夫头为诸阳之首，左脑痛属风与血虚风，薄荷、荆芥。血虚，川芎、当归。右脑痛属痰
术、半夏。属热，酒芩为主。痛甚者属火，黄芩、玄参。头痛须用川芎。如不愈，各加引经
药。太阳川芎，阳明白芷，少阳柴胡，太阴苍术，少阴细辛，厥阴吴茱萸，如苦头痛，必加
细辛。顶颠痛，须用 本，减川芎。如血气两虚头痛，调中益气汤，内加川芎三分，蔓荆子
三分，细辛三分，其效如神。大抵痰火，头痛眩晕，因火与痰者，多宜加玄参、酒芩以清热
，勿轻用川芎、蔓荆子，陈茶为引，更稳。
肩背痛，不可回顾者，此太阳气郁而不行也，以风药散之，脊痛项强，腰似折，项似拔
此是太阳经不通也。肢节痛，须用羌活。如瘦人肢节痛，是血虚，宜四物汤内加羌活、防
风、酒炒黄芩、黄柏，如倦怠无力，肢节痛，加
耳聋皆属于热，须用四物汤降火。
耳鸣必用龙荟丸，食后服。大抵此症，因平昔饮酒浓味，上焦素有痰火，只作清痰降火
治之为当，余治耳鸣耳聋，每服还少丹一料最效。方见虚损。
方古庵曰∶左耳聋，妇人多有之，以其多忿怒故也；右耳聋者，男人多有之，以其多色
欲故也；左右俱聋者，膏粱之家多有之，以其多肥甘故也。
经曰∶腰以下皆属肾，主湿热肾虚。瘀血，积痰，挫闪，脉大者肾虚。杜仲、龟板（酥
柏、知母、枸杞、北五味之类为末，猪脊髓和丸服。脉涩者，瘀血。用补阴丸加桃仁、红花
。脉缓者湿热，苍术、杜仲、黄柏、川芎之类。痰积者，二陈加南星、半夏。凡诸症属火，
不可峻用寒凉药，腰痛必用鹿角胶。
头部是诸阳经汇聚的顶端。左侧头痛属于风邪与血虚生风，可用薄荷、荆芥治疗；若属血虚，用川芎、当归。右侧头痛属于痰湿，可用苍术、半夏治疗；若属热证，以酒制黄芩为主药。疼痛剧烈的属于火邪，用黄芩、玄参。治疗头痛必须使用川芎。如果病情未愈，需根据经络加入引经药：太阳经用川芎，阳明经用白芷，少阳经用柴胡，太阴经用苍术，少阴经用细辛，厥阴经用吴茱萸。如果是剧烈头痛，必须加细辛。头顶（颠顶）疼痛，需用藁本，并减少川芎的用量。如果是气血两虚引起的头痛，用调中益气汤，内部加入三分川芎、三分蔓荆子、三分细辛，疗效神奇。大抵痰火引起的头痛眩晕，因火与痰所致者，多宜加玄参、酒制黄芩来清热，不要轻易使用川芎、蔓荆子，以陈茶为引，更加稳妥。
肩背部疼痛，不能回顾转头，这是太阳经气机郁滞而不通畅，用风药疏散它。脊痛项强，腰部像要折断一样，颈部像被拔起一样，这是太阳经不通畅。肢体关节疼痛，须用羌活。如果是瘦人肢体关节疼痛，是血虚，应在四物汤内加羌活、防风、酒炒黄芩、黄柏；如果倦怠无力且肢体关节疼痛，再加……（原文此处中断）。
耳聋都归属于热证，须用四物汤降火。耳鸣必须用龙荟丸，饭后服用。大抵这种病症，因为平时饮酒和食用浓味食物，上焦素有痰火，只作清痰降火治疗才是恰当的。其余治疗耳鸣耳聋，每服还少丹一料最见效。方剂见“虚损”篇。
方古庵说：左耳聋，妇人大多有，因为她们多忿怒的缘故；右耳聋，男人大多有，因为他们多色欲的缘故；左右都聋的人，富贵人家多有，因为他们多食肥甘厚味的缘故。
医经说：腰部以下皆归属于肾，主治湿热肾虚。瘀血、积痰、挫闪（外伤扭挫）、脉大者属肾虚。用杜仲、龟板（酥炙），以及知母、枸杞、北五味子之类研为末，用猪脊髓和丸服用。脉涩者，为瘀血。用补阴丸加桃仁、红花。脉缓者，为湿热，用苍术、杜仲、黄柏、川芎之类。痰积者，用二陈汤加南星、半夏。凡是各种症状属于火邪的，不可峻烈地使用寒凉药，治疗腰痛必须用鹿角胶。
The head is the summit of all Yang meridians. Left-sided headache belongs to wind and blood deficiency generating wind; Bohe (Menthae Haplocalycis Herba) and Jingjie (Schizonepetae Spica) are indicated. If due to blood deficiency, Chuanxiong (Cyperi Rhizoma) and Danggui (Angelicae Sinensis Radix) are used. Right-sided headache belongs to phlegm-dampness; Baizhu (Atractylodis Macrocephalae Rhizoma) and Banxia (Pinelliae Rhizoma Preparatum) are indicated. If due to heat, Jiuhuangqin (Scutellariae Radix prepared with wine) is the main herb. Severe pain indicates fire; Huangqin (Scutellariae Radix) and Xuanshen (Scrophulariae Radix) are used. Treating headache requires the use of Chuanxiong (Cyperi Rhizoma). If not cured, add guiding herbs according to the meridian: Taiyang (Taiyang Meridian) uses Chuanxiong (Cyperi Rhizoma); Yangming (Yangming Meridian) uses Baizhi (Angelicae Dahuricae Radix); Shaoyang (Shaoyang Meridian) uses Chaihu (Bupleuri Radix); Taiyin (Taiyin Meridian) uses Cangzhu (Atractylodis Rhizoma); Shaoyin (Shaoyin Meridian) uses Xixin (Asari Radix et Rhizoma); Jueyin (Jueyin Meridian) uses Wuzhuyu (Evodiae Fructus). In cases of severe headache, Xixin (Asari Radix et Rhizoma) must be added. For vertex headache, Bencao (Ligustici Wallichii Rhizoma) is required, and Chuanxiong (Cyperi Rhizoma) should be reduced. If the headache is due to both Qi and Blood deficiency, Tiao Zhong Yi Qi Tang (Regulate the Middle and Boost Qi Decoction) is used, with 3 fen of Chuanxiong (Cyperi Rhizoma), 3 fen of Manjingzi (Vittariae Spora), and 3 fen of Xixin (Asari Radix et Rhizoma) added internally; the effect is miraculous. Generally, headaches and dizziness caused by Phlegm-Fire, resulting from fire and phlegm, should mostly have Xuanshen (Scrophulariae Radix) and Jiuhuangqin (Scutellariae Radix prepared with wine) added to clear heat. One should not lightly use Chuanxiong (Cyperi Rhizoma) or Manjingzi (Vittariae Spora); using aged tea as a guide makes it more stable.
