属足太阳膀胱经、督脉之交会(《灵枢》曰∶足太阳之脉,是动则病,冲头痛,目似脱,项似
拔。《素问》曰∶伤寒一日,巨阳受之,故头痛。七日,巨阳病
衰,头痛少愈。又曰∶热病始于头首者,刺项太阳而汗出止。又曰∶巨阳之厥,则肿首头重,足不能行,发为
仆)。又属足阳明胃经。(《灵枢》曰∶足阳明之别,循胫骨外廉,上络头项。又曰∶胃气上注于肺,其悍
气上冲头者,循咽,上走空窍。《素问》曰∶阳明所谓客孙脉,则头痛、鼻鼽、腹肿。娄全善曰∶病在胃而头
痛者,必下之,方愈也)。又属足少阳胆经(《灵枢》曰∶厥头痛,头痛甚,耳前后脉涌,有热,泻出其血,
后取足少阳。李东垣曰∶头痛耳鸣,气虚头痛也,以人参、黄 主之。朱丹溪曰∶东垣青空膏,治少阳头痛)。
又总属手足三阳经、阳维之脉(《灵枢》曰∶手之三阳从手走头,足之三阳从头走足。又曰∶头半寒痛,先取
手少阳、阳明,后取足少阳、阳明。《素问》曰∶头上五行,行五者,以越诸阳之热逆也。王启玄曰∶三阳之
脉,尽上放头。头者,三阳之会也。张子和曰∶头痛不止,乃三阳受病也。孙景思曰∶今人头风,亦由阳气虚
弱。沈承之曰∶头有五行,中行前自发际,循顶下项至大椎,属督脉。前发际上一寸,名神庭穴,属足太阳膀
胱、阳明胃经、督脉之会。后发际上一寸,名风府穴;五分,名哑门穴,并属督脉、阳维之会。第二行,去中
行左右各开一寸五分,前后各以发际为度,属足太阳膀胱经。第三行,左右各直目瞳子上,前后亦以发际为度,
属足太阳膀胱、少阳胆经、阳维之会)。又属足厥阴肝经(《灵枢》曰∶厥头痛,头脉痛,心悲善泣,视头动
脉及甚者,刺尽出血,后调足厥阴。《素问》曰∶肝热病者,其逆则头痛员员,脉引冲头也。又曰∶徇蒙招尤,
目眩耳聋,下实上虚,过在足少阳、厥阴。注∶徇蒙者,如以物蒙其首,招摇不定;目眩耳聋,皆晕之状也,此为肝厥,
宜钩藤散。王海藏曰∶酒浸当归,治诸头痛。盖头痛皆属肝木,故以血药主之。朱丹溪曰∶血虚头痛,从鱼尾上攻,相
连头痛者,当归、川芎主之,盖在足太阳、足厥阴也)。兼属足少阴肾经(《灵枢》曰∶厥头痛,员员头重而痛,泻头上
五行,先取手少阴,后取足少阴。许知可曰∶肝虚为上虚,虚则头晕;肾虚为下虚,虚则头痛。李东垣曰∶有厥逆头
痛者,所犯大寒,内至骨髓。髓以脑为主,脑逆,故令脑痛齿亦痛,宜羌活附子汤)。又分属足六经(李东垣
曰∶头痛须用川芎。如不应,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。又曰∶太阳头痛,脉浮紧者,川芎、羌活、麻黄主之。少阳头痛,脉弦细,寒热往来者,柴胡、黄芩主
之。阳明头痛,自汗,发热不恶寒,脉浮长者,升麻、葛根、石膏、白芷主之。太阴头痛,必有痰,体重、腹
痛、为痰癖,苍术、半夏主之。少阴头痛,三阴三阳不流行,足寒气逆为寒厥,其脉沉细,麻黄附子细辛汤
主之。厥阴头痛,或吐痰沫,冷厥,脉沉缓,吴茱萸汤主之)。
头部疾病归属于足太阳膀胱经与督脉的交会处(《灵枢》记载:足太阳经脉发生变动时,会出现冲撞性头痛,眼睛感觉像要脱出,颈部感觉像被拉扯。《素问》记载:伤寒病第一天,巨阳经受邪,所以出现头痛。第七天,巨阳病势衰退,头痛稍微减轻。又说:热病从头部开始的,针刺项部的太阳经使汗出即可停止。又说:巨阳经气逆乱厥证,会出现头部肿胀沉重,脚不能行走,导致跌倒)。头部又归属于足阳明胃经(《灵枢》记载:足阳明胃经的别络,沿胫骨外侧向上,联络头项部。又说:胃气上注于肺,其剽悍之气上冲头部,沿着咽喉,上行通达五官空窍。《素问》记载:阳明经所谓的客孙脉受邪,则出现头痛、鼻流清涕、腹部肿胀。娄全善说:病位在胃而引发头痛的,必须用攻下法治疗才能痊愈)。头部又归属于足少阳胆经(《灵枢》记载:厥逆头痛,头痛剧烈,耳前后脉搏涌动且有热象,应刺出其血液,随后取足少阳经穴治疗。李东垣说:头痛耳鸣,是气虚引起的头痛,用人参、黄芪为主药。朱丹溪说:李东垣的青空膏,治疗少阳经头痛)。头部总括归属于手足三阳经及阳维脉(《灵枢》记载:手三阳经从手走向头,足三阳经从头走向足。又说:头部一侧寒冷疼痛,先取手少阳、手阳明经穴,后取足少阳、足阳明经穴。《素问》记载:头上有五行,每行五个穴位,用以发散诸阳经的热逆之邪。王启玄说:三阳经的脉气,都上行至头部。头部是三阳经的会合之处。张子和说:头痛不止,是三阳经受病所致。孙景思说:现在的头风病,也是由于阳气虚弱引起。沈承之说:头部有五行分布,中行从前发际开始,沿头顶向下至项部的大椎穴,属于督脉。前发际上一寸,名为神庭穴,属于足太阳膀胱经、足阳明胃经、督脉的交会处。后发际上一寸,名为风府穴;五分处,名为哑门穴,均属于督脉、阳维脉的交会处。第二行,距离中行左右各开一寸五分,前后均以发际为界限,属于足太阳膀胱经。第三行,左右各直对瞳孔上方,前后也以发际为界限,属于足太阳膀胱经、足少阳胆经、阳维脉的交会处)。头部又归属于足厥阴肝经(《灵枢》记载:厥逆头痛,头部血脉疼痛,心情悲伤容易哭泣,观察头部跳动的血管及疼痛严重的部位,刺尽出血,随后调理足厥阴经。《素问》记载:肝热病患者,气逆则头痛头晕,脉气牵引冲击头部。又说:视物模糊摇晃不定,目眩耳聋,下部实上部虚,病变在于足少阳、足厥阴经。注释:徇蒙的感觉,就像有东西蒙住头部,摇动不定;目眩耳聋,都是眩晕的状态,这属于肝厥,适宜用钩藤散。王海藏说:酒浸当归,治疗各种头痛。因为头痛多归属于肝木,所以用补血药为主药。朱丹溪说:血虚引起的头痛,从鱼尾处向上攻冲,相连部位的头痛,用当归、川芎为主药,因为这涉及足太阳、足厥阴经)。兼属足少阴肾经(《灵枢》记载:厥逆头痛,头部沉重且疼痛,泻头上五行穴位,先取手少阴经穴,后取足少阴经穴。许知可说:肝虚导致上虚,虚则头晕;肾虚导致下虚,虚则头痛。李东垣说:有厥逆头痛的,是因为触犯大寒,寒气内达骨髓。髓以脑为主,脑气逆乱,所以导致脑痛牙齿也痛,适宜用羌活附子汤)。头部又分别归属于足六经(李东垣说:治疗头痛须用川芎。如果无效,根据经络加入引经药。太阳经头痛用川芎,阳明经头痛用白芷,少阳经头痛用柴胡,太阴经头痛用苍术,少阴经头痛用细辛,厥阴经头痛用吴茱萸。又说:太阳经头痛,脉象浮紧的,用川芎、羌活、麻黄为主药。少阳经头痛,脉象弦细,伴有寒热往来的,用柴胡、黄芩为主药。阳明经头痛,自汗,发热不恶寒,脉象浮长的,用升麻、葛根、石膏、白芷为主药。太阴经头痛,必定有痰,身体沉重、腹痛,属于痰癖,用苍术、半夏为主药。少阴经头痛,三阴三阳经气不流通,足部寒冷气逆为寒厥,脉象沉细的,用麻黄附子细辛汤为主药。厥阴经头痛,或者吐痰沫,冷厥,脉象沉缓的,用吴茱萸汤为主药))。
