寸脉紧急,或浮弦,或短,皆头痛。浮滑为风痰,易治。短涩为虚,难治。浮弦为风,浮洪为火,
细或缓为湿。
〔风痛〕川芎茶调散 见一卷伤风。
〔寒痛〕桂枝羌活汤 桂 羌 防 草
〔湿痛〕羌活胜湿汤 见一卷湿。
〔痰痛〕半夏天麻白术汤 夏 麻 术 参 陈 苓 姜 麦芽 神曲 苍术 泽泻
〔郁热〕清空膏 芩 连 羌 防 柴 芎 草 茶调三钱。
〔风热〕菊花散 见五卷头风。
〔食积〕香砂枳术丸 木香 砂仁 枳 术 陈 夏 荷叶包,陈米煨饭为丸。
〔伤酒〕葛花解酲汤 见一卷湿。
〔伤怒〕沉香降气散 见三卷郁。
〔气虚〕补中益气汤 见一卷中风。
〔血虚〕四物汤 地 芍 归 芎
〔温肾〕黑锡丹 硫黄 黑铅 加沉香 附子 肉桂 茴香 故纸 肉豆蔻 金铃子 木香 葫芦巴
〔偏痛〕菊花茶调散 即川芎茶调散,加 菊花 僵蚕
〔偏痛〕芎犀丸 川芎 犀角 参 苓 辛 栀 麦冬 草 石膏 辰砂 片脑 阿胶
〔偏痛〕透顶散 见五卷头风。
〔肝阳〕三才汤 天冬 熟地 人参
〔肾虚〕六味丸 七味丸 俱见一卷中风。
〔肾厥〕玉贞丸 见五卷厥。
〔通利〕来复丹 见三卷呕吐。
〔大头〕普济消毒饮 见一卷疫。
〔耳肿〕甘桔汤 甘草 桔梗 荆 防 杏 葛 石膏 鼠粘子 元参 前胡
〔眉棱〕选奇汤 见五卷头风。
〔肝虚〕生熟地黄丸 生地 熟地 甘菊 石斛 枳壳 防风 牛膝 羌活 杏仁 蜜丸。
〔涤饮〕导痰汤 见一卷中风。
〔寒厥〕麻黄附子细辛汤 麻 附 辛
〔厥冷〕吴茱萸汤 见三卷呕吐。
寸脉呈现紧急之象,或者浮弦,或者短促,均主头痛。脉象浮滑属于风痰所致,容易治疗。脉象短涩属于虚证,难以治疗。脉象浮弦主风邪,脉象浮洪主火邪,脉象细或缓主湿邪。
〔风痛〕使用川芎茶调散(见第一卷伤风章节)。
〔寒痛〕使用桂枝羌活汤:药材包括桂枝、羌活、防风、甘草。
〔湿痛〕使用羌活胜湿汤(见第一卷湿证章节)。
〔痰痛〕使用半夏天麻白术汤:药材包括半夏、天麻、白术、人参、陈皮、茯苓、生姜、麦芽、神曲、苍术、泽泻。
〔郁热〕使用清空膏:药材包括黄芩、黄连、羌活、防风、柴胡、川芎、甘草,配合茶叶三钱,制成茶调散服用。
〔风热〕使用菊花散(见第五卷头风章节)。
〔食积〕使用香砂枳术丸:药材包括木香、砂仁、枳实、白术、陈皮、半夏,用荷叶包裹,陈米煨饭后制丸。
〔伤酒〕使用葛花解酲汤(见第一卷湿证章节)。
〔伤怒〕使用沉香降气散(见第三卷郁证章节)。
〔气虚〕使用补中益气汤(见第一卷中风章节)。
〔血虚〕使用四物汤:药材包括熟地黄、白芍、当归、川芎。
〔温肾〕使用黑锡丹:药材包括硫黄、黑铅,加入沉香、附子、肉桂、茴香、故纸(补骨脂)、肉豆蔻、金铃子(延胡索)、木香、葫芦巴。
〔偏痛〕使用菊花茶调散:即川芎茶调散,加入菊花、僵蚕。
〔偏痛〕使用芎犀丸:药材包括川芎、犀角、人参、茯苓、辛夷、栀子、麦冬、甘草、石膏、辰砂、片脑(冰片)、阿胶。
〔偏痛〕使用透顶散(见第五卷头风章节)。
〔肝阳〕使用三才汤:药材包括天冬、熟地黄、人参。
〔肾虚〕使用六味丸、七味丸(均见第一卷中风章节)。
〔肾厥〕使用玉贞丸(见第五卷厥证章节)。
〔通利〕使用来复丹(见第三卷呕吐章节)。
〔大头〕使用普济消毒饮(见第一卷疫病章节)。
〔耳肿〕使用甘桔汤:药材包括甘草、桔梗、荆芥、防风、杏仁、葛根、石膏、鼠粘子(牛蒡子)、元参(玄参)、前胡。
〔眉棱〕使用选奇汤(见第五卷头风章节)。
〔肝虚〕使用生熟地黄丸:药材包括生地黄、熟地黄、甘菊、石斛、枳壳、防风、牛膝、羌活、杏仁,炼蜜为丸。
〔涤饮〕使用导痰汤(见第一卷中风章节)。
〔寒厥〕使用麻黄附子细辛汤:药材包括麻黄、附子、细辛。
〔厥冷〕使用吴茱萸汤(见第三卷呕吐章节)。
The Cun (inch) pulse is tight, or floating and wiry, or short; all indicate headache. A floating and slippery pulse indicates wind-phlegm, which is easy to treat. A short and choppy pulse indicates deficiency, which is difficult to treat. A floating and wiry pulse indicates wind; a floating and surging pulse indicates fire; a fine or moderate pulse indicates dampness.
[Wind Headache] Use Chuanxiong Chatiao San (Ligusticum Chuanxiong Tea-Regulating Powder) (see Volume 1, Wind Injury).
[Cold Headache] Use Guizhi Qianghuo Tang (Cinnamon Twig and Notopterygium Decoction): Ingredients include Guizhi (Cinnamomi Ramulus), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
[Dampness Headache] Use Qianghuo Shengshi Tang (Notopterygium Decoction for Overcoming Dampness) (see Volume 1, Dampness).
[Phlegm Headache] Use Banxia Tianma Baizhu Tang (Pinellia, Gastrodia, and Atractylodes Macrocephala Decoction): Ingredients include Banxia (Pinelliae Rhizoma), Tianma (Gastrodiae Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Renshen (Ginseng Radix), Chenpi (Citri Reticulatae Pericarpium), Fuling (Poria), Shengjiang (Zingiberis Rhizoma Recens), Maiya (Hordei Fructus Germinatus), Shenqu (Massa Medicata Fermentata), Cangzhu (Atractylodis Rhizoma), Zexie (Alismatis Rhizoma).
[Stagnant Heat] Use Qingkong Gao (Clear the Emptiness Paste): Ingredients include Huangqin (Scutellariae Radix), Lianlian (Coptidis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Chaihu (Bupleuri Radix), Chuanxiong (Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), combined with three qian of tea leaves, prepared as Chatiao San.
[Wind-Heat Headache] Use Juhua San (Chrysanthemum Powder) (see Volume 5, Head Wind).
[Food Stagnation] Use Xiangsha Zhizhu Wan (Costus and Amomum Pill for Strengthening the Spleen): Ingredients include Muxiang (Aucklandiae Radix), Sharen (Amomi Fructus), Zhishi (Aurantii Fructus Immaturus), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma). Wrap in lotus leaves, steam with aged rice, and form into pills.
[Alcohol Injury] Use Gehua Jieying Tang (Kudzu Flower Decoction for Resolving Intoxication) (see Volume 1, Dampness).
[Anger Injury] Use Chenxiang Jiangqi San (Aquilaria Powder for Descending Qi) (see Volume 3, Stagnation).
[Qi Deficiency] Use Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) (see Volume 1, Stroke).
