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Article: The variety of headaches - by www.acupunctureshop.com |
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The variety of headaches Headache is a subjective symptom that may appear in many acute and cronic diseases. The headache stated here refers to that as a main symptom in many exogenous or miscellaneous internal diseases. It does not include headache as an accompanying symptom in the progression of certain diseases. Headache can be seen in many infectious diseases with fever in modern medicine such as hypertension, intracranial diseases, psychoneurosis and migraine. Cause and Machanism Exogenous type of headache is ofen caused by the invasion of wind, cold, dampness or heat in the channels and collaterals in the head, leading to obstruction of the lucid yang in the head. Endogenous type of headache is mostly caused by emotional stimulation that further causes the stagnation of liver Qi. The Qi stagnation then turns into fire to disturb the head, the clear organ. Kidney Yin dificensy can lead to failure of kidney water to irrigat the wood so that there will be hyperactivity of liver cause headache. Improper diet such over intake of greasy oily food can impair the function of the spleen in transforming and transporting and production of turbid dampness in the interior of the body. The dampness formed interior will halt the lucid yang to develop headache. Blood deficieny du to prolonged illness or ecessive loss of blood may also cause headache because of inaequate up going blood to nourish the head. Lingering headache over a long periode of time can affect the collaterals, leading to stasis of blood in collaterals. Traumatic injurieas affecting the brain and its marrow may also lead to poor circulation of Qi in blood, leading to stasis type of headache. Differentation 1. Exogenous Type of Headache This type of headache is characterized by a sudden onset of pain in paroxysmal attacks. The pain is severe in nature and may radiate to the back. It can sometimes be kind of pricking pain in a fixed location. The tongue coating is thin and white and the pulse is wiry and tense. 2. Endogenous Type of Headache This type of headache is characterized be a slow onset of dull, hallow pain with dizzy sensation. It may bother the patient off an on, but definitely worse with overstrain. (1) Liver Yang Type of Headache The chief manifestations includes pain, dizziness, irritability, shortness of temper, poor sleep, redness of the face, congested eyes, bitter taste in the mouth, red tongue proper, thin yellow tongue coating, and wiry forceful pulse. (2) Turbid Phlegm Type of Headache The chief manifestations includes pain in the forehead as if the head is wrapped up, fullness sensation in the chest, nausea, vomiting of saliva in severe case, loose stools, white greasy tongue coating and wiry slippery pulse. (3) Blood Deficiency Type Headache The chief manifestations include pain in the forehead, dizziness, lingering pain worsened by overstrain and alleviated by rest, lassitude, shortness of breath, palpitation, poor memory, poor appetite, pallor complexion, pale tongue proper, thin white coating, and thready feeble pulse. (4)Blood Stasis Type of Headache The chief manifestations includes a fixed stabbing pin that lasts for a long time, blurring or vision, poor memory, purplish spots on the tongue, and thready hesitant pulse. Treatment 1. Exogenous Type of Headache Principle: Eliminate wind, remove obstruction from the channels, activate blood and stop pain by using mainly the local points plus points from the affected channels. Prescription: Fengchi(GB20) Touwei(ST8) Baihui(DU20) Hegu(LI4) Explanation: Fengchi (GB20) is used to eliminate wind and stop pain, viz, to relieve the Shaoyang headache and dispel the wind form the neck and nape areas. Touwei(ST8) further eliminate wind form the channels and stop pain, particularly the wind from the Yangming channel. Baihui(DU20) where The Liver Channel of Foot-Jueyin merges in the vertex is used to quench the wind in the vertex. Head is the merging of all yang while face is the home place of Yangming channels. Therefore, Hegu(LI4) is used to eliminate wind from the facial area. The joint use of the above points may eliminate wind and relieve pain. Point Modification: Add Shangxing(DU23), Yangbai(GB14) and Yintang(Extra) for frontal headache; Tianzhu(BL10), Kunlun(BL60) and Houxi(ST3) for occipital headace; Taiyang(EX-HN3), Shuaigu(GB8) and Waiguan(SJ5) for temporal headache; Tongtian(BL7), Naokong (GB19) and Taichong(LR3) for pain in the vertex. Method: Apply filiform needles with reducing method and retain the needles for 15-20 minutes, manipulation then two to three times. If the pain is severe during the attack, continue to manipulate the needles until the pain lessens. Read the rest in Septembers newsletter from acupunctureshop.com |
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