Migraine is a psychosomatic disorder caused by recurrent head vasodilation and contraction disorders, which is considered by Chinese medicine to be in the category of “internal injury caused by the seven emotions”, and is related to the function of sparing the liver. Dr. Zhang Peiqiu, the chief physician of national-level famous old Chinese medicine, treats migraine headache with the outline of detoxifying the liver and relieving depression, as well as clearing fire, resolving phlegm, invigorating blood and submerging yang, and at the same time, using Chinese medicine psychotherapy such as verbal enlightenment, empathy, emotion and will to win, and suggestion, so as to make the liver qi unrestrained, the qi and blood calm, the veins and blood relax, and relieve spasm and pain. Case 1: Xu, male, 32 years old, a bank employee, was first diagnosed on June 15, 2001. The patient had left-sided temporal pain for 1 year, which initially occurred when he was unhappy with his promotion, and then intensified every time he had mood swings, with the number of episodes varying from sparse to dense. He was treated with the western drug “Naratriptan”, which temporarily relieved him, but he felt weak and fatigued, drowsy and nauseous after the drug, so he was reluctant to take it again, and the headache became worse. Before the onset of this illness, work was more stressful, and now he has severe throbbing pain in the left temporal region, the headache worsens after activity, and is accompanied by photophobia and phonophobia, dizziness and distress; his face is sad and worried, and he is good at resting. The tongue is pale red, with thin white tongue coating and a stringent pulse at the mouth of the inch. The evidence indicates that the migraine is caused by stagnation of liver qi, upward rebellion rushing to the brain, and head ligament not being smooth. Treatment: Relieve liver stagnation, regulate qi and relieve pain, and enlighten enlightenment. Prescription 1: Radix Bupleurum 6g, Rhizoma Chuanxiong, Radix Salviae Sinensis, Radix Puerariae Sinensis 20g each, Radix Angelicae Sinensis, Radix Paeoniae Alba 18g each, Radix Fructus and Radix Achyranthes Bidentatae 10g each, Radix Yuanhu and Rhizoma Crocus 30g each, Radix Scorpion and Rhizoma Centipede 3g each. Prescription 2: Speech and psychological adjustment. These patients are sensitive and stubborn, easily stressed, perfectionist, and have a “migraine personality”. “According to the principle of “telling the patient about his defeat, talking about his goodness, guiding him to his convenience and opening up his suffering” (Ling Shu? He patiently analyzed the pathogenesis of migraine with him and told him, “Your illness is caused by a lack of will. If your will does not try, the disease will increase. The good medicine is to calm the mind and clear the heart”. The patient heard the words gradually understand, emotions tend to stabilize and improve, according to the above plus reduction to take more than two months, liver depression to Shu, distraction disappeared, headache can be removed and healed. Stop observing one year, no recurrence. Case 2: Sun Moumou, female, 28 years old, elementary school teacher, first diagnosed on September 3, 1999. The patient developed pulsating pain in the left temporal horn years ago, which was heavier in the afternoon, and she felt a flash in front of her eyes for ten minutes before the attack, accompanied by nausea and vomiting. At the time of consultation, the patient’s eyebrows were locked and he was irritable. After careful questioning, she learned that the first attack started after a conflict with a colleague, and there was no opportunity to get understanding, so she always felt that her colleague was always in trouble with her. She was usually irritable, had difficulty concentrating, and had a bitter and dry mouth. The color is red and the quantity is high. The tongue is red, the coating is thin and yellow, and the pulse is stringy. The evidence belongs to migraine caused by liver stagnation and fire, which disturbs the brain complex. Treatment: Relieve depression and fire, cool the blood and clear the brain, and induce empathy. Prescription 1: Dampi, Gardenia, Chai Hu, Chuanxiong, Angelicae, 10g each, Salviae, Puerariae, 20g each, Semen Cassiae, Shijiazhuang, Yuanhu, Hooked vine, 30g each, Scorpion, Centipede, 3g each (swallowed by research). Prescription 2: Enlightening empathy. Zhang said in “The Case of the Continuing Famous Doctors” that “the disease of loss of will is not possible without releasing one’s emotions” and that “if one considers to shift one’s emotions to one’s liking, the disease will heal itself”. He encouraged the patient to try to find opportunities to have frank conversations with her colleagues and to exchange roles in looking at each other, and recommended her to find more classical philosophical books to read according to her hobby of reading, so as to relieve her emotions. After three doses, her headache subsided and her menstrual period was cleared; after two months of treatment, her menstrual period returned to normal and all headaches were removed. After stopping the medicine for more than a year, no recurrence was seen. Case 3: Zhang Moumou, female, 30 years old, a worker, was first diagnosed on December 24, 2000. The patient gave birth to a baby girl at full term three months ago. One week after delivery, she had a conflict with her mother-in-law, resulting in head and forehead pain, starting from the right temporal region, followed by cone-like pain in the frontal and temporal regions on both sides. Since then, she was worried about her own discomfort, abandoned her baby and went to various hospitals for treatment, but nothing serious was found. He was diagnosed with “migraine” by a provincial hospital and could be relieved a little after being given “Nimodipine”. The patient’s face was gloomy, his face was sad, his palms were damp and cold, but he was holding the baby tightly, and his fist heart was visible. The evidence belongs to migraine caused by liver depression and qi stagnation, mutual obstruction of phlegm and stagnation of phlegm, and congestion of the cerebral vasculature. Treatment: Diversify liver and qi, activate blood and resolve phlegm, and overcome emotion and will. Prescription 1: Chai Hu 6g, Chuanxiong, Dan Shen, Ge Gen 20g each, Fu Ling, Atractylodes Macrocephala, Jiang Han Xia, Tian Ma 10g each, Yuan Hu, Hooked Vine 30g each, Scorpion, Centipede 3g each (research and swallow). Prescription 2: Emotional and moral compatibility. Zhang Lao said “Confucianism” set up “to consider the other Zhi this of the words to take away” the method of emotional and moral victory, and said: “Madam’s disease, certainly can be cured. Your daughter is also beautiful, if you lose its recovery is difficult to carry on”. The patient was urged to enter a state of introspection, and to restrain the complex of over-consideration of her illness with the pleasure of nursing her child, thus enabling her to cheer up and cooperate with the treatment. During the medication period, her husband was asked to take his wife and daughter to go outdoors more often, so that she could feel cheerful and smile again. She was cured after two months of treatment with the addition and reduction of her symptoms. At the follow-up visit two years later, the headache did not occur and both mother and daughter were healthy. Case 4: Chen, female, 48 years old, an accountant, was first diagnosed on April 15, 2001. The patient presented with frequent headache in the right frontal corner 20 years ago, with an average of 1-2 attacks per month, especially before emotional stress or menstruation. It was accompanied by numbness of the face, dizziness, blurred vision, and even blackness or flashing light. Laboratory examination:cervical spine X-ray: no abnormality; transcranial Doppler ultrasound: increased blood flow in the right middle cerebral artery and anterior artery, vascular spasm. Western medical diagnosis: migraine, which has been diagnosed and treated for many years, with headache occurring 1-2 times by month. In the past six months, her menstruation has been disrupted and irregular in sequence, but the headache still occurred. Blood pressure was 134/84 mmHg at the time of examination, with no previous history of hypertension and no history of eye disease. The patient thought that the disease was persistent and difficult to treat, and lost confidence. However, he looked to the right and left during the consultation and kept asking patients around him for a cure, and his anxiety was overwhelming. His tongue is slightly tender red, his tongue coating is thin, and his pulse is thin. He has migraine headache caused by deficiency of Yin and Blood and hyperactivity of Liver and Yang. Treatment: Nourish Blood and soften the Liver, calm the Liver and subdue Yang, and encourage suggestibility. Prescription 1: Radix Angelicae Sinensis, Radix Paeoniae Alba, Fructus Lycii, Fructus Chrysanthemi 15g each, Radix Rehmanniae Praeparata, Radix Cassiae Sinensis 30g