（雷头风附）
风邪上干，新感为头痛，深久则为头风。其症头巅重晕，或头皮麻痹，或耳鸣目眩，眉棱紧掣。旧
素有痰火，复因当风取凉，邪从风府入脑，郁而为热为痛，甚则目病昏眩。头风不治必害眼。当分偏正、左右、
寒热、气血治之。痛在正顶，多太阳经风郁，宜川芎、羌活、蔓荆、苏叶等散之。太阳经从额至颠，络脑后
也。痛在左右，多少阳经火郁，宜甘菊花、丹皮、山栀、桑叶、钩藤等发之。少阳经从头角下耳，及耳之前后
也。痛偏左为风虚，宜川芎、当归、防风、薄荷。痛偏右为痰热，宜苍术、半夏、黄芩、石膏。气虚者为劳，
补中益气汤加川芎、天麻。血虚者善惊，四物汤加薄荷、白芷。热痛者恶热，消风散。冷痹者畏寒，追风散。
寒热久郁，发时闷痛，欲绵裹者多痰，二陈汤加酒芩。荆芥、川芎、薄荷、石膏、细辛。风兼热者，茶调散、
菊花散。寒挟湿者，导痰汤加苍术、白芷。痛连齿龈者，钩藤散加荆芥、薄荷。痛掣眉棱者，选奇汤。鼻流
臭涕者，芎犀散，或透顶散搐鼻出涎。脑后筋掣者，钩藤、荷叶边、连翘、苦丁茶、甘菊。气上攻痛者，全蝎
散。年久不愈者，乌头、南星末，葱汁调涂太阳穴。妇女血分受风者，养血祛风汤。其有因胆火上逆、为晕痛，
治宜泄热者，用羚羊角、生地、丹皮、甘菊、苦丁茶、嫩桑叶。因肝阳乘胃，为呕吐，治宜熄风者，用茯神、
甘菊炭、钩藤、半夏曲，薄荷、山栀。因肝阴虚，内风动，治宜滋液者，用复脉汤去参、姜、桂，加鸡子黄、
白芍。因暑热上蒙清窍、治宜清渗者，用石膏、荷梗、薄荷、羚羊角、通草、苡米。因阴伤阳浮，齿痛筋惕，
治宜镇摄者，用阿胶、牡蛎、生地、人参、白芍、钩藤。因内风头痛，泪冷目昏，治宜润养者，用杞子、首乌、
茯神、白芍、柏子仁、甘菊炭。头脑鸣响，状如虫蛀，名天白蚁者，茶子末吹鼻效。头多
白屑作痒者，零陵香、白芷煎汁，入鸡子白搅匀敷。雷头风肿痛起块，憎寒壮热，脑震如雷鸣者，清震汤、
解雷汤。雷头风病在三阳，不可过用寒凉重剂，诛伐无过，河间立清震汤。脑风项背怯寒，脑户穴冷者，神
圣散。首风因于新沐，汗多恶风者，川芎丸、白芷丸。余参头痛门治。
（雷头风附）
风邪上犯头部，新近感受外邪引起的称为头痛，病程深长久治不愈的则称为头风。其症状表现为头顶沉重眩晕，或者头皮麻木，或者耳鸣目眩，眉棱骨处紧绷牵掣疼痛。若患者素来体内有痰火，又因当风取凉，导致邪气从风府穴侵入脑部，郁结而化为热、化为痛，严重时甚至引发眼部疾病、昏花眩晕。头风若不及时治疗，必定会损害眼睛。治疗时应当区分偏侧或正中、左侧或右侧、寒证或热证、气虚或血虚来进行辨证施治。
疼痛位于正头顶者，多属太阳经风邪郁滞，适宜使用川芎、羌活、蔓荆子、苏叶等药物发散风邪。因为太阳经从额部上行至头顶，联络脑后。疼痛位于左右两侧者，多属少阳经火邪郁滞，适宜使用甘菊花、牡丹皮、山栀、桑叶、钩藤等药物疏散火邪。因为少阳经从头角下行至耳部，以及耳的前后部位。
疼痛偏于左侧者，多为风虚所致，适宜使用川芎、当归、防风、薄荷。疼痛偏于右侧者，多为痰热所致，适宜使用苍术、半夏、黄芩、石膏。属于气虚者，多由劳累引起，宜用补中益气汤加川芎、天麻。属于血虚者，容易受惊，宜用四物汤加薄荷、白芷。属于热痛者，厌恶炎热，宜用消风散。属于冷痹者，畏惧寒冷，宜用追风散。
若寒热之邪长期郁结，发作时感到闷痛，想要用绵布包裹头部以缓解者，多伴有痰湿，宜用二陈汤加酒炒黄芩、荆芥、川芎、薄荷、石膏、细辛。风邪兼夹热邪者，宜用茶调散、菊花散。寒邪挟带湿邪者，宜用导痰汤加苍术、白芷。疼痛牵连齿龈者，宜用钩藤散加荆芥、薄荷。疼痛牵引眉棱骨者，宜用选奇汤。鼻流臭浊鼻涕者，宜用芎犀散，或用透顶散搐鼻引出涎液。脑后筋脉牵掣疼痛者，可用钩藤、荷叶边、连翘、苦丁茶、甘菊。气机上攻导致的疼痛，宜用全蝎散。病程长久不愈者，可用乌头、南星研末，用葱汁调和涂抹于太阳穴。妇女因血分受风者，宜用养血祛风汤。
若有因胆火上逆引起头晕疼痛，治疗宜泄热的，可用羚羊角、生地、牡丹皮、甘菊、苦丁茶、嫩桑叶。因肝阳乘袭胃腑引起呕吐，治疗宜熄风的，可用茯神、甘菊炭、钩藤、半夏曲、薄荷、山栀。因肝阴虚导致内风扰动，治疗宜滋阴润液的，可用复脉汤去掉人参、生姜、桂枝，加入鸡子黄、白芍。因暑热上蒙清窍，治疗宜清热渗湿的，可用石膏、荷梗、薄荷、羚羊角、通草、苡米。因阴伤阳浮，出现齿痛、筋脉跳动，治疗宜镇摄浮阳的，可用阿胶、牡蛎、生地、人参、白芍、钩藤。因内风头痛，流泪发冷、目昏，治疗宜润养的，可用杞子、首乌、茯神、白芍、柏子仁、甘菊炭。头脑鸣响，状如虫蛀，名为“天白蚁”者，吹入茶子末有效。头上多白色皮屑且瘙痒者，可用零陵香、白芷煎汁，加入鸡蛋清搅匀后敷用。
雷头风表现为肿痛起块，憎恶寒冷且壮热，头部震动感如同雷鸣者，宜用清震汤、解雷汤。雷头风病位在三阳经，不可过度使用寒凉重剂，以免诛伐无辜正气，刘河间创立了清震汤。脑风表现为项背怯寒，脑户穴感觉寒冷者，宜用神圣散。首风因刚洗完头引起，汗多且恶风者，宜用川芎丸、白芷丸。其余情况参考头痛门的治法。
(Attached: Thunderhead Wind)
