In Oriental Medicine, headache refers to pain in the head, and it can be caused by exogenous factors or by internal disorders. Exogenous factors causing headache are chiefly wind, usually accompanied with cold, heat and dampness; internal disorders include emotional stress, improper diet, postpartum, and blood loss. Its location is the head, in oriental medicine, headache is associated with spleen, liver, and kidney. Wind, fire, phlegm, blood stagnation and deficiency are major pathogenic factors, and its parthenogenesis is obstruction of meridians and failure of yang to ascend.
In Western Medicine, headache is related to migraine, cluster headache, and chronic paroxysmal migraine.
Treatment based on syndrome differentiation:
-Wind-cold Headache -> tx: eliminate wind and disperse cold; Formula: Chuanxiong Chatiao San (Chuanxiong 10g, Qianghuo 10g, Jingjie 6g, Baizhi 6g, Manjingzi 6g, Xixin 3g, Gaoben 8g)
-Wind-heat Headache -> tx: to eliminate wind and clear away heat; Formula: Xiong Zhi Shigao Tang (Sangye 10g, Juhua 10g, Baijili 10g, Chuanxiong 10g, Baizhi 6g, Manjingzi 6g, Shigao 30g, Zhizi 10g, Huangqin 10g)
-Wind-dampness Headache -> tx: to expel wind and eliminate dampness; Formula: Qianghuo Shengshi Tang (Qianghuo 10g, Duhuo 10g, Chuanxiong 8g, Fangfeng 6g, Manjingzi 6g, Gaoben 6g)
-Headache due to Hyperactivity of Liver Yang -> tx: to calm the liver and suppress hyperactivity of liver yang; Formula: Tianma Gouteng Yin (Tianma 10g, Gouteng 10g, Shijueming 20g, Cishi 20g, Huangqin 10g, Juhua 10g, Sangye 10g)
-Headache due to Kidney Deficiency -> tx: to replenish yin and nourish the kidney; Formula: Da Buyuan Jian (Shudihuang 12g, Shanzhuyu 10g, Shanyao 10g, Gouqizi 10g, Dangshen 10g, Danggui 10g, Duzhong 10g)
-Headache due to Deficiency of Qi and Blood -> tx: t replenish qi and nourish blood; Formula: Bazhen Tang (Dangshen 10g, Shanyao 10g, Fuling 10g, Baizhu 10g, Baishaoyao 10g, Danggui 10g, Chuanxiong 10g, Shudihuang 10g)
-Headache due to Retention of Phlegm -> tx: to invigorate the spleen, resovle phlegm to make the adverse-rising qi descend and relieve headache; Formula: Banxia Baizhu Tianma Tang (Zhibanxia 10g, Baizhu 10g, Tianma 10g, Fuling 12, Chen pi 6g, Shengjiang 3g)
-Headache due to Blood Stasis -> tx: to dredge the orifices, activate the meridians and resolve blood stasis; Formula: Tongqiao Huoxue Tang (Baizhi 6g, Congbai 5g, Taoren 10g, Honghua 6g, Chuanxiong 6g, Chishaoyao 10g, Shengjiang 3g)