徐灵胎曰∶头风一症，往往本热而标寒。清火之药，固能愈风火轻症。或有寒邪犯脑，及风寒外来，
则温散之法固不可略，而外提之法，尤当博考也。
凡属形体之疾，皆当兼外治。不明外治之法，服药虽中病，仅得医术之半耳。
又曰∶头风之疾，轻者易愈。其重者，风毒上攻，络血横逆，重则厥冒，久则伤目，必重剂并外治诸
法，方能有效。
有人三代不寿，问彭祖。祖观其寝处，果有穴洞当其脑户，令塞之，遂得寿。盖隙风入耳吹脑，则阳气散。
头者诸阳所最，以主生也。（《延寿书》。）
窦材治一人，起居如常，但时发头痛。此宿食在胃脘也，服丁香丸十粒而愈。（阳明食积头痛。）
张子和治南卿陈君，将赴秋试，头痛偏肿连一目，状若半壶，其脉洪大。张出视《内经》，面肿者风，
此风乘阳明经也。阳明气血俱多，风肿宜汗，乃与通圣散，入生姜、葱根、豆豉同煎一大盏，服之微汗。次日
以草茎入鼻中，大出血立消。（阳明风热头痛。）
王定国病风头痛，至都梁求明医杨介老治之，连进三丸，实时病失。恳求其方，则用香白芷一味，洗晒为
末，炼蜜丸弹子大，每嚼一丸，二茶清或荆芥汤化下，遂名都梁丸。其药治头风眩晕，女人胎前产后头痛，及
血风头痛皆效。（《百一选方》。按∶此方惟阳明风热宜之，余不可服。）
张大复曰∶偏头风之苦，病者不能自言，方亦多岐而罕效。戊申予忽病此，正闷郁时，周叔明以饼法见
寄，未服也。五月五日顾民服贻二饼，贴太阳上，一夕良已。法用南星、半夏、白芷，三味等末，烂捣生姜、
葱头为饼，不服、不攻、不熏，视诸方更简便也。（《笔谈》。按∶此方风痰用之。）
姚应凤治严州施盛宇，三载患头痛不可忍。姚曰∶法当取首中骨，今八月，时收敛，难猝治。期以明岁春，
乃割额探去其骨，出瘀血数升顿愈。（《钱塘县志》。此症似与脑中石蟹略同。雄按∶未免涉诞。）
龚子才治杜侍御，患头痛如刀劈，不敢移动，惧风怕语言，耳鸣，目中溜火，六脉紧数有力。与酒浸九蒸
九晒大黄为末，三钱，茶调服，一剂而愈。（此亦阳明血热为病，病在至高之地，故大黄必用如是制法。）
孙文垣治蔡乐川内人，患头痛如刀破，发根少动则痛连满头，痛倒不省人事，逾半时乃苏。通身亦作疼，
胸膈饱闷，饮汤水停膈间不下。先一日，因怒吐水数次，蛔虫三条。今或恶风，或恶热，口渴或不渴，而大便
秘，脉则六部皆滑大有力，此痰厥头痛也。先以藿香正气散止其吐，继以牛黄黑虎丹清其人事，头仍痛甚。又
以天麻、 本各三钱，半夏二钱，陈皮、白芷、薄荷、麻黄、生姜、葱白煎服，得少汗而头痛少止。至晚再服
之，更痛止大半，人事未全清。此盖中州痰盛，非下不可，乃用半夏五钱，巴霜一分，面糊为丸，每服三十丸，
生姜汤下。下午大便行三次，皆稠粘痰积也。饮食少进，余症差可，惟遍身疼未尽去，改用二陈汤加前胡、石
膏， 本、薄荷、枳壳、黄芩、石菖蒲，调理而安。（木盛土衰。）
朱丹溪治一人，因浴冷水，发热头痛脉紧。此有寒湿也，宜温药汗之，苍术、麻黄、干葛、甘草、陈皮、
川芎。二剂得汗后，知病退，又与下补药，陈皮、川芎、干葛、白术、苍术、人参、木通、甘草，四剂，姜水
煎服。（湿热。）
一妇人头痛发热而渴，白术、陈皮、川芎、干葛、木通、甘草，水煎温服。（阳明病。）
娄全善治一老妇人，头病，岁久不已。因视其手足，有血络皆紫黑，遂用三棱针尽刺出其血，如墨汁者数
盏。后视其受病之经，刺灸之，而得全愈。即经所谓大痹为恶，及头痛久痹不去身，视其血络，尽出其血是也。
（三阳风热。）
李时珍治一人，病气郁偏头痛，用蓖麻子同乳香、食盐捣贴，一夜痛止。（治标妙法。）
李士材治蒋少宰，头痛如破，昏重不宁。风药血药，痰血久治无功。脉之，尺微寸滑，肾虚水泛为痰也。
地黄四钱，山药、丹皮、泽泻各一钱，茯苓三钱，沉香八分，日服四剂，两日辄减六七。更以七味丸、人参汤
送，五日其痛若失。（近日上盛之病最多，观此可悟一切少阴病。）
吴孚先治一人患头病，痛不可禁，脉短而涩。吴曰∶头为诸阳之首，若外邪所乘，脉当浮紧而弦，今反短
涩，短则阳脱于上，涩则阴衰于下，更加手足厥冷，名为真头痛，与真心痛无异，法在不治。为猛进参、附，
或冀挽回万一。如法治之果愈。
李成章官六安卫千户，善针灸，或病头痛不可忍，虽震雷不闻。李诊之曰∶此虫啖脑也。合杀虫诸药为末
吹鼻中，二三日虫即从眼、耳、口、鼻出，即愈。（《明史》。雄按∶此症虽奇，实有是病，婺人多患之，
彼处呼为天白蚁，亦因风热所生也。）
一人素病黄，忽苦头痛不已，发散降火历试无效。诊得脉大而缓，且一身尽痛，又兼鼻塞，乃湿家头痛也。
投瓜蒂散一匕内鼻中，黄水去一大杯而愈。
张三锡屡见苦头痛，百法不效。询之，曾生过杨梅疮。用土茯苓四两，白藓皮、苦参、金银花各三钱，黄
柏一钱，皂角子三十粒，苡仁、木通、防风各二钱。气虚加参、 ，血虚加四物，大获其验，身痛亦效。（《治法
汇》。湿毒。）
一人头痛，脉滑而数，乃痰火上攻也。二陈、荆芥、羌活、酒芩不应，加石膏二剂稍可，终未尽除。前方
加熟大黄三钱，食远煎服，病去如脱。（同上。阳明痰火。）
一人苦头痛，众作外感治。诊得右手寸口脉大四倍于左，两尺洪盛，乃内伤气血头痛也。外兼自汗倦怠，
以补中益气汤加炒黄柏，一剂知，二剂已。（气虚。）
一人头痛而面色青黑，身体羸瘦，左手寸关俱不应指，两尺独洪盛，因作阴虚治，用滋阴四物加黄柏、知
母、元参，二服减半，十日痊。（血虚。）
一妇苦头痛，误为外感治，发散消导，愈投愈甚。诊之，气口急大而数，按之即濡，右脉而虚大。询之，
先不热，服药后始热，曰∶风寒必先发热在一二日间，岂有先不热而后热者？此气虚头痛也。观其气短不足以
息，余皆可知。今发散过度，复耗其气，又复下之，复损其血，气血两伤，宜乎虚火独炽而身反热也。非大补讵能
挽回，遂以补中益气汤大剂，加熟附子一片为向导。（雄按∶此药未尝无疵。）服下即熟睡，觉而痛止，第人
事不清，复加筋惕肉 ，振振不宁。彼归咎于补剂，曰虚极所致，复更一医，用柴胡表药，致一身之火游行于外，
变为斑烂，彼益信为伤寒矣。化斑承气日进，遂不救。（同上。）
一人头痛，身形拘急，恶寒，便秘，恶心，作食郁治不应。诊得气口脉和平，独尺数而细，且行步艰难，
乃香港脚欲动也，从香港脚治而愈。（同上。）
一人头痛，作外感治不应。左脉平和，气口独盛，症兼饱闷恶心，乃食郁也，消导而愈。（同上，阳明病。）
一人牙与头角互痛，乃少阳、阳明二经病盛之故。清胃散对小柴胡去半夏、人参，加薄荷、石膏，二剂瘳。（
同上。）
一老妪头痛连额，发散降火备用不效。面上皆出小红泡，有微水，不甚溃。一月后痛悉移于右，左眼胞上
