Headaches Flashcards
General description of headaches
A headache is one of the most common symptoms in clinic and is the feeling of the patients. It can be induced by various acute and chronic diseases.
Headaches can be divided into two types:
headache due to external evils: wind, cold, damp and heat
headache due to internal disorders: hyperactivity of liver yang, turbid-phlegm, deficiency and Blood stasis.
headaches general tx principle for ext factors
Expel and disperse external evils, clear the collaterals and stop pain
main points for headaches ext factors
LI4, GB20, Taiyang
Main manifestation of headaches ext factors
acute onset, constant pain
3 pain typeso f headaches from external factors
- wind and cold
- Wind and heat
- Wind and dampness
wind and cold
manifestation
pulse
tongue
points
severe headache with no sweating or thirst, may have congestion or runny nose, stiff neck, chills
Pulse: Floating tight
Tongue: Thin white coat
+ LU7, LI20, GV14, BL12
Wind and heat
manifestation
pulse
tongue
points
headache, fever, aversion to wind, sweating, usually thirsty.
Pulse: Floating rapid
Tongue: Red tip
+ LI11, GV14, TB5
wind and dampness
manifestation
pulse
tongue
points
headache, heavy sensation, body aches, brain may not feel clear
Pulse: Slippery or soft
Tongue: Scalloped, greasy white coat.
+ SP9, ST8, ST36
what are the 5 internal causes of headaches
- hyperactivity of liver yang
- kidney deficiency
- blood deficiency
- turbid phlegm
- blood stasis
hyperactivity of Liver yang
points manifestation pulse tongue tx principle
GB4,GB5 GB43, LR2, KI3, GV20
Manifestations: headache with distending pain, dizziness, restlessness, bitter taste in mouth red face.
Tongue: red, thin yellow coat
Pulse: wiry, forceful.
Treatment principle: Calm the liver and lower the the adverse qi, subdue liver yang and relieve pain.
Kidney deficiency
points manifestation pulse tongue tx principle
KI3, CV4, BL23, GV20
Manifestations: Headache with empty feeling in the head, dull pain, lassitude, low back pain.
Tongue: red tongue less coating
Pulse: thin, weak
Treatment principle: Reinforce the kidney and stop pain
Blood deficiency
points manifestation pulse tongue tx principle
ST36, SP6, BL20, SP10, GV23, GV20
Manifestations: Chronic headache with dull pain. Fatigue, poor memory, general signs of blood deficiency.
Tongue: pale, thin white coat
Pulse: thin, weak
Treatment principle: Tonify qi and blood, regulate the collaterals, stop pain.
Turbid phlegm
points manifestation pulse tongue tx principle
CV12, ST36, SP9, ST40, GV20, Yintang
Manifestations: headache with heavy feeling in the head, dizziness, sensation of fullness and stuffiness in the chest.
Tongue: Greasy coat
Pulse: Slippery
Treatment principle: Resolve phlegm, clear the collaterals and stop pain.
bloos stasis
Ashi, BL17, LI4, SP6
Manifestations: Headache with persistent, fixed sharp pain
Tongue: purple
Pulse: choppy
Treatment principle: Promote blood movement, resolve blood stasis and stop pain.
Yang ming headache
Manifestations: Frontal headache, symptoms of Yangming meridian
Acupoint selection: LI4, ST8, ST44
