Headache Flashcards
Etiology, Pathogensis, Patterns, S/sx, Treatment Principles + Principle Points
What are the 2 main characteristics of Headaches either caused by External Evils or Interior injuries?
Malnutrition + disharmony of Qi + Blood
Obstruction or blockage of channel
What are the 3 etiologies of Headaches caused by External Evils?
Wind-Cold
Wind-Heat
Wind-Dampness
What is the pathogenesis of Headaches caused by External Evils?
Evils impede channels causing blockages
Evils impede channels causing the failure of Lucid Yang to rise
What are 3 other excess etiologies that cause internally-injured Headaches?
- Injury to brain
- Emotional depression
- Improper diet
What is the pathogenesis of injury to the brain resulting in Headache?
Qi Stagnation or Blood Stasis obstructing channels causing pain
What causes headache pain?
Blockage of channels = Blockage of Qi or Blood= pain
OR
Malnutrition= Lack of Qi + Blood, sluggish flow of Qi + Blood which can also cause Blockage = pain
What is the pathogenesis of emotional depression resulting in Headaches?
Stagnation of Liver Qi invading the 7 orifices
Can result in a depletion of Yin-Blood which causes upward of Liver Yang
What is the pathogenesis of improper diet resulting in Headaches?
Improper diet leads to dampness or phlegm. Phlegm can stagnate causing an invasion of the clear orifices
What are the deficient etiologies of Headaches?
Congenitial deficiencies and loss of blood or essence resulting in SP + ST Xu and KI Essence Xu
What are the 2 main pathogenesis of deficient Headaches?
Qi + Blood Xu
Hollow Sea of Marrow
How does one differentiate headache pain?
Diagnosed by channel
Forehead- Yangming (ST + LI)
Temporal- Shaoyang (GB + SJ)
Vertex- Jueyin (LR)
Occiput- Taiyang (BL)
How does one differentiate between a headache that is caused by External Evils + Internally-injured?
External Evil causes persistent headaches radiating to the neck and back with a sudden onset. Can also be accompanied by other External Evil S/sx
Internally-injured causes lingering and intermittent headaches with a slow onset. Often accompanied by vertigo and can be triggered by emotions or exertion
The following patterns are differentiations of Headaches caused by _________?
Wind-Cold
Wind-Heat
Wind-Dampness
External Evils
The following patterns are differentiations of Headaches caused by _________?
Hyperactivity of Liver Yang
LR + KI Yin Xu
Qi + Blood Xu
Phlegm Turbidity
Blood Stasis Obstruction
Internal Injury
The following S/sx of Headache due to ________?
Distending pain, blurred vision, restlessness, irritability, flushed complexion, red eyes, bitter taste in mouth
T: Red w/ thin yellow coating
P: Wiry
Hyperactivity of Liver Yang
The following S/sx of Headache due to ________?
Vertigo, tinnitus, soreness + weakness of lumbar + knees, seminal emission
T: Red w/ scanty coating
P: Rapid + Thready
LR + KI Yin Xu
The following S/sx of Headache due to ________?
Pain w/ empty feeling, vertigo, lassitude, lusterless complexion, pain aggravated by exertion
T: Pale w/ pale coating
P: Weak + Thready
Qi + Blood Xu
The following S/sx of Headache due to ________?
Hazy feeling in head, dizziness, oppression in chest + abdomen
T: w/ thick, greasy coating
P: Slippery
Phlegm Turbidity
The following S/sx of Headache due to ________?
Fixed, stabbing pain
T: Dark red or purple w/ petechiae w/ thin coating
P: Choppy
Blood Stasis Obstruction
The following S/sx of Headache due to ________?
Fever, aversion to cold, no thirst, no sweating, body aches
T: w/ thin, white coating
P: Floating + Tight
Wind-Cold
The following S/sx of Headache due to ________?
Fever, aversion to wind, thirst w/ desire for cold drinks, sweating, constipation, yellow urine
T: Red w/ yellow coating
P: Floating + Rapid
Wind-Heat
The following S/sx of Headache due to ________?
