Patient: Description of the condition (onset time, main symptoms, hospital visited, etc.): I’ve had this phenomenon for about 13.4 years, it started when I couldn’t see anything in my eyes, just to the left or right, there was a bright light that caused me to have trouble seeing anything, I initially defined myself as glaucoma, or dizziness, haha, this process passed in about half an hour, then started nausea with a headache, then started vomiting. Until vomiting until there is nothing left, people feel relaxed up, after that is a severe headache …… Then you go to sleep and wake up the next day feeling alive again! I always thought my body was cold, I never thought about the head, because I had a brain CT, did not make anything wrong, or perhaps need to do a CT when you are sick to do it? I almost once a month when I was in high school, once a year when I was in college, and now I work rarely, 1.2 times a year, but this disease has made me have a psychological disorder, my eyes light up and start to see things, my heart is broken, I know I’m sick, I eat cold things before each offense, or stay in a cold room for a long time, or do a long time of cold stools. I’ve experienced about dozens of hundreds of such cases, I’ve found that as long as the disease, it is no good to take any medicine, must be this trilogy (my own name: eyes starry, vomiting, headache) to experience the end to get better, take medicine or not take medicine is the same! No. I googled a lot of situations and know that I can’t ask what it is here because most doctors’ answers are definitely: suggest I go to the hospital to do something like CT something? If you can, please answer, what does my disease look like, what causes it, and can I be sure that there is not a problem with my eyes If you must suggest that I do a certain examination of the brain, I would like to know, when I go to the examination in a healthy state can check out the lesion? Li Liping, Department of Acupuncture, Hangzhou Hospital of Traditional Chinese Medicine: It is more likely that you have a typical migraine. Typical migraine has 4 phases during the whole course of an attack: 1 Prodromal symptoms are present in about less than half of patients. There may be excitement or tiredness, much yawning, decreased urination, unresponsiveness, and little speech the day before the onset. Usually these symptoms are not obvious and do not attract attention or do not go to the clinic.2 Aura phase: Visual symptoms are the most common aura symptoms, such as dark spots or light black shadows in the central part of the visual field, dark areas with flashing dots, also tiny blind spots, gradually expanding into C-shaped blind areas, flickering jagged lines, partial blindness is rare, and visual symptoms last 20-30 minutes. Next there is numbness and sensory abnormalities in the limbs. This aura is more common in the upper extremities and spreads from the hands to the upper extremities, also lasting 5-20 minutes. These sensory symptoms can follow the visual symptoms or can occur alone. A few also have numbness of the tongue and face, speech difficulties; very slight weakness of the limbs, of which the right hand is predominant and often accompanied by numbness.3 Seizure phase: dilatation of the intracranial and extracranial arteries occurs after the disappearance of aura symptoms. Pulsatile pain, mostly on one side but also on both sides, with pain predominantly on one side common. Superficial temporal artery pulsation is enhanced, with pallor, photophobia and fear of sound, nausea, sweating, and preference for resting. In severe cases, there is vomiting or diarrhea. It lasts more than 1 hour or several days.4 Late attack: The headache disappears, most of them feel exhausted and drowsy, and very few patients become euphoric and polyuric. The interictal period is asymptomatic, followed by another attack weeks or months later. You can try acupuncture treatment, which is effective. The patient: Thank you for your answer, if I want to confirm the diagnosis what tests do I need to do ah, CT and cerebral angiography which is better, in a healthy state to do it can check out, if you want to take advantage of the disease to go to the examination is also good to do, as long as I find a very cold place to stay for a few hours, after the guaranteed guilty, ha ha. Li Liping, Acupuncture Department, Hangzhou Hospital of Traditional Chinese Medicine: CT and cerebral angiography are mainly to rule out other lesions. When you have headache, you can do transcranial Doppler to look at the vascular situation. The main thing is to pay attention to the prevention of risk factors, like you should pay attention to avoid cold. When you have a headache or an aura, you can go to acupuncture treatment, the effect is good.