Shoulder and back pain that prevents turning the head backward indicates stagnation and obstruction of Qi in the Taiyang (Taiyang Meridian); disperse it with Wind-dispelling herbs. Pain in the spine and stiffness in the neck, where the waist feels like it will break and the neck feels like it is being pulled out, indicate blockage in the Taiyang (Taiyang Meridian). Pain in the limbs and joints requires Qianghuo (Notopterygii Rhizoma et Radix). If thin individuals suffer from limb and joint pain, it is due to Blood deficiency; Siwu Tang (Four Substances Decoction) should be used with added Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Jiuchao Huangqin (Scutellariae Radix stir-fried with wine), and Huangbai (Phellodendri Cortex); if accompanied by fatigue and weakness with limb and joint pain, add... [text cuts off].
Deafness is generally attributed to Heat; Siwu Tang (Four Substances Decoction) is required to descend Fire. Tinnitus must be treated with Longdan Xiegan Tang? No, text says Longhui Wan (Long Dan Xie Gan Wan? No, text says Long Hui Wan - likely referring to a specific formula, here translated as Longhui Pill); take it after meals. Generally, this condition arises from habitual consumption of alcohol and rich flavors, leading to pre-existing Phlegm-Fire in the Upper Jiao (Upper Burner); treating it by clearing phlegm and descending fire is appropriate. For other cases of tinnitus and deafness, taking one course of Huanshao Dan (Restore Youth Pill) is most effective. The formula is found in the "Deficiency and Damage" section.
Fang Gu'an said: Left-sided deafness is common in women because they are prone to anger; right-sided deafness is common in men because they are prone to sexual desire; bilateral deafness is common among the wealthy because they consume excessive rich and sweet foods.
The Classics state: The lower part of the body below the waist belongs to the Kidney (Shen), governing Damp-Heat and Kidney deficiency. Stasis of Blood, accumulated Phlegm, sprains/contusions, and a large pulse indicate Kidney deficiency. Use Duzhong (Eucommiae Cortex), Guiban (Testudinis Carapax et Plastrum calcined), along with Zhimu (Anemarrhenae Rhizoma), Gouqi (Lycii Fructus), Bei Wuwei (Schisandrae Chinensis Fructus), etc., ground into powder, and formed into pills with Pig Spinal Cord for oral administration. A choppy pulse indicates Stasis of Blood; use Buyin Wan (Nourish Yin Pill) with added Taoren (Persicae Semen) and Honghua (Carthami Flos). A slow pulse indicates Damp-Heat; use Cangzhu (Atractylodis Rhizoma), Duzhong (Eucommiae Cortex), Huangbai (Phellodendri Cortex), Chuanxiong (Cyperi Rhizoma), etc. For Phlegm accumulation, use Erchen Tang (Two-Aged Decoction) with added Nanxing (Arisaematis Cum Bile) and Banxia (Pinelliae Rhizoma Preparatum). For any symptoms belonging to Fire, do not use cold medicines harshly; treating lower back pain requires the use of Lujiaojiao (Cervi Cornus Colla).