热厥头痛者，胃热气盛，不能下行也。其证头中热痛，虽严寒犹喜风寒，微来暖处，或
见烟火，则痛复作，其脉数或大者是也。
小清空膏
片芩细切，酒拌匀，晒干为末，茶清调下。
治热厥头痛方
大黄酒炒三次为末，茶清调服。
热气在头，以风药引之，则热弥盛而痛益甚。大黄苦寒泻热，得酒则能上行泻脑热。昔
人所谓鸟巢高巅，射而去之是也。茶性清上，故诸头痛药中多加用之。
（新定）
生地（三钱） 知母（酒炒） 黄芩（酒炒，各一钱） 薄荷 黑山栀 甘菊 甘草 荆芥（
各五分） 红花（三分）
上作一服，水煎食远服。便闭加酒炒大黄一钱五分。此方治头痛烦热，喜见风寒，稍近
烟火，则痛复作，或便闭不通者，往往取效。古法动作辄头重痛，热气潮者属胃。丹溪云∶头痛
如破，酒炒大黄半两，茶清煎服。
湿热头痛者，湿与热合，交蒸互郁，其气上行，与清阳之气相搏，则作痛也。东垣云∶
诸湿热头痛，清空膏主之。又云∶湿热在头而头痛者，必用苦吐之，或用搐鼻药。
清空膏 疗风湿热头痛，上壅损目，及脑痛年深不止。
羌活 防风（各一两） 柴胡（七钱） 川芎（五钱） 炙草（一两半） 黄连（一两，炒） 黄
芩（三两，一半酒制，一半炒）
上为细末，每服二钱，入茶少许，汤调如膏，抹在口内，少用白汤送下，临卧。
搐鼻散
青黛 石膏 芒硝 郁金 薄荷 牙皂
上为末搐鼻。东垣白芷散，有白芷，无牙皂、青黛。
又头重如山者，湿气在头也。用∶
红豆散
红豆（十粒） 麻黄 瓜蒂（各五分） 连翘 羌活（各三钱，烧）
上为末搐鼻。
透顶散（《本事》）
细辛（表白者，三茎） 瓜蒂（七个） 丁香（三粒） 糯米（七粒） 冰片 麝香（各一黑豆
大）
上为极细末，每一大豆许，患人随左右搐之。良久出涎一升许则安。此药性味，视前搐
鼻散稍温也，当随证审而用之。
子和神芎丸 治湿热壅滞头目，赤肿疼痛，大小便闭涩。
大黄 黄芩（各二两） 牵牛（生） 滑石（各四两） 黄连 薄荷叶 川芎（各半两）
上为末，滴水为丸，梧子大，每服五十丸，食后温水送下。
热厥头痛，是由于胃中热气亢盛，不能向下运行所致。其症状表现为头部内部发热疼痛，即使在严寒天气也喜好风寒，稍微靠近温暖的地方，或者见到烟火，疼痛就会再次发作，脉象数或大就是这种病证的表现。
小清空膏：将黄芩细切，用酒拌匀，晒干后研成粉末，用清茶调服。
治疗热厥头痛的方剂：将大黄用酒炒制三次后研成粉末，用清茶调服。
热气在头部，如果用风药来引导，会使热气更加旺盛，疼痛更加剧烈。大黄味苦性寒，能泻热，配合酒使用则能上行至脑部泻除脑热。这就是古人所说的“鸟巢在高处，用箭射去”的道理。茶性清轻上行，所以在各种治疗头痛的药物中经常加入使用。
（新定）生地黄（三钱）、知母（酒炒）、黄芩（酒炒，各一钱）、薄荷、黑山栀、甘菊、甘草、荆芥（各五分）、红花（三分）。以上为一服的量，用水煎煮，饭后服用。如果大便闭塞，加酒炒大黄一钱五分。此方治疗头痛烦热，喜欢见风寒，稍近烟火则疼痛复发，或者大便不通的情况，往往能取得疗效。古法认为动作后头重痛，热气如潮水般涌来的属于胃病。丹溪说：头痛如裂，用酒炒大黄半两，用清茶煎服。
湿热头痛，是湿邪与热邪结合，相互蒸腾郁结，气机上行，与清阳之气相搏结，从而产生疼痛。东垣说：各种湿热引起的头痛，用小清空膏主治。又说：湿热在头部导致头痛的，必须用苦味药催吐，或者使用搐鼻药。
清空膏：治疗风湿热导致的头痛，上部壅滞损伤眼睛，以及多年不止的脑痛。羌活、防风（各一两）、柴胡（七钱）、川芎（五钱）、炙甘草（一两半）、黄连（一两，炒）、黄芩（三两，一半酒制，一半炒）。以上研为细末，每次服用二钱，加入少许茶，用开水调成膏状，抹在口内，少量用白开水送下，临睡前服用。
搐鼻散：青黛、石膏、芒硝、郁金、薄荷、牙皂。以上研为粉末，用于搐鼻。东垣的白芷散，含有白芷，没有牙皂和青黛。
另外，感觉头重如山的，是湿气在头部。使用：红豆散。红豆（十粒）、麻黄、瓜蒂（各五分）、连翘、羌活（各三钱，烧焦）。以上研为粉末，用于搐鼻。
透顶散（出自《本事方》）：细辛（白色的，三茎）、瓜蒂（七个）、丁香（三粒）、糯米（七粒）、冰片、麝香（各一颗黑豆大小）。以上研为极细粉末，每次取大豆大小的量，患者根据左右鼻孔交替搐入。很久之后流出涎液约一升则安适。此药的性味，比前面的搐鼻散稍温，应当根据证候仔细审察后使用。
子和神芎丸：治疗湿热壅滞于头目，红肿疼痛，大小便闭塞涩滞。大黄、黄芩（各二两）、牵牛子（生用）、滑石（各四两）、黄连、薄荷叶、川芎（各半两）。以上研为粉末，滴水泛丸，梧桐子大小，每次服用五十丸，饭后用温水送下。