红肿，且懒于言动，饮食不甜，用辛凉愈甚。六脉濡弱如珠丝，初按少弦，因作气虚治，六君倍黄 ，加蔓荆
子，三服后渐安。心跳不眠愈急，乃以调中益气汤加茯神、元参、枣仁、柏子仁，连进数服顿愈。（同上。）
东垣常病头痛，发时两颊青黄，眩晕，目不欲开，懒言，身体沉重，兀兀欲吐。洁古曰∶此厥阴、太阴合
病，名曰风痰。以《局方》玉壶丸治之，灸侠溪即愈。是知方者体也，法者用也，徒执体而不知用者弊，体用
不失，可谓上工矣。（《医说续编》。）
湖南押衙颜思退治头风掣痛，用蜡二斤，盐半斤，相和于锡罐中，熔令相入，捏作一兜鍪势，可合脑大小，
搭头量至额，头痛立止。（《经验方》。同上。）
王叔权云∶予年逾壮，寒夜观书，每觉脑冷，饮酒过量，脑亦痛甚，后因灸囟会穴而愈。有兵士患鼻衄不
已，予教令灸此穴即愈。有人久患头风，亦令灸此穴即愈。但《铜人明堂经》只云主鼻塞不闻香臭等疾而已，
故予书此，以补其治疗之缺。然以脑户不宜针观之，囟会亦不宜针。针经只云八岁以下不宜针，恐未尽也。
叔权母氏随叔权赴任，为江风所吹，身体、头动摇，如在舟车上，如是半年，乃大吐痰，遍服痰药，并灸
头风诸穴方愈。
有士人患脑热疼，甚则自床下头以脑拄地，或得冷水稍得安，而疼终不已，服诸药不效，人教灸囟会而
愈。热疼且可灸，况冷疼乎。凡脑痛脾泻，先宜灸囟会，而强间等穴，盖其次也。（以上并《资生经》。）
薛立斋治一儒者，酒色过度，头脑两胁作痛，以为胃虚而肝病，用六味地黄料加柴胡、当归，一剂顿安。
商仪部劳则头痛，作阳虚不能上升，以补中益气汤加蔓荆子而痊。
王肯堂治一人，寒月往返燕京，感受风寒，遂得头痛，数月不愈。一切头风药无所不服，厥痛愈甚，肢体
瘦削。因思此症明是外邪，缘何不解？语云∶治风先治血，血行风自灭。本因血虚而风寒入之，今又疏泄不已，
乌能愈哉？又云∶痛则不通，通则不痛。乃用当归生汗活血，木通通利关窍血脉。其人能酒，用酒一斗，入二
药其中，浸三昼夜，重汤煮熟，乘热饮之，致醉则去枕而卧。然有火郁于上而痛者，宜酒合石膏之类治之。又
方用芎、归、熟地、连翘各二钱，以薄荷二钱放碗内，将滚汤冲下，鼻吸其气，候温即服，服之立愈。然亦为
血虚者设耳。
马元仪治一人患头痛，经年不愈，早则人事明了，自午至亥，神气昏愦不宁。作风治，治无效。诊之两脉
俱沉且滑，此太阴、阳明痰厥头痛也。用礞石滚痰丸，间服导痰汤以荡涤之，次以六君子少加秦艽、全蝎，调理而安。
张树滋妹患头痛累月，诊之阳脉大，阴脉涩，曰∶此阴衰于下，阳亢于上，上盛下虚之候也。法宜六味地
黄丸加青铅五钱，俾清浊定位，斯不治痛而痛自止矣。所以然者，以阳气居上，体本虚也，而浊气干之则实；
阴气居下，体本实也，而气反上逆则虚。头为清阳之位，而受浊阴之邪，阴阳混乱，天地否塞而成病矣。治之
者不察其脉，概以头痛为风火，专行透解之剂，有不益虚其虚者乎。
朱某患头痛累月，苦不可忍，咸用散风清火之剂。诊其脉浮虚不鼓，语言懒怯，肢体恶寒，此劳倦伤中，
清阳之气不升，浊阴之气不降也。故汗之反虚其表，清之益伤其中，其恶寒乃气虚不能上荣而外固也。况脉象
浮虚，体倦语怯，尤为中气气弱之验。与补中益气汤，（雄按∶此汤升清则有之，如何能降浊？升清降浊加蔓荆，
为使令至高巅。）一剂知，二剂已。
一人头风畏冷，首裹重绵，三十年不愈，以荞麦粉二升，水调作二饼，更互合头上，微汗即愈。（李楼《怪症奇
方》。王带存曰∶此方先装溪伯曾治族祖经验。）
缪仲淳治梁溪一女子，头痛作呕，米饮不能下。曰∶因于血热血虚，火上炎也。麦冬五钱，橘红、木瓜、
茯苓各二钱，白芍三钱，枇杷叶三大片，苏子钱半，甘菊钱半，乌梅二个，竹沥一杯，芦根汁半碗，二剂呕止。
头尚痛，加天麦冬二钱，头痛止。加土茯苓二两，小黑豆一撮，全愈。（《广笔记》。）
沈观颐中丞传自一道人头风神方，予仆妇患此，痛甚欲自缢，服二剂，数年不发。土茯苓四两，（忌铁。）金银
花三钱，蔓荆子、防风、明天麻各一钱，元参八分，辛夷、川芎各五分，黑豆四十九粒，灯心二十茎，芽茶五
钱，河水、井水各盅半，煎一盅服。（《广笔记》。）
《广笔记》治半边头风，属火症者，用之大黄末三分，黄芩末一钱，二味和生白酒一碗，顿热调匀服之即愈。
立斋治一妇人，脑左肿痛，左鼻出脓，年余不愈，时或掉眩，如坐舟车，正许叔微所谓肝虚风邪袭之而然
也。以川芎一两，当归三钱，羌活、旋复花、细辛、蔓荆子、防风、石膏、 本、荆芥穗、半夏曲、干地黄、
甘草各五钱，乃制一料，每服一两，姜水煎服而愈。
刘云密曰∶一妇季冬受寒，至于中春，巅顶并左后脑痛。是原病手足太阳寒水，寒久郁化热上行，以病于
手太阳，因风升之化不达，而病亦在左厥阴也。经谓过在巨阳、厥阴者诚然。诊者云∶手太阳热甚于风，足厥
阴热胜于湿，更谓脾肺亦有郁热。余止治手太阳而微兼肺，以手太阳之气化在肺，主气者也。心有微热，并治
足厥阴，以风升之化达，而手太阳之气化乃畅，更微利小肠，以通血脉而和其气，并心经之热亦去，故不必多
治他经也。按此亦治巅顶之一，因见寒者温治之未尽耳。酒片芩二分半，酒枯芩分半，蔓荆子二分半，防风分半，
萸连二分半，柴胡三分， 本三分，升麻二分，川芎二分，酒黄柏三分，当归三分，木通四分，牛膝三分，水
煎一剂立愈。
徐灵胎说：头风这一病症，往往是本质为热而表象为寒。清热泻火的药物，固然能治愈风火引起的轻症。但如果有寒邪侵犯脑部，以及风寒从外部侵袭，那么温通发散的方法就绝对不能忽略，而提升阳气、引邪外出的方法，更应当广泛考证研究。
凡是属于形体上的疾病，都应当结合外部治疗。如果不明白外部治疗的方法，即使服药对症，也只掌握了医术的一半罢了。
他又说：头风的疾病，轻的容易治愈。重的则是风毒向上攻冲，经络中的血液横逆乱行，严重的会导致昏厥冒昧，时间久了会损伤视力，必须使用重剂药物并配合各种外部治疗方法，才能见效。
有人三代人寿命都不长，询问彭祖。彭祖观察他们的居住环境，果然发现有一个洞穴正对着脑户穴，让他堵塞住这个洞，于是他们便得以长寿。大概是因为缝隙的风吹入耳朵直吹脑部，导致阳气散失。头部是诸阳经汇聚的地方，主宰生命活动。（出自《延寿书》。）
窦材治疗一个人，起居生活如常，只是偶尔发作头痛。这是宿食停留在胃脘所致，服用丁香丸十粒后痊愈。（阳明食积头痛。）
张子和治疗南卿陈君，他即将参加秋季科举考试，头痛且半边肿胀牵连到一只眼睛，形状像半个壶，脉象洪大。张子和查阅《内经》，书中说面部肿胀多因风邪，这是风邪乘袭阳明经。阳明经气血都很旺盛，风邪引起的肿胀适宜用发汗法，于是给予通圣散，加入生姜、葱根、豆豉同煎一大碗，服用后微微出汗。第二天用草茎插入鼻孔，大量出血后立刻消肿。（阳明风热头痛。）
