粟某,女,23岁,1988年5月6日初诊。诉头胀痛渐加重4年余,尤以夜间为甚。初时戴上帽子即痛减,不戴也能忍住。继而头胀痛渐加重,帽子常戴不能脱,脱帽即头痛欲裂,十分难忍,即使睡觉时也必须戴帽。平素恶风恶寒又恶热,遇热头汗出,口渴不欲饮水,喉间有异物感,时咯白粘痰,二便可,形体较瘦,神情抑郁,舌暗无瘀斑,舌苔微黄腻,双眼白睛正上侧可见一约1.0cm×0.5cm淡紫斑,脉弦细略涩。诊断:头痛(血瘀夹痰)。治则:活血祛瘀,兼以化痰,疏解郁热。方用通窍活血汤加减: Su Mou, female, 23 years old, was newly diagnosed on May 6, 1988. The head pain has gradually increased for more than four years, especially at night. When you wear a hat at first, you can lose it. If you don’t wear it, you can hold back. Then the head pain is getting worse and the hat can’t be worn off. If you take off the hat, you have a splitting headache and it’s very unbearable. Even if you go to bed, you must wear a cap. Usually, evil winds are chilly and hot, and when you feel hot, you sweat, and you don’t want to drink water when you are thirsty. There is a foreign body sensation in your throat. When you are slightly white and sticky, you can be two, the body is thin, you look depressed, and the tongue is dark, The tongue coating is slightly yellowish and greasy, with a 1.0 cm x 0.5 cm bluish purple spot on the upper side of both eyes. The pulse string is slightly astringent. Diagnosis: Headache (blood stasis). Rule is: promoting blood stasis, and phlegm, relieve phlegm. Fang Tong Tong Huo Xue Decoction: