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Clinical Study on Migraine in Traditional Chinese Medicine
Introduction This is a study accounting the treatment of patients with medically diagnosed chronic migraine. After trying many different conventional modalities of treatment, often with limited therapeutic efficacy and adverse side effects, acupuncture is sought out by patients. Although there are fewer studies performed on acupuncture than those of drug therapy for the treatment of migraine, the literature still suggests that acupuncture is a useful alternative, especially for patients unable or unwilling to take medication.
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(e) Accumulation of damp phlegm The Spleen and Stomach are responsible for the transformation and transportation of food and liquids. When the physiological function of these organs is compromised (by the over-indulgence of sweet, fatty, greasy foods or over consumption of alcohol), shi-tan (dampness and phlegm) are produced which inhibits the clear flow of Qi to and from the head, thus stagnating the circulation of Qi and Blood in the head. This type of migraine has been induced by years of poor diet and lifestyle abuse. Head pain associated with this type of pattern is of a heavy sensation, with a slippery pulse and a thick tongue coating. It is always better to have compositions with as little corrections in it as possible. This is why we have written this composition on persistent migraine answers with no corrections for the reader to be more interested in reading it.
Liguori, A, Petti, F, Bangrazi, A, Camaioni, D, Guccione, G, Pitari, GM, Bianchi, A, & Nicoletti, WE. ( . Comparison of pharmacological treatment versus acupuncture treatment for migraine without aura - analysis of sociomedical parameters. Journal of Traditional Chinese Medicine, 20( , 231- The presentation of an article on persistent migraine answers plays an important role in getting the reader interested in reading it. This is the reason for this presentation, which has gotten you interested in reading it!
Acupuncture In practice the use of acupuncture and auricula acupuncture has beneficial merit -Atypical session would include twice a week for the first 6 weeks followed by weekly sessions for an additional 6 weeks. The treatment involves acupuncture needling, auricular therapy (incorporating both Western and Chinese style ear points), granulated herbal preparation and sliding cupping. Point selection is modified weekly according to signs and symptoms. Each session's duration was between 40-50 minutes; needles can be retained for 20 minutes. Some of the matter found here that is pertaining to persistent migraine answers seems to be quite obvious. You may be surprised how come you never knew about it before!
Melchart, D, Weidenhammer, W, Streng, A, Hoppe, A, Pfaffenrath, V, & Linde, K. ( . Acupuncture for Chronic Headaches - An Epidemiological Study. Headache, 46, 632- It is rather interesting to note that people like reading about persistent migraine answers if they are presented in an easy and clear way. The presentation of an article too is important for one to entice people to read it!
Lucetti, C, Nuti, A, Pavese, N, Gambaccini, G, Rossi, G, & Bonuccelli, U. ( . Flunarizine in migraine prophylaxis: predictive factors for a positive response. Cephalalgia, 18( , 349- Self-praise is no praise. So we don't want to praise ourselves on the effort put in writing on persistent migraine answers. instead, we would like to hear your praise after reading it!
Rosner, AL. ( . Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study: A Response. Journal of Manipulative and Physiological Therapeutics, 29, 248- Do not judge a book by its cover; so don't just scan through this matter on persistent migraine answers. read it thoroughly to judge its value and importance.
Tuchin, PJ, Pollard, H, & Bonello, R. ( . A Randomized Controlled Trial of Chiropractic Spinal Manipulative Therapy for Migraine. Journal of Manipulative and Physiological Therapeutics, 23, 91- We find great potential in persistent migraine answers. This is the reason we have used this opportunity to let you learn the potential that lies in persistent migraine answers.
Tukmachi, E. ( . Acupuncture therapy in diseases failing to respond to Western Medicine 6 case reports. Journal of Chinese Medicine Number, 67, 6-
Headache Classification Subcommittee of the International Headache Society. ( . The International Classification of Headache Disorders. Cephalalgia, 24(Supplement , 9-
Kallela, M, Wessman, M, Havanka, H, Palotie, A, & F??rkkil??, M. ( . Familial migraine with and without aura: clinical characteristics and co-occurrence. European Journal of Neurology, 8, 441- We were actually wondering how to get about to writing about persistent migraine answers. However once we started writing, the words just seemed to flow continuously!
