persistent dull headache - Clinical Study on Migraine in Traditional Chinese Medicine
Clinical Study on Migraine in Traditional Chinese Medicine
Introduction This is a study accounting the treatment of patients with medically diagnosed chronic migraine. After trying many different conventional modalities of treatment, often with limited therapeutic efficacy and adverse side effects, acupuncture is sought out by patients. Although there are fewer studies performed on acupuncture than those of drug therapy for the treatment of migraine, the literature still suggests that acupuncture is a useful alternative, especially for patients unable or unwilling to take medication.
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Migraine is a common disabling primary headache disorder (Headache Classification Subcommittee, that is ranked 19 by the World Health Organisation among all diseases worldwide causing disability. Migraine consists of many subtypes and classifying and diagnosing these sub-types is based on the fulfilment of symptomatic criteria according to the International Headache Society (IHS). Migraines can be caused by a variety of factors including, but not limited to, diet, stress, genetics (Kallela, et al., 2001; Mulder et al., and menstruation (MacGregor et al., . Accept the way things are in life. Only then will you be able to accept these points on Intractable Migraine. Intractable Migraine can be considered to be part and parcel of life.
Lucetti, C, Nuti, A, Pavese, N, Gambaccini, G, Rossi, G, & Bonuccelli, U. ( . Flunarizine in migraine prophylaxis: predictive factors for a positive response. Cephalalgia, 18( , 349- Ignorance is bliss they say. However, do you find this practical when you read so much about Medication Migraine?
Western treatment of migraine generally involves medication and/or alternative therapy. Medications- Analgesics are the first-line of treatment for mild-to-moderate migraine. Despite their proven efficacy, adverse side effects are prevalent which make them undesirable. Commonly used analgesics for migraine include non-steroidal anti-inflammatory drugs such as acetylsalicylic acid (aspirin) and ibuprofen (Nebe et al., , 5-HT1B/1D agonists including sumatriptan (Tfelt-Hansen, et al, , ergot alkaloids (Ala-Hurula, , calcium channel blockers, for example flunarizine (Lucetti et al., , beta-blockers, for example propranolol (Verspeelt, et al and antidepressants, for example amitriptyline (Rampello et al., . Make the best use of life by learning and reading as much as possible. read about things unknown, and more about things known, like about International Headache Society.
Herbal Preparation Herbal preparation can be used to assist with the signs and symptoms of the main patterns. These preparations are consumed twice daily in warm water. life is short. Use it to its maximum by utilizing whatever knowledge it offers for knowledge is important for all walks of life. Even the crooks have to be intelligent!
(d) Blood stasis obstructing the channels Any chronic condition or trauma in TCM can cause a degree of Blood stasis which impedes the free flow of Qi in the head and channels. This stasis congeals Blood to a specific, fixed location which starves the channels of nutrition. Some of the main signs and symptoms of this pattern include a choppy pulse, spots on the tongue, heavy periods and a fixed point of head pain.
Xiuying, D. ( . 100 Cases of Intractable Migraine Treated by Acupuncture and Cupping. Journal of Traditional Chinese Medicine, 19( , 205-
Romoli, M, Allais, G, Airola, G, & Benedetto, C. ( . Ear acupuncture in the control of migraine pain: selecting the right acupoints by the "needle-contact test". Neurological Sciences, 26, S158-S Whenever one reads any reading matter, it is vital that the person enjoys reading it. One should grasp the meaning of the matter, only then can it be considered that the reading is complete.
Rampello, L, Alvano, A, Chiechi, S, Malaguarnera, M, Raffaele, R, Vecchio, I, & Nicoletti, F. ( . Evaluation of the Prophylactic Efficacy of Amitriptyline and Citalopram, Alone or in Combination, in Patients with Comorbidity of Depression, Migraine and Tension-Type Headache. Neuropsychobiology, 50, 322-
Tukmachi, E. ( . Acupuncture therapy in diseases failing to respond to Western Medicine 6 case reports. Journal of Chinese Medicine Number, 67, 6- Thinking of life without Migraine seem to be impossible to imagine. This is because Migraine can be applied in all situations of life.
Melchart, D, Weidenhammer, W, Streng, A, Hoppe, A, Pfaffenrath, V, & Linde, K. ( . Acupuncture for Chronic Headaches - An Epidemiological Study. Headache, 46, 632- Just as a book shouldn't be judged by its cover, we wish you read this entire article on Migraine before actually making a judgement about Migraine.
Chiropractic - Studies have shown that some patients achieve improvements in their migraine symptoms following chiropractic spinal manipulative therapy (Tuchin et al, however many patients prefer a less invasive treatment as adverse effects following spinal manipulation have occurred (Rosner, .