[Blood Deficiency] Use Siwu Tang (Four Substance Decoction): Ingredients include Shudi (Rehmanniae Radix Preparata), Shaoyao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Chuanxiong (Chuanxiong Rhizoma).
[Kidney Warming] Use Heixi Dan (Black Tin Pill): Ingredients include Liuhuang (Sulfur), Heiqian (Lead), added with Chenxiang (Aquilariae Lignum), Fuzi (Aconiti Lateralis Radix Preparata), Rougui (Cinnamomi Cortex), Huixiang (Foeniculi Fructus), Guzhi (Psoraleae Fructus), Roudoukou (Myristicae Semen), Jinlingzi (Evodiae Fructus), Muxiang (Aucklandiae Radix), Huluba (Trigonellae Semen).
[Lateral Headache] Use Juhua Chatiao San (Chrysanthemum Tea-Regulating Powder): This is Chuanxiong Chatiao San plus Juhua (Chrysanthemi Flos) and Jiangcan (Bombyx Batryticatus).
[Lateral Headache] Use Xiongxī Wan (Ligusticum and Rhinoceros Horn Pill): Ingredients include Chuanxiong (Chuanxiong Rhizoma), Xijiao (Rhinocerotis Cornu), Renshen (Ginseng Radix), Fuling (Poria), Xinyi (Magnoliae Flos), Zhizi (Gardeniae Fructus), Maidong (Ophiopogonis Radix), Cao (Glycyrrhizae Radix et Rhizoma), Shigao (Gypsum Fibrosum), Chencha (Cinnabaris), Piannao (Borneolum Syntheticum), Ejiao (Asini Corii Colla).
[Lateral Headache] Use Tou Ding San (Penetrate the Crown Powder) (see Volume 5, Head Wind).
[Liver Yang] Use Santang Tang (Three Talents Decoction): Ingredients include Tiandong (Asparagi Radix), Shudi (Rehmanniae Radix Preparata), Renshen (Ginseng Radix).
[Kidney Deficiency] Use Liuwei Wan (Six-Ingredient Pill) and Qiwei Wan (Seven-Ingredient Pill) (both see Volume 1, Stroke).
[Kidney Jue] Use Yuzhen Wan (Jade Chastity Pill) (see Volume 5, Jue Syndrome).
[Unblocking and Purging] Use Laifu Dan (Restoring Harmony Pill) (see Volume 3, Vomiting).
[Large Head Swelling] Use Puji Xiaodu Yin (Universal Benefit Detoxification Decoction) (see Volume 1, Epidemic Disease).
[Ear Swelling] Use Ganjie Tang (Licorice and Platycodon Decoction): Ingredients include Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Xingren (Armeniacae Semen Amarum), Gegen (Puerariae Lobatae Radix), Shigao (Gypsum Fibrosum), Niuzibei (Arctii Fructus), Yuan Shen (Scrophulariae Radix), Qianhu (Peucedani Radix).
[Supraorbital Headache] Use Xuanqi Tang (Select Extraordinary Decoction) (see Volume 5, Head Wind).
[Liver Deficiency] Use Shengshu Dihuang Wan (Raw and Prepared Rehmannia Pill): Ingredients include Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata), Ganju (Chrysanthemi Flos), Shihu (Dendrobii Caulis), Zhiqiao (Aurantii Fructus), Fangfeng (Saposhnikoviae Radix), Niuxi (Achyranthis Bidentatae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Xingren (Armeniacae Semen Amarum). Form into pills with honey.
[Phlegm Fluid Expulsion] Use Daotan Tang (Guiding Phlegm Decoction) (see Volume 1, Stroke).
[Cold Jue] Use Mahuang Fuzi Xixin Tang (Ephedra, Aconite, and Asarum Decoction): Ingredients include Mahuang (Ephedrae Herba), Fuzi (Aconiti Lateralis Radix Preparata), Xixin (Asari Radix et Rhizoma).
[Jue Coldness] Use Wuzhuyu Tang (Evodia Decoction) (see Volume 3, Vomiting).