14. Headache
Definition
Diffuse pain in different areas of the head
Relevant modern diagnosis:
1. Migraine
2. tension-type headache
3. Cluster headache
4. subarachnoid hemorrhage
5. Sinusitis
6. head trauma
7. brain tumor
8. glaucoma
9. Meningitis
Few of us are spared the experience of head pain during our lifetimes; indeed, severe, disabling headache is reported to occur at least annually by 40 percent of individuals worldwide. Headache is usually a benign symptom. Even in emergency settings, only 5 percent of patients who present with headache are found to have a serious underlying neurologic disorder.
Migraine: A severe, recurring headache, usually affecting only one side of the head, characterized by sharp pain and often accompanied by nausea, vomiting, and visual disturbances.
Cluster headache: A severe recurring headache that is associated with the release of histamine and is characterized by sudden sharp pain, watering of the eye, and runny nose on one side of the head.
Glaucoma: Any of a group of eye diseases characterized by abnormally high intraocular fluid pressure, damaged optic disk, hardening of the eyeball, and partial to complete loss of vision.
Head is considered by TCM:
1. the merging area of clear yang
2. the location of sea of marrow
Etiology & pathogenesis
1. exterior pathogens:
(1).wind-cold
(2).wind-heat
(3).wind-dampness
2. interior organ dysfunction:
(1).liver and kidney malnourishing
(2).spleen and stamoch maltransform and maltransport
Differential diagnosis
1. exterior and interior headache
2. identification by channel:
(1). Taiyang headache: occipital
(2). Yangming headache: forehead
(3). Shaoyang headache: temporal
(4). Jueyin headache: vertex
3. blood stagnation and phlegm-turbidity headache
Herbal treatment
1. exterior headache
1. wind-cold headache
Chuang xiong cha tiao san
Chuan xiong, Bai zhi, Qiang hu---
Jing jie, fang feng---
Xi xin---
Bo he---
2. wind-heat headache
Xiong zhi shi gao tang
Chuan xiong, Bai zhi---
Ju hua, Shi gao---
3. wind-dampness headache
Qiang hou sheng shi tang
Qiang hu, Du hu, Fang feng, Gao ben---
Chuang xiong, ---
Man jing zi---
2. interior headache
1. liver yang headache
Tian ma gou teng yin
Tian ma, Gou teng, Shi jue ming---
Huang qin, Zhi zi---
Du zhong, Niu xi, sang ji sheng---
2. phlegm-turbidity headache
Ban xia bai zhu tian ma tang
Ban xia, Chen pi---
Bai zhu, Fu ling---
Tian ma---
Man jing zi---
3. Boold stasis headache
Tong qiao huo xue tang
Tao ren, Hong hua, Chuan xiong, Chi shao---
She xiang, Cong bai---
4. Blood deficiency headache
Si wu tang
Shu di huang, Dang gui---
Bai shao---
Chuan xiong---
5. Kidney essence deficiency headache
Da bu yuan jian
Shu di huang, Shan yao, Shanzhu yu, Gou qi zi---
Ren shen, Dang gui---
Du zhong---
Acupuncture treatment
1. exterior headache
(1). Taiyang headache---GB 20 Feng chi,
(2). Yangming headache---ST 8 Tou wei, Extra 2 Yin tang, GV 23 Shang xing
(3). Shaoyang headache---Extra 1 Tai yang, GB 8 Shuai gu
(4). Jueyin headache---GV 20 Bai hui,
2. interior headache
(1) liver yang headache--- GB 20 Feng chi, GV 20 Bai hui, GB 5 Xuan lu, LR points
(2) phlegm-turbidity headache--- GV 20 Bai hui, Extra 2 Yin tang, ST40 Feng long
(3) Boold stasis headache---Ashi points, LI 4 He gu, SP 6 San yin jiao
(4) Blood essence deficiency headache--- GV 20 Bai hui, CV 6 Qi hai, ST 36, Back shu points
Personal clinical experience
Diffuse pain in different areas of the head
Relevant modern diagnosis:
1. Migraine
2. tension-type headache
3. Cluster headache
4. subarachnoid hemorrhage
5. Sinusitis
6. head trauma
7. brain tumor
8. glaucoma
9. Meningitis
Few of us are spared the experience of head pain during our lifetimes; indeed, severe, disabling headache is reported to occur at least annually by 40 percent of individuals worldwide. Headache is usually a benign symptom. Even in emergency settings, only 5 percent of patients who present with headache are found to have a serious underlying neurologic disorder.
