Effective Chinese Herbal Remedies for Tension Headaches: Expert Advice - Traditional Chinese Medicine

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Headache


Hello Doctor: I would like to ask what traditional Chinese medicine is most effective for treating tension-type headaches.
I have previously taken Xuefu Zhuyu Decoction and Diaoteng Powder, but they were not effective.
I would appreciate your guidance.
Thank you.

Hui Ming, 40~49 year old female. Ask Date: 2004/06/24

Dr. Yan Sumei reply Traditional Chinese Medicine


There are many causes of headaches, including tension, stress, emotions, medications, diet, cerebrovascular abnormalities, neuropathy, and even lack of sleep.
Traditional Chinese medicine treatment requires pulse diagnosis, inquiry, and syndrome differentiation to prescribe medication; it cannot simply rely on the diagnosis of "tension-type headache" to provide targeted treatment.
A physical examination is necessary to assess the patient.
Commonly used medications for treating headaches include Chuanxiong (Ligusticum chuanxiong), Artemisiae (Artemisia), Qianghuo (Notopterygium), Fangfeng (Saposhnikovia), Tianma (Gastrodia), and Diaoteng (Uncaria).
Common prescriptions include Chuanxiong Cha Tiao San, Banxia Tianma Riqiu San, Guizhi Decoction, Bai Tong Decoction, and Xiao Chai Hu Decoction.

Reply Date: 2004/06/24

More Info


When it comes to treating tension headaches with Chinese herbal medicine, it's important to understand that these headaches can arise from various factors, including stress, muscle tension, poor posture, and emotional strain. Unlike Western medicine, which often relies on standardized medications, Traditional Chinese Medicine (TCM) emphasizes a personalized approach based on individual symptoms and underlying conditions.

For tension headaches, TCM practitioners typically conduct a thorough assessment, including pulse and tongue diagnosis, to determine the specific nature of the headache. This process is known as "辨证论治" (bianzheng luntai), which translates to "differentiation of syndromes and treatment." Based on this assessment, a tailored herbal formula can be prescribed.

Commonly used herbs for tension headaches include:
1. Chuanxiong (川芎): Known for its ability to invigorate blood circulation and alleviate pain, Chuanxiong is often included in formulas for headaches caused by blood stagnation.

2. Tianma (天麻): This herb is recognized for its calming properties and is used to soothe the liver and relieve headaches associated with stress and tension.

3. Qianghuo (羌活): Effective for headaches that are accompanied by neck and shoulder tension, Qianghuo helps to dispel wind and alleviate pain.

4. Fangfeng (防風): This herb is used to release the exterior and dispel wind, making it suitable for headaches that may be related to environmental factors.

5. Bai Zhi (白芷): Known for its ability to relieve sinus pressure and headaches, Bai Zhi is often used in formulas for headaches that are accompanied by nasal congestion.

In terms of specific formulas, practitioners may recommend:
- Chuanxiong Cha Tiao San (川芎茶調散): This formula is commonly used for headaches due to wind-cold or wind-heat, characterized by a tight feeling in the head.

- Ban Xia Tian Ma Tang (半夏天麻湯): This is particularly useful for headaches accompanied by nausea or dizziness.

- Xuefu Zhuyu Tang (血府逐瘀湯): While you mentioned that this formula did not work for you, it is often prescribed for headaches due to blood stagnation.

- Tian Ma Gou Teng Yin (天麻鉤藤飲): This formula is beneficial for headaches related to liver yang rising, often characterized by irritability and tension.

Regarding the duration of treatment, it can vary significantly based on individual responses and the severity of the condition. Some patients may experience relief within a few days, while others might require several weeks of consistent herbal therapy. It is essential to follow up with your TCM practitioner regularly to assess progress and make any necessary adjustments to the treatment plan.

In addition to herbal remedies, lifestyle modifications can also play a crucial role in managing tension headaches. Incorporating stress-reduction techniques such as yoga, meditation, or regular physical activity can help alleviate symptoms. Maintaining good posture, especially for those who spend long hours at a computer, is also vital in preventing tension headaches.

In conclusion, while Chinese herbal medicine offers effective remedies for tension headaches, it is essential to work closely with a qualified TCM practitioner who can provide personalized treatment based on your specific symptoms and health history. This holistic approach not only addresses the headaches but also promotes overall well-being.

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