The head region belongs to the intersection of the Foot-Taiyang Bladder Meridian and the Du Vessel (as stated in *Ling Shu*: When the Foot-Taiyang meridian is affected, it causes sudden headache, eyes feeling as if they are protruding, and the neck feeling as if being pulled. As stated in *Su Wen*: In the first day of Cold Damage disease, the Ju Yang (Taiyang) receives the pathogen, hence headache. On the seventh day, when the Ju Yang disease declines, the headache subsides slightly. It also states: For heat diseases starting at the head and head, puncture the Taiyang area at the nape to induce sweating and stop the disease. It also states: In Jue syndrome of the Ju Yang, there is swelling and heaviness of the head, inability to walk, leading to falling). The head also belongs to the Foot-Yangming Stomach Meridian (*Ling Shu* states: The Luo-connecting vessel of the Foot-Yangming ascends along the lateral aspect of the tibia and connects with the head and nape. It also states: Stomach Qi flows upward into the Lung; its fierce Qi rushes upward to the head, traveling along the pharynx and ascending to the orifices. *Su Wen* states: When the guest Sun vessels of the Yangming are involved, headache, rhinorrhea, and abdominal swelling occur. Lou Quanshan said: When the pathology is in the Stomach causing headache, purgation must be used for recovery). The head also belongs to the Foot-Shaoyang Gallbladder Meridian (*Ling Shu* states: In Jue headache, severe headache occurs with surging pulses around the ears and heat; bloodletting should be performed, followed by treatment of the Foot-Shaoyang. Li Dongyuan said: Headache with tinnitus is due to Qi deficiency, treated primarily with Renshen (Ginseng Radix et Rhizoma) and Huangqi (Astragali Radix). Zhu Danxi said: Li Dongyuan's Qingkong Gao treats Shaoyang headache). Generally, the head belongs to the Three Yang meridians of the Hand and Foot and the Yangwei Vessel (*Ling Shu* states: The Three Yang meridians of the Hand travel from hand to head, while those of the Foot travel from head to foot. It also states: For half-head cold pain, first treat Hand-Shaoyang and Hand-Yangming, then Foot-Shaoyang and Foot-Yangming. *Su Wen* states: The five rows on the head, each with five points, are used to vent the rebellious heat of all Yang meridians. Wang Qixuan said: The meridians of the Three Yang all ascend to the head. The head is the convergence of the Three Yang. Zhang Zihe said: Persistent headache indicates pathology in the Three Yang meridians. Sun Jingsi said: Modern Toufeng (wind-disease of the head) is also caused by deficient Yang Qi. Shen Chengzhi said: The distribution of the head follows five rows. The central row starts from the anterior hairline, goes over the vertex down to the Dazhui point at the nape, belonging to the Du Vessel. One cun above the anterior hairline is named Shenting (DU24), an intersection of the Foot-Taiyang Bladder, Foot-Yangming Stomach, and Du Vessels. One cun above the posterior hairline is Fengfu (DU16); 0.5 cun below that is Yamen (DU15), both intersections of the Du and Yangwei Vessels. The second row is 1.5 cun lateral to the central row on either side, bounded anteriorly and posteriorly by the hairlines, belonging to the