Headache due to heat jue (heat reversal) is caused by excessive stomach heat failing to descend downward. The symptoms include internal heat and pain in the head; even in severe cold, one prefers wind and cold. Slightly approaching a warm place or seeing smoke and fire causes the pain to recur. A rapid or large pulse characterizes this condition.
Xiao Qing Kong Gao (Minor Clearing Empty Paste): Cut Scutellariae Radix (Huangqin, 黄芩) finely, mix evenly with wine, dry, grind into powder, and take mixed with clear tea water.
Formula for treating headache due to heat jue: Stir-fry Rhizoma et Rhizoma Rhei (Dahuang, 大黄) three times with wine, grind into powder, and take mixed with clear tea water.
When heat qi resides in the head, using wind-dispelling drugs to guide it will cause the heat to become more intense and the pain to worsen. Rhubarm is bitter and cold, clearing heat; combined with wine, it can ascend to the brain to drain cerebral heat. This corresponds to the ancient saying: "The bird's nest is high on the peak, shoot it down." Tea has a clear and ascending nature, so it is frequently added to various formulas for treating headaches.
(Newly Formulated) Rehmanniae Radix Preparata (Shengdi, 3 qian), Anemarrhenae Rhizoma (Zhimu, prepared with wine), Scutellariae Radix (Huangqin, prepared with wine, each 1 qian), Menthae Haplocalycis Herba (Bohe), Gardeniae Fructus (Heishanzhi), Chrysanthemi Flos (Ganju), Glycyrrhizae Radix et Rhizoma (Gancao), Schizonepetae Spica (Jingjie, each 5 fen), Carthami Flos (Honghua, 3 fen). Take as one dose, decoct with water, and administer after meals. If constipation occurs, add 1.5 qian of wine-stir-fried Rhizoma et Rhizoma Rhei (Dahuang, 大黄). This formula treats headache with vexation and heat, preference for wind and cold, recurrence of pain upon slight exposure to smoke and fire, or constipation, often yielding effective results. Ancient methods state that heavy head pain triggered by movement and tidal heat belong to Stomach disorders. Danxi stated: For headache feeling like bursting, use half liang of wine-stir-fried Rhizoma et Rhizoma Rhei (Dahuang, 大黄), decocted with clear tea water.
