi or Mishang Banxia Baizhu Tianma Tang.

Expediting Sneezing Method: Use Buwo San insufflated into the nose. For severe pain, insufflate Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus Spina) 2 qian, combined with small amounts of Xuanhu (Corydalis Rhizoma) and Qingdai (Indigo Naturalis) into the nose to induce salivation and sneezing.

Moxibustion Method: Used to dispel wind and scatter cold.

Acupuncture Method: For floating pulse, select Wanggu (SI4) and Jinggu (BL64); for long pulse, select Hegu (LI4) and Chongyang (ST42); for wiry pulse, select Yangchi (TE4), Fengfu (DU16), and Fengchi (GB20).

Purgative Method: For Shaoyang meridian unilateral headache accompanied by constipation, purgation is indicated.

External Application Method: Follow the method after sweating in Shanghan (Cold Damage), applying Xixin (Asari Radix et Rhizoma) and Caowu (Aconiti Radix) as a plaster.

Medicines Governing Each Meridian:
Yangming Meridian (Baizhi, Shigao); Shaoyang Meridian (Chaihu, Chuanxiong); Taiyang Meridian (Gaoben, Qianghuo); Taiyin Meridian (Cangzhu, Banxia); Shaoyin Meridian (Xixin, Duhuo); Jueyin Meridian (Wuzhuyu, Danggui).

Etiologies include: qi deficiency, blood deficiency, kidney deficiency, wind, dampness, heat, blood stasis, cold, and qi stagnation.

Dispelling Wind Method: Use Xiao Xuming Tang added with Taoren (Persicae Semen).

Treating Cold Method: Use Jisheng Zhufu Tang.

Moving Dampness Method: For damp-heat, use Cangzhu, Duzhong, fried Huangbai, and Chuanxiong; for wind-dampness, use Dongyuan's Duhuo Tang; for phlegm-dampness, use Nanxing (Arisaematis Rhizoma).

Regulating Qi Method: Use Xiao Qixiang Wan or Jianyi Zhike Tang.

Promoting Blood Circulation Method: Use Heishen San, taken with wine on an empty stomach. A choppy pulse indicates blood stasis; add Taoren and Honghua (Carthami Flos) to blood-nourishing and qi-regulating formulas.

Dispersing Mixed Pathogens: For mixed wind, cold, summerheat, and dampness, Wuji San is the primary formula.

Tonification Method: For qi and blood deficiency, add Dihuang (Rehmanniae Radix) and Duzhong (Eucommiae Cortex) to Buzhong Yiqi Tang. A large pulse indicates kidney deficiency; use Duzhong, Baiguiban (Testudinis Carapax et Plastrum Praeparatum), Huangbai, Zhimu, Gouqi (Lycii Fructus), and Wuweizi (Schisandrae Fructus), prepared as Pig Spinal Cord Pills.

Acupuncture Method: For blood stagnation in the lower body, bleed Weizhong (BL40).

Moxibustion Method: Moxibustion on Shenshu (BL23) and Kunlun (BL60).

Tonifying Ying and Wei Method: Guzhen Yinzi is used after purgation; for true qi deficiency, use Qing'e Wan formula: Duzhong (4 liang) and Buguzhi (Psoraleae Fructus) (2 liang).

Purgative Method: For traumatic injury causing excess pain, use Zhushen San etc. to purge.

Yaogao (Waist Rubbing Ointment) Formula:
Fuzui (Tip of Prepared Aconite Root), Wutoui (Tip of Aconite Root), Nanxing (each 2.5 qian), fried Jiang (Ginger Rhizome) (1 qian), Xionghuang (Realgar), Zhangnao (Hydropetini Cerebrum), Dingxiang (Caryophylli Flos) (each 1.5 qian), Shexiang (Moschus) (0.5 qian).

Unblocking Joints Method: Use Jisheng Anlu Wan.