风头痛者,风气客于诸阳,诸阳之脉,皆上于头,风气随经上入,或偏或正,或入脑中
,稽
而不行,与真气相击则痛。经云∶风气循风府而上,则为脑风是也。其挟寒挟热,则随症审
而治之。
经验治头痛、风热痛不可忍者方(《元珠》名茶调散)
小川芎(一两) 香白芷(五钱) 细芽茶(三钱) 片黄芩(二两,酒拌炒,再拌再炒,如
是三次,不可令焦) 荆芥穗(四钱) 薄荷叶(三钱)
上细末,每服二三钱,茶清调下。一方有菊花、防风、僵蚕。
石膏散
石膏(二两,炭火烧,研细末) 川芎(一两) 炙甘草(半两)
上为末,每服一钱,葱白、好茶同煎汤调下,食后日二服。
一方∶决明子作枕,去头风、明目佳。
《本事》白附散 治风寒客于头中,疼痛牵引两目,遂至失明。
白附子(一两) 麻黄 川乌 南星(各半两) 全蝎(五个) 干姜 朱砂 麝香(各二钱
半)
上为细末,酒调一匙服,略睡少时效。
三五七散 治风寒入脑,头痛恶寒目眩。
防风(二两) 茱萸 炮姜 茯苓(各一两五钱) 细辛 炮附子(各七钱五分)
上为细末,每服二钱,温酒调下。(《局方》。)
芎辛汤 治风寒湿在脑,头痛眩晕呕吐。
川芎(三钱) 细辛 白术(各一钱半) 甘草(一钱)
上锉作一帖,入生姜五片,芽茶少许,水煎服。(《济生》)
东垣云∶高巅之上,惟风可到,故味之薄者,自地升天者也。所以头痛皆用风药治之。
然患
痛人,血必不活,而风药最能燥血,故有愈治而愈甚者。此其要尤在养血,不可不审也。
风头痛,是风气侵袭诸阳经所致。手足三阳经脉,均上行至头部,风气顺着经络向上侵入,或偏侧发作,或正中发作,或深入脑髓,邪气稽留而运行不畅,与人体真气相互搏击,从而引发疼痛。《内经》说:“风气沿着风府穴上行,就成为脑风。”对于伴有寒邪或热邪的情况,则需根据具体症状辨证施治。
经验方:治疗头痛、风热痛剧烈难以忍受的方剂(《玉机微义》中名为茶调散):
小川芎(一两)、香白芷(五钱)、细芽茶(三钱)、片黄芩(二两,用酒拌炒,再拌再炒,如此三次,注意不可炒焦)、荆芥穗(四钱)、薄荷叶(三钱)。
以上药物研成细末,每次服用二三钱,用清茶水调服。另一版本方剂中加入菊花、防风、僵蚕。
石膏散:
石膏(二两,用炭火烧红后研成细末)、川芎(一两)、炙甘草(半两)。
以上药物研成细末,每次服用一钱,用葱白和优质茶叶共同煎汤调服,饭后服用,每日两次。
另一方法:使用决明子做枕头,对去除头风、明目效果极佳。
《济生拔粹》白附散:治疗风寒邪气客居头部,疼痛牵引双眼,甚至导致失明。
白附子(一两)、麻黄、川乌、天南星(各半两)、全蝎(五个)、干姜、朱砂、麝香(各二钱半)。
以上药物研成细末,用酒调服一匙,稍作睡眠后不久即可见效。
三五七散:治疗风寒侵入脑部,引起头痛、恶寒、目眩。
防风(二两)、吴茱萸、炮姜、茯苓(各一两五钱)、细辛、炮附子(各七钱五分)。
以上药物研成细末,每次服用二钱,用温酒调服。(出自《太平惠民和剂局方》)
芎辛汤:治疗风寒湿邪滞留脑部,引起头痛、眩晕、呕吐。
川芎(三钱)、细辛、白术(各一钱半)、甘草(一钱)。
以上药物切碎为一帖药量,加入生姜五片、少量嫩芽茶,加水煎煮后服用。(出自《济生方》)
李东垣说:“人体最高处的巅顶,只有风药能够到达,因为气味清淡的药物,能从地面升达天空。所以治疗头痛都使用风药来治疗。然而患有头痛的病人,其血液往往运行不畅(血瘀),而风药大多性质燥烈,容易耗伤阴血,因此有时会出现越治病情越严重的情况。这里的关键在于养血,这一点不可忽视,必须仔细审察。”
Wind-induced headache refers to the condition where wind pathogenic factors invade the Yang meridians. The meridians of the three Yang channels (Hand and Foot Taiyang, Yangming, Shaoyang) all ascend to the head. Wind follows the meridians upward into the body; it may manifest on one side or in the center, or penetrate into the brain. When the pathogenic factor stagnates and fails to circulate freely, it clashes with the healthy Qi (Zhen Qi), resulting in pain. As stated in the classics: "When wind qi ascends along the Fengfu point (GV16), it is called Brain Wind." For cases accompanied by cold or heat, treatment should be determined based on specific symptoms.
