persistent migraine answers - 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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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- The first impression is the best impression. We have written this article on Chronic Headaches in such a way that the first impression you get will definitely make you want to read more about it!
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.
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-
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
Xiuying, D. ( . 100 Cases of Intractable Migraine Treated by Acupuncture and Cupping. Journal of Traditional Chinese Medicine, 19( , 205-
(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.
(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. We have included the history of Migraine Journal here so that you will learn more about its history. It is only through it's history can you learn more about Migraine Journal.
Headache Classification Subcommittee of the International Headache Society. ( . The International Classification of Headache Disorders. Cephalalgia, 24(Supplement , 9- Don't be surprised if you find anything unusual here about Migraine Episodes. There has been some interesting and unusual things here worth reading.
Rosner, AL. ( . Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study: A Response. Journal of Manipulative and Physiological Therapeutics, 29, 248-
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- The facts on Migraines mentioned here have a consequential impact on your understanding on Migraines. This is because these facts are the basic and important points about Migraines.
(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. Having a penchant for Treating Migraine led us to write all that there has been written on Treating Migraine here. Hope you too develop a penchant for Treating 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, . There has been an uncalculatable amount of information added in this composition on Headaches. Don't try counting it!
(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. We would like you to leisurely go through this article on Migraine Journal to get the real impact of the article. Migraine Journal is a topic that has to be read clearly to be understood.
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., . There is a lot of jargon connected with Migraine Pain. However, we have eliminated the difficult ones, and only used the ones understood by everyone.
Flaws, B, & Sionneau, P. ( . The Treatment of Mordern Western Medical Diseases with Chinese Medicine (Second ed.). Boulder Blue Poppy Press. We do not mean to show some implication that Primary Headache have to rule the world or something like that. We only mean to let you know the actual meaning of Primary Headache!
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-
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., .
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., . Sometimes, what we hear about Migraine Pain can prove to be rather hilarious and illogical. This is why we have introduced this side of Migraine Pain to you.
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.
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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 It was at the spur of the moment that we ventured to write something about Migraine Symptoms. Such is the amount of matter that is available on Migraine Symptoms.
(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 have written a humorous anecdote on Migraine Without Aura to make it's reading more enjoyable and interesting to you. This way you learn there is a funny side to Migraine Without Aura too!
Tukmachi, E. ( . Acupuncture therapy in diseases failing to respond to Western Medicine 6 case reports. Journal of Chinese Medicine Number, 67, 6- We can proudly say that there is no competition to the meaning of International Headache Society, when comparing this article with other articles on International Headache Society found on the net.
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- We were furnished with so many points to include while writing about Primary Headache that we were actually lost as to which to use and which to discard!
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- The results of one reading this composition is a good understanding on the topic of Chronic Migraine. So do go ahead and read this to learn more about Chronic Migraine.
References Ala-Hurula, V. ( . Correlation between pharmacokinetics and clinical effects of ergotamine in patients suffering from migraine. European Journal of Clinical Pharmacology, 21( , 397-
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. Writing an article on Headache Pain was our foremost priority while thinking of a topic to write on. This is because Headache Pain are interesting parts of our lives, and are needed by us.
Melchart, D, Weidenhammer, W, Streng, A, Hoppe, A, Pfaffenrath, V, & Linde, K. ( . Acupuncture for Chronic Headaches - An Epidemiological Study. Headache, 46, 632-
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. Producing such an interesting anecdote on Chronic Migraine took a lot of time and hard work. So it would be enhancing to us to learn that you have made good use of this hard work!
Alternative Therapy- is often used in the treatment and management of migraine. These techniques are sought as some focus on the cervical spine where it is thought that headache originates from (Sjaastad et al, or because of an inability to take medication. Some of these therapies include chiropractic, acupuncture and cupping. Remember that it is very important to have a disciplined mode of writing when writing. This is because it is difficult to complete something started if there is no discipline in writing especially when writing on Migraine Attacks
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- It is only through sheer determination that we were able to complete this composition on Migraine Journal. Determination, and regular time table for writing helps in writing essays, reports and articles.
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-
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. It is only because that we are rather fluent on the subject of Migraine that we have ventured on writing something so influential on Migraine like this!
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. Although there was a lot of fluctuation in the writing styles of we independent writers, we have come up with an end product on Migraine worth reading!
International Headache Society. ( . Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia, 8, 1- The development of Chronic Migraine has been explained in detail in this article on Chronic Migraine. Read it to find something interesting and surprising!
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- When a child shows a flicker of understanding when talking about Migraine Without Aura, we feel that the objective of the meaning of Migraine Without Aura being spread, being achieved.
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)
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.
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