Headaches Flashcards
Headaches pathology
Excess of Yang (LV Yang rising, LV fire, intense/throbbing)
Deficiency of Yang (ST qi def. - frontal, KD Yang def. - occipital, dull)
Excess of Yin (dampness & phlegm, dull but intense)
Deficiency of Yin (LV & HT blood def., Yin or KD essence def., Dull/Mild)
Etiology of Headaches
Constitutional deficiency Emotional stress Overwork Excessive sexual activity Irregular diet Trauma Child Birth EPF
Pain diagnosis of HA?
Dull: deficiency Feeling of heaviness: Dampness or phlegm Distending pain: LV Yang or LV Fire, exterior Wind-heat Stiff: exterior Wind-cold Pulling: internal LV Wind Stabbing, boring: Blood stasis
Headache patterns?
Exterior: Wind-cold, wind-heat, wind-dampness
Interior:
Full - LV Yang, Fire, Wind & Qi Stagnation; cold; dampness; phlegm (wind); food retention, blood stasis, ST heat
Empty - Qi, Blood & KD deficiency
Headache treatment?
Root & branch
Manifestation first, root secondly
Root only
Yang Ming HA
Frontal, trigger point activity, disorders of ST, SP, LI, LV & GB.
Dull: phlegm damp, wind damp, QI def.
Tight constraint: LV Qi constraint
Splitting/pounding/throbbing: wind-heat, toxic heat, summer heat, ST heat, GB & ST disharmony, LV fire
Shao Yang HA
Temporal HA, associated w/ trigger point activity, esp. SCM
Pain:
Dull, background: blood deficiency
Tight, constant: LV Qi constraint
Splitting, pounding, throbbing: LV Yang rising, LV fire, GB & ST disharmony
Western term HA’s?
Tension Cluster Migraine Sinus Rebound
Occipital HA from EPI, KD deficiency, LV Qi constraint; BL, SI or GV pathology
Tai Yang
Tai Yang type HA?
Dull, heavy = Wind Damp
Dull, empty = KD Deficiency
Tight, constant = Wind Cold, LV Qi constraint
Splitting, pounding, throbbing = Ascending LV Yang
Vertex HA, LV pathology, deficient Qi & Blood. Distinct, localized.
Jue Yin HA
Types of Jue Yin HA’s?
Dull = Qi & Blood def.; LV Qi constraint
Tight, boring = Ascending LV Yang; Cold in LV & ST
Tension HA - Common
Dull, persistent pain, feeling of tightness or pressure, varies in intensity
Often late day (last minutes/yrs)
Usually related to stress, triggered by emotions
usually both sides of head
Cluster HA - very severe
usually starts 2-3 hours after falling asleep
burning penetrating sensation around/behind one eye
more severe pain then migraine
occurs nightly for 1-3 weeks (episodes months - yrs apart)
Migraine HA - common esp in women
Throbbing pain
usually starts on one side of head, may spread to other side ore elsewhere on the head
often accompanied by nausea/V, cold hands, photosensativity, sensitive to sound