Flaws, B, & Sionneau, P. ( . The Treatment of Mordern Western Medical Diseases with Chinese Medicine (Second ed.). Boulder Blue Poppy Press.
Mulder, EJ, van Baal, C, Gaist, D, Kallela, M, Kaprio, J, Svensson, DA, Nyholt, DR, Martin, NG, MacGregor, AJ, Cherkas, LF, Boomsma, DI, & Palotie, A. ( . Genetic and Environmental Influences on Migraine: A Twin Study Across Six Countries. Twin Research, 6, 422-
Verspeelt, J, De Locht, P, & Amery, WK. ( . Post-marketing cohort study comparing the safety and efficacy of flunarizine and propranolol in the prophylaxis of migraine. Cephalalgia, 16( , 328- We did not write too elaborate an article on persistent migraine answers as it would be then difficult for the common man to read it. We have written this article in such a way that everyone will be able to read and understand it!
Romoli, M, Allais, G, Airola, G, & Benedetto, C. ( . Ear acupuncture in the control of migraine pain: selecting the right acupoints by the "needle-contact test". Neurological Sciences, 26, S158-S
Nebe, J, Heier, M, & Diener, HC. ( . Low-dose ibuprofen in self-medication of mild to moderate headache: a comparison with acetylsalicylic acid and placebo. Cephalalgia, 15, 531- Reading all this about persistent migraine answers is sure to help you get a better understanding of persistent migraine answers. So make full use of the information we have provided here.
Chiropractic - Studies have shown that some patients achieve improvements in their migraine symptoms following chiropractic spinal manipulative therapy (Tuchin et al, however many patients prefer a less invasive treatment as adverse effects following spinal manipulation have occurred (Rosner, .
Western treatment of migraine generally involves medication and/or alternative therapy. Medications- Analgesics are the first-line of treatment for mild-to-moderate migraine. Despite their proven efficacy, adverse side effects are prevalent which make them undesirable. Commonly used analgesics for migraine include non-steroidal anti-inflammatory drugs such as acetylsalicylic acid (aspirin) and ibuprofen (Nebe et al., , 5-HT1B/1D agonists including sumatriptan (Tfelt-Hansen, et al, , ergot alkaloids (Ala-Hurula, , calcium channel blockers, for example flunarizine (Lucetti et al., , beta-blockers, for example propranolol (Verspeelt, et al and antidepressants, for example amitriptyline (Rampello et al., . It is with much interest that we got about to write on persistent migraine answers. So we do hope that you too read this article with the same, if not more interest!
(a) Liver Qi stagnation The Liver is considered to be the commander of circulation which ensures the smooth flow Qi. When disrupted with emotional or environmental conditions, an obstruction will result, which causes pain. The Liver Channel has an internal relationship with the Gallbladder Channel therefore any problem with the Liver channel will transcend to the Gallbladder Channel which manifests at the temporal region (Maciocia, . Some of the main signs and symptoms of Liver Qi stagnation include emotional depression, menstrual irregularities, hypochondriac pain, one-sided headache and a wiry pulse. Thinking of what to do upon reading this article on persistent migraine answers? Well you can very well use the information constructively by imparting it to others.
(c) Flaring up of Liver fire A prolonged state of Qi stagnation manifests itself as a state of fire which will raise, burn and consume Yin and Blood. This is an extreme manifestation of Liver Yang rising and Liver Qi stagnation exhibiting different signs and symptoms comprising a red face, eyes and tongue, thirst, irritability and insomnia.
