The Treatment of Modern Western - Biblio.nhat-nam.ru

MIGRAINE HEADACHES 369Chrysanthemum Drink): Xia Ku Cao (Spica Prunellae), GouTeng (Ramulus Uncariae Cum Uncis), and Zhen Zhu Mu(Concha Margaritiferae), 30g each, Huang Qin (RadixScutellariae), Ju Hua (Flos Chrysanthemi), Tian Ma (RhizomaGastrodiae), Bai Zhi (Radix Angelicae Dahuricae), ChuanXiong (Rhizoma Chuanxiong), Dan Pi (Cortex Moutan), andZhi Zi (Fructus Gardeniae), 12 grams each, and Di Long(Pheretima) and Quan Xie (Scorpio), 9 grams each. In thiscase, for nausea, add 12 grams each of Dai Zhe Shi(Haemititum) and Zhu Ru (Caulis Bambusae In Taeniis). Forphlegm, add nine grams each of Ban Xia (Rhizoma Pinelliae)and bile-processed Dan Nan Xing (Rhizoma Arisaematis). Forenduring pain entering the network vessels, add 12 grams eachof Tao Ren (Semen Persicae) and Chi Shao (Radix PaeoniaeRubrae). For constipation, add 6-9 grams of Da Huang (RadixEt Rhizoma Rhei).ACUPUNCTURE & MOXIBUSTION: Xing Jian (Liv 2), Tai Xi(Ki 3), local points according to the location of pain, distantpoints according to the affected channel. Local points are thesame as for pattern #1 above. However, prick to bleed anyhot or painful channel or a shi points. Distant points are thesame as for pattern #1 above.ANALYSIS OF FORMULA: Xing Jian is the fire point on theliver channel. Draining it clears and levels the liver and subduesyang. Supplementing Tai Xi nourishes yin to checkyang. Once the frequency of attacks is decreased, one shouldpay less attention to the local treatment of pain and pay moreattention to nourishing liver-kidney yin. In this case, medicinalsare more effective than acupuncture.ADDITIONS & SUBTRACTIONS: Please see pattern #1above. During attacks, use only “side three needle” techniquewith draining method, i.e., Tai Yang (M-HN-9) in the directionof Quan Liao (SI 18), He Gu (LI 4) perpendicularly, andTai Chong (Liv 3) in the direction of Yong Quan (Ki 1).3. COLD REVERSAL PATTERNMAIN SYMPTOMS: Severely painful headache at the vertex,a chilly, icy sensation at the time of pain, aversion to wind,possible vomiting of clear liquids, counterflow chilling of thefour limbs, glossy, white tongue fur, and a fine, bowstringpulseNOTE: These signs and symptoms are due to an extremelysevere attack of liver wood on spleen earth. This patterndescribes the acute paroxysmal attack of migraine headacheitself.TREATMENT PRINCIPLES: Harmonize wood and earth,warm the spleen and scatter cold, downbear counterflow andstop painRX: Wu Zhu Yu Tang (Evodia Decoction)INGREDIENTS:Sheng Jiang (uncooked Rhizoma Zingiberis)Wu Zhu Yu (Fructus Evodiae)Ren Shen (Radix Ginseng)Da Zao (Fructus Jujubae)18g12g9g5 piecesNOTE: This formula is only to be used during acute attacks.It is not for preventive use.ANALYSIS OF FORMULA: Sheng Jiang and Wu Zhu Yu warmthe spleen and scatter cold, downbear counterflow and stoppain. In addition, Wu Zhu Yu harmonizes wood and earthand treats jue yin channel headache. Ren Shen and Da Zaosupplement the spleen.ADDITIONS & SUBTRACTIONS: If vomiting is severe, addnine grams each of Ban Xia (Rhizoma Pinelliae), Chen Pi(Pericarpium Citri Reticulatae), and Sha Ren (FructusAmomi). If headache is severe, add 15 grams each of Gao Ben(Rhizoma Ligustici), Chuan Xiong (Rhizoma Chuanxiong),and Bai Zhi (Radix Angelicae Dahuricae) and nine grams ofDang Gui (Radix Angelicae Sinensis).ACUPUNCTURE & MOXIBUSTION: Tai Yang (M-HN-9)needled in the direction of Quan Liao (SI 18), He Gu (LI 4)needled perpendicularly, Tai Chong (Liv 3) needled in thedirection of Yong Quan (Ki 1) plus Bai Hui (GV 20) and/orYong Quan (Ki 1).ANALYSIS OF FORMULA: He Gu, Tai Chong, and Tai Yangare all famous points for treating migraine headaches.Draining He Gu frees the flow of the network vessels of thewhole head because it is the master point of the face andhead. Draining Tai Yang subdues yang, quiets the spirit, andfrees the flow of the network vessels in the temporal regionof the head. Draining Tai Chong moves the channel qi of theliver. Bai Hui and Yong Quan both are empirical points forthe treatment of headache at the vertex. Bai Hui should bedrained and Yong Quan supplemented.ADDITIONS & SUBTRACTIONS: For a severe cold sensation,moxa Zu San Li (St 36) or Qi Hai (CV 6) and alsomoxa Bai Hui (GV 20) and Yong Quan (Ki 1). For nausea,needle Nei Guan (Per 6) and moxa Shang Wan (CV 13).4. PHLEGM REVERSAL PATTERNMAIN SYMPTOMS: Headache, dizziness, and heavy-headedness,the feeling of a tight band wrapped around the head,nausea, possible vomiting of phlegm drool, chest oppression,fatigued limbs, numbness of the extremities, lack of appetite,a fat tongue with teeth-marks on its edges and thick, slimytongue fur, and a bowstring, slippery pulse