Headaches: Traditional Chinese Medicine Insights for Relief - Traditional Chinese Medicine

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Headache


Hello, doctor! I work in design (graphic design, product design, multimedia, etc.).
I've been experiencing headaches for a long time, probably since high school.
In the past, I could resolve my headaches by taking a single pain reliever.
However, after giving birth, my headaches have been accompanied by nausea and vomiting, chills with cold sweats, and my body temperature drops to around 35.8-36.3 degrees Celsius.
My blood pressure can spike to 170, and my heart rate is often 97, which frequently leads me to the emergency room.
I have undergone an EEG, and everything was normal.
Some doctors have diagnosed me with chronic migraines, while others suggest tension-type headaches or hypertension.
Could you please advise whether this could be migraines or if it is caused by hypertension? Based on my symptoms, how can I take care of my health to prevent headaches from occurring?

Muny, 30~39 year old female. Ask Date: 2003/09/03

Dr. Yan Sumei reply Traditional Chinese Medicine


If your blood pressure only increases during headaches, it is not classified as hypertension.
The symptoms of migraines often include seeing flashes of light before an attack, and some individuals may experience nausea, vomiting, numbness, and sensitivity to light.
Your symptoms are more similar to those of a migraine, but further evaluation is necessary to rule out tension-type headaches, vascular headaches, and headaches due to psychological factors.

For management, it is important to maintain a relaxed state; if you feel tired, rest immediately instead of pushing through.
Ensure you have regular meals and incorporate some exercise into your routine.
Regarding traditional Chinese medicine, a pulse diagnosis and the four examinations (inspection, listening, inquiry, and palpation) are necessary to determine the appropriate treatment.
Thank you for your message, and I wish you good health!

Reply Date: 2003/09/03

More Info


Headaches can be a complex and multifaceted issue, particularly for individuals like yourself who have experienced them for many years. Your symptoms, which include nausea, vomiting, chills, and fluctuations in blood pressure and heart rate, suggest that your headaches may be more than just a simple tension headache or migraine. It’s essential to consider both Western and Traditional Chinese Medicine (TCM) perspectives when seeking relief and understanding the underlying causes of your headaches.

From a Western medical standpoint, your symptoms could indicate a type of migraine, especially since you mentioned a history of headaches that worsened after childbirth. Migraines often come with a variety of symptoms, including nausea and sensitivity to light or sound. The high blood pressure and elevated heart rate you experience during these episodes could be a physiological response to pain or stress. It’s also worth noting that hormonal changes post-pregnancy can trigger migraines in some women.

On the other hand, TCM offers a different approach to understanding and treating headaches. In TCM, headaches are often categorized based on their location, severity, and accompanying symptoms. For instance, headaches that are unilateral (one-sided) may be attributed to liver yang rising or wind-heat invasion, while bilateral headaches might be linked to internal dampness or phlegm accumulation. Your symptoms of chills and cold sweats could suggest a deficiency in yang energy or a cold invasion, which TCM practitioners would consider when diagnosing your condition.

In TCM, treatment for headaches typically involves a combination of herbal medicine, acupuncture, and lifestyle adjustments. Herbs such as Tian Ma (Gastrodia elata) and Chuan Xiong (Ligusticum chuanxiong) are commonly used to help alleviate headaches. Tian Ma is known for its calming properties, while Chuan Xiong is often used to invigorate blood circulation and relieve pain. However, it’s crucial to have a qualified TCM practitioner assess your specific condition through a detailed diagnosis, which includes pulse and tongue examination, to create a tailored treatment plan.

In terms of lifestyle adjustments, TCM emphasizes the importance of maintaining a balanced diet, managing stress, and ensuring adequate rest. Here are some suggestions that may help you manage your headaches:
1. Dietary Changes: Incorporate foods that nourish the liver and promote blood circulation, such as leafy greens, nuts, and seeds. Avoid excessive caffeine, alcohol, and processed foods, which can trigger headaches.

2. Stress Management: Engage in relaxation techniques such as meditation, yoga, or tai chi. These practices can help reduce stress and tension, which are common triggers for headaches.

3. Regular Exercise: Moderate physical activity can improve blood circulation and reduce stress levels. Aim for activities that you enjoy, such as walking, swimming, or cycling.

4. Adequate Sleep: Ensure you are getting enough restorative sleep each night. Establish a regular sleep schedule and create a calming bedtime routine.

5. Hydration: Stay well-hydrated, as dehydration can be a significant trigger for headaches.

6. Acupuncture: Consider trying acupuncture, which has been shown to be effective in reducing the frequency and severity of headaches for many individuals.

7. Herbal Supplements: Consult with a TCM practitioner about herbal supplements that may be beneficial for your specific symptoms.

In conclusion, understanding and managing your headaches requires a comprehensive approach that considers both Western and TCM perspectives. It’s essential to work closely with healthcare professionals who can guide you in finding the most effective treatment options for your unique situation. By combining medical insights with lifestyle changes and TCM therapies, you may find significant relief from your headaches and improve your overall quality of life.

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