Regarding pain in the occipital region?
Dear Dr.
He,
I would like to inquire about the area approximately two centimeters above the "Wangu" (完骨) and "Fengchi" (風池) acupoints on the left posterior side of the head, as well as the region between the "Ge Guan" (膈關) and "Hun Men" (魂門) acupoints on the left posterior back.
I occasionally experience simultaneous tenderness and throbbing pain in these two locations.
Could you please explain what these symptoms might indicate?
Additionally, I also experience frequent pulsating pain in the area above the "Wangu" and "Fengchi" acupoints on the right posterior side of the head.
What could this signify?
Thank you for your guidance, Dr.
He.
Lao Zhang, 50~59 year old female. Ask Date: 2016/05/09
Dr. He Yujun reply Traditional Chinese Medicine
Hello, Mr.
Zhang: You have two questions, and we will address them separately.
The first one concerns the tenderness and aching pain in Fengchi and Wangu points.
In Traditional Chinese Medicine (TCM), Fengchi is a location where many Yang meridians pass through, and it is said that "if it is not 'open,' it will hurt," which suggests there may be local Qi stagnation in that area.
Anatomically speaking, Fengchi and Wangu are the origins of the shoulder and neck muscles.
Therefore, I recommend that you pay attention to your posture, especially when looking down or maintaining fixed positions for extended periods.
Online resources may raise concerns about pulsating pain potentially being related to vertebral artery issues; however, based on your description of "occasional pain," this does not seem to align, so there is no need for excessive worry.
The second question relates to Ge Guan and Hun Men points, which are generally located at the end of the thoracic spine and are also attachment points for the latissimus dorsi muscle.
Please be mindful of any prolonged labor involving the upper arms; if so, ensure you take adequate breaks.
Additionally, it is possible that issues in the lower back may accumulate over time and gradually manifest higher up, as they all fall under the category of the Taiyang Bladder Meridian.
Acupuncture in TCM is quite effective for relaxing muscles and tendons, so I suggest you seek a qualified practitioner for further diagnosis and treatment.
P.S.
The term "pulsating" cannot be specifically explained without observing the condition.
Reply Date: 2016/05/09
More Info
Understanding pain in the occipital region, particularly in the context of Traditional Chinese Medicine (TCM), involves a multifaceted approach that considers both the physical and energetic aspects of the body. The occipital region, located at the back of the head, is associated with various anatomical structures, including muscles, nerves, and blood vessels. In TCM, this area is also linked to specific meridians and acupoints that can influence overall health.
The symptoms you describe—occasional tenderness and throbbing pain in the left occipital region, as well as a similar sensation on the right side—could be indicative of several underlying issues. In TCM, pain is often viewed as a result of imbalances in the flow of Qi (vital energy) and blood within the body. Here are some potential interpretations of your symptoms based on TCM principles:
1. Qi and Blood Stagnation: The presence of pain and tenderness in specific areas may suggest a stagnation of Qi and blood. This stagnation can occur due to various factors, such as emotional stress, poor posture, or physical trauma. In TCM, stagnation can lead to pain, as the smooth flow of Qi and blood is essential for maintaining health.
2. Wind Invasion: The occipital region is particularly susceptible to external pathogenic factors, such as wind. In TCM, wind is considered a primary cause of many ailments, including headaches and neck pain. If the wind invades the body, it can lead to symptoms like pain, stiffness, and discomfort in the neck and head.
3. Kidney Deficiency: The kidneys are believed to play a crucial role in supporting the brain and the head in TCM. A deficiency in kidney energy (Yin or Yang) may manifest as pain or discomfort in the occipital region. This is often accompanied by other symptoms, such as fatigue, dizziness, or tinnitus.
4. Liver Qi Stagnation: The liver is responsible for the smooth flow of Qi throughout the body. If liver Qi is stagnant, it can lead to headaches and pain in the head and neck. Emotional stress, poor diet, and lack of exercise can contribute to liver Qi stagnation.
5. Meridian Imbalances: The specific acupoints you mentioned, such as Fengchi (Wind Pool) and Yamen (Gateway to the Soul), are located along the Gallbladder and Bladder meridians. Pain in these areas may indicate an imbalance in these meridians, which can affect the flow of Qi and blood to the head.
To address these symptoms, TCM offers various treatment modalities, including acupuncture, herbal medicine, and lifestyle modifications. Acupuncture can help to restore the flow of Qi and blood, alleviate pain, and address any underlying imbalances. Herbal formulas may also be prescribed to nourish the kidneys, dispel wind, or promote blood circulation.
In addition to TCM treatments, it is essential to consider lifestyle factors that may contribute to your symptoms. Regular exercise, stress management techniques (such as meditation or yoga), and maintaining good posture can all play a role in alleviating pain in the occipital region.
If your symptoms persist or worsen, it is advisable to consult with a healthcare professional who can conduct a thorough evaluation and rule out any serious underlying conditions. In Western medicine, conditions such as tension headaches, migraines, or cervical spine issues may also need to be considered, and imaging studies may be warranted to assess the structural integrity of the cervical spine and surrounding tissues.
In summary, understanding pain in the occipital region through the lens of TCM involves exploring the interplay of Qi, blood, and external pathogenic factors. A holistic approach that incorporates TCM principles, along with lifestyle modifications and, if necessary, conventional medical evaluation, can provide a comprehensive strategy for managing and alleviating your symptoms.
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