each, Rhizoma Chuanxiong, Radix Salviae Miltiorrhizae, Radix Puerariae Miltiorrhizae 20g each, Radix Rehmanniae Miltiorrhizae, Rhizoma Crotalis, Rhizoma Tianma 30g each, Radix Scorpion, Rhizoma Centipede 3g each. Prescription 2: Encouraging suggestion. Ling Shu? The teacher said: “The feelings of people, not only evil death and happy life …… although there is no way of people, the evil has not listened to those. Zhang Shi imitates “Su Wen? The “massage do not release, out of the needle to see it, said I will be deep, suitable for people will be leather, essence from the shape, the evil Qi scattered ……” method of psychological suggestion. Mr. with a firm look and full of confidence tone to encourage patients to actively treatment, while consciously let the patient inadvertently see a number of letters from cured patients, and in the prescription dispensing medicine to focus on the patient’s most need to address the current dizziness, blurred vision and other one or two symptoms, so that patients see hope, firm treatment confidence. Three months after the above prescription and reduction, the patient had occasional headache at the end of the month when he was tense at work, but the degree and duration of the disease were significantly reduced compared with the previous one, and all the symptoms were reduced, and his face looked happy. Summary: Migraine is a group of psychosomatic diseases caused by recurrent head vasodilation and contraction disorders, and its pathogenesis is very complicated, but the mental-emotional factor under psychosocial stress is the main trigger. Since it often develops during fatigue, stress, emotional excitement, poor sleep or menstruation, it belongs to the category of “internal injury of the seven emotions” and is related to the drainage function of the liver. Long-term recurrent attacks also lead to negative emotional experiences, such as anxiety and depression, which further imbalance the “seven emotions” and aggravate the symptoms of liver depression. “All winds and dizziness belong to the liver” (Suwen. The liver is the main organ of drainage, and it likes to be organized, and it is the hub of all the qi. The foot sympathetic liver meridian belongs to the liver, and the two temporal channels are connected to the top of the head. According to Zhang, there are several causes of migraine: or liver qi stagnation, qi reverses upward to the head, and the cerebral vasculature does not flow smoothly; or depression does not drain, turning fire into wind and disturbing the cerebral vasculature; or qi does not flow smoothly, dampness and turbidity are obstructed and gather into phlegm, or even qi stagnation and blood stasis, long-standing disease enters the lobe, and phlegm and stasis block each other, causing headache in the cerebral vasculature; moreover, qi stagnation and fire stagnation, dark depletion of fluids or excessive thinking, emptying of the medulla, loss of essence and blood of the kidney, water does not contain wood, and liver yang is hyperactive, causing migraine. The liver and yang are hyperactive and cause migraine. The Nei Jing has long put forward the idea of psychological treatment that “if the spirit is not advanced and the will is not cured, the disease cannot be cured”. In regard to the illnesses caused by emotional and mental injuries, Master Zhang especially respected Sui. Yang Shang-shan’s Yellow Emperor’s Classic of Internal Medicine, Tai Su, said: “First, we must clear the mind and clear the sex, remove the joy, anger and worry, and then use acupuncture and medicine to help it”. In recent times, some scholars have also shown that the emotional disorders of migraine patients improved significantly after applying mind-body treatment. According to the criteria for diagnosis and treatment of migraine issued by the International Headache Society in 1988, Zhang’s treatment of migraine is based on the outline of clearing liver and relieving depression, as well as clearing fire, resolving phlegm, invigorating blood, and submerging yang, so that liver qi can be regulated, qi and blood can be calmed, and veins can be soothed. The application of whole scorpion with centipede is a common pair of medicine used by Mr. Wang. Taking whole scorpion to relieve spasm and pain and strengthening centipede to quench wind and relieve spasm will be more effective in relieving pain. At the same time, he was also given Chinese psychotherapy such as verbal guidance, empathy, emotion and will, and suggestion, which achieved more satisfactory results.