Empirical Formula for Treating Headache and Severe Pain due to Wind-Heat (Named "Cha Tiao San" in *Yu Ji Wei Yi*):
Xiao Chuanxiong (Rhizoma Chuanxiong, 1 liang), Xiang Baizhi (Radix Angelicae Dahuricae, 5 qian), Xi Ya Cha (Young Tea Leaves, 3 qian), Pian Huangqin (Radix Scutellariae, 2 liang, stir-fried with wine, repeated three times, ensuring it does not burn), Jingjie Sui (Cacumen Schizonepetae, 4 qian), Bohe Ye (Folium Menthae Haplocalycis, 3 qian).
Grind these into a fine powder. Take 2–3 qian each time, mixed with clear tea water. Another version includes Juhua (Flos Chrysanthemi), Fangfeng (Radix Saposhnikoviae), and Jiangcan (Bombyx Batryticatus).
Shigao San (Gypsum Powder):
Shigao (Gypsum Fibrosum, 2 liang, calcined in charcoal fire and ground to fine powder), Chuanxiong (Rhizoma Chuanxiong, 1 liang), Zhi Gancao (Radix Glycyrrhizae Preparata, 0.5 liang).
Grind into powder. Take 1 qian each time, mixed with decoction prepared from Congbai (Bulbus Allii Cepae) and good quality tea. Take after meals, twice daily.
Alternative method: Using Juemingzi (Semen Cassiae) as a pillow is excellent for dispelling wind from the head and improving vision.
Baifu San (White Atisine Powder) from *Ben Shi*: Treats wind-cold invading the head, causing pain that radiates to both eyes, potentially leading to blindness.
Baifuzi (Rhizoma Typhonii, 1 liang), Mahuang (Herba Ephedrae), Chuanwu (Radix Aconiti Kusnezoffii), Nanxing (Rhizoma Arisaematis, each 0.5 liang), Quanxie (Scorpio, 5 pieces), Ganjiang (Rhizoma Zingiberis Preparatum, 2.5 qian), Zhusha (Cinnabaris, 2.5 qian), Shexiang (Moschus, 2.5 qian).
Grind into fine powder. Mix with wine and take one spoonful. Effect can be seen after a short sleep.
San Wu Qi San (Three-Five-Seven Powder): Treats wind-cold entering the brain, causing headache, aversion to cold, and vertigo.
Fangfeng (Radix Saposhnikoviae, 2 liang), Zhuyu (Fructus Corni), Paojiang (Rhizoma Zingiberis Preparatum), Fuling (Sclerotium Poriae Cocos, each 1.5 liang), Xixin (Herba Asari), Pao Fuzi (Radix Aconiti Lateralis Preparata, each 0.75 qian).
Grind into fine powder. Take 2 qian each time, mixed with warm wine. (From *Ju Fang*)
Xiongxin Tang (Chuanxiong and Asari Decoction): Treats wind-cold-dampness stagnating in the brain, causing headache, vertigo, and vomiting.
Chuanxiong (Rhizoma Chuanxiong, 3 qian), Xixin (Herba Asari), Baizhu (Rhizoma Atractylodis Macrocephalae, each 1.5 qian), Gancao (Radix Glycyrrhizae, 1 qian).
Cut into pieces for one dose. Add five slices of Shengjiang (Rhizoma Zingiberis Recens) and a small amount of young tea leaves. Decoct in water and take orally. (From *Jisheng Fang*)
Li Dongyuan stated: "At the highest peak of the body, only wind medicines can reach, because substances with light flavors rise from the earth to the sky. Therefore, headaches are generally treated with wind-dispelling herbs. However, patients suffering from pain often have stagnant blood, and wind medicines are most capable of drying out the blood. Thus, there are cases where the condition worsens with treatment. The key here lies in nourishing the blood, which must not be overlooked and requires careful examination."