Angioneurotic headache is usually believed to be caused by disturbance of cerebral vessels and nerves and to be related to various active agents in blood. Clinically angioneurotic headache is unilateral and recurrent, often accompanied by nausea, vomiting and premonitory signs. It is usually of family history and frequently seen among women. It is similar to headache and migraine in TCM. The causes are either attack by exogenous pathogenic wind or dysfunction of the liver, spleen and kidney that lead to retention of pathogenic factors in the meridians, or hyperactivity of liver yang, or obstruction by phlegm and stagnation, or failure of qi and blood to nourish the head.
Syndrome differentiaton
1. Wind attacking meridians
Frequent severe headache, onset with the attack of cold and wind, pain involving the neck and back, thin and white tongue fur, taut and tense pulse.
2. Hyperactivity of liver yang
Headache, dizziness, occurrence with mental upsets or nervousness, dysphoria and susceptibility to rage, in-somnia, flushed cheeks and bitter taste in the mouth, red tongue with yellow fur and taut pulse.
3. Asthenia of both qi and blood
Continuous headache, dizziness, relapse with over-strain, spiritual lassitude and fatigue, pale complexion, light-colored tongue, thin and weak pulse.
4. Interior obstruction of phlegm and turbid sub-stance
Headache, chest oppression, nausea, vomiting of phlegm and drool, white and greasy tongue fur, slippery pulse.
5. Qi stagnation and blood stasis
Prolonged duration, fixed location of pain, prickly pain, or history of traumatic injury of the head, purplish tongue or with ecchymoses, thin and unsmooth pulse.
Treatment
Prescription: Subcortical (AT4), Occipital (AT3), Forehead (AT1), Temple (AT2), Liver (CO12) and Gall-bladder (CO11).
Performance. Each time 3 - 4 acupeints are selected and the needles are retained for 30 minutes. Or Wangbu liuxingzi (Semen Vaccariae) is used for ear pressure.
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