When pathogenic wind invades the upper body, a recent external contraction causing headache is termed "Headache," while a deep-seated, chronic condition is termed "Head Wind" (Toufeng). Its symptoms include heaviness and vertigo at the vertex of the head, numbness of the scalp, tinnitus, dizziness, and tight, pulling pain in the supraorbital ridge. If the patient has pre-existing phlegm-fire, and subsequently exposes themselves to wind while cooling off, the pathogen enters the brain via the Fengfu point (GV16), stagnates, and transforms into heat and pain. In severe cases, it may cause eye diseases, blurred vision, and vertigo. Untreated Head Wind will inevitably damage the eyes. Treatment should differentiate between lateral or central location, left or right side, cold or heat patterns, and Qi or Blood deficiency.
Pain located at the center of the vertex often indicates wind stagnation in the Taiyang channel; it is appropriate to use Chuanxiong Rhizome (Chuanxiong), Notopterygium Rhizome (Qianghuo), Vitex Fruit (Manjingzi), and Perilla Leaf (Suye) to disperse the pathogen. The Taiyang channel runs from the forehead to the vertex and connects with the back of the head. Pain on the left or right sides often indicates fire stagnation in the Shaoyang channel; it is appropriate to use Chrysanthemum Flower (Ganjuhua), Moutan Bark (Danpi), Gardenia Fruit (Shanzhi), Mulberry Leaf (Sangye), and Uncaria Ramulus cum Uncis (Gouteng) to vent the fire. The Shaoyang channel descends from the temporal angle to the ear and surrounds the anterior and posterior aspects of the ear.
Pain偏于 the left is due to wind deficiency; use Chuanxiong Rhizome (Chuanxiong), Angelica Sinensis Root (Danggui), Saposhnikovia Root (Fangfeng), and Mint Herb (Bohe). Pain偏于 the right is due to phlegm-heat; use Atractylodes Rhizome (Cangzhu), Pinellia Tuber (Banxia), Scutellaria Root (Huangqin), and Gypsum Fibrosum (Shigao). Cases due to Qi deficiency are often caused by overexertion; use Buzhong Yiqi Decoction (Tonify the Middle and Augment the Qi Decoction) added with Chuanxiong Rhizome (Chuanxiong) and Gastrodia Rhizome (Tianma). Cases due to Blood deficiency involve susceptibility to fright; use Siwu Decoction (Four Substance Decoction) added with Mint Herb (Bohe) and Angelica Dahurica Root (Baizhi). Heat-type pain involves aversion to heat; use Xiaofeng San (Dispel Wind Powder). Cold-bi type pain involves aversion to cold; use Zhuifeng San (Chase Away Wind Powder).
