Headache (I)
Xie, a 32-year-old female, was first diagnosed on February 1, 1985.
Complaint: Suffered from migraine for more than 10 years.
History: Headache has been frequent for more than 10 years, cerebral hemogram and electroencephalogram are normal, diagnosed as migraine by a hospital.
Present symptoms: stuffy headache, sometimes stopping, or even nausea and vomiting, mood disorder, no bother, chest distension and fullness, restless sleep at night, abdominal pain during menstruation, purple color with blood clots, dry stool, slightly dark tongue, yellow fur, string pulse.
Traditional Chinese medicine diagnosis: head wind, evidence of liver qi stagnation. Diagnosis in Western medicine: migraine.
Treatment: To dredge the liver and relieve depression, so that liver qi can be regulated.
Prescription: Chai Hu 10g, Angelica Sinensis 12g, Bai Shao 15g, Yu Jin 12g,
Orange leaf 10g, Chrysanthemum 10g, Chuan 15g, Yanhu 12g, Xiangxian 10g, Peppermint 10g.
10g of Prepared Aromatic Herb, 1.5g of Peppermint, 10g of Fried Citrus Aurantium, 6g of Glycyrrhiza glabra.
Glycyrrhiza glabra 6g.
After taking 5 doses, the headache ceased and the accompanying symptoms also disappeared.
Headache (II)
Ge Moumou, male, 60 years old, was first diagnosed on March 28, 1985.
Complaint: Suffered from migraine for 5 years.
History: suffered from migraine for 5 years, no abnormalities in EEG, taking Chinese and Western medicine to no avail. The headache has been aggravated by emotional discomfort in the past 1 month.
Present symptoms: throbbing pain in the right side of the head and neck, emotional discomfort, overexertion, easy to attack when drinking little water, dry mouth and bitterness, tinnitus and deafness, dreamy night sleep, red tongue, yellow thick and greasy moss, slow pulse string.
Traditional Chinese medicine diagnosis: head wind. The symptoms belong to prolonged depression of liver qi, dysfunction of spleen transportation and internal growth of phlegm and dampness. Diagnosis in Western medicine: migraine.
Treatment: Fat Yue Ju Yu, resolving phlegm and removing dampness.
Prescription: Yu Jin 12g, Orange Leaves 10g, Radix Aromaticus 12g, Chuanxiong 15g,
Fa Xia 10g, Fried Gardenia 9g, Chen Pi 10g, Zhu Fu Ling 15g,
Glycyrrhiza glabra 6g, fried Citrus aurantium 10g, bamboo rhizome 12g, ginger 9g,
5 jujubes.
After taking 6 doses of the medicine, the headache was reduced and disappeared after 13 doses, and the headache did not occur even after several outings within 3 months.
Headache (III)
Ren Moumou, female, 38 years old, was first diagnosed on July 18, 1994.
Complaint: Suffered from migraine for more than 10 years.
History: For more than 10 years, the patient had frequent headaches whenever she was menstruating or emotionally upset, and her headaches were like cracking, nausea and vomiting, and she had to take ergotamine caffeine, which sometimes could temporarily relieve the pain, but sometimes was ineffective. No abnormality was found in the EEG, topography and CT brain. Half a month ago, due to a verbal dispute with a colleague and chest discomfort, he felt headache the next day, and took Chinese and Western medicine to no avail.
Present symptoms: The patient complained of headache on the left side, with swelling pain, nausea and even vomiting when it was painful, sometimes the left sideburns were exposed, the eyes were red and red, the mouth was dry and bitter, the stool was constipated and it was difficult to sleep at night, the tongue was red with yellow coating and the pulse was string.
Traditional Chinese medicine diagnosis: head wind, evidence of liver fire and blood heat upward depression. Diagnosis in Western medicine: migraine.
Treatment: To prepare a method to clear the liver and remove fire.
Prescription: Gentian Herb 9g, Scutellaria Baicalensis 10g, Fried Gardenia 9g, Dang Pi 15g, Red Spoon 15g, Xia Ku Cao.
Red spoon 15g, Xia Ku Cao 15g, Radix Rehmanniae 20g, Semen Cassia 15g, Radix Angelicae Sinensis 12g, Rhizoma Chuanxiong 15g.
Radix Angelicae Sinensis 12g, Rhizoma Chuanxiong 15g, Radix Chrysanthemum 12g, Jun Jiu 9g.
After taking 7 doses, the headache disappeared, and then the wine army was removed in front, 12g of hooked vine and 9g of Chai Hu were added, and 7 doses were continued to consolidate the efficacy.
Headache (IV)
Wang Moumou, female, 36 years old, was first diagnosed on September 5, 1995.
Complaint: Complains of suffering from migraine for more than 10 years.
History: The patient has been suffering from headache frequently for more than 10 years, and the headache is bound to occur every time when she is overworked or emotionally overstimulated. Recently, due to the busy work schedule, the headache attacks were as usual.
Present symptoms: Headache attacks with throbbing pain, vertigo, dizziness, dizziness, nausea and vomiting. He took ergotamine caffeine and painkiller tablets with little success. Complains of dry stool since the headache attack, often 1 line in 2~3 days, red tongue with yellow coating and smooth pulse. Blood pressure is 18.5/13.5kPa.
Traditional Chinese medicine diagnosis: head wind, evidence of liver yang turning into wind and disturbing the clear air. Diagnosis in Western medicine: migraine.