王定国患风邪头痛，到都梁求名医杨介老治疗，连续进服三丸药，病立刻消失。恳求得到药方，原来只用香白芷一味药，洗净晒干研为细末，炼蜜制成弹子大小的药丸，每次嚼服一丸，用两杯茶或荆芥汤送服，因此命名为都梁丸。此药治疗头风眩晕、妇女产前产后头痛及血虚风燥头痛都有效。（《百一选方》。按语：此方只适合阳明风热证，其他证型不可服用。）
张大复说：偏头风的痛苦，病人难以言表，方剂也多种多样却很少见效。戊申年我忽然得了此病，正值心情郁闷时，周叔明寄来一种饼状疗法，我当时没服用。五月五日顾民服送来两块饼，贴在太阳穴上，一晚就好了。方法是取南星、半夏、白芷，三味药等量研末，与烂捣的生姜、葱头混合做成饼，不内服、不攻下、不熏蒸，比各种方剂更简便。（《笔谈》。按语：此方适用于风痰证。）
姚应凤治疗严州施盛宇，三年患头痛无法忍受。姚应凤说：按照法则应当取除头部中间的骨头，现在是八月，时令主收敛，难以突然治疗。约定到明年春天，才割开额头探取去除骨头，流出瘀血数升后立刻痊愈。（《钱塘县志》。此症似乎与脑中石蟹略同。按语：未免有些荒诞不经。）
龚子才治疗杜侍御，患头痛如刀劈一般，不敢移动身体，怕风怕说话，耳鸣，眼中似有火光喷射，六脉紧数有力。给予酒浸九蒸九晒的大黄研末，每次三钱，茶水调服，一剂药后痊愈。（这也是阳明血热致病，病位在至高之处，所以大黄必须采用这种炮制方法。）
孙文垣治疗蔡乐川的妻子，患头痛如刀破，头发根部稍动则疼痛牵连满头，痛得昏倒不省人事，过了半小时才苏醒。全身也疼痛，胸膈饱闷，喝下的汤水停在胸膈间下不去。前一天，因为生气呕吐数次，吐出蛔虫三条。现在有时怕风，有时怕热，口渴或不渴，但大便秘结，脉象六部皆滑大有力，这是痰厥头痛。先用藿香正气散止住呕吐，继以牛黄黑虎丹清心醒神，头痛仍然很剧烈。又用天麻、藁本各三钱，半夏二钱，陈皮、白芷、薄荷、麻黄、生姜、葱白煎服，得到少量汗出后头痛稍减。到了晚上再服用，头痛停止大半，但神志仍未完全清醒。这大概是中焦痰湿太盛，非用泻下法不可，于是用半夏五钱，巴豆霜一分，面糊制成丸药，每次服用三十丸，生姜汤送下。下午大便行了三次，都是稠粘的痰积。饮食稍微进食，其余症状大致好转，只有遍身疼痛未完全消除，改用二陈汤加前胡、石膏、藁本、薄荷、枳壳、黄芩、石菖蒲，调理后安定。（木旺土衰。）
朱丹溪治疗一个人，因为洗冷水澡，发热头痛脉紧。这是有寒湿，适宜用温药发汗，药用苍术、麻黄、干葛、甘草、陈皮、川芎。服用两剂得汗后，知道病势减退，又给予补益药，药用陈皮、川芎、干葛、白术、苍术、人参、木通、甘草，四剂，姜水煎服。（湿热。）
一个妇人头痛发热且口渴，药用白术、陈皮、川芎、干葛、木通、甘草，水煎温服。（阳明病。）
娄全善治疗一位老妇人，头痛多年不愈。因为查看她的手足，发现血络都是紫黑色的，于是用三棱针全部刺破放出血液，像墨汁一样的有几盏。后来查看受病的经脉，进行针刺艾灸，从而完全痊愈。这就是经文所说的“大痹成为恶疾”，以及“头痛久痹不去身，视其血络，尽出其血”的道理。（三阳风热。）
李时珍治疗一个人，患气郁偏头痛，用蓖麻子同乳香、食盐捣碎贴敷，一夜后疼痛停止。（治标的妙法。）
李士材治疗蒋少宰，头痛如破裂，昏沉重浊不安宁。风药血药、化痰祛瘀药长期治疗无效。诊脉，尺脉微弱寸脉滑，这是肾虚水泛化为痰饮。用地黄四钱，山药、丹皮、泽泻各一钱，茯苓三钱，沉香八分，每天服用四次，两天后减轻六七成。再用七味丸、人参汤送服，五天疼痛消失。（近年来上盛之病最多，看这个案例可以领悟一切少阴病的道理。）
吴孚先治疗一个人患头痛，痛不可忍，脉短而涩。吴孚先说：头部是诸阳之首，如果外邪乘袭，脉应当浮紧而弦，现在反而短涩，短则阳气脱于上，涩则阴衰于下，再加上手足厥冷，名为真头痛，与真心痛无异，法则认为是不治之症。为此猛烈进用人参、附子，或许希望挽回万一。照此法治果然痊愈。
李成章任六安卫千户，擅长针灸，有人患头痛无法忍受，即使打雷也听不见。李成章诊断说：这是虫子啃食脑部。将杀虫的各种药物研末吹入鼻中，两三天虫子就从眼、耳、口、鼻出来，随即痊愈。（《明史》。按语：此症虽然奇特，确实有此病，婺地人多患此病，当地称为天白蚁，也是因风热所生。）
一个人平素患有黄疸，忽然苦于头痛不止，发散降火的方法历试无效。诊得脉大而缓，且全身疼痛，又兼鼻塞，这是湿家头痛。投予瓜蒂散一匕放入鼻中，流出黄水一大杯而痊愈。
张三锡多次见到苦于头痛，各种方法无效。询问得知，曾得过杨梅疮。用土茯苓四两，白鲜皮、苦参、金银花各三钱，黄柏一钱，皂角子三十粒，薏苡仁、木通、防风各二钱。气虚加人参、黄芪，血虚加四物汤，获得很大疗效，身痛也有效。（《治法汇》。湿毒。）
一个人头痛，脉滑而数，这是痰火上攻。二陈汤、荆芥、羌活、酒芩无效，加石膏两剂稍有好转，终究未完全清除。前方加熟大黄三钱，饭后煎服，病去如脱。（同上。阳明痰火。）
一个人苦于头痛，众人当作外感治疗。诊得右手寸口脉大四倍于左手，两尺脉洪盛，这是内伤气血头痛。外兼自汗倦怠，用补中益气汤加炒黄柏，一剂见效，二剂痊愈。（气虚。）
一个人头痛且面色青黑，身体消瘦，左手寸关脉均不应指，两尺脉独洪盛，因此作为阴虚治疗，用滋阴四物汤加黄柏、知母、元参，服用两次减半，十天痊愈。（血虚。）
一个妇人苦于头痛，误当作外感治疗，发散消导，越治越严重。诊察，气口脉急大而数，重按即软，右脉虚大。询问得知，起初不发热，服药后才发热，说：风寒必先发热在一二日间，哪有先不发热而后发热的？这是气虚头痛。看他气短不足以呼吸，其余情况可推知。现在发散过度，又耗损其气，又再次泻下，又损伤其血，气血两伤，理应虚火独炽而身体反热。不用大补怎么能挽回，于是用补中益气汤大剂量，加熟附子一片作为向导。（按语：此药并非没有瑕疵。）服用后立即熟睡，醒来后疼痛停止，只是神志不清，又出现筋惕肉瞤，振颤不安。那人归咎于补剂，说是虚极所致，又换了一个医生，用柴胡发表药，导致一身之火游行于外，变为斑烂，那人更加相信是伤寒了。化斑承气汤每日进服，最终不治身亡。（同上。）
一个人头痛，身形拘急，恶寒，便秘，恶心，当作食积治疗无效。诊得气口脉和平，唯独尺脉数而细，且行走艰难，这是香港脚（痛风）欲发作，从香港脚治疗而痊愈。（同上。）
一个人头痛，当作外感治疗无效。左脉平和，气口脉独盛，症状兼有饱闷恶心，这是食积，消导后痊愈。（同上，阳明病。）