If cold and heat have been stagnant for a long time, causing stifling pain during attacks where the patient desires to wrap the head in cotton, this indicates much phlegm; use Erchen Decoction (Two-Cured Decoction) added with wine-fried Scutellaria Root (Jiu Huangqin), Schizonepeta Spike (Jingjie), Chuanxiong Rhizome (Chuanxiong), Mint Herb (Bohe), Gypsum Fibrosum (Shigao), and Asarum Root (Xixin). When wind combines with heat, use Chatiao San (Tea Seasoning Powder) or Juhua San (Chrysanthemum Powder). When cold clings with dampness, use Daotan Tang (Phlegm-Conducting Decoction) added with Atractylodes Rhizome (Cangzhu) and Angelica Dahurica Root (Baizhi). Pain extending to the gums uses Gouteng San added with Schizonepeta Spike (Jingjie) and Mint Herb (Bohe). Pulling pain in the supraorbital ridge uses Xuanqi Tang (Select Extraordinary Decoction). Foul-smelling nasal discharge uses Xiongxī San (Asarum and Rhinoceros Horn Powder, note: modern substitutes used) or Tou Ding San insufflated into the nose to induce salivation. Spasms of tendons at the back of the head use Uncaria Ramulus cum Uncis (Gouteng), Lotus Leaf Margin (Heyebian), Forsythia Fruit (Lianqiao), Kudingcha Leaf (Kudingcha), and Chrysanthemum Flower (Ganju). Pain driven upward by Qi uses Quanxie San (Scorpion Powder). Chronic cases unyielding to treatment use Aconite Lateral Root Preparatum (Wutou) and Pinellia Tuber processed with ginger and alum (Nanting) powdered, mixed with green onion juice and applied to the Taiyang acupoint. For women whose blood level is affected by wind, use Yangxue Qufeng Tang (Nourish Blood and Dispel Wind Decoction).
For dizziness and pain caused by rebellious Gallbladder fire, treat by draining heat using Antelope Horn (Lingyangjiao), Rehmannia Root (Shengdi), Moutan Bark (Danpi), Chrysanthemum Flower (Ganju), Kudingcha Leaf (Kudingcha), and young Mulberry Leaf (Nen Sangye). For vomiting caused by Liver Yang invading the Stomach, treat by extinguishing wind using Poria Sclerotium (Fushen), Charred Chrysanthemum Flower (Ganju Tan), Uncaria Ramulus cum Uncis (Gouteng), Fermented Pinellia Paste (Banxia Qu), Mint Herb (Bohe), and Gardenia Fruit (Shanzhi). For internal wind movement due to Liver Yin deficiency, treat by nourishing fluids using Maixuan Decoction (Fuma Tang - Pulse Restoring Decoction) minus Ginseng Radix (Renshen), Zingiberis Rhizoma Recens (Shengjiang), and Cinnamon Twig (Guizhi), added with Egg Yolk (Jizihuang) and White Peony Root (Baishao). For clear orifices obscured by summerheat-heat, treat by clearing and leaching out dampness using Gypsum Fibrosum (Shigao), Lotus Petiole (He Geng), Mint Herb (Bohe), Antelope Horn (Lingyangjiao), Taro Stem (Tongcao), and Coix Seed (Yimi). For floating Yang due to Yin injury, presenting with toothache and tendon twitching, treat by anchoring and subduing using Donkey-hide Gelatin (Ejiao), Oyster Shell (Muli), Rehmannia Root (Shengdi), Ginseng Radix (Renshen), White Peony Root (Baishao), and Uncaria Ramulus cum Uncis (Gouteng). For headache due to internal wind, with cold tears and blurred vision, treat by moistening and nourishing using Lycium Fruit (Qizi), Polygonum Multiflorum Root (Shouwu), Poria Sclerotium (Fushen), White Peony Root (Baishao), Biota Seed (Baiziren), and Charred Chrysanthemum Flower (Ganju Tan). For buzzing in the head resembling insect chewing, named "Tianbaiyi" (Heavenly White Ant), insufflating Camellia Seed powder (Chazi mo) into the nose is effective. For white dandruff and itching on the head, decoct Linglingxiang (Linglingxiang) and Angelica Dahurica Root (Baizhi), mix with egg white, and apply externally.
Thunderhead Wind presents with swelling, pain, lumps, aversion to cold with high fever, and a sensation of thunderous vibration in the brain; use Qingzhen Tang (Clear and Shake Decoction) or Jielei Tang (Resolve Thunder Decoction). Thunderhead Wind affects the three Yang channels; do not overuse heavy cold-cooling agents to avoid damaging righteous Qi. Liu Wansu established Qingzhen Tang. Brain Wind presents with chills in the neck and back, and coldness at the Naohu acupoint (GV17); use Shensheng San (Divine and Sacred Powder). First Wind, caused by recent hair washing, with excessive sweating and aversion to wind; use Chuanxiong Wan or Baizhi Wan. Refer to the Headache section for other treatments.