Rampello, L, Alvano, A, Chiechi, S, Malaguarnera, M, Raffaele, R, Vecchio, I, & Nicoletti, F. ( . Evaluation of the Prophylactic Efficacy of Amitriptyline and Citalopram, Alone or in Combination, in Patients with Comorbidity of Depression, Migraine and Tension-Type Headache. Neuropsychobiology, 50, 322- A rolling stone gathers no moss. So if I just go on writing, and you don't understand, then it is of no use of me writing about persistent migraine answers! Whatever written should be understandable by the reader.
MacGregor, EA, Chia, H, Vohrah, RC, & Wilkinson, M. ( . Migraine and menstruation: a pilot study. Cephalalgia, 10, 305- Maciocia, G. ( . Diagnosis in Chinese Medicine A Comprehensive Guide. Edinburgh: Churchill Livingstone. Responsibility is what makes a person. So we felt it our responsibility to elaborate more on persistent migraine answers so that not only us, but everyone knew more about it!
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Tfelt-Hansen, P, Flemming, W.B., Daugaard, D, Tsiropoulos, I, & Riddersholm, B. ( . Treatment with sumatriptan 50 mg in the mild phase of migraine attacks in patients with infrequent attacks: a randomised, double-blind, placebo-controlled study. Journal of Headache and Pain, 7, 389- Ignorance is bliss, is it? Isn't it better to learn more than not to know about something like persistent migraine answers. So we have produced this article so that you can learn more about it!
(d) Blood stasis obstructing the channels Any chronic condition or trauma in TCM can cause a degree of Blood stasis which impedes the free flow of Qi in the head and channels. This stasis congeals Blood to a specific, fixed location which starves the channels of nutrition. Some of the main signs and symptoms of this pattern include a choppy pulse, spots on the tongue, heavy periods and a fixed point of head pain. Failure is the stepping stone to success. So if you do fail to understand this article on persistent migraine answers, don't fret. Read it again a few times, and you are sure to finally get its meaning.
Melchart, D, Linde, K, Fischer, P, Berman, B, White, A, Vickers, A, & Allais, G. ( . Acupuncture for idiopathic headache. Cochrane Database of Systematic Reviews 2001, Issue 1, Art. No.: CD DOI: 001002/ CD Writing is something that has to be done when one is in the mood to write. So when we got in the mood to write about persistent migraine answers, nothing could stop us from writing!
Migraine is a common disabling primary headache disorder (Headache Classification Subcommittee, that is ranked 19 by the World Health Organisation among all diseases worldwide causing disability. Migraine consists of many subtypes and classifying and diagnosing these sub-types is based on the fulfilment of symptomatic criteria according to the International Headache Society (IHS). Migraines can be caused by a variety of factors including, but not limited to, diet, stress, genetics (Kallela, et al., 2001; Mulder et al., and menstruation (MacGregor et al., . Developing a basis for this composition on persistent migraine answers was a lengthy task. It took lots of patience and hard work to develop.
Acupuncture and Cupping - Several studies have shown the efficacy of acupuncture (Melchart et al., 2006; Romoli et al, 2006; Tukmachi, 2001; Xiuying, and cupping (Xiuying, for the treatment of migraine. One study (which is one of the largest to date) showed patients that received acupuncture, experienced fewer migraine episodes, a decreased absenteeism from work and suffered no side effects compared to patients who were treated with drug therapy (Liguori et al., . In that study, acupuncture was also found to be more cost-effective if used to treat headaches alone instead of drugs (Liguori et al., . persistent migraine answers are basically interesting parts of our day-to-day life. It is only that sometimes, we are not aware of this fact!
Conclusion Studies have shown that acupuncture can play a significant role in treating migraine (Melchart et al., however it is important that a patient must seek a qualified practitioner that is with an accredited Acupuncture association , such as the AACMA (Australian Acupuncture & Chinese Medicine Association)
Cupping Sliding cupping can be performed weekly for the first four weeks focussing mainly across the shoulders and upper back region to relieve tension and promote blood circulation. It is rather inviting to go on writing on persistent migraine answers. however as there is a limitation to the number of words to be written, we have confined ourselves to this. However, do enjoy yourself reading it.