一个人牙与头角互相疼痛，这是少阳、阳明二经病盛的缘故。清胃散合小柴胡汤去半夏、人参，加薄荷、石膏，两剂痊愈。（同上。）
一个老妇人头痛连及额头，发散降火备用无效。面上都长出小红泡，有微水，不太溃烂。一个月后疼痛全部移到右边，左眼睑红肿，且懒于言语动作，饮食无味，用辛凉药更甚。六脉濡弱如珠丝，初按时稍弦，因此作为气虚治疗，六君子汤倍加黄芪，加蔓荆子，三服后逐渐安宁。心跳失眠更急，于是用调中益气汤加茯神、元参、枣仁、柏子仁，连进数服顿愈。（同上。）
东垣经常患头痛，发作时两颊青黄，眩晕，眼睛不想睁开，懒言，身体沉重，昏昏欲吐。洁古说：这是厥阴、太阴合病，名叫风痰。用《局方》玉壶丸治疗，灸侠溪穴即愈。由此可知，方是体，法是运用，只执着于体而不知运用的弊端在于僵化，体用不失，可称为上工了。（《医说续编》。）
湖南押衙颜思退治疗头风掣痛，用蜡二斤，盐半斤，混合在锡罐中，熔化令其相融，捏成头盔的形状，大小可贴合头部，搭在头上测量至额头，头痛立刻停止。（《经验方》。同上。）
王叔权说：我年纪超过壮年，寒夜看书，常觉得脑冷，饮酒过量，脑也痛得很厉害，后来灸囟会穴而痊愈。有士兵患鼻衄不止，我教他灸此穴即愈。有人久患头风，也令他灸此穴即愈。但《铜人明堂经》只说主治鼻塞不闻香臭等疾病而已，所以我写下这些，以补充其治疗的缺失。然而从脑户不宜针刺来看，囟会也不宜针刺。《针经》只说八岁以下不宜针刺，恐怕不完全正确。
叔权的母亲跟随叔权赴任，被江风吹拂，身体、头部动摇，像在舟车上一样，如此半年，于是大吐痰，遍服痰药，并灸头风诸穴才痊愈。
有个读书人患脑热疼，严重时自己把头垂下用脑拄地，或者得到冷水稍得安适，但疼痛终不停止，服各种药无效，有人教灸囟会而痊愈。热疼尚且可以灸，何况冷疼呢。凡是脑痛脾泻，先宜灸囟会，而强间等穴，算是其次。（以上并《资生经》。）
薛立斋治疗一个儒者，酒色过度，头脑两胁作痛，认为是胃虚而肝病，用六味地黄料加柴胡、当归，一剂顿安。
商仪部劳累则头痛，认为是阳虚不能上升，用补中益气汤加蔓荆子而痊愈。
王肯堂治疗一个人，寒月往返燕京，感受风寒，于是得头痛，数月不愈。各种头风药无所不服，厥痛更甚，肢体瘦削。心想此症明明是外邪，为何不解？俗话说：治风先治血，血行风自灭。本因血虚而风寒侵入，现在又疏泄不已，怎么能痊愈呢？又说：痛则不通，通则不痛。于是用当归生汗活血，木通通利关窍血脉。此人能喝酒，用酒一斗，放入这两种药中，浸泡三昼夜，隔水煮熟，趁热饮之，致醉则去枕而卧。然而有火郁于上而痛的，适宜用酒合石膏之类治疗。又一方用川芎、当归、熟地、连翘各二钱，将薄荷二钱放碗内，用滚汤冲下，鼻吸其气，候温即服，服之立愈。但这也是为血虚者设立的。
马元仪治疗一个人患头痛，经年不愈，早晨神志清楚，从午时至亥时，神气昏愦不安宁。作风邪治疗，治疗无效。诊察两脉俱沉且滑，这是太阴、阳明痰厥头痛。用礞石滚痰丸，间服导痰汤以荡涤之，次以六君子汤少加秦艽、全蝎，调理而安。
张树滋的妹妹患头痛累月，诊察阳脉大，阴脉涩，说：这是阴衰于下，阳亢于上，上盛下虚的征候。法则适宜用六味地黄丸加青铅五钱，使清浊定位，这样不直接治痛而痛自止了。之所以这样，是因为阳气居上，本体本虚，而浊气干扰它则实；阴气居下，本体本实，而气反而上逆则虚。头部是清阳之位，而受浊阴之邪，阴阳混乱，天地否塞而成病。治疗的人不察其脉，一概以头痛为风火，专行透解之剂，有不更加虚其虚的吗？
朱某患头痛累月，苦不可忍，都用散风清火的药剂。诊其脉浮虚不鼓，语言懒怯，肢体恶寒，这是劳倦伤中，清阳之气不升，浊阴之气不降。所以发汗反而虚其表，清热更伤其中，其恶寒乃是气虚不能上荣而外固。况且脉象浮虚，体倦语怯，更是中气弱的验证。给予补中益气汤，（按语：此汤升清则有之，如何能降浊？升清降浊加蔓荆，为使令至高巅。）一剂见效，二剂痊愈。
一个人头风畏冷，头部裹着重绵，三十年不愈，用荞麦粉二升，水调作两个饼，交替敷在头上，微汗即愈。（李楼《怪症奇方》。王带存说：此方先装溪伯曾治疗族祖的经验。）
缪仲淳治疗梁溪一个女子，头痛作呕，米饮不能下。说：因于血热血虚，火上炎。麦冬五钱，橘红、木瓜、茯苓各二钱，白芍三钱，枇杷叶三大片，苏子钱半，甘菊钱半，乌梅二个，竹沥一杯，芦根汁半碗，两剂呕止。头尚痛，加天冬、麦冬二钱，头痛止。加土茯苓二两，小黑豆一撮，全愈。（《广笔记》。）
沈观颐中丞传自一道人头风神方，我的仆妇患此，痛甚欲自缢，服两剂，数年不发。土茯苓四两，（忌铁。）金银花三钱，蔓荆子、防风、明天麻各一钱，元参八分，辛夷、川芎各五分，黑豆四十九粒，灯心二十茎，芽茶五钱，河水、井水各盅半，煎一盅服。（《广笔记》。）
《广笔记》治半边头风，属火症的，用之大黄末三分，黄芩末一钱，两味和生白酒一碗，顿热调匀服之即愈。
立斋治疗一个妇人，脑左肿痛，左鼻出脓，年余不愈，时而掉眩，如坐舟车，正是许叔微所谓肝虚风邪袭之而然也。用川芎一两，当归三钱，羌活、旋复花、细辛、蔓荆子、防风、石膏、藁本、荆芥穗、半夏曲、干地黄、甘草各五钱，乃制一料，每服一两，姜水煎服而愈。
刘云密说：一个妇人季冬受寒，至于中春，巅顶并左后脑痛。这是原发病在足太阳寒水，寒久郁化热上行，因病在手太阳，因风升之化不达，而病也在左厥阴。经文说过过在巨阳、厥阴者诚然。诊者说：手太阳热甚于风，足厥阴热胜于湿，更谓脾肺亦有郁热。我只治手太阳而微兼肺，因为手太阳的气化在肺，主气者也。心有微热，并治足厥阴，因为风升之化达，而手太阳的气化乃畅，更微利小肠，以通血脉而和其气，并心经之热亦去，故不必多治他经也。按此也是治巅顶的一种，因为见寒者温治之未尽耳。酒片芩二分半，酒枯芩分半，蔓荆子二分半，防风分半，萸连二分半，柴胡三分，藁本三分，升麻二分，川芎二分，酒黄柏三分，当归三分，木通四分，水煎一剂立愈。
Xu Lingtai said: Tou Feng (Head Wind) is often characterized by heat in the root and cold on the surface. Medicines that clear fire can indeed cure mild cases of wind-fire. However, if cold pathogens invade the brain or wind-cold comes from outside, warming and dispersing methods must not be overlooked, and methods to lift yang and expel pathogens should be extensively studied.
