Complementary and Alternative Healing University
中藥詞典 Chinese Herb Dictionary
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Complementary and Alternative Healing University
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See more menu at the bottom of page Migraine (chk code) Edited by: Joe Hing kwok Chu (in English and Chinese 中英文) 中醫辨證論治 有些疾病無症可辨，有些疾病併發症太多，很難歸經、辨虛實，偏頭痛正是如此，病源障礙發生在腦幹、大腦皮質、枕葉神經功能失調引起許多症狀，因此需深入研究。 常見基本類型與方劑
藥方組成： 吳茱萸湯（傷寒論）：吳茱萸、人參、生薑、大棗。 半夏天麻白朮湯（脾胃論）：半夏、天麻、白朮、黃柏、澤瀉、陳皮、神麴、生薑、黃 耆、乾薑、麥芽、人蔘、茯苓。 天麻鉤藤飲（雜病證治新義）：天麻、夜交藤、鈎藤、石決明、梔子、川牛膝、黃芩、益母草、杜仲、茯神、桑寄生。 血府逐瘀湯（醫林改錯）：红花、當歸、生地黃、牛膝、赤芍、枳殼、川芎、桔梗、柴胡、甘草。 通竅活血湯（醫林改錯）：赤芍、生薑、川芎、桃仁、紅花、大棗、老蔥。 補陽還五湯（醫林改錯）：黃耆、歸尾、赤芍、地龍、川芎、桃仁、紅花。 偏頭痛常用單味藥物： 血藥、風藥、腸胃藥三合一隨症酌加如下： 1、血藥：川芎、川七、地龍、水蛭、赤芍、紅花、桃仁、當歸、乳香、沒藥、人蔘。 2、風藥：天麻、鈎藤、全蠍、金蜈蚣、羌活、防風、蔓荊子、白芷、生薑、麻黃、藁本、葛根、薄荷（巔頂惟有風藥可及）。 3、腸胃藥：元胡索、半夏、吳茱萸、丁香、神麴、生姜、竹茹、柿蒂、陳皮、麥芽、枳殼。 ※以上藥材皆採用科學濃縮中藥；除全蠍、金蜈蚣之外。 偏頭痛針灸常用穴 1、2 ：風池、風府、太陽、大椎、百會、肩井、阿是穴、天柱、列缺、太衝、太谿、足三里、內關、中脘、頭維、陽白、印堂、攢竹。 頭痛部位循經配穴 1、2： 前額部（足陽明經）取足陽明經穴為主：陽白、攢竹。 偏頭痛（足少陽經）取足少陽經穴為主：風池、太陽、頭維。 後頭痛（足太陽經）取足太陽經穴為主：風池、風府。 頭頂痛（足厥陰經）取足厥陰經穴為主：太衝、百會。 針灸治療偏頭痛，可以刺激神經、改變大腦與脊椎神經的訊息，且針灸被認為可以促進腦內啡的分泌增加與其他神經傳送素的釋放，腦內啡是身體分泌的天然鎮痛物質。 推拿、按摩是最古老的醫術，用以治療偏頭痛亦有其特殊的療效，就以無痛針灸而言，在針灸之前先按摩穴道，疎解經絡、神經之後再進針，如此可減輕進針時所造成的局部疼痛，由此可知推拿、按摩對於神經、肌肉、關節、骨骼、血管……等功能的恢復有相當肯定的效果。 推拿、按摩穴位 1、2 如：肩井、風池、風府、太陽、百會、大椎、阿是穴、天柱、頭維、陽白、印堂、攢竹。 偏頭痛個案體質因素差異懸殊，虛者－腦失所養，實者－經脈瘀滯，若要以標準化治療是不可能的，每個病人都必須個體化，詳細辨證論治，並且急者治其標，緩者治其本，成功率將大幅提升；偏頭痛屬於慢性病，但病患常因急性發作期，才急迫尋醫，一方面受到西藥影響，止痛藥、止吐藥、鎮定劑起效迅速（病患很快滿意），但又擔心西藥引起抗藥性、藥隱、副作用……等，所以，等病痛復發時才急迫使用止痛藥，平時不得服用，又誤將中藥當成上述；中醫若無法迅速減輕症狀，病患常會另尋他人醫治（因痛苦難奈），因此「症狀療法與病因療法」缺一不可，必須標、本同治才會成功。
誘發因素 1、食物方面：如乾酪、熱狗、味精、喝酒、吸煙、巧克力、起司、橘子、茶葉，柳橙、蕃茄……等，常會引發偏頭痛發作，但並非每人相同，得視個人體質敏感度而定。 2、月經方面：偏頭痛的女性患者常於經期前１～３天復發或加重，另外，懷孕中後期會減輕或甚至不發作。 3、藥物方面：某些口服避孕藥、血管擴張劑、神經興奮劑……等，也會引起偏頭痛發作。 4、其它方面：如經神壓力、精神緊張、情緒波動、焦慮、疲勞、熬夜、飢餓、季節更換、天氣變化過大、感冒、血糖過低、頭部外傷……等，以上各種方面因素，都可以激起偏頭痛的發作。
神农 xxxxxxxxxxxxx <table border="1" cellpadding="3" cellspacing="1" bordercolor="FFFFFF" class="etext"> <tr> <td width="120" valign="top" bgcolor="#FFE0A3"><p class="etext"><strong>TCM disharmony patterns</strong> </p></td> <td width="243" align="left" valign="top" bgcolor="#FFE0A3"><p class="etext"><strong>Headache manifestations</strong> </p></td> <td width="140" align="left" valign="top" bgcolor="#FFE0A3"><p class="etext"><strong>Therapeutic principles</strong></p></td> </tr> <tr> <td width="120" valign="top" bgcolor="#FFCC66"><p class="etext">Stagnation of liver qi</p></td> <td width="243" valign="top" bgcolor="#FFCC66"><p class="etext">Distending or pulsating pain on one side of the head, accompanied by emotional depression, chest stuffiness and occasional belching</p></td> <td valign="top" bgcolor="#FFCC66"><p class="etext">Soothe the liver, relieve stagnation, regulate qi and stop pain</p></td> </tr> <tr> <td width="120" valign="top" bgcolor="#FFCC66"><p class="etext">Hyperactivity of liver yang</p></td> <td width="243" valign="top" bgcolor="#FFCC66"><p class="etext">Distending pain in the head, accompanied by dizziness, blurred vision, ear ringing, irritability, insomnia, mouth dryness and flushed face</p></td> <td valign="top" bgcolor="#FFCC66"><p class="etext"><a href="headaches_liver_yang.html" class="link">Calm the liver, subdue yang</a> and nourish yin</p></td> </tr> <tr> <td width="120" valign="top" bgcolor="#FFCC66"><p class="etext">Blood stasis obstructing the collaterals</p></td> <td width="243" valign="top" bgcolor="#FFCC66"><p