食积头痛者，食气上攻，胃气不清也。子和云∶邪在胃而头痛者，必下之。其证必兼痞
膈咽酸，噫败卵臭，或饱食则痛甚，其脉右手滑盛者是也。
馆职张学士，嗜酒散诞，忽头痛发热，医作伤寒治之愈甚，孙兆脉之，右手脉甚数，左
手脉
平和，曰∶此疾非伤寒，学士好酒啖食所伤也。遂用食药五七丸，经食久，膈渐宽，痛遂减
，再进利膈药，遂获安。
红丸子（方见饮食门。）
治中汤 即理中汤加青皮、陈皮等分。
血虚头痛者，血虚脉空，自鱼尾上攻头痛者是也。产后多有此证。鱼尾眉尖后近发际是
。（鱼尾在眉梢后陷中，即丝竹空穴是也。）
川芎当归汤 川芎 当归（等分）
为细末，每服二钱，水煎温服。
一方 川芎（半两）为末，每服二钱，腊茶调下甚效。
一方 当归（一两） 酒一升，煮取六合，饮至醉效。
一方 四物汤加甘菊、薄荷。
（新定）
生地（二钱） 当归（一钱） 蔓荆（五分） 黄芩（一钱，酒炒） 白芍（一钱，酒炒） 炙草
（三分） 甘菊（七分） 川芎（五分）
气虚头痛者，清阳气虚，不能上升也。其脉必弦微，其证必倦怠气短，恶风寒，不能食
。
罗太无云∶参谋柏仲实年六十余，二月间患头痛不可忍，邀往视之。其人云，近在燕京
，患
头昏闷微痛，医作伤寒治之，汗出后，痛转加。复汗解，痛益甚，遂归。每召医用药雷同。
到今痛甚不得安卧，恶风寒而不喜食饮，诊其脉，弦微而细，气短而促，懒言语。《内经》
曰∶春气者病在头。今年高气弱，清气不能上升头面，故昏闷。此病本无表邪，因发汗数四
，清阳之气愈亏，不能上荣，亦不能外固，所以头苦痛，而恶风寒，不喜饮食，气弱而短，
宜升阳补气，头痛自愈。
黄 （一钱半） 人参（一钱） 白术 当归 白芍（各五分） 陈皮 炙草 升麻 柴胡
蔓荆（各三分） 川芎 细辛（各二分）
上 咀，作一服，水煎食后温服减半，再服愈。
（新定）
人参 黄 白术（各一钱） 甘草（五分） 当归 陈皮（各七分） 升麻（二分） 蔓荆
细茶（各八分） 白芍（一钱）
上作一服水煎。
食积引起的头痛，是由于饮食之气上逆攻冲，导致胃气不清所致。张子和曾说：邪气在胃而引发头痛的，必须采用泻下法治疗。这种病症必然兼有胸膈痞闷、咽喉泛酸、嗳气带有腐败卵类的臭味，或者饱食后疼痛加剧，其脉象表现为右手滑而盛实，就是这种情况。
馆职官员张学士，嗜好饮酒且行为散漫不羁，忽然出现头痛发热症状，医生当作伤寒病治疗，结果病情反而加重。孙兆为他诊脉，发现右手脉象非常数急，左手脉象平和，便说：“这个疾病不是伤寒，是学士因好酒和贪吃食物所导致的损伤。”于是使用食药丸五到七丸，经过较长时间，胸膈逐渐宽舒，疼痛随之减轻，再服用利膈药物，最终获得安宁。
红丸子（方剂见饮食门。）
血虚引起的头痛，是由于血液亏虚导致脉道空虚，气血自鱼尾穴向上攻冲引起头痛，这就是其表现。产后妇女多有此证。鱼尾位于眉梢后方近发际处。（鱼尾在眉梢后的凹陷中，即丝竹空穴。）
研为细末，每次服用二钱，用水煎煮后温服。
另一配方 川芎（半两）研为末，每次服用二钱，用腊茶调服，效果很好。
另一配方 当归（一两），配酒一升，煮取六合，饮至醉意时见效。
（新定配方）
生地（二钱） 当归（一钱） 蔓荆子（五分） 黄芩（一钱，酒炒） 白芍（一钱，酒炒） 炙甘草（三分） 甘菊（七分） 川芎（五分）
气虚引起的头痛，是由于清阳之气虚弱，不能上升所致。其脉象必定弦而微弱，其症状必定伴有倦怠乏力、气短、怕风怕冷、不能进食。
罗太无曾说：参谋柏仲实六十多岁时，二月间患头痛难以忍受，邀请我去诊治。他说，最近在燕京时，患有头昏闷微痛，医生当作伤寒治疗，出汗后，疼痛反而加重。再次发汗解表，疼痛更加严重，于是回家。每次请医生用药都雷同。到现在疼痛剧烈无法安卧，怕风怕冷而不喜欢饮食，诊察他的脉象，弦微而细，气短而急促，懒于言语。《内经》说：春季的病邪多在头部。今年天气高燥而人体正气虚弱，清气不能上升到头面，所以感到昏闷。这个病本来没有表邪，因为多次发汗，导致清阳之气更加亏损，不能上行荣养，也不能外固肌表，所以头部痛苦，且怕风怕冷，不喜欢饮食，气弱而短促，应当采用升阳补气的方法，头痛自然痊愈。
黄芪（一钱半） 人参（一钱） 白术 当归 白芍（各五分） 陈皮 炙甘草 升麻 柴胡 蔓荆子（各三分） 川芎 细辛（各二分）
以上药材切碎，作为一服药，水煎煮，饭后温服，减半剂量服用，再服即可痊愈。
（新定配方）
人参 黄芪 白术（各一钱） 甘草（五分） 当归 陈皮（各七分） 升麻（二分） 蔓荆子 细茶（各八分） 白芍（一钱）
以上作为一服药，水煎煮。
Headache caused by food stagnation results from the upward attack of food qi, leading to a lack of clarity in stomach qi. Zhang Zihe stated: "When pathogenic factors are in the stomach and cause headache, purgation must be used." This condition is necessarily accompanied by chest and diaphragm fullness, acid regurgitation into the throat, belching with an odor of rotten eggs, or severe pain after overeating; the pulse is slippery and excessive on the right hand.