Tfelt-Hansen, P, Flemming, W.B., Daugaard, D, Tsiropoulos, I, & Riddersholm, B. ( . Treatment with sumatriptan 50 mg in the mild phase of migraine attacks in patients with infrequent attacks: a randomised, double-blind, placebo-controlled study. Journal of Headache and Pain, 7, 389-
Tuchin, PJ, Pollard, H, & Bonello, R. ( . A Randomized Controlled Trial of Chiropractic Spinal Manipulative Therapy for Migraine. Journal of Manipulative and Physiological Therapeutics, 23, 91-
Verspeelt, J, De Locht, P, & Amery, WK. ( . Post-marketing cohort study comparing the safety and efficacy of flunarizine and propranolol in the prophylaxis of migraine. Cephalalgia, 16( , 328- We have tried to place the best definition about Headache Society in this article. This has taken a lot of time, but we only wish that the definition we gave suits your needs.
(c) Flaring up of Liver fire A prolonged state of Qi stagnation manifests itself as a state of fire which will raise, burn and consume Yin and Blood. This is an extreme manifestation of Liver Yang rising and Liver Qi stagnation exhibiting different signs and symptoms comprising a red face, eyes and tongue, thirst, irritability and insomnia.
Rosner, AL. ( . Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study: A Response. Journal of Manipulative and Physiological Therapeutics, 29, 248- Whenever one reads any reading matter likeMigraine Symptoms, it is vital that the person enjoys reading it. One should grasp the meaning of the matter, only then can it be considered that its reading is complete.
(b) Hyperactivity of Liver Yang When there is an abundance of Yang, or insufficient Yin, Yang energy will raise to affect the channels of the head. Hyperactivity of Liver Yang is due to the insufficiency of the Liver and Kidney Yin or the over abundance of Yang. If the Yang of the Liver is unable to be anchored by the Yin, the Liver Yang (which has upward and heat characteristics) rises to cause a disruption of Qi in the head. This disruption manifests as stagnation and therefore pain. Some of the main signs and symptoms of hyperactivity of Liver Yang include temporal headaches (worse at night), dizziness, tinnitus and a wiry, forceful pulse. Migraine Pain proved to be the foundation for the writing of this page. We have used all facts and definitions of Migraine Pain to produce worthwhile reading material for you.
MacGregor, EA, Chia, H, Vohrah, RC, & Wilkinson, M. ( . Migraine and menstruation: a pilot study. Cephalalgia, 10, 305- Maciocia, G. ( . Diagnosis in Chinese Medicine A Comprehensive Guide. Edinburgh: Churchill Livingstone. You may be filled with astonishment with the amount of information we have compile here on Primary Headache. that was our intention, to astonish you.
Nebe, J, Heier, M, & Diener, HC. ( . Low-dose ibuprofen in self-medication of mild to moderate headache: a comparison with acetylsalicylic acid and placebo. Cephalalgia, 15, 531- Our objective of this article on Medication Migraine was to arouse your interest in it. Bring back the acquired knowledge of Medication Migraine, and compare it with what we have printed here.
(a) Liver Qi stagnation The Liver is considered to be the commander of circulation which ensures the smooth flow Qi. When disrupted with emotional or environmental conditions, an obstruction will result, which causes pain. The Liver Channel has an internal relationship with the Gallbladder Channel therefore any problem with the Liver channel will transcend to the Gallbladder Channel which manifests at the temporal region (Maciocia, . Some of the main signs and symptoms of Liver Qi stagnation include emotional depression, menstrual irregularities, hypochondriac pain, one-sided headache and a wiry pulse.
References Ala-Hurula, V. ( . Correlation between pharmacokinetics and clinical effects of ergotamine in patients suffering from migraine. European Journal of Clinical Pharmacology, 21( , 397- Keep your mind open to anything when reading about Chronic Migraine. Opinions may differ, but it is the base of Chronic Migraine that is important.
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Acupuncture and Cupping - Several studies have shown the efficacy of acupuncture (Melchart et al., 2006; Romoli et al, 2006; Tukmachi, 2001; Xiuying, and cupping (Xiuying, for the treatment of migraine. One study (which is one of the largest to date) showed patients that received acupuncture, experienced fewer migraine episodes, a decreased absenteeism from work and suffered no side effects compared to patients who were treated with drug therapy (Liguori et al., . In that study, acupuncture was also found to be more cost-effective if used to treat headaches alone instead of drugs (Liguori et al., . There has been a gradual introduction to the world of Migraine Literature projected in this article. We had done this so that the actual meaning of the article will sink within you.
Mulder, EJ, van Baal, C, Gaist, D, Kallela, M, Kaprio, J, Svensson, DA, Nyholt, DR, Martin, NG, MacGregor, AJ, Cherkas, LF, Boomsma, DI, & Palotie, A. ( . Genetic and Environmental Influences on Migraine: A Twin Study Across Six Countries. Twin Research, 6, 422- We were a bit tentative when embarking on this project on Medication Migraine. However, using the grit and determination we have, we have produced some fine reading material on Medication Migraine.
Traditional Chinese Medicine Perspective In Traditional Chinese Medicine (TCM), migraine is characterised as "Pian Tuo Tong" meaning "one sided headache" or "Tuo Tong" meaning "head pain" (Flaws & Sionneau, . The head is considered to be the meeting point of the six Yang channels and is transverses by the DuMai (governing vessel), influenced by the Liver channel and the Qi and Blood of the Zang Fu (Maciocia, . Therefore, any disruption to this flow will manifest as head pain. Using the intuition I had on Chronic Migraine, I thought that writing this article would indeed be worth the trouble. Most of the relevant information on Chronic Migraine has been included here.
Conclusion Studies have shown that acupuncture can play a significant role in treating migraine (Melchart et al., however it is important that a patient must seek a qualified practitioner that is with an accredited Acupuncture association , such as the AACMA (Australian Acupuncture & Chinese Medicine Association) An idle brain, is a devil's workshop they say. Using this ideology in mind, we ventured to write on Headache Society, so that something productive would be achieved of our minds.
Acupuncture In practice the use of acupuncture and auricula acupuncture has beneficial merit -Atypical session would include twice a week for the first 6 weeks followed by weekly sessions for an additional 6 weeks. The treatment involves acupuncture needling, auricular therapy (incorporating both Western and Chinese style ear points), granulated herbal preparation and sliding cupping. Point selection is modified weekly according to signs and symptoms. Each session's duration was between 40-50 minutes; needles can be retained for 20 minutes.
Melchart, D, Linde, K, Fischer, P, Berman, B, White, A, Vickers, A, & Allais, G. ( . Acupuncture for idiopathic headache. Cochrane Database of Systematic Reviews 2001, Issue 1, Art. No.: CD DOI: 001002/ CD Writing something about Migraine seemed to be something illogical in the beginning. However, with the progress of matter, it seemed logical. Matter just started pouring in, to give you this finished product.
(e) Accumulation of damp phlegm The Spleen and Stomach are responsible for the transformation and transportation of food and liquids. When the physiological function of these organs is compromised (by the over-indulgence of sweet, fatty, greasy foods or over consumption of alcohol), shi-tan (dampness and phlegm) are produced which inhibits the clear flow of Qi to and from the head, thus stagnating the circulation of Qi and Blood in the head. This type of migraine has been induced by years of poor diet and lifestyle abuse. Head pain associated with this type of pattern is of a heavy sensation, with a slippery pulse and a thick tongue coating. We had at first written a rough assignment on Headache Disorders. Then after a few improvisions and enhancements here and there, we have ended up with this end product.
International Headache Society. ( . Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia, 8, 1-
Kallela, M, Wessman, M, Havanka, H, Palotie, A, & F??rkkil??, M. ( . Familial migraine with and without aura: clinical characteristics and co-occurrence. European Journal of Neurology, 8, 441- Opportunity knocks once. So when we got the opportunity to write on Migraine Symptoms, we did not let the opportunity slip from our hands, and got down to writing on Migraine Symptoms.
Sjaastad, O, Saunte, C, Hovdahl, H, Breivik, H, & Gr??nbaek, E. ( . "Cervicogenic" Headache. An hypothesis. Cephalalgia, 3, 249- Streng, A, Linde, K, Hoppe, A, Pfaffenrath, V, Hammes, M, Wagenpfeil, S, Weidenhammer, W, & Melchart, D. ( . Efffectiveness and Tolerability of Acupuncture Compared with Metoprolol in Migraine Prophylaxis. Headache, 46, 1492- Coordinating matter regarding to Migraine Attacks took a lot of time. However, with the progress of time, we not only gathered more matter, we also learnt more about Migraine Attacks.
Flaws, B, & Sionneau, P. ( . The Treatment of Mordern Western Medical Diseases with Chinese Medicine (Second ed.). Boulder Blue Poppy Press.
The main disease theory of migraine in TCM all involve the Liver, the Liver-Gallbladder collateral and the flow of Qi and Blood circulation. In TCM, the pathogenesis of migraine can be of an external or internal nature. The external factors involve the invasion of pathogens such as wind-cold, wind-heat, wind-damp or toxic heat. Internal factors are further divided into an excessive or deficient type. Internal excessive factors involve the stagnation of Liver Qi, hyperactivity of Liver Yang, flaring up of Liver fire, Blood stasis obstructing the channels and accumulation of Damp Phlegm. In addition, internal deficiency can be due to Qi deficiency, Blood deficiency and Kidney deficiency. It is important to differentiate between external and internal factors as this study only involves the five key TCM patterns of internal excessive type associated with chronic migraine. This article will help you since it is a comprehensive study on International Headache Society
Liguori, A, Petti, F, Bangrazi, A, Camaioni, D, Guccione, G, Pitari, GM, Bianchi, A, & Nicoletti, WE. ( . Comparison of pharmacological treatment versus acupuncture treatment for migraine without aura - analysis of sociomedical parameters. Journal of Traditional Chinese Medicine, 20( , 231- Isn't it wonderful that we can now access information about anything, including Primary Headache form the Internet without the hassle of going through books and magazines for matter!
Headache Classification Subcommittee of the International Headache Society. ( . The International Classification of Headache Disorders. Cephalalgia, 24(Supplement , 9-
Cupping Sliding cupping can be performed weekly for the first four weeks focussing mainly across the shoulders and upper back region to relieve tension and promote blood circulation. The more you read about Migraine Symptoms, the more you get to understand the meaning of it. So if you read this article and other related articles, you are sure to get the required amount of matter for yourself
About the author: Rodd Sanchez is a practitioner of Traditional Chinese Medicine (Acupuncture & Chinese Herbal Medicine) and clinic director at the Macquarie St. Clinic of Acupuncture & Chinese Medicine, sydney NSW. In the past he has been a nurse working in the field of psychiatrics, paediatrics and age care for over 12 years. At present he is a lecture, guest speaker and student clinic supervisor for the Sydney Institute of Traditional Chinese Medicine- His interest are traditional therapeutic methods and therapeutic Chinese dietary therapy.
If so what are the side affects and does it work well for migraine relief? Can I drive with it and work with it? Thanks!
Amanda replied on Tue, 17 Nov, 2009
Okay, Fioricet is some pretty strong stuff. Its a combination of acetaminophen (pain relief), butalbital (muscle relaxant), and caffeine (blood vessel constriction). This is usually prescribed for tension headaches due to the fact that many people feel they are caused by muscle contractions.
This medicine will relax you (ie. impair your thinking and reactions.) For that reason driving is not recommended.
If you end up having to stop taking the medicine, butalbital will give you some nasty withdraw symptoms (seizures) if you do it too rapidly.
You would also need to make sure you do not take too much or combine with other acetaminophen products as it would be easy to ingest too much and cause liver problems.
kawigirl84 replied on Tue, 17 Nov, 2009
I use fioricet for migraines and it works great. if your taking it "as needed" for the migraine(meaning not every day) the is almost no change of having withdrawal symptoms since its not taken every day. it might make you sleepy...it might not it does have caffeine in it....it actually wakes me up....figure out how it's going to affect you before you drive and stuff.
All questions are subject to the guidelines of this website.
It is hard to predict when and where the migraine comes, unlike other disease, like blood pressure or heart problems, it is unwise to take migraine meds in fear of a sudden attack, the meds does not function well as effective precautious measures and the side effects, as depression, often made the symptoms harder for doctors to diagnose what caused the migraine.
Then, it is wise to learn...
Due to the rising prevalence of migraine, more and more people are looking an alternative treatment for migraine headaches and for ways to deal with their pain beyond the conventional medical treatment. Aromatherapy, as an alternative treatment for migraine headaches, has been gaining popularity throughout the world with more and more people turning toward this alternative strategy.
Nearly 19...
Headache is a condition of pain in the head sometimes neck or upper back pain may also be interpreted as a headache. Most people with headaches can feel much better by making lifestyle changes, learning ways to relax, and occasionally by taking medications. There are two types of headaches: primary headaches and secondary headaches. Primary headache accounts for about 90% of all headaches. There...
More than twenty-nine million Americans suffer from migraine and that is just about 10% of the population. Migraine headaches afflict women nearly three times as much as men and migraines are not confined to adults with a significant number of children suffering from them as well. Attacks last anywhere from a just few hours to three or four days and in the case of longer attacks victims commonly...
My girlfriend eats Ibuprofen like Pac Man eats little white dots. One thing i've learned from her headaches is the need for a natural migraine cure. Some medications put her to sleep for hours, some make her sick, some don't do anything at all. There doesn't seem to be silver bullet for migraines or any real natural migraine cure so i've made a list of things that at least make a difference. ...
