Chronic headache
Hello, I have been experiencing long-term headaches, dizziness, and nausea, particularly severe between 4 to 6 PM.
On weekends, when I rest, the symptoms are milder.
Additionally, I have stiffness and soreness in my shoulders and neck.
I have previously consulted with a neurologist and an otolaryngologist, but no cause has been identified.
Elsa, 20~29 year old female. Ask Date: 2005/05/23
Dr. Yan Sumei reply Traditional Chinese Medicine
If Western medicine finds no issues with your headache and dizziness, then consider seeking treatment from Traditional Chinese Medicine or practicing Qigong for improvement.
If you notice relief during weekends or rest days, it indicates that daily life stress is significant, and your body's functions may not be optimal, leading to insufficient energy.
This can manifest as physical discomfort, especially in the afternoon.
You are welcome to visit a Traditional Chinese Medicine clinic for further evaluation.
Reply Date: 2005/05/23
More Info
Chronic headaches can be a debilitating condition that significantly impacts daily life. In Traditional Chinese Medicine (TCM), the approach to treating chronic headaches involves a holistic understanding of the body and its imbalances. Given your symptoms of long-term headaches, dizziness, nausea, and associated neck and shoulder tension, it is essential to consider various factors that may contribute to your condition.
In TCM, headaches are often categorized based on their location, nature, and accompanying symptoms. The fact that your headaches are most severe in the late afternoon and improve during rest suggests a possible connection to lifestyle factors, stress, or even dietary influences. TCM emphasizes the importance of diagnosing the root cause of the headache, which may involve an imbalance of Qi (vital energy), blood, or the presence of phlegm or dampness in the body.
Common TCM patterns associated with chronic headaches include:
1. Liver Qi Stagnation: Stress and emotional factors can lead to stagnation of liver Qi, resulting in headaches that may be accompanied by irritability, tension in the neck and shoulders, and a feeling of pressure in the head.
2. Blood Deficiency: Insufficient blood flow can lead to headaches characterized by dizziness, fatigue, and pale complexion. This pattern may also be associated with menstrual irregularities in women.
3. Phlegm-Damp Accumulation: This pattern can cause headaches accompanied by nausea and a feeling of heaviness. It is often linked to dietary habits, such as excessive consumption of cold or greasy foods.
4. Wind-Heat or Wind-Cold Invasion: These patterns are usually associated with acute headaches but can also contribute to chronic conditions if not resolved.
In terms of herbal remedies, several TCM formulas may be beneficial for chronic headaches:
- Chuan Xiong Cha Tiao San (川芎茶調散): This formula is often used for headaches due to wind-cold or wind-heat, promoting circulation and alleviating pain.
- Tian Ma Gou Teng Yin (天麻鉤藤飲): This formula is effective for headaches associated with liver Yang rising, characterized by dizziness and tension.
- Xue Fu Zhu Yu Tang (血府逐瘀湯): If blood stagnation is suspected, this formula helps invigorate blood flow and alleviate pain.
- Gui Pi Tang (歸脾湯): For headaches related to blood deficiency, this formula nourishes the heart and spleen, promoting overall vitality.
In addition to herbal treatments, acupuncture can be an effective therapy for chronic headaches. Specific acupuncture points, such as Taiyang (太陽), Fengchi (風池), and Yintang (印堂), may be targeted to relieve pain and restore balance.
Lifestyle modifications are also crucial in managing chronic headaches. Stress management techniques, such as mindfulness, yoga, or tai chi, can help reduce tension and improve overall well-being. Additionally, maintaining a balanced diet, staying hydrated, and ensuring adequate sleep can contribute to reducing headache frequency and severity.
It is essential to consult with a qualified TCM practitioner who can perform a thorough assessment, including pulse and tongue diagnosis, to tailor a treatment plan specific to your needs. This personalized approach is fundamental in TCM, as it recognizes that each individual's condition is unique and requires a customized strategy for effective management.
In summary, chronic headaches can be effectively addressed through TCM by identifying underlying imbalances, utilizing herbal remedies, acupuncture, and making lifestyle adjustments. By taking a comprehensive approach, you can work towards alleviating your symptoms and improving your quality of life.
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