Headache is one of the symptoms and occurs from many sources. For instance, headache are caused by vessel problems caused from hypertension, subarchnoid space bleeding, and intracranial inflammation. Intracranial cavity, diseases of adjacent organ or tissue, for example, frontal sinusitis, maxillary sinusitis and eye, ear, teeth, laryngopharynx including the five senses, neck's disease has also contributed to headache symptoms. In addition, headaches induced by migraine and cepalagia nervosa(premenstrual pain, postmenstrual pain, menopause-physiofunctional headache), cetera, are easily seen in clinical practice.
In Traditional Chinese Medicine(TCM), the sources of this disease are known as Wind, Accumulated Heat, Liver Yang, Phlegm-damp and weak constitution among others. Wind causes yang pathogenic factors to easily invade head, channels into inner brain, blocks upper part, causing imbalance in upright Qi, resulting in headache. Or accumulated heat in stomach, causing Liver-Gallbladder-fire to channel up towards head via the Meridian's Qi, in turn, headache occurs. Also, kidney-Qi becomes exhausted and Yin-Blood becomes empty, leading to Liver Yang traveling up towards to head, resulting in pain when the head sways. Additionally, Damp-Phlegm blocks the middle burner causing functional loss to spleen due to overwork, or exhausting spleen does not send clear Qi to the head, thus, headache is formed. At the same time, on the location of pain, the channel where it belongs to needs to be identified.
Headache, if it's located in forehead, disease will progress via the eye, nose, aryngopharynx and etc. In addition, anemic patient might have headaches. Headaches can be seen on people who have ear diseases and migraines. Unlocalized pain, or vertex headache belongs to nervosa headache. Occipital headache is commonly seen in those who have hypertension, brain tumor. Forehead ache or pain region that is not fixed(unlocalized), can be seen mainly in those who have brain artery sclerosis, concussion of the brain, infection, poisoning. Chronic headache progress often due to intracranial pressure trending up, during the early morning, there is extreme pain with nausea and vomiting but pain becomes alleviated soon after the early morning. Chronic headache presents itself in nervosa, brain tumor, subdural hemtaoma, uremia, diabetes mellitus, poisoning, and etc.
Repeated attacks of headache appears in migraine, brain artery disease, hypertension, cervical vertebra problem,and brain trauma.
Acute attacks of headache appears in acute infection, head injury, subarachnoid cavity bleeding, and after lumbar puncture.
To diagnose headache accurately, attention must be placed on symptoms such as temperature, blood pressure, and five sensory organs.
[Identification of Traditional Chinese Medicine]
Wind Qi headache is divided into two classes which are early stages of infection versus prolonged infection. Former is acute, accompanied with symptoms of chill and fever, stuffy nose, body pain and cough with phlegm and floating pulse. The latter, is chronic, presents on migraine and vertex headaches, also known commonly with head-wind symptoms that manifest when there is sensation of chills and tiredness from minor physical activity or weak physical stature.
Kidney exhausted Liver Yang headache is caused by vertigo, insomnia, laziness, soreness of lowerback, involuntary emission of semen, palpitation, loss of memory, tinnitis, blurred vision, and etc.
Stomach heat or Liver-Gallbladder fire uprising is causes symptoms with red face with heat, distending pain and throbbing, red eye, flank pain ,thirst, incessant movement, chest-epigastrium fullness and tight, nausea constipation, yellow-greasy coated tongue, rapid-full, wiry-slippery pulse with force, and etc.
Phlegm-damp blocks middle burnner which leads to swaying head or Qi deficiency that can not rise to head, causes headache that has symptoms of chest and stomach tightness, vomiting clear water and exhibits dizziness, white coated greasy tongue and slippery pulse.
Qi deficiency has sypmtoms of laziness ,low voice, loss of appetite, tiredness, and pulse are empty without force.
principle treatment:select point by meridian and identification point by symptoms
main point : GbXX,Taiyang,Du20,Liv3,Gb8,Sj3
Extra point : Li4,Lu7,Sj5,Du16,Liv2,Gb40,Ki3,Si3,Gb41,Gb65Ub2,Gb14,St8,Rn12,St40
Tech:The first GbXX is pricked with sense of needle facing side of head and frontal head. vertex headache is Du20,Liv3 / temperal headache is through from Taiyang to Gb8 / frontal headache is through from Gb14 to Ub2,Li4 / occiput headache is in addition to Ub10,Si3.when put the needle, start the needle turning and inserting a little bit, after get a feeling of needle, and then 5-15minutes of continuous manipulation.
WindQi headache: add:Du16,Lu7,Sj5
Yin empty Ynag rising headache:add Ki3,Ub23,Liv3
Kidney empty headache:add Rn6,Rn4
Stomach heat or Liver and Gallbladder fire headache:add Gb40,Liv3,St43,St8
Damp obstruction headache:add Rn12,St40
Qi deficiency headache:add St36,Rn6,Rn4 applied to moxa
main point:Subcortex, forehead,temple,occiput,kidney,gallbladder- find out tender point
tech:persistent headache with strong impulse with 5 minutes of needle manipulation, also grain type needle should be embedded for 1-7 days.
3. Herbal Medicine
Migrane : XXXXXtang, XXXXXyin
(1)Head Wind:Du23,qian e,Du20,Li5,Li4,Sj1,Ub60,Gb43
(2)Head Wind vertex headache:Du20,Du19,Li4
(4)Headache is on the left side or right side, when pain reaches both eyes downwards to teeth:Gb19 apply 21moxa and then Gb16 apply 21moxa left migrane apply moxa to right side, right migraine apply moxa to left side.