Headache due to damp-heat arises from the combination of dampness and heat, steaming and郁 (stagnating) mutually, causing qi to ascend and contend with clear yang qi, resulting in pain. Dongyuan stated: For various damp-heat headaches, Xiao Qing Kong Gao (Minor Clearing Empty Paste) is the primary treatment. He also stated: For headaches caused by damp-heat in the head, bitter emetics must be used, or nasal insufflation drugs.
Qing Kong Gao (Clearing Empty Paste): Treats wind-damp-heat headache, upper congestion damaging the eyes, and chronic unceasing brain pain. Notopterygii Rhizoma et Radix (Qianghuo, 羌活), Saposhnikoviae Radix (Fangfeng, 防风, each 1 liang), Bupleuri Radix (Chaihu, 柴胡, 7 qian), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎, 5 qian), Glycyrrhizae Radix et Rhizoma Praeparata cum Melle (Zhigancao, 炙草, 1.5 liang), Coptidis Rhizoma (Huanglian, 黄连, 1 liang, stir-fried), Scutellariae Radix (Huangqin, 黄芩, 3 liang, half prepared with wine, half stir-fried). Grind into fine powder. Take 2 qian per dose, add a little tea, mix with boiling water into a paste, smear inside the mouth, and swallow with a small amount of plain water before bed.
Chu Bi San (Nasal Insufflation Powder): Indigo Naturalis (Qingdai, 青黛), Gypsum Fibrosum (Shigao, 石膏), Mirabilite (Mangxiao, 芒硝), Curcumae Radix (Yujin, 郁金), Menthae Haplocalycis Herba (Bohe, 薄荷), Gleditsiae Sinensis Spina (Yazao, 牙皂). Grind into powder for nasal insufflation. Dongyuan's Baizhi San contains Angelicae Dahuricae Radix (Baizhi, 白芷) but lacks Gleditsiae Sinensis Spica (Yazao, 牙皂) and Indigo Naturalis (Qingdai, 青黛).
Furthermore, a sensation of the head being heavy as if mountains indicates dampness in the head. Use: Hong Dou San (Red Bean Powder). Phaseoli Semen Rubrum (Hongdou, 红豆, 10 grains), Ephedrae Herba (Mahuang, 麻黄), Cucumeris Fructus (Gua Di, 瓜蒂, each 5 fen), Forsythiae Fructus (Lianqiao, 连翘), Notopterygii Rhizoma et Radix (Qianghuo, 羌活, each 3 qian, burnt). Grind into powder for nasal insufflation.
Tou Ding San (Penetrating Top Powder, from *Ben Shi Fang*): Asarum Root (Xixin, 细辛, white variety, 3 stems), Cucumeris Fructus (Gua Di, 瓜蒂, 7 fruits), Eugeniae Flos (Dingxiang, 丁香, 3 grains), Oryza Sativa Germen (Nuomi, 糯米, 7 grains), Borneolum Syntheticum (Bingpian, 冰片), Moschus (Shexiang, 麝香, each size of a black soybean). Grind into extremely fine powder. Take an amount the size of a soybean, insufflate into the patient's nostrils alternately left and right. After a long time, when about one sheng of saliva is discharged, relief is achieved. The nature and flavor of this drug are slightly warmer than the previous nasal insufflation powder; it should be used after careful examination of the syndrome.
Hezi Shen Xiong Wan (Hezi Shenxiong Pills): Treats damp-heat stagnation obstructing the head and eyes, redness, swelling, pain, and obstruction/difficulty in urination and defecation. Rhizoma et Rhizoma Rhei (Dahuang, 大黄), Scutellariae Radix (Huangqin, 黄芩, each 2 liang), Semen Kochiae (Qianniu, raw), Talcum (Huashi, 滑石, each 4 liang), Coptidis Rhizoma (Huanglian, 黄连), Menthae Haplocalycis Folium (Bohe Ye, 薄荷叶), Ligustici Chuanxiong Rhizoma (Chuanxiong, 川芎, each half liang). Grind into powder, make pills with dripping water, size of wutong seeds. Take 50 pills per dose, swallowed with warm water after meals.