Scholar Zhang, an official in the library, indulged in wine and lived unrestrainedly. He suddenly developed headache and fever. Physicians treated it as Taiyang disease (Exterior Syndrome), but his condition worsened. Sun Zhao palpated his pulse, finding it very rapid on the right hand and peaceful on the left, and said: "This is not Taiyang disease; it is an injury caused by the scholar's fondness for wine and food." He then administered five to seven pills of *Shi Yao Wan* (Food-Digesting Pill). After a considerable time, the diaphragm gradually relaxed, and the pain subsided. Subsequently, administering medicines to benefit the diaphragm brought him relief.
Hong Wan Zi (Red Pill) [Formula see section on Diet]
Zhi Zhong Tang (Regulate Middle Decoction) is Li Zhong Tang (Regulate the Middle Decoction) added with equal parts of Qing Pi (Aurantii Fructus Immaturus) and Chen Pi (Aurantii Pericarpium).
Headache due to blood deficiency occurs when blood deficiency leads to empty vessels, and qi/blood attacks upward from the Yutou point (Hairline at the temple), causing headache. This syndrome is common postpartum. The Yutou point is located near the hairline behind the outer canthus of the eye. (The Yutou point is in the depression behind the end of the eyebrow, which is the Sizhukong acupoint, EX-HN4.)
Chuanxiong Danggui Tang (Ligusticum and Angelica Decoction): Chuanxiong (Rhizoma Ligustici Chuanxiong) and Danggui (Radix Angelicae Sinensis) in equal parts.
Grind into fine powder. Take two qian per dose, decoct with water, and take warm.
Another prescription: Chuanxiong (Ban liang) ground into powder. Take two qian per dose, mixed with aged tea; this is very effective.
Another prescription: Danggui (Yi liang) boiled with one sheng of wine until reduced to Liu he; drink until intoxicated for effect.
Another prescription: Si Wu Tang (Four Substance Decoction) added with Ganju (Flos Chrysanthemi Indici) and Bohe (Herba Menthae Haplocalycis).
(Newly Formulated Prescription)
Disheng (Radix Rehmanniae Preparata) (2 qian), Danggui (1 qian), Manjing (Fructus Viticis Expensae) (0.5 qian), Huangqin (Radix Scutellariae Baicalensis) (1 qian, stir-fried with wine), Baishao (Radix Paeoniae Alba) (1 qian, stir-fried with wine), Zhi Cao (Radix Glycyrrhizae Preparata) (0.3 qian), Ganju (0.7 qian), Chuanxiong (0.5 qian).
Headache due to qi deficiency arises because clear yang qi is deficient and fails to ascend. The pulse must be wiry and faint. Symptoms include fatigue, shortness of breath, aversion to wind and cold, and inability to eat.
Luo Taiwu once said: "Counselor Bai Zhongshi, in his sixties, suffered from unbearable headache in February. I was invited to examine him. He stated that recently in Yanjing, he had experienced dizziness, mental cloudiness, and slight headache. Physicians treated it as Taiyang disease; after sweating, the pain increased. After another attempt to resolve via sweating, the pain became even worse, so he returned home. Every physician prescribed similar medications. Now, the pain is so severe he cannot lie down comfortably; he is averse to wind and cold, dislikes food and drink. Palpating his pulse, it is wiry, faint, and thin; his qi is short and hurried, and he is reluctant to speak. The *Neijing* states: 'In spring, diseases manifest in the head.' This year, the heavenly qi is high and weak; clear qi cannot ascend to the head and face, hence the dizziness and cloudiness. This illness originally had no exterior pathogen. Because of multiple sweat-inducing treatments, the clear yang qi was further depleted, failing to nourish upwards and secure the exterior. Thus, the head suffers pain, and there is aversion to wind and cold, dislike of diet, weak and short qi. It is appropriate to raise yang and tonify qi; the headache will heal itself."
Huangqi (Radix Astragali Membranacei) (1.5 qian), Renshen (Radix Ginseng) (1 qian), Baizhu (Rhizoma Atractylodis Macrocephalae), Danggui, Baishao (each 0.5 qian), Chenpi, Zhi Cao, Shengma (Rhizoma Cimicifugae), Chaihu (Radix Bupleuri), Manjing (each 0.3 qian), Chuanxiong, Xixin (Herba Asari) (each 0.2 qian).
Cut the herbs into pieces. Prepare as one dose. Decoct with water, take warm after meals. Reduce the dose by half initially; upon subsequent administration, recovery ensues.
(Newly Formulated Prescription)
Renshen, Huangqi, Baizhu (each 1 qian), Gancao (Radix Glycyrrhizae Uralensis) (0.5 qian), Danggui, Chenpi (each 0.7 qian), Shengma (0.2 qian), Manjing, Xi Cha (Fine Tea) (each 0.8 qian), Baishao (1 qian).
Prepare as one dose and decoct with water.