Foot-Taiyang Bladder Meridian. The third row is directly above the pupils on either side, also bounded by the hairlines, an intersection of the Foot-Taiyang Bladder, Foot-Shaoyang Gallbladder, and Yangwei Vessels). The head also belongs to the Foot-Jueyin Liver Meridian (*Ling Shu* states: In Jue headache, there is throbbing head pain, sadness, and tendency to weep; observe the pulsating vessels on the head and puncture severely painful areas until bleeding stops, then regulate the Foot-Jueyin. *Su Wen* states: In Liver Heat disease, rebellion causes dizziness and headache, with pulse qi rushing to the head. It also states: Visual blurring and swaying, vertigo, and deafness indicate excess below and deficiency above, with pathology in the Foot-Shaoyang and Foot-Jueyin. Note: Xunmeng refers to a sensation like something covering the head, swaying unsteadily; vertigo and deafness are signs of dizziness, constituting Liver Jue, suitable for Gouteng San. Wang Haicang said: Wine-soaked Danggui (Angelicae Sinensis Radix) treats various headaches. Since headaches mostly belong to Liver Wood, blood-invigorating/nourishing herbs are primary. Zhu Danxi said: Blood-deficiency headache attacking upwards from the temporal region (fish tail) involves connected head pain, treated primarily with Danggui and Chuanxiong, involving the Foot-Taiyang and Foot-Jueyin meridians). It is also associated with the Foot-Shaoyin Kidney Meridian (*Ling Shu* states: In Jue headache, heavy and painful head requires draining the five rows on the head, first treating Hand-Shaoyin, then Foot-Shaoyin. Xu Zhike said: Liver deficiency causes upper deficiency, leading to dizziness; Kidney deficiency causes lower deficiency, leading to headache. Li Dongyuan said: In cases of Jue headache caused by severe cold invading to the bone marrow, since marrow is dominated by the brain, brain rebellion causes brain pain and tooth pain, suitable for Qianghuo Fuzi Tang). The head is also separately attributed to the Six Foot Meridians (Li Dongyuan said: Treating headache requires Chuanxiong. If ineffective, add guiding herbs according to the meridian: Chuanxiong for Taiyang, Baizhi for Yangming, Chaihu for Shaoyang, Cangzhu for Taiyin, Xixin for Shaoyin, Wuzhuyu for Jueyin. He also stated: For Taiyang headache with floating-tight pulse, use Chuanxiong, Qianghuo, Mahuang. For Shaoyang headache with wiry-thin pulse and alternating chills and fever, use Chaihu, Huangqin. For Yangming headache with spontaneous sweating, fever without aversion to cold, and long-floating pulse, use Shengma, Gegen, Shigao, Baizhi. For Taiyin headache with phlegm, heavy body, and abdominal pain (phlegm-stagnation), use Cangzhu, Banxia. For Shaoyin headache with non-circulation of the Three Yin and Three Yang meridians, cold feet and rebellious Qi constituting Cold Jue, with deep-thin pulse, use Mahuang Fuzi Xixin Tang. For Jueyin headache with vomiting of frothy saliva, cold Jue, and deep-slow pulse, use Wuzhuyu Tang)).