Heavy feeling in head, lassitude, fatigue, heaviness in limbs
T: w/ white, greasy coating
P: Floating + Soggy
Wind-Dampness
What are the treatment principles for Headache due to Wind-Cold?
Expel Wind
Warm
What are the treatment principles for Headache due to Wind-Heat?
Expel Wind
Clear heat
What are the treatment principles for Headache due to Wind-Dampness?
Expel Wind
Resolve dampness
What are the treatment principles for Headache due to Hyperactivity of Liver Yang?
Clear LR Yang
Nourish KI Yin
What are the treatment principles for Headache due to LR + KI Yin Xu?
Nourish Yin
Clear deficient Heat
What are the treatment principles for Headache due to Qi + Blood Xu?
Tonify Blood + Qi
What are the treatment principles for Headache due to Phlegm Turbidity?
Resolve phlegm
What are the treatment principles for Headache due to Blood Stasis Obstruction?
Unblock channel
Resolve stasis + invigorate Blood
Principles points for Headache due to Wind-Dampness?
Sp-9: Resolves dampness
DU-20: Soothe + Dredge Qi
Taiyang: Soothe + Dredge Qi
GB-20: Resists Wind + Promotes Blood Flow
LU-7: Luo-connecting + Disperses LU Qi + benefits head + nape of neck
Ashi points
Principles points for Headache due to Wind-Heat?
LI-11: Clears whole body heat
DU-14: Releases exterior + Expels wind + Clears heat from Yang channels
DU-20: Soothe + Dredge Qi
Taiyang: Soothe + Dredge Qi
GB-20: Resists Wind + Promotes Blood Flow
LU-7: Luo-connecting + Disperses LU Qi + benefits head + nape of neck
Ashi points
Principle points for Headache due to Wind-Cold?
BL-12: Wind Gate + Expels Wind
DU-20: Soothe + Dredge Qi
Taiyang: Soothe + Dredge Qi
GB-20: Resists Wind + Promotes Blood Flow
LU-7: Luo-connecting + Disperses LU Qi + benefits head + nape of neck
Ashi points
Principle points for Headache due to Hyperactivity of Liver Yang?
LR-2: Ying-spring + Clears LR Heat
KI-3: Yuan + tonifys KI Yang
DU-20: Local point, essential pt for Headache + Vertigo (def or excess)
ST-8: essential pt for any type of headache
GB-20: Release Wind (Ext or Int Wind)
ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm
Ashi points
Principle points for Headache due to LR + KI Yin Xu?
LR-3: Yuan + tonifys LR
KI-3: Yuan + tonifys KI Yang
DU-20: Local point, essential pt for Headache + Vertigo (def or excess)
ST-8: essential pt for any type of headache
GB-20: Release Wind (Ext or Int Wind)
ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm
Ashi points
Principle points for Headaches due to Phlegm Turbidity?
SP-9: Resolves Dampness
ST-40: Resolves Phlegm
DU-20: Local point, essential pt for Headache + Vertigo (def or excess)
ST-8: essential pt for any type of headache
GB-20: Release Wind (Ext or Int Wind)
ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm
Ashi points
Principle points for Headache due to Qi + Blood Xu?
SP-10: Builds Blood
BL-20: Back-shu of SP
DU-20: Local point, essential pt for Headache + Vertigo (def or excess)
ST-8: essential pt for any type of headache
GB-20: Release Wind (Ext or Int Wind)
ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm
Ashi points
Principle points for Headaches due to Blood Stasis Obstruction?
SP-6: Tonifys Qi + Blood + Invigorates blood
BL-17: Hui-meeting of Blood
DU-20: Local point, essential pt for Headache + Vertigo (def or excess)
ST-8: essential pt for any type of headache
GB-20: Release Wind (Ext or Int Wind)
ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm
Ashi points
Principle points for Yangming Headache?
ST-8 + LI-4
Principle points for Shaoyang Headache?
GB-8 + SJ-5
Principle points for Taiyang Headache?
BL-10 + SI-3
Principle points for Jueyin Headache?
Sishencong + LR-3
A frontal Yangming headache is treated with the following points?
LI-4, ST-44, ST-8