For all diseases of the physical body, external treatments should be combined. If one does not understand external treatment methods, even if internal medicine hits the disease, it only represents half of medical skill.
He also said: Mild Tou Feng is easy to cure. Severe cases involve wind-toxin attacking upwards and collaterals' blood flowing recklessly. Severe cases lead to syncope or dizziness; prolonged cases damage the eyes. Only heavy-dose medicines combined with various external treatments can be effective.
Someone asked Peng Zu why three generations of his family had short lifespans. Peng Zu observed their dwelling and found a hole directly facing Naohu (GV17). He instructed them to block it, and they subsequently lived long lives. This is likely because wind entering through gaps into the ears blows directly into the brain, causing the dispersion of Yang Qi. The head is the gathering place of all Yang meridians and governs life. (From *Yanshu*.)
Dou Cai treated a patient who lived normally but suffered occasional headaches. This was caused by retained food in the stomach. Ten pills of Dingxiang Wan (Clove Pill) cured him. (Yangming Food Stagnation Headache.)
Zhang Zihe treated Chen Jun of Nanqing, who was about to take the autumn imperial examination. He suffered from headache with unilateral swelling extending to one eye, resembling half a pot, and his pulse was flooding and large. Zhang consulted the *Neijing*, which states that facial swelling is due to wind; this is wind invading the Yangming Meridian. Since Yangming has abundant Qi and Blood, wind-induced swelling is suitable for sweating therapy. He prescribed Tongsheng San, decocted with ginger, scallion roots, and fermented soybeans in a large bowl. After taking it, the patient sweated slightly. The next day, a grass stem was inserted into the nose, causing massive bleeding, which immediately resolved the swelling. (Yangming Wind-Heat Headache.)
Wang Dingguo suffered from wind headache and sought the famous doctor Yang Jie Lao in Duliang. After three pills, the illness vanished instantly. Requesting the prescription, he found it consisted solely of Xiang Baizhi (Angelica Dahurica), washed, dried, powdered, and made into pill-sized balls with refined honey. One pill was chewed each time and taken down with tea water or Jingjie Decoction. It was named Duliang Wan. This medicine is effective for Tou Feng with vertigo, postpartum headache in women, and blood-wind headache. (*Baiyi Xuanfang*. Note: This formula is only suitable for Yangming Wind-Heat; it should not be used for other patterns.)
