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T1 Lumiere Headache

Headache, T1, Lumiere, Bastyr

QuestionAnswer
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