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T1 Lumiere Headache
Headache, T1, Lumiere, Bastyr
| Question | Answer |
|---|---|
| Describe the Biomedical view of Headaches: | ~90% benign Frequent subjective symptom in both acute disorders, such as cold and flu, and chronic disorders such as hypertension, depression or anxiety |
| What are the Types of headaches according to the International Headache Society: | Migraine Cluster Tension Post traumatic Disease related |
| Qualities of Migraine headache: | Intense pain Nausea or vomiting Aura (halo of light), sparkling, colors or and black spots in field of vision Photosensitivity Fever; chills; aching; and sweating |
| Location of Migraine headache: | Unilateral (differentiates from other type) |
| Duration and occurrence of Migraine headache: | May last for days |
| Qualities Tension headache: | Intense pain Steady, penetrating and non-throbbing |
| Location of Tension headache: | Behind eyes or at temples |
| Duration and occurrence of Tension headache: | Hours to days One or more times a week |
| Qualities of Cluster headache: | Mild to moderate pain Squeezing, pressing Steady and non-throbbing |
| Location of Cluster headache: | Bilateral parietal Occipital Frontal |
| Duration and occurrence of Cluster headache: | Incidences with repeated attacks occur two to three months at a time Specific attacks 45 minutes to two hours Occur at night, most often in spring or autumn |
| TCM view of headaches: | The head is the meeting place of all the hand and foot yang meridians Qi and blood flow upward to the head Exogenous or endogenous factors may disrupt the flow of qi and blood, causing pain |
| Qualities of Post traumatic headache: | Dull or achy Sharp or stabbing Location of Post traumatic headache: |
| Duration and occurrence of Post traumatic headache: | In clusters or continuous Within 24 hours of trauma to years later |
| Qualities of Disease related headache: | Vary widely |
| Location of Disease related headache: | Varies widely |
| Duration and occurrence of Disease related headache: | Vary widely |
| Commonly associated conditions of Disease related headache: | Allergies; TMJ; nerve pain; ENT disorders; head and neck disorders; stroke; brain tumor; high blood pressure; constipation; and insomnia |
| TCM DDx Heahache: | Exogenous patterns Wind cold Wind heat Wind damp Endogenous patterns Liver yang rising Liver fire Phlegm damp Blood stagnation Qi and blood deficiency Kidney yin deficiency |
| Describe TCM Exogenous DDx of headache: | Wind cold Wind heat Wind damp |
| Describe Endogenous TCM DDx of headache: | Liver yang rising Liver fire Phlegm damp Blood stagnation Qi and blood deficiency Kidney yin deficiency |
| Main Characteristics and Sx of Wind cold headache: | Acute onset Common in cool to cold weather Upper neck stiff, head feels tight Aversion to cold and wind Aches and chills |
| Most important symptom of Wind cold headache: | Upper neck stiff |
| Tongue and pulse of Wind cold headache: | Tongue: thin, white coat Pulse: floating and/or tight |
| Tx principles of Wind cold headache: | Release the exterior Expel wind Dispel cold Relieve pain |
| Main points and methods of Wind cold headache: | LI 4, LU 7, LI 20, UB 10, UB 12, GB 16, GB 20 |
| Main Sx of Wind heat headache: | Acute onset Severe pain Fever, sore throat, thirst Red face, eyes |
| Tongue and pulse Wind heat headache: | Tongue: thin, yellow coat Pulse: floating, fast |
| Tx principles of Wind heat headache: | Release the Expel wind heat Relive pain |
| Main points and methods of Wind heat headache: | LI 4, LI 11, Du 14, Du 16, Du 20, SJ 5, gua sha |
| Main Sx of Wind damp headache: | Muffled pressure “towel wrapped around the head” Heavy sensation in limbs and/or chest Poor appetite No thirst |
| Tongue and pulse of Wind damp headache: | Tongue: greasy coat Pulse: soft, slippery |
| Tx principles of Wind damp headache: | Release the exterior Expel wind heat Relive pain |
| Main points and methods of Wind damp headache: | Du 20, Ren 12, UB 20, ST 36, St 40, GB 20 |
| Is liver yang rising Shi or Xu? | Yin Xu not pulling qi downward |
| Main Sx of Liver yang rising headache: | Severe pain Worse in afternoon and evening Either uni- or bilateral Red face Anger, irritability, nightmares Bitter taste in mouth Constipation |
| Tongue and pulse of Liver yang rising headache: | Tongue: red body, thin yellow coat or no coat Pulse: forceful, wiry or thready, rapid |
| Tx principles of Liver yang rising headache: | Soothe liver, move liver qi stagnation Descend yang Tonify yin Clear heat Relive pain |
| Main points and methods of Liver yang rising headache: | LIV 3, SP 6, KI 3, GB 4, GB 20, GB 43, taiyang, sishencong |
| Describe treatment of Liver fire headache? | Treated similarly to liver yang rising headache, with what important differences? |
| Is liver fire headache shi or xu? | Shi |
| Tongue and pulse of Liver Fire headache? | Toung red w thin yellow coat Pulse rapid, wirey, superficial |
| Sx of Liver Fire: | Skin Redness, red eyes, irritable High stress |
| What type of headache for Liver Fire headache: | Tension, Migraine, cluster headache. Temporal, severe |
| Main Sx of Phlegm damp headache? | Pronounced sensation of heaviness Worse in damp weather Dizziness Pressure in chest, epigastrium No thirst Nausea and/or vomiting |
| Tongue and pulse Sx of Phlegm damp headache? | Tongue: greasy coat Pulse: slippery |
| Treatment principles of Phlegm damp headache? | Dispel damp Resolve phlegm Tonify stomach and spleen Raise the clear yang Relive pain |
| Could Phlegm damp headache also have heat? | Absolutely |
| Main points and methods of Phlegm damp headache? | ST 8, ST 36, ST 40, Du 20, Ren 12, yintang, dietary therapy |
| Dietary therapy for phlegm damp headache? | Onions, dark leafy greens, pungent, bitter, |
| Main Sx of Blood stagnation headache: | Fixed, severe pain Often associated w/ trauma |
| Tongue and pulse of Blood stagnation headache: | Tongue: purple or dusky, sublingual venous distention, petechiae Pulse: choppy or wiry |
| Treatment principles of Blood stagnation headache: | Move qi and blood Relive pain |
| Main points and methods of Blood stagnation headache: | SP 6, SP 10, UB 17, GB 34, LI 4, LIV 3 |
| Main Sx of Qi and blood deficiency headache: | Dull, achy Whole head or frontal region Worse w/ stress, fatigue, and overwork Poor appetite Low energy Palpitations, n, poor memory Pale and/ or dry skin Worse after menses |
| Primarily Sx of qi deficiency headache: | Dull, achy Whole head or frontal region Worse w/ stress, fatigue, and overwork Poor appetite Low energy |
| Primarily Sx of blood deficiency headache: | Dull, achy Palpitations, n, poor memory Pale and/ or dry skin Worse after menses |
| Tongue and pulse Qi and blood deficiency headache: | Tongue: pale w/thin white coat, may be puffy w/ qi deficiency or small with blood deficiency Pulse: weak, thin |
| Treatment principles of Qi and blood deficiency headache: | Tonify ST and SP qi Tonify KI qi Tonify blood Raise the clear yang |
| Main points and methods of Qi and blood deficiency headache: | ST 36, SP 6, LI 10, UB 17, UB 18, UB 20, UB 21, UB 23, Du 20, dietary therapy, herbs |
| Main Sx of Kidney deficiency headache: | Center, hollow ache Weakness and/or pain in low back and/or knees Fatigue Night sweats, 5 palms hot (w/ yin deficiency) |
| Tongue and pulse of Kidney deficiency headache: | Tongue: pale (qi deficiency) red w/o coat (yin deficiency) Pulse: deep, empty, may be thready (yin deficiency) |
| Treatment principles Kidney deficiency headache: | Tonify KI qi Tonify ST and SP qi Raise the clear yang Relive pain |
| Main points and methods of Kidney deficiency headache: | ST 36, UB 23, KD 3, Ren 4, DU 20, SP 6, KI 6 (yin deficiency) KI 1 with moxa |
| Brow points for headache: | UB 2 toward yuyao or UB 1 |
| Frontal points for headache: | LI 4, ST 8, ST 44, Du 23, GB 14, taiyang |
| Occipital points for headache: | UB 10, Du 19, SI 3 |
| Temporal points for headache: | GB 8, SJ 5, GB 41, taiyang |
| Vertex points for headache: | Du 20, SI 3, UB 7, UB 67, LR 3 |
| Deep (headache) points for headache: | KI 1, KI 3, UB 23 Phlegm vs damp: Damp is Heavy Heat cooks damp into phlegm Phlegm, Nausea and vomiting Phlegm, headache and cognitive disturbances. Phlegm, cold or heat, almost always heat |
Created by:
bastyr41
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