Zhang Dafu said: The suffering of Biandou Feng (Hemicrania) is indescribable by patients, and prescriptions vary with little efficacy. In the Wushen year, I suddenly contracted this illness. While feeling depressed, Zhou Shuming sent me a cake-based method, which I did not use initially. On the fifth day of the fifth lunar month, Gu Minfu gave me two cakes. Applied to Taiyang (EX-HN5), the condition improved overnight. The method uses Nanxing (Arisaema), Banxia (Pinellia), and Baizhi (Angelica Dahurica) ground equally, mixed with mashed ginger and scallion bulbs to form cakes. It is applied externally without ingestion, purgation, or fumigation, making it simpler than other formulas. (*Bitan*. Note: Suitable for Wind-Phlegm.)
Yao Yingfeng treated Shi Shengyu from Yanzhou, who suffered unbearable headaches for three years. Yao said: According to the method, bone from the center of the head should be removed. However, it is August, a time of contraction, making sudden treatment difficult. We scheduled it for the following spring. The forehead was incised, the bone removed, and several liters of stasis blood were drained, resulting in immediate recovery. (*Qiantang County Annals*. Note: This case resembles "stone crabs" in the brain. Comment: It seems somewhat absurd.)
Gong Zicai treated Du Shiyu, who suffered from knife-like splitting headaches, unable to move, fearing wind and speech, with tinnitus and sensations of fire in the eyes. His six pulses were tight, rapid, and forceful. He was given Dahuang (Rhubarb) soaked in wine, nine-steamed and nine-sun-dried, powdered. Three qian taken with tea water cured him in one dose. (This is also Yangming Blood-Heat pathology. Because the disease is at the highest point, Dahuang must be processed this way.)
Sun Wen Yuan treated the wife of Cai Lechuan, who suffered from knife-splitting headaches. Slight movement of the hair roots caused pain radiating over the whole head, leading to fainting and loss of consciousness, recovering after half an hour. Her whole body ached, chest and diaphragm felt full and stifled, and fluids stopped in the diaphragm. The day before, she vomited several times due to anger, expelling three roundworms. She now alternated between aversion to wind and heat, thirst or no thirst, constipation, and her six pulses were slippery, large, and forceful. This was Phlegm-Jue Headache. First, Huoxiang Zhengqi San was used to stop vomiting, followed by Niuhuang Heihu Dan to clear the mind, but the headache persisted. Then, Tianma (Gastrodia), Gaoben (Ligusticum), Banxia (Pinellia), Chenpi (Tangerine Peel), Baizhi (Angelica), Bohe (Mint), Mahuang (Ephedra), Shengjiang (Ginger), and Congbai (Scallion White) were decocted and taken. Slight sweating reduced the headache. Taking it again at night stopped most of the pain, but consciousness remained unclear. This indicated excessive phlegm in the Middle Jiao, requiring purgation. Banxia (5 qian) and Bashuang (Croton seed extract, 1 fen) were made into pills with flour paste. Thirty pills taken with ginger soup resulted in three bowel movements of thick, sticky phlegm accumulation. Diet was slightly restored, other symptoms improved, but body aches remained. Erchen Tang was modified with Qianhu (Peucedanum), Shigao (Gypsum), Gaoben, Bohe, Zhike (Aurantium), Huangqin (Scutellaria), and Shichangpu (Acorus) for regulation and recovery. (Wood excess, Earth deficiency.)
Zhu Danxi treated a person who developed fever, headache, and a tight pulse after bathing in cold water. This was Cold-Dampness. Warm medicines to induce sweating were appropriate: Cangzhu (Atractylodes), Mahuang (Ephedra), Gange (Pueraria), Gancao (Licorice), Chenpi (Tangerine Peel), and Chuanxiong (Ligusticum). After two doses induced sweating, knowing the pathogen was retreating, tonifying medicines were given: Chenpi, Chuanxiong, Gange, Baizhu (Atractylodes macrocephala), Cangzhu, Renshen (Ginseng), Mutong (Akebia), and Gancao. Four doses decocted in ginger water cured him. (Damp-Heat.)
A woman with headache, fever, and thirst was treated with Baizhu, Chenpi, Chuanxiong, Gange, Mutong, and Gancao, decocted in water and taken warm. (Yangming Disease.)
Lou Quanshan treated an elderly woman with chronic headaches lasting years. Observing her hands and feet, he saw purple-black blood vessels. He pricked all these vessels with a three-edged needle, draining several cups of dark, ink-like blood. Later, treating the affected meridians with acupuncture and moxibustion led to complete recovery. This aligns with the classic text: "Great Bi becomes malignant," and "Chronic headache and Bi stagnation not leaving the body: observe blood vessels and drain all blood." (Three-Yang Wind-Heat.)
Li Shizhen treated a person with Qi-Stagnation Hemicrania. Castor seeds, Frankincense, and salt were pounded together and applied topically. Pain ceased overnight. (Excellent symptomatic treatment.)
Li Shicai treated Jiang Shozai, who suffered from splitting headaches, heaviness, and restlessness. Wind and blood-invigorating medicines, as well as phlegm and stasis-resolving medicines, failed after long-term use. Pulse: Chi (Kidney) position weak, Cun (Lung) position slippery. This was Kidney Deficiency causing Water Overflow transforming into Phlegm. Dihuang (Rehmannia) 4 qian, Shanyao (Dioscorea), Danpi (Moutan), Zexie (Alisma) 1 qian each, Fuling (Poria) 3 qian, Chenxiang (Aquilaria) 8 fen. Taken four times daily. Reduced by 60-70% in two days. Followed by Qiwei Wan (Six-Ingredient Pill) and Renshen Tang (Ginseng Decoction). Pain disappeared in five days. (Many recent cases involve Upper Excess; this illustrates Shaoyin diseases.)
Wu Fuxian treated a person with intolerable headache, short and choppy pulse. Wu said: The head is the summit of all Yang. If invaded by external pathogens, the pulse should be floating, tight, and wiry. Now it is short and choppy. Short indicates Yang collapse above; choppy indicates Yin decline below. With cold limbs, this is called True Headache, identical to True Heart Pain, considered incurable. However, aggressive Renshen (Ginseng) and Fuzi (Aconite) were administered to save the situation. Following this method, he recovered.
Li Chengzhang, Commander of Lu'an Guard, was skilled in acupuncture. A patient suffered unbearable headache, deaf to thunder. Li diagnosed: "Insects devouring the brain." Powdered insecticides were insufflated into the nose. Within two to three days, insects exited via eyes, ears, mouth, and nose, curing the patient. (*History of Ming*. Note: Though rare, this disease exists. People in Wu region suffer from it, calling it "Sky White Ants," caused by Wind-Heat.)
A person with chronic jaundice suddenly suffered persistent headache. Dispersing and cooling methods failed. Pulse was large and slow, with generalized body pain and nasal congestion. This was Dampness-Home Headache. Genti San (Thistle Powder) insufflated into the nose expelled a cup of yellow fluid, curing the patient.
Zhang Sanxi frequently encountered refractory headaches. Inquiry revealed a history of Yameichuang (Syphilis/Kaposi's varicella). Tufuling (Smilax), Baixianpi (Dictamnus), Kushen (Sophora), Jinyinhua (Honeysuckle), Huangbai (Phellodendron), Saojiaozizi (Gleditsia Seed), Yiren (Coix Seed), Mutong, Fangfeng (Saposhnikovia) were used. Ginseng and Astragalus added for Qi deficiency; Siwu Tang added for Blood deficiency. Significant results achieved, including relief of body pain. (*Zhifa Hui*. Damp-Toxin.)
A person with headache had a slippery and rapid pulse, indicating Phlegm-Fire attacking upward. Erchen Tang, Jingjie, Qianghuo, and Wine-fried Huangqin were ineffective. Adding Shigao (Gypsum) for two doses helped slightly but didn't resolve it. Adding Shu Dahuang (Prepared Rhubarb) 3 qian to the previous formula, taken after meals, cured the patient completely. (Same source. Yangming Phlegm-Fire.)
A person suffered headache, treated as external contraction. Pulse: Right Cun was four times larger than the left; both Chi positions were flooding and full. This was Internal Injury Qi-Blood Headache. Accompanied by spontaneous sweating and fatigue, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with fried Huangbai was used. Improved in one dose, cured in two. (Qi Deficiency.)
A person with headache had a blue-black complexion and emaciation. Left Cun and Guan pulses were imperceptible; both Chi pulses were flooding and full. Treated as Yin Deficiency using Ziyin Siwu Tang (Nourish Yin Four Substances Decoction) plus Huangbai, Zhimu (Anemarrhena), and Yuanshen (Scrophularia). Halved in two doses, cured in ten days. (Blood Deficiency.)
A woman suffered headache, misdiagnosed as external contraction. Dispersing and digesting herbs worsened it. Pulse: Qikou (Radial artery) urgent, large, and rapid; soft upon pressure; Right pulse empty and large. Inquiry revealed no initial fever, only after medication. Wind-Cold should cause fever within one to two days. This is Qi Deficiency Headache. Shortness of breath confirmed this. Over-dispersion depleted Qi; purgation depleted Blood. Both Qi and Blood injured, leading to isolated deficient fire and apparent heat. Massive tonification was needed. Buzhong Yiqi Tang in large dose with one slice of Shu Fuzi (Prepared Aconite) as a guide was used. (Note: This medicine has flaws.) Patient slept deeply, woke with pain gone, but consciousness unclear, with muscle twitching and tremors. Blamed tonics for extreme deficiency. Another doctor used Chaihu (Bupleurum) dispersants, causing fire to wander externally, resulting in macules. Believed to be Shanghan (Cold Damage). Huaban Chengqi Tang (Resolve Macules and Descend Urgency Decoction) administered daily led to death. (Same source.)
A person with headache, stiff body, aversion to cold, constipation, and nausea was treated for food stagnation without effect. Pulse: Qikou peaceful, Chi rapid and thin. Difficulty walking indicated Hongjiujiao (Gout/Podagra) impending. Treated as Hongjiujiao and cured. (Same source.)
A person with headache treated as external contraction failed. Left pulse peaceful, Qikou strong. Symptoms included fullness, nausea. This was Food Stagnation. Resolved with digestion-promoting methods. (Same source, Yangming Disease.)
A person had alternating tooth and temple pain due to excess in Shaoyang and Yangming meridians. Qingwei San (Clear the Stomach Powder) combined with Xiaochaihu Tang (Minor Bupleurum Decoction) minus Banxia and Renshen, plus Bohe and Shigao, cured in two doses. (Same source.)
An old woman had headache extending to the forehead. Dispersing and cooling failed. Small red blisters with fluid appeared on the face, not ulcerating. After a month, pain shifted to the right, left eyelid swollen and red, lethargic, poor appetite. Acrid-cool herbs worsened it. Six pulses were soggy and weak like silk threads, slightly wiry on light pressure. Treated as Qi Deficiency: Liu Jun Zi Tang (Six Gentlemen Decoction) with doubled Huangqi (Astragalus) and Manjingzi (Vitex). Gradually improved. Palpitations and insomnia worsened. Tiaozhong Yiqi Tang (Regulate Middle and Augment Qi Decoction) plus Fushen (Poria with wood), Yuanshen, Suanzaoren (Ziziphus), and Baiziren (Biota) cured it rapidly. (Same source.)
Dong Yuan often suffered headache, with green-yellow cheeks, vertigo, unwillingness to open eyes, reluctance to speak, heavy body, and nausea. Jiegu said: This is Jueyin-Taiyin combined disease, named Wind-Phlegm. Juzhu Wan (Jade Pot Pill) from *Ju Fang* was used, and Moxibustion at Xiaxi (GB44) cured it. Thus, formulas are the substance, methods are the application. Clinging to substance without understanding application is flawed. Balancing substance and application makes one a superior physician. (*Yishuo Xubian*.)
Yan Situi, Military Adjutant of Hunan, treated Tou Feng pulling pain. Two jin of wax and half a jin of salt were melted together in a tin pot, molded into a helmet shape fitting the head, placed on the head until the forehead. Headache stopped immediately. (*Experience Formula*. Same source.)
Wang Shuquan said: In my later years, reading at night in the cold, I felt cold in the brain. Excessive drinking caused severe brain pain. Moxibustion at Xinhui (GV22) cured it. A soldier with persistent epistaxis was taught to moxa this acupoint and cured. Someone with chronic Tou Feng was also cured by moxa at this point. *Tongren Mingtang Jing* only mentions treating nasal congestion and loss of smell. I record this to supplement its therapeutic gaps. Given Naohu (GV17) should not be needled, Xinhui should also avoid needling. *Needle Classic* says children under eight should not be needled here, but this may be incomplete.
Shuquan's mother accompanied him to his post, blown by river winds, causing body and head shaking as if on a boat for half a year. Profuse phlegm vomiting occurred. Various phlegm medicines and moxa at Tou Feng points finally cured her.
A scholar suffered brain heat-pain, severe enough to press his head against the floor. Cold water provided slight relief but pain persisted. Medicines failed. Moxa at Xinhui cured him. Heat-pain can be moxa-ed, let alone cold-pain. For brain pain and spleen diarrhea, Xinhui should be moxa-ed first, followed by Jiangjian (GV19), etc. (All from *Zisheng Jing*.)
Xue Lizhai treated a scholar with excessive alcohol and sex, causing pain in the head and flanks. Diagnosed as Stomach Deficiency with Liver Pathology. Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) plus Chaihu and Danggui (Angelica Sinensis) cured him in one dose.
Shang Yibu suffered headache when fatigued, diagnosed as Yang Deficiency failing to ascend. Buzhong Yiqi Tang plus Manjingzi cured him.
