【头痛之症】或在半边，或在两边；或痛二三日，或痛七八日，甚则数日之外；痛止
仍如平人，偶一触犯，则痛立至。如气怯神衰。遇劳即痛，痛连鱼尾，此气虚痛也。五心烦热，
时常牵引刺痛，此血虚痛也。口渴唇焦，二便赤涩，此积热痛也。恶心呕吐，此痰饮痛也。
恼怒即发，痛引胁下，此肝火攻冲痛也。以上皆内伤之症也。
【头痛之因】或元气虚寒，遇劳即发；或血分不足，阴火攻冲；或积热不得外泄；
或积痰留饮；或食滞中焦；或七情恼怒，肝胆火郁。皆能上冲头痛，而成内伤头痛之症也。
【头痛之脉】空大乏神，的是气虚；若见细涩，方是血亏。或见洪数，膏粱积热。或
见滑大，痰饮内结。两寸洪大，上焦有火。左关弦数，肝胆郁结。
【头痛之治】若气虚者，家秘和中汤。血亏者，家秘芎归汤。膏粱积热者，栀连平
胃散
。肝胆有火者，清空膏、柴胡清肝饮、泻青汤。
家秘和中汤
人参 当归 黄 白术 广皮 甘草 升麻 柴胡 川芎 细辛
家秘芎归汤
当归 川芎 生地 连翘 细辛 蔓荆子
栀连平胃散
苍术 浓朴 广皮 甘草 山栀 黄连
葛根解酲汤
葛根 葛花 砂仁 木香 陈皮 白茯苓 猪苓 泽泻 人参 神曲 白术 白豆蔻
天麻二陈汤
半夏 白茯苓 广皮 甘草 天麻
导痰汤
南星 枳壳 半夏 白茯苓 广皮 甘草
平胃保和汤
苍术 浓朴 广皮 甘草 莱菔子 山楂 麦芽 神曲 连翘
清空汤
柴胡 黄连 黄芩 甘草 川芎 羌活 防风
柴胡清肝饮
柴胡 白芍药 山栀 黄芩 丹皮 当归 青皮 钩藤 甘草
泻青汤 家秘清肝胆风热。
当归 龙胆草 川芎 山栀 羌活 防风 黄芩
【头痛的症状】疼痛可能出现在头部的一侧，也可能出现在两侧；疼痛持续时间或为两三天，或为七八天，甚至超过数日；疼痛停止后，患者状态如同常人一般，但一旦再次受到刺激，疼痛便会立即发作。如果气虚怯弱、精神衰惫，劳累后即出现疼痛，且疼痛牵连至眼角（鱼尾），这是气虚引起的头痛。如果五心（两手心、两足心及心胸）烦热，时常出现牵引性的刺痛，这是血虚引起的头痛。如果口渴、嘴唇焦枯，大小便颜色红赤且排尿涩痛，这是积热引起的头痛。如果出现恶心、呕吐，这是痰饮引起的头痛。如果因恼怒而诱发，疼痛牵连至胁下，这是肝火攻冲引起的头痛。以上这些都属于内伤导致的头痛症状。
【头痛的病因】或者是元气虚寒，劳累后即发作；或者是血分不足，阴火向上攻冲；或者是积热无法向外宣泄；或者是积痰留滞成饮；或者是食物停滞在中焦脾胃；或者是七情（喜、怒、忧、思、悲、恐、惊）中的恼怒情绪，导致肝胆之火郁结。这些因素都能向上冲逆引起头痛，从而形成内伤头痛的病证。
【头痛的脉象】脉象空大而无神，确是气虚的表现；如果脉象细涩，才是血亏的表现。如果脉象洪数，多为膏粱厚味导致的积热。如果脉象滑大，多为痰饮内结。如果两寸脉洪大，说明上焦有火。如果左关脉弦数，说明肝胆有郁结。
【头痛的治疗】如果是气虚者，使用家秘和中汤。如果是血亏者，使用家秘芎归汤。如果是膏粱厚味导致的积热者，使用栀连平胃散。如果是肝胆有火者，使用清空膏、柴胡清肝饮、泻青汤。
家秘和中汤
人参 当归 黄芪 白术 广皮（陈皮） 甘草 升麻 柴胡 川芎 细辛
栀连平胃散
苍术 浓朴（厚朴） 广皮（陈皮） 甘草 山栀 黄连
葛根解酲汤
葛根 葛花 砂仁 木香 陈皮 白茯苓 猪苓 泽泻 人参 神曲 白术 白豆蔻
平胃保和汤
苍术 浓朴（厚朴） 广皮（陈皮） 甘草 莱菔子 山楂 麦芽 神曲 连翘
[Symptoms of Headache] The pain may occur on one side or on both sides; it may last for two or three days, or seven or eight days, and in severe cases, even longer than several days; after the pain subsides, the patient returns to a normal state, but upon any subsequent trigger, the pain immediately returns. If Qi is deficient and spirit is depleted, pain occurs immediately upon exertion, radiating to the temporal region (fish tail), this is headache due to Qi deficiency. If there is vexatious heat in the five centers (palms, soles, and chest), accompanied by frequent pulling stabbing pain, this is headache due to Blood deficiency. If there is thirst, dry and cracked lips, and red, scanty, and painful urination and defecation, this is headache due to accumulated heat. If there is nausea and vomiting, this is headache due to phlegm-fluid retention. If triggered by anger, with pain radiating to the hypochondrium, this is headache due to Liver Fire attacking upward. All of the above are symptoms of internal injury headache.