Sjaastad, O, Saunte, C, Hovdahl, H, Breivik, H, & Gr??nbaek, E. ( . "Cervicogenic" Headache. An hypothesis. Cephalalgia, 3, 249- Streng, A, Linde, K, Hoppe, A, Pfaffenrath, V, Hammes, M, Wagenpfeil, S, Weidenhammer, W, & Melchart, D. ( . Efffectiveness and Tolerability of Acupuncture Compared with Metoprolol in Migraine Prophylaxis. Headache, 46, 1492- persistent migraine answers came into being some time back. However, would you believe that there are some people who still don't know what a persistent migraine answers is?
The main disease theory of migraine in TCM all involve the Liver, the Liver-Gallbladder collateral and the flow of Qi and Blood circulation. In TCM, the pathogenesis of migraine can be of an external or internal nature. The external factors involve the invasion of pathogens such as wind-cold, wind-heat, wind-damp or toxic heat. Internal factors are further divided into an excessive or deficient type. Internal excessive factors involve the stagnation of Liver Qi, hyperactivity of Liver Yang, flaring up of Liver fire, Blood stasis obstructing the channels and accumulation of Damp Phlegm. In addition, internal deficiency can be due to Qi deficiency, Blood deficiency and Kidney deficiency. It is important to differentiate between external and internal factors as this study only involves the five key TCM patterns of internal excessive type associated with chronic migraine. Isn't it amazing how much information can be transferred through a single page? So much stands to gain, and to lose about persistent migraine answers through a single page.
Herbal Preparation Herbal preparation can be used to assist with the signs and symptoms of the main patterns. These preparations are consumed twice daily in warm water.
Alternative Therapy- is often used in the treatment and management of migraine. These techniques are sought as some focus on the cervical spine where it is thought that headache originates from (Sjaastad et al, or because of an inability to take medication. Some of these therapies include chiropractic, acupuncture and cupping. It is of no use thinking that you know everything, when in reality, you don't know anything! It is only because we knew so much about persistent migraine answers that we got down to writing about it!
Traditional Chinese Medicine Perspective In Traditional Chinese Medicine (TCM), migraine is characterised as "Pian Tuo Tong" meaning "one sided headache" or "Tuo Tong" meaning "head pain" (Flaws & Sionneau, . The head is considered to be the meeting point of the six Yang channels and is transverses by the DuMai (governing vessel), influenced by the Liver channel and the Qi and Blood of the Zang Fu (Maciocia, . Therefore, any disruption to this flow will manifest as head pain.
Xiuying, D. ( . 100 Cases of Intractable Migraine Treated by Acupuncture and Cupping. Journal of Traditional Chinese Medicine, 19( , 205-
(b) Hyperactivity of Liver Yang When there is an abundance of Yang, or insufficient Yin, Yang energy will raise to affect the channels of the head. Hyperactivity of Liver Yang is due to the insufficiency of the Liver and Kidney Yin or the over abundance of Yang. If the Yang of the Liver is unable to be anchored by the Yin, the Liver Yang (which has upward and heat characteristics) rises to cause a disruption of Qi in the head. This disruption manifests as stagnation and therefore pain. Some of the main signs and symptoms of hyperactivity of Liver Yang include temporal headaches (worse at night), dizziness, tinnitus and a wiry, forceful pulse.
International Headache Society. ( . Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia, 8, 1- As the information we produce in our writing on persistent migraine answers may be utilized by the reader for informative purposes, it is very important that the information we provide be true. We have indeed maintained this.
About the author: Rodd Sanchez is a practitioner of Traditional Chinese Medicine (Acupuncture & Chinese Herbal Medicine) and clinic director at the Macquarie St. Clinic of Acupuncture & Chinese Medicine, sydney NSW. In the past he has been a nurse working in the field of psychiatrics, paediatrics and age care for over 12 years. At present he is a lecture, guest speaker and student clinic supervisor for the Sydney Institute of Traditional Chinese Medicine- His interest are traditional therapeutic methods and therapeutic Chinese dietary therapy.
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