Treatment: Calming the liver and submerging Yang, clearing heat and quenching wind.
Prescription: Asparagus 10g, Hooked Vine (later down) 15g, Semen Cassia 15g, Radix Achyranthes Bidentata 15g,
Radix Scutellariae 10g, Radix Paeoniae Alba 15g, Radix Rehmanniae 15g, Fructus Gardeniae 9g.
Rhizoma Chuanxiong 12g, Chrysanthemum 12g, Jun Jiu 9g, Antelope’s horn powder 3g (divided into two doses).
The headache subsided after 3 days and the blood pressure was measured at 17.5/11.5 kPa, and the wine army was removed in the front, Fu Shen 15g and Night Crossing Vine 20g were added and 14 doses were continued.
Headache (V)
Liu Moumou, female, 43 years old, was first diagnosed on January 25, 1985.
Complaint: She has been suffering from migraine for 8 years.
History: Recurrent headache for 8 years, with throbbing pain in the forehead and the back of the head.
Present symptoms: frontal headache, posterior occipital throbbing pain, vomiting clear water when in pain, recurrent attacks, drowsiness and dreaminess, dry stools, light red tongue, white smooth coating, sunken string pulse.
Traditional Chinese medicine diagnosis: head wind, evidence of cold clotting in the sympathetic yin, liver affected by cold evil, liver and stomach disharmony, cold drinks upward. Diagnosis in Western medicine: migraine.
Treatment: Warming the liver and dispersing cold, harmonizing the stomach and lowering rebellion.
Prescription: Wu Yu 9g, Ginger 12g, Fuxia 12g, Radix et Rhizoma 10g (packet).
Dried ginger 10g, 5 jujubes, 30g of Ochre (decoction), 12g of Radix Codonopsis pilosulae, 3g of Radix et Rhizoma Chuan 15g.
Radix et Rhizoma Pinelliae 3g, Chuan 15g, Yuan Hu 12g.
The headache stopped after taking 6 doses of the medicine, and the headache has not occurred after taking 13 doses.
Headache (VI)
Liu Moumou, female, 29 years old, was first diagnosed on February 1, 1985.
Complaint: suffered from migraine for 10 years.
History: Frequent headache for 10 years, with headache attack or aggravation during menstruation, often fixed on the left side of the head, and difficult to be relieved by taking ergotamine caffeine.
Present symptoms: throbbing pain in the left side of the head, obscure face, dark tongue, thin and astringent pulse.
Traditional Chinese medicine diagnosis: head wind, evidence of stagnation of liver meridian qi. Diagnosis in Western medicine: migraine.
Treatment: Relieve liver and invigorate blood.
Prescription: Radix Angelicae Sinensis 12g, Rhizoma Ligustici Chuanxiong 15g, Dampi 12g, Radix Paeoniae 15g, Rhizoma Paeoniae 9g, Rhizoma Saffron 6g.
Peach kernel 9g, safflower 6g, bupleurum 12g, turmeric 10g, lisianthus 10g, chrysanthemum 10g.
Silkworm lily 10g, Chrysanthemum 12g, Citrus aurantium 9g, Radix Platycodon 9g.
After 7 doses, the headache stopped completely, and after 14 doses, the accompanying symptoms also disappeared. The headache did not recur after six months of follow-up.
Headache (VII)
Chen, female, aged 66, was first diagnosed on September 8, 1993.
Complaint: Suffered from migraine for more than 20 years.
History: Frequent headache for more than 20 years, no abnormality was found in the examination done by the neurology department of several hospitals, and the effect of ergotamine caffeine, dyscalculia and glutamate was not obvious.
Present symptoms: swelling and pain on the left side of the head, brain spinning and tinnitus, fatigue, dizziness and blurred vision, shaking white face, light tongue with teeth marks on the edge, little coating, sunken and weak pulse.
Traditional Chinese medicine diagnosis: head wind, evidence of deficiency of liver and blood, blood does not glorify the brain. Diagnosis in Western medicine: migraine.
Treatment: Tonifying the liver and nourishing blood.
Prescription: Radix Angelicae Sinensis 15g, Radix Paeoniae Alba 15g, Rhizoma Ligustici Chuanxiong 15g, Radix Rehmanniae 15g, Radix Astragali 15g.
Radix Astragali 15g, Fructus Lycii 10g, Fructus Ligustrum 15g, Rhizoma Drynaria 12g.
Chrysanthemum 10g, Radix Salviae Miltiorrhizae 12g, Radix et Rhizoma Mulberry 15g.
After taking 6 doses of medicine, the headache was alleviated, after 10 doses the headache completely disappeared, with the above changed to pills, after taking the medicine for more than a month, the body health as usual, 3 months after the follow-up did not see a recurrence.
[Note] The author inherited the experience of his late teacher Zhao Jinduo, an old Chinese medicine practitioner, in treating headache, and combined with his own clinical practice for many years, he realized the experience that it is appropriate to treat migraine with liver as the center of the disease, and with qi, blood, phlegm, heat, wind and cold deficiency as the focus of the disease mechanism. All the pathological changes such as liver depression, liver fire, liver wind, liver cold, liver stasis and liver deficiency can cause migraine, which should be treated with the methods of dredging, clearing, pacifying, warming, resolving and tonifying the liver respectively. The above 7 cases reflect this academic view.