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Path-Headaches
Pathology 08 - Headaches notes
Question | Answer |
---|---|
Aetiology of Headaches | 1)Constitutional 2)Emotional 3)Overwork 4)Excessive Sexual Activity 5)Irregular Diet 6) Trauma 7)EPF |
HA Type for Excess Yang | Intense & throbbing due to 1) LV Yang Rising 2) LV Fire |
HA Type for Deficient Yang | Dull & mild due to 1)ST Qi Def (frontal) 2) KD Yang Def (occipital) |
HA Type for Exc Yin | Dull & intense due to 1) Dampness 2) Phlegm |
HA Type for Def Yin | Dull & mild due to 1)LV Blood def 2) HT Blood def 3) Yin Def 4) KD Essence Def |
Local pts for Frontal HA | GV 23, GB 14 |
Local pts for Vertex HA | GV 20, GV 21 |
Local pts for Occipital HA | BL 10, GV 19 |
Local pts for Temporal HA | GB 8, Taiyang |
Local pts for Dampness/Phlegm HA | ST 8 |
Acute HA Onset, occipital stiffness, general body aches, aversion to cold, shivers, runny nose w/ white discharge, absence of thirst, pal urine T: thin, white coat thicker in rear P: floating-tight, maybe slow | Wind-Cold |
Acute HA onset, distending/splitting pain, severe fever, red face or eyes, thirst, runny nose w/ yellow mucus, sl. dark urine T: sl. red sides or tip P: floating-rapid | Wind-Heat |
HA as if head bound in wet cloth, heavy feeling, poor concentration, heavy eyes & head, runny nose w/ white discharge, scanty urine T: white, sticky, greasy coat P: floating-slippery, soft | Wind-Damp |
Most common INTERIOR HA aetiology | LV Yang Rising |
Most frequent cause of LV Yang Rising HA | Emotional - anger, frsutration, resentment, worry |
LV Yang rising HA due to | 1) LV Blood Def 2) LV Yin Def 3) LV & KD Yin Def 4) LV/KD Yin & KD Yang Def |
HA intense, severe, throbbing, affects either 1 side or both sides of GB channel or maybe temple/eyebrows, nausea/vomiting, visual ssx, tinnitus, irritable, red face, bitter taste, costal pain T: red, thin yellow coat P: wiry, forceful | LV Yang rising |
HA intense, severe, throbbing, affects either 1 side or both sides of GB channel or maybe temple/eyebrows, nausea/vomiting, visual ssx, tinnitus, irritable, red face, bitter taste, costal pain T: pale & thin P: wiry, forceful | LV Blood Def |
HA intense, severe, throbbing, affects either 1 side or both sides of GB channel or maybe temple/eyebrows, nausea/vomiting, visual ssx, tinnitus, irritable, red face, bitter taste, costal pain, dry eyes T: red, no coat P: wiry, forceful | LV Yin Def |
HA intense, severe, throbbing, affects either 1 side or both sides of GB channel or maybe temple/eyebrows, nausea/vomiting, visual ssx, tinnitus, irritable, red face, bitter taste, costal pain T: red, no coat, red sides P: wiry, forceful | LV & KD Yin Def |
HA intense, severe, throbbing, affects either 1 side or both sides of GB channel or maybe temple/eyebrows, nausea/vomiting, visual ssx, tinnitus, irritable, red face, bitter taste, costal pain T: pale, wet, swollen P: deep-slow | LV & KD Yang Def |
EPF, more intense HA, nausea/vomiting, dizziness, tinnitus, irritable, thirst, bitter taste, scanty-dark urine, contipation w/ dry stools, red eyes, T: red body & sides w/ yellow coat P: wiry, forceful, rapid | LV Fire |
Pulling sensation, whole head HA, severe giddiness, head/limb tremors, caused by LV Fire/LV Blood Def/LV Yin Def, primarily in elderly T: red or pale P: excess or deficient | LV Wind |
Forehead/temple HA moving from side to side, worse w/ anxiety/stress, hypochondrial pain, poor digestion, belching, ab distension, small bitty stools, sighing T: pale red, thin white coat P: wiry | LV Qi Stagnation |
Dull HA, head feels like wrapped in cloth, heaviness, difficult thinking, fullness in epigastrium/chest T: sticky, white coat P: soggy-slippery but weak & soft | Dampness |
Chronic HA, dull but can turn severe, throbbing, vertigao, dizziness, tinnitus, irritable, outbursts of anger, blurred vision, chest oppression, nausea, poor appetite, sticky taste in mouth T: swollen w/ sticky coat P: slippery-wiry | LV Yang Rising w/ Phlegm in Head |
HA severe, intense, chronic, stabbing, fixed in one place, dark complexion, hypochondrial or ab pain, painful period w/ dark, clotted blood, start & stop of period, common in older people & women T: Purple, purple spot P: irreg, choppy, wiry | Blood Stasis (from longstand LV Qi Stagnation) |
Dull HA, in bouts, alleviated by rest/lying down, aggravated by exc work, worse in AM, poor appetite SP/ST - loose stools HT - palps LU - SOB T: pale or normal P: thin, empty, short but not quite reaching top position | Qi Deficiency |
HA affects top of head, dizziness, blurred vision, worse in PM ,poor memory/concentration, worse in women esp. at end of period, T: pale, almost orange on sides P: fine-choppy | Blood Deficiency |
Dull HA experience IN the brain, dizziness, tinnitus, brain emptiness, worse w/ sex, low back/knee pain T: varies P: varies | KD Deficiency |
HA felt deep in head, empty heat ssx, more severe, HA may occur after sex T: w/o coat P: floating-empty | KD Yin Deficiency |
HA, coldness, soreness of lower back & knees, abundant pale urination T: pale P: deep-weak | KD Yang Deficiency |