Headache - CatsTCMNotes

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Kidney Xu of Essence or Yin This is an internal deficiency and is associated with a Jueyin headache around Du 15 and Du 16. Know these symptoms! Acupuncture Treatment of Disease 2 – Winter 2009 www.CatsTCMNotes.com Page 8 of 14
Migraine Pian Tou Tong or “unilateral head pain” Biomedically, migraines are defined as a biological disorder of the CNS. The most common type of migraine is of vascular nature and is due to a rapid change in the size of blood vessels. Somewhere in the neighborhood of 25million people suffer from migraines annually, according to a 1999 study. That breaks down to 20% of women and 11% of men that will experience at least one migraine in their lifetimes. Cost in medical care and productivity loss combined is more than $17billion per year. The biomedical mechanism causing migraines is an insufficiency of serotonin. Serotonin is a neurotransmitter – the equivalent of Wei Qi as the carrier of Shen – and plays a significant role in the contraction and expansion of blood vessels. Migraine triggers include: ☯ Bright lights and sunshine ☯ Diet factors including MSG, chocolate, red wine, etc. ☯ Noises – loud or noisy sounds ☯ Stress ☯ Various smell triggers ☯ Fluctuation of hormones ☯ Changes in barometric pressure ☯ Chemical sensitivities and pollution ☯ Trauma ☯ Lots more… Symptoms: The following list contains both symptoms and the measures by which one is classified as a migraine sufferer for biomedical purposes: ☯ Patient has had at least 5 headaches with similar features lasting 4 – 72 hours per episode. ☯ Headaches are of moderate to severe intensity and last 2 – 72 hours ☯ Throbbing, pulsating pain ☯ Initially begin as unilateral headaches (typically) ☯ Pain is worse with activity (walking, exercise, esp going up/down stairs, bending over, etc.) ☯ Pain is often accompanied with nausea/vomiting ☯ Sensitivities to: o Light (photophobia) o Sound (phonophobia) o Smells (osmophobia) ☯ Family history of migraines (in TCM this is reflective of a Kidney Essence Xu) ☯ Cyclical pattern – tend to recur cyclically Migraines are classed into two types in the biomedical model: common migraines and classic migraines. Acupuncture Treatment of Disease 2 – Winter 2009 www.CatsTCMNotes.com Page 9 of 14
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Headache - CatsTCMNotes

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