[Etiology of Headache] It may be caused by deficiency-cold of Yuan Qi, occurring immediately upon exertion; or by insufficiency of the Blood aspect, with Yin Fire attacking upward; or by accumulated heat that cannot vent outward; or by retained phlegm and fluid; or by food stagnation in the Middle Jiao; or by emotional disturbance such as anger, leading to depression of Liver and Gallbladder Fire. All these factors can ascend and cause headache, resulting in the syndrome of internal injury headache.
[Pulse Diagnosis of Headache] A pulse that is empty, large, and lacking spirit indicates Qi deficiency. A fine and choppy pulse indicates Blood deficiency. A surging and rapid pulse indicates accumulated heat from rich and greasy foods. A slippery and large pulse indicates internal accumulation of phlegm-fluid. Surging and large pulses at both Cun positions indicate Fire in the Upper Jiao. A wiry and rapid pulse at the left Guan position indicates depression/stagnation in the Liver and Gallbladder.
[Treatment of Headache] For Qi deficiency, use Jia Mi He Zhong Tang (Home Secret Harmonizing Decoction). For Blood deficiency, use Jia Mi Xiong Gui Tang (Home Secret Ligusticum and Angelica Decoction). For accumulated heat from rich and greasy foods, use Zhi Lian Ping Wei San (Gardenia and Coptis Level the Stomach Powder). For Fire in the Liver and Gallbladder, use Qing Kong Gao (Clear Empty Paste), Chai Hu Qing Gan Yin (Bupleurum Liver-Clearing Drink), or Xie Qing Tang (Drain Down Decoction).
Jia Mi He Zhong Tang (Home Secret Harmonizing Decoction)
Ren Shen (Ginseng Radix et Rhizoma), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Xi Xin (Asari Radix et Rhizoma)
Jia Mi Xiong Gui Tang (Home Secret Ligusticum and Angelica Decoction)
Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Sheng Di Huang (Rehmanniae Radix), Lian Qiao (Forsythiae Fructus), Xi Xin (Asari Radix et Rhizoma), Man Jing Zi (Viticis Fructus)
Zhi Lian Ping Wei San (Gardenia and Coptis Level the Stomach Powder)
Cang Zhu (Atractylodis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shan Zhi (Gardeniae Fructus), Huang Lian (Coptidis Rhizoma)
Ge Gen Jie Cheng Tang (Pueraria Relieving Intoxication Decoction)
Ge Gen (Puerariae Lobatae Radix), Ge Hua (Puerariae Flos), Sha Ren (Amomi Fructus Rotundus), Mu Xiang (Aucklandiae Radix), Chen Pi (Citri Reticulatae Pericarpium), Bai Fu Ling (Poria), Zhu Ling (Polyporus), Ze Xie (Alismatis Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Shen Qu (Massa Medicata Fermentata), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Dou Kou (Amomi Fructus)
Tian Ma Er Chen Tang (Gastrodia Two-Chen Decoction)
Ban Xia (Pinelliae Rhizoma), Bai Fu Ling (Poria), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Tian Ma (Gastrodiae Rhizoma)
Dao Tan Tang (Guiding Phlegm Decoction)
Nan Xing (Arisaematis Cum Bile), Zhi Ke (Aurantii Fructus Immaturus), Ban Xia (Pinelliae Rhizoma), Bai Fu Ling (Poria), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma)
Ping Wei Bao He Tang (Level the Stomach Preserve Harmony Decoction)
Cang Zhu (Atractylodis Rhizoma), Nong Po (Magnoliae Officinalis Cortex), Guang Pi (Citri Reticulatae Pericarpium), Gan Cao (Glycyrrhizae Radix et Rhizoma), Lai Fu Zi (Raphani Semen), Shan Zha (Crataegi Fructus), Mai Ya (Hordei Fructus Germinatus), Shen Qu (Massa Medicata Fermentata), Lian Qiao (Forsythiae Fructus)
Qing Kong Tang (Clear Empty Decoction)
Chai Hu (Bupleuri Radix), Huang Lian (Coptidis Rhizoma), Huang Qin (Scutellariae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix)
Chai Hu Qing Gan Yin (Bupleurum Liver-Clearing Drink)
Chai Hu (Bupleuri Radix), Bai Shao Yao (Paeoniae Radix Alba), Shan Zhi (Gardeniae Fructus), Huang Qin (Scutellariae Radix), Dan Pi (Moutan Cortex), Dang Gui (Angelicae Sinensis Radix), Qing Pi (Citri Reticulatae Pericarpium Viride), Gou Teng (Uncariae Ramulus cum Uncis), Gan Cao (Glycyrrhizae Radix et Rhizoma)
Xie Qing Tang (Drain Down Decoction) - Home secret formula for clearing Wind-Heat from the Liver and Gallbladder.
Dang Gui (Angelicae Sinensis Radix), Long Dan Cao (Gentianae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Shan Zhi (Gardeniae Fructus), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix)