肾虚头痛者，肾阴不足，虚阳无附而上攻，《素问》所谓头痛巅疾，下虚上实，过在足
少阴巨阳，许学士谓之肾厥头痛是也。
玉真丸 治肾气不足，气逆上行，头痛不可忍，谓之肾厥。其脉举之则弦，按之
则坚。
硫黄（二两） 石膏（ 通赤，研） 半夏 硝石（各一两，研）
上为细末研匀，生姜汁和丸桐子大，阴干，每服二十丸，姜汤或米饮下。更灸关元百壮
良。虚寒者去石膏，加钟乳粉一两。
黑锡丹（《局方》） 治脾元久冷，上实下虚，胸中痰饮，或上攻头目，及奔豚上
气，两胁膨胀，五种水气，香港脚上攻，或卒暴中风，痰潮上膈，并阴阳气不升降等症。
沉香 附子 胡卢巴 肉桂（各半两） 茴香 破故纸 肉豆蔻 金铃子 木香（各一两）
黑锡 硫黄（与黑锡结砂子，各二两）
上为末同研，酒煮面糊为丸，如梧子大，阴干以布袋擦令光莹，每服四十丸，空心姜盐
汤送下。一方有阳起石半两，巴戟一两。
肝厥头痛者，肝火厥逆，上攻头脑也。其痛必在巅顶，以肝之脉与督脉会于巅故也。虽
太
阳之脉，亦上额交巅，然太阳头痛，必恶风寒，而厥阴头痛，必多眩晕，或厥逆抽掣也。
龙荟龙（方见厥聋。） 加甘菊、羚羊角，气实便坚者用之；虚者宜生地、羚羊角
、甘菊、麦冬之类滋之清之，使肝柔则厥自已。
抑青丸
黄连一味，吴茱萸汤浸一宿，为末粥丸。
泻青丸
当归（去芦，焙） 龙胆草 川芎 栀子 川大黄（煨） 羌活 防风（去芦，各等
分）
上为末，炼蜜丸鸡豆大，每服一丸，竹叶汤同砂糖温水化下。
肾虚头痛，是由于肾阴不足，导致虚阳失去依附而上冲所致，《素问》中称之为“头痛巅疾”，属于下虚上实的病机，病变部位在足少阴肾经和足太阳膀胱经。许学士将其称为“肾厥头痛”。
玉真丸：治疗肾气不足，气逆上行引起的剧烈头痛，称为肾厥。其脉象轻取呈弦象，重按则坚硬。
配方：硫黄（二两）、石膏（烧至通红后研磨）、半夏、硝石（各一两，研磨）。
制法与用法：将上述药材研成细末并混合均匀，用生姜汁调和制成如梧桐子大小的药丸，置于阴凉处干燥。每次服用二十丸，用姜汤或米饮送服。另外，艾灸关元穴一百壮效果良好。若属虚寒体质，去掉石膏，加入钟乳粉一两。
黑锡丹（出自《太平惠民和剂局方》）：治疗脾元久冷、上实下虚、胸中痰饮，或痰饮上攻头目，以及奔豚气上逆、两胁胀满、五种水气病、脚气上攻，或突然中风、痰涎涌盛阻塞膈部，以及阴阳之气升降失常等症状。
配方：沉香、附子、胡卢巴、肉桂（各半两）；茴香、破故纸（补骨脂）、肉豆蔻、金铃子（川楝子）、木香（各一两）；黑锡、硫黄（二者结砂子，各二两）。
制法与用法：将药材研为细末混合均匀，用酒煮面糊作为粘合剂制成如梧桐子大小的药丸，置于阴凉处干燥，并用布袋擦拭使其光亮。每次服用四十丸，空腹时用姜盐汤送服。另一版本方中含有阳起石半两、巴戟天一两。
肝厥头痛，是由于肝火厥逆，上冲头脑所致。疼痛部位必定在头顶，因为肝经与督脉交会于头顶。虽然太阳经的经脉也上达额部并交会于头顶，但太阳头痛必定伴有恶风寒的症状，而厥阴（肝）头痛则多伴有眩晕，或者四肢厥冷、抽搐掣动。
龙荟丸（方剂见“厥聋”条）：可加甘菊、羚羊角，适用于气实且大便干结者；若属虚证，宜用地黄、羚羊角、甘菊、麦冬等药物进行滋补和清热，使肝脏柔和，则厥逆自止。
抑青丸：仅用黄连一味药，用吴茱萸汤浸泡一夜，研成细末，用米粥调和制成丸剂。
泻青丸：当归（去芦头，焙干）、龙胆草、川芎、栀子、川大黄（煨制）、羌活、防风（去芦头，各等分）。
制法与用法：将上述药材研为细末，用炼蜜制成如鸡豆大小的药丸。每次服用一丸，用竹叶汤配合砂糖温水化开送服。
Headache due to Kidney Deficiency arises from insufficiency of Kidney Yin, causing deficient Yang to lose its anchor and ascend upward. This corresponds to the "headache and cranial disease" mentioned in *Su Wen*, characterized by deficiency below and excess above, with pathology involving the Foot-Shaoyin (Kidney) and Foot-Taiyang (Bladder) meridians. Xu Xueshi refers to this as "Ren Jue Headache" (Kidney-Jue Headache).
Yuzhen Wan: Treats headache that is unbearable due to insufficient Kidney Qi and rebellious Qi ascending, termed Ren Jue. The pulse is wiry upon light palpation and firm upon heavy pressure.
Ingredients: Liu Huang (Sulfur, 2 liang), Shi Gao (Gypsum Fibrosum, calcined until red and ground), Ban Xia (Pinelliae Rhizoma Preparatum), Xiao Shi (Natrii Sulfas, each 1 liang, ground).
Preparation and Administration: Grind all ingredients into a fine powder and mix uniformly. Use fresh ginger juice to form pills the size of paulownia seeds. Dry them in the shade. Take 20 pills per dose, administered with ginger decoction or rice water. Moxibustion on Guanyuan (CV4) for 100 moxa cones is also beneficial. For patients with deficiency-cold constitution, remove Shi Gao and add Zhong Ru Fen (Stalactitum Powder, 1 liang).
Heixi Dan (from *Ju Fang*): Treats chronic cold of the Spleen Yuan, excess above and deficiency below, phlegm-fluid retention in the chest, or phlegm attacking the head and eyes; also used for Ben Tun (running piglet syndrome) with Qi rebellion, distension of both hypochondria, five types of fluid-retention diseases, Hong Kong jiao (gout/foot disease) attacking upward, sudden apoplexy, phlegm flooding obstructing the diaphragm, and disorders of non-ascending and non-descending Yin and Yang Qi.
Ingredients: Chen Xiang (Aquilariae Lignum Resinatum), Fu Zi (Aconiti Lateralis Radix Preparata), Hu Lu Ba (Trigonellae Semen), Rou Gui (Cinnamomi Cortex, each half liang); Hui Xiang (Foeniculi Fructus), Po Gu Zhi (Psoraleae Fructus), Rou Dou Kou (Myristicae Semen), Jin Ling Zi (Meliae Fructus), Mu Xiang (Aucklandiae Radix, each 1 liang); Hei Xi (Plumbum), Liu Huang (Sulfur, combined to form lead-sulfur cinnabar, each 2 liang).
Preparation and Administration: Grind all ingredients into powder and mix. Use wine-boiled wheat paste as a binder to form pills the size of paulownia seeds. Dry in the shade and polish with a cloth bag. Take 40 pills per dose, administered on an empty stomach with ginger-salt water. Another version includes Yang Qi Shi (Opscopiae Concha, half liang) and Ba Ji Tian (Morindae Officinalis Radix, 1 liang).
Liver-Jue Headache results from Liver Fire rebelling and ascending to attack the brain. The pain is invariably located at the vertex (top of the head) because the Liver Meridian intersects with the Du Mai (Governing Vessel) at the vertex. Although the Taiyang Meridian also ascends to the forehead and intersects at the vertex, Taiyang headache is invariably accompanied by aversion to wind and cold, whereas Jueyin (Liver) headache is often accompanied by vertigo, or cold limbs and twitching/spasms.
Longhui Wan (Formula see under "Jue Er" - Deafness due to Jue): Add Gan Ju (Chrysanthemi Flos) and Ling Yang Jiao (Capricornis Cornu) for cases with excess Qi and hard stool; for deficiency cases, use Sheng Di Huang (Rehmanniae Radix), Ling Yang Jiao, Gan Ju, and Mai Dong (Ophiopogonis Tuber) to nourish and clear heat, thereby softening the Liver so that Jue resolves spontaneously.
Yiqing Wan: Consists solely of Huang Lian (Coptidis Rhizoma), soaked overnight in Wu Zhu Yu Tang (Evodia Decoction), then ground into powder and formed into pills using congee.
Xieqing Wan: Dang Gui (Angelicae Sinensis Radix, de-radicle and dried), Long Dan Cao (Gentianae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zhi Zi (Gardeniae Fructus), Chuan Da Huang (Rhei Radix et Rhizoma, stir-baked), Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix, de-radicle, equal parts).
Preparation and Administration: Grind into powder. Form pills the size of chicken beans using refined honey. Take one pill per dose, dissolved in warm water with rock sugar and Zhu Ye (Bambusae Folium) decoction.