Migraine: A severe, recurring headache, usually affecting only one side of the head, characterized by sharp pain and often accompanied by nausea, vomiting, and visual disturbances.
Cluster headache: A severe recurring headache that is associated with the release of histamine and is characterized by sudden sharp pain, watering of the eye, and runny nose on one side of the head.
Glaucoma: Any of a group of eye diseases characterized by abnormally high intraocular fluid pressure, damaged optic disk, hardening of the eyeball, and partial to complete loss of vision.
Head is considered by TCM:
1. the merging area of clear yang
2. the location of sea of marrow
Etiology & pathogenesis
1. exterior pathogens:
(1).wind-cold
(2).wind-heat
(3).wind-dampness
2. interior organ dysfunction:
(1).liver and kidney malnourishing
(2).spleen and stamoch maltransform and maltransport
Differential diagnosis
1. exterior and interior headache
2. identification by channel:
(1). Taiyang headache: occipital
(2). Yangming headache: forehead
(3). Shaoyang headache: temporal
(4). Jueyin headache: vertex
3. blood stagnation and phlegm-turbidity headache
Herbal treatment
1. exterior headache
1. wind-cold headache
Chuang xiong cha tiao san
Chuan xiong, Bai zhi, Qiang hu---
Jing jie, fang feng---
Xi xin---
Bo he---
2. wind-heat headache
Xiong zhi shi gao tang
Chuan xiong, Bai zhi---
Ju hua, Shi gao---
3. wind-dampness headache
Qiang hou sheng shi tang
Qiang hu, Du hu, Fang feng, Gao ben---
Chuang xiong, ---
Man jing zi---
2. interior headache
1. liver yang headache
Tian ma gou teng yin
Tian ma, Gou teng, Shi jue ming---
Huang qin, Zhi zi---
Du zhong, Niu xi, sang ji sheng---
2. phlegm-turbidity headache
Ban xia bai zhu tian ma tang
Ban xia, Chen pi---
Bai zhu, Fu ling---
Tian ma---
Man jing zi---
3. Boold stasis headache
Tong qiao huo xue tang
Tao ren, Hong hua, Chuan xiong, Chi shao---
She xiang, Cong bai---
4. Blood deficiency headache
Si wu tang
Shu di huang, Dang gui---
Bai shao---
Chuan xiong---
5. Kidney essence deficiency headache
Da bu yuan jian
Shu di huang, Shan yao, Shanzhu yu, Gou qi zi---
Ren shen, Dang gui---
Du zhong---
Acupuncture treatment
1. exterior headache
(1). Taiyang headache---GB 20 Feng chi,
(2). Yangming headache---ST 8 Tou wei, Extra 2 Yin tang, GV 23 Shang xing
(3). Shaoyang headache---Extra 1 Tai yang, GB 8 Shuai gu
(4). Jueyin headache---GV 20 Bai hui,
2. interior headache
(1) liver yang headache--- GB 20 Feng chi, GV 20 Bai hui, GB 5 Xuan lu, LR points
(2) phlegm-turbidity headache--- GV 20 Bai hui, Extra 2 Yin tang, ST40 Feng long
(3) Boold stasis headache---Ashi points, LI 4 He gu, SP 6 San yin jiao
(4) Blood essence deficiency headache--- GV 20 Bai hui, CV 6 Qi hai, ST 36, Back shu points
Personal clinical experience