class="etext">Persistent and steady headaches, pricking or pulsating pain, accompanied by forgetfulness and palpitations</p></td> <td valign="top" bgcolor="#FFCC66"><p class="etext"><a href="headaches_blood_stasis.html" class="link">Activate blood, unblock collaterals and stop pain</a></p></td> </tr> <tr> <td width="120" valign="top" bgcolor="#FFCC66"><p class="etext">Retention of coldness and static fluid</p></td> <td width="243" valign="top" bgcolor="#FFCC66"><p class="etext">Headaches with cloudiness and heaviness sensations, or feel like a tight band around the head, accompanied by distention in the chest and upper abdomen, nausea or vomiting, excessive sputum, stomach upset that tends to be alleviated by warmth, cold limbs, no appetite and fatigue</p></td> <td valign="top" bgcolor="#FFCC66"><p class="etext">Warm the middle burner and restore its normal qi flow, <a href="headaches_turbid_phlegm.html" class="link">eliminate dampness and resolve phlegm</a></p></td> </tr> </table> <p class="etext"><strong class="etitle01"><a name="2"></a>Supra-orbital pain</strong><br><br> The pain is located above the eyebrows, either one-sided or two-sided, or spreading over the forehead. TCM claims that the pain is mainly caused by invasion of wind-heat pathogens or wind pathogens along with stasis. Also, dysfunctions of the <a href="../principles/stomachmeridian.html" class="link">stomach</a> and <a href="../principles/gallbladdermeridian.html" class="link">gallbladder meridians</a> have played important roles in the development process.</p> <table border="1" cellpadding="3" cellspacing="1" bordercolor="FFFFFF" class="etext"> <tr> <td width="120" valign="top" bgcolor="#FFE0A3"><p class="etext"><strong>TCM disharmony patterns</strong> </p></td> <td width="243" align="left" valign="top" bgcolor="#FFE0A3"><p class="etext"><strong>Headache manifestations</strong> </p></td> <td width="140" align="left" valign="top" bgcolor="#FFE0A3"><p class="etext"><strong>Therapeutic principles</strong></p></td> </tr> <tr> <td width="120" valign="top" bgcolor="#FFCC66"><p class="etext">Invasion of <br>wind-heat</p></td> <td width="243" valign="top" bgcolor="#FFCC66"><p class="etext">Pain above the eyebrow or distending feeling in the forehead, accompanied by red and tearing eye, and sensitivity to light. There may also <a href="diagnosis_eightprinciples.html#041" class="link">exterior</a> symptoms such as fever and aversion to wind blowing. A red tongue tip, and thin yellow <a href="exam_diagnostic_inspection.html" class="link">tongue coating</a>, the <a href="exam_diagnostic_palpation.html" class="link">pulse</a> is floating and rapid</p></td> <td valign="top" bgcolor="#FFCC66"><p class="etext"><a href="headaches_wind_heat.html" class="link">Disperse wind and clear heat</a></p></td> </tr> <tr> <td width="120" valign="top" bgcolor="#FFCC66"><p class="etext">Wind-stasis obstructed collaterals</p></td> <td width="243" valign="top" bgcolor="#FFCC66"><p class="etext">Pricking or stabbing pain above the eyebrow, sensitivity to light, the pain may be further aggravated by pressing. The tongue is dark-purplish or has purple spots on it, and the pulse is taut and hesitant. Individuals may have a history of head injury </p></td> <td valign="top" bgcolor="#FFCC66"><p class="etext">Disperse wind, activate blood and stop pain</p></td> </tr> </table>
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