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Path-Headaches

Pathology 08 - Headaches notes

QuestionAnswer
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
Created by: clehmann