Headache在线视频

Hello everyone

Previously

we studied how to recognize and treat the cold disease

For today we are going to talk about another common disease

headache

Headache is a very common disease along the clinic

A lot of people care about how to treat this disease

and how to relieve the pain in head

Headache is a condition that is manifested by pain in head

It may appear by itself or in the course of many acute or chronic diseases

Many diseases in terms of western medicine

such as hypertension

hemicrania

vascular headache

trigeminal neuralgia

with headache may be differentiated

and treated with reference this section

Externally because of abrupt

climatic change

irregular life style

sitting or sleeping in the wind

or living in a cold-damp environment

one is likely to be attacked by the external pathogenic factors

Wind

cold

heat

and dampness pathogens invade from the superficies of body

to the meridians and collaterals

and move further upward to the top of the head

Then induce the obstruction of clear yang

Furthermore

the unsmooth flow of qi and blood

as well as the blocking of vessels and collaterals result in headache

Internally deficiency of kidney essence

emotional impairment

and dysfunction of spleen

all can result in the blocking of vessels and collaterals

stagnation of qi and stasis of blood

Further

induce the blockage or insufficient supply of nutrients

Then headache may happen

According to the external and internal pathogenic factors

the syndrome differentiation of headache includes

external contraction syndrome

and internal damage syndrome

For the external contraction syndrome

external wind cold heat

or dampness pathogens

may invade the superficies

then induce the clear yang failing to ascend

The headache patient caused by wind-cold pathogen

may have the symptoms and signs

such as headache with sudden onset

aversion to wind and cold

nasal obstruction

thin and white coating

as well as floating and tense pulse

For treating the headache with wind and cold

the therapeutic principle of dispersing wind and dissipating cold

is usually used clinically

Chuan Xiong Cha Tiao Powder can be selected to disperse the wind

and dissipate cold

then relieve headache

Acupuncture is a good way to relive the pain of head

ST 8 and GV 20 can be selected as the acupoints

to be stimulated using needles

This stimulation in the acupoints can help to expel wind-cold pathogen

as well as to relive the tension and pain of head

The patient with wind-heat attacked

may have distending pain in the head

aversion to heat

flushed face

thirst

with desire to drink

red tongue with thin and yellowish coating

as well as floating and rapid pulse

The therapeutic principle for headache caused by wind-heat

should be disperse wind and clearing heat

Sang Ju Decoction is usually picked to treat the headache

by dispersing wind and clearing heat

For the patient attacked by wind-dampness

the symptoms include headache as if wrapped by something

heavy trunk and limbs

poor appetite

whitish and greasy coating

and the pulse should be soft and floating

Expelling wind and eliminating dampness is usually used

to treat the headache caused by wind and dampness

Qiang Huo Sheng Shi Decoction is

clinically used

to help the body to expel the wind and dampness

out of the body

then relieve the pain of the head

Whatever the type of the pathogen is

all the patients with external contraction syndrome

are suggested to press acupoint

as the picture shows

This will be very helpful to relieve the pain

Compare with external syndrome

the Internal damage syndrome usually caused by

the disorder of internal organs or emotions

then induce to deficiency of essence

qi and blood as well as

blood stasis

The clinical manifestations of deficiency syndrome may be as follows

chronic headache

dizziness

weakness

insomnia

pale tongue and weak pulse

For the deficiency syndrome patient

tonifying and nourishing essence

qi and blood is the basic therapeutic principle

Ba Zhen Decoction is commonly used to improve the headache

This formula can relieve the headache which is deficiency by

increasing qi and blood for the patient

And because the qi and blood are difficult to be increased

it will take a relative long time to be cured

Acupoints GV 20 and SP 6

can be selected to be stimulated

to improve the deficiency syndrome

If the headache is caused by static blood

the patient may have the symptoms and signs

like lasting headache

aggravated at night

purple spotted tongue and thready pulse

All the symptoms

tongue and pulse are mainly caused by static blood

Therefore

to relieve the headache

the doctor needs to activate the circulation of blood

by using Chinese herbs

Usually

Tong Qiao Huo Xue Decoction can be selected to treat the disease

This formula is composed with Chinese herbs

with the function of promoting the circulation of blood

So

the formula can relieve the head pain by removing the static blood

For the static blood syndrome

acupuncture can be carried out for the headache patient

Commonly

acupoints LR 3 and SP 10 are selected to promote

the circulation of blood

by stimulating the qi inside meridian

To sum up

we have talked about the concept

pathogenesis

syndrome differentiation

clinical manifestations

therapeutic principle and therapeutic formula of headache

Therefore

if we have patient with headache

we should check the patient first

including symptoms

tongue pulse etc

then analyze the information from the checking to make a diagnosis

Comply the therapeutic principles and make a

prescription for the patient

This is a whole process to deal with the patient in clinic

OK that’s all for today

I’ll see you in next class