Weng Kentang treated a person traveling between Yanjing in winter, contracting wind-cold, causing headache persisting for months. All Tou Feng medicines failed, pain worsened, body emaciated. Thinking: Clearly external pathogen, why unresolved? Saying: "Treat wind by treating blood; when blood moves, wind extinguishes." Root cause was Blood Deficiency allowing wind-cold invasion, exacerbated by excessive dispersal. How could it heal? Also: "Pain implies blockage; unblocked means no pain." Used Danggui (Angelica Sinensis) to induce sweating and invigorate blood, Mutong to open orifices and vessels. Since the patient drank wine, one dou of wine was used to soak the two herbs for three days, then boiled in double boiler. Drunk hot, then slept without pillow. However, for pain due to Fire Stagnation above, wine combined with Gypsum is suitable. Another formula: Xiong (Chuanxiong), Gui (Danggui), Shudi (Rehmannia), Lianqiao (Forsythia) 2 qian each. Bohe (Mint) 2 qian in a bowl, poured with boiling water. Inhale vapor, drink when warm. Cured instantly. But this is set for Blood Deficiency cases.
Ma Yuanyi treated a person with headache persisting for a year. Clear-headed in morning, confused and restless from noon to dusk. Treated as wind without effect. Pulses: Both deep and slippery. Taiyin-Yangming Phlegm-Jue Headache. Mengshi Guntan Wan (Flake Stone Rolling Phlegm Pill) used, alternating with Daotan Tang (Guide Phlegm Decoction) to purge. Then Liujun Zi Tang (Six Gentlemen Decoction) with minor amounts of Qinjiao (Magnolia Flower) and Quanxie (Scorpion) for regulation. Recovery.
Zhang Shuzi's sister suffered monthly headaches. Pulse: Yang large, Yin choppy. Diagnosis: Yin decline below, Yang hyperactivity above, Upper Excess Lower Deficiency pattern. Liuwei Dihuang Wan plus 5 qian of Qingqian (Lead) was prescribed to settle clear and turbid. Pain ceased without direct analgesia. Reason: Yang resides above, originally deficient, but turbid Qi makes it seem excess. Yin resides below, originally solid, but rebellious Qi makes it seem deficient. Head is the seat of Clear Yang, invaded by Turbid Yin. Chaos of Yin-Yang leads to disease. Physicians ignoring pulse treat all headaches as Wind-Fire, using penetrating/resolving agents, worsening deficiency.
Zhu suffered monthly headache, unbearable. All used wind-scattering and fire-clearing agents. Pulse: Floating, empty, non-forceful. Lazy speech, aversion to cold. Fatigue injuring Middle, Clear Yang failing to ascend, Turbid Yin failing to descend. Sweating damaged exterior; clearing damaged middle. Aversion to cold was Qi Deficiency failing to nourish exterior. Floating-empty pulse and fatigue confirm weak Middle Qi. Buzhong Yiqi Tang was given. (Note: This decoction raises Clear, but how does it descend Turbid? Adding Manjingzi aids reaching the summit.) Improved in one dose, cured in two.
A person with Tou Feng feared cold, wrapped head in heavy cotton for thirty years. Buckwheat flour 2 sheng mixed with water formed two cakes, alternately applied to head. Slight sweating cured it. (Li Lou *Guai Zheng Qi Fang*. Wang Daicun notes: Ancestor Xi Bo used this successfully on clan elder.)
Miu Zhongchun treated a young woman from Liangxi with headache and vomiting, unable to swallow rice water. Caused by Blood Heat/Blood Deficiency with Fire flaming upward. Maidong (Ophiopogon) 5 qian, Juhong (Tangerine Pith), Mugua (Chaenomeles), Fuling 2 qian each, Baishao (White Peony) 3 qian, Pipaye (Loquat Leaf) 3 large leaves, Suzi (Perilla Seed) 1.5 qian, Ganju (Chrysanthemum) 1.5 qian, Wumei (Mume Fruit) 2 pieces, Zhuli (Bamboo Sap) 1 cup, Lugenzhi (Reed Rhizome Juice) half bowl. Vomiting stopped in two doses. Headache remained. Added Tianmaidong and Maidong 2 qian. Headache stopped. Added Tufuling 2 liang, Black Soybeans a pinch. Fully cured. (*Guang Biji*.)
Shen Guanyi Zhongcheng transmitted a divine formula for Tou Feng from a Daoist priest. My servant girl suffered this, pain so severe she attempted suicide. Two doses prevented recurrence for years. Tufuling 4 liang (Avoid Iron), Jinyinhua 3 qian, Manjingzi, Fangfeng, Tianma 1 qian each, Yuanshen 8 fen, Xinyi (Magnolia Bud), Chuanxiong 5 fen each, Black Soybeans 49 grains, Dengxin (Juncus) 20 stems, Yacha (Sprouted Tea) 5 qian. River water and well water 1.5 bowls each, decocted to 1 bowl. Drink. (*Guang Biji*.)
*Guang Biji* treats Half-Sided Tou Feng of Fire type: Dahuang powder 3 fen, Huangqin powder 1 qian. Mixed in raw white wine 1 bowl, heated and stirred evenly. Drink once, cured.
Lizhai treated a woman with left brain swelling/pain, pus from left nostril, persisting over a year, occasional vertigo as if on a boat. As Xu Shimiao said: Liver Deficiency with Wind-Evil invasion. Chuanxiong 1 liang, Danggui 3 qian, Qianghuo, Juanhua (Inula), Xixin (Asarum), Manjingzi, Fangfeng, Shigao, Gaoben, Jingjiesui (Schizonepeta), Banxiaqu (Pinellia Fermented), Shudihuang, Gancao 5 qian each. Prepared as one batch, 1 liang per dose, decocted in ginger water. Cured.
Liu Yunmi said: A woman caught cold in late winter. By mid-spring, vertex and left rear head hurt. Original disease in Foot-Taiyang Cold-Water. Cold stagnated, transformed into Heat ascending. Involved Hand-Taiyang, blocked by Wind rising transformation, thus affecting Left Jueyin. Classics say: "Excess in Juyang and Jueyin." Physician said: Hand-Taiyang Heat exceeds Wind; Foot-Jueyin Heat exceeds Dampness; Spleen/Lung also have stagnant Heat. I only treated Hand-Taiyang slightly involving Lung, as Hand-Taiyang Qi transformation resides in Lung, which governs Qi. Heart had slight Heat, treated Foot-Jueyin. Once Wind rising transformation reached, Hand-Taiyang Qi flow smoothed. Slightly purged Small Intestine to unblock vessels and harmonize Qi, removing Heart Heat. Thus, no need to treat other meridians much. Note: This is one method for vertex headache; seeing cold patients, warming treatment was incomplete. Wine-processed Huangqin 2.5 fen, Wine-dried Huangqin 1.5 fen, Manjingzi 2.5 fen, Fangfeng 1.5 fen, Yulian (Coptis) 2.5 fen, Chaihu 3 fen, Gaoben 3 fen, Shengma (Cimicifuga) 2 fen, Chuanxiong 2 fen, Wine-processed Huangbai 3 fen, Danggui 3 fen, Mutong 4 fen, Niuxi (Achyranthes) 3 fen. Decocted in water, one dose cured instantly.