Headache Flashcards

Etiology, Pathogensis, Patterns, S/sx, Treatment Principles + Principle Points (43 cards)

1
Q

What are the 2 main characteristics of Headaches either caused by External Evils or Interior injuries?

A

Malnutrition + disharmony of Qi + Blood
Obstruction or blockage of channel

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2
Q

What are the 3 etiologies of Headaches caused by External Evils?

A

Wind-Cold
Wind-Heat
Wind-Dampness

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3
Q

What is the pathogenesis of Headaches caused by External Evils?

A

Evils impede channels causing blockages
Evils impede channels causing the failure of Lucid Yang to rise

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4
Q

What are 3 other excess etiologies that cause internally-injured Headaches?

A
  1. Injury to brain
  2. Emotional depression
  3. Improper diet
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5
Q

What is the pathogenesis of injury to the brain resulting in Headache?

A

Qi Stagnation or Blood Stasis obstructing channels causing pain

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6
Q

What causes headache pain?

A

Blockage of channels = Blockage of Qi or Blood= pain
OR
Malnutrition= Lack of Qi + Blood, sluggish flow of Qi + Blood which can also cause Blockage = pain

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7
Q

What is the pathogenesis of emotional depression resulting in Headaches?

A

Stagnation of Liver Qi invading the 7 orifices
Can result in a depletion of Yin-Blood which causes upward of Liver Yang

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8
Q

What is the pathogenesis of improper diet resulting in Headaches?

A

Improper diet leads to dampness or phlegm. Phlegm can stagnate causing an invasion of the clear orifices

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9
Q

What are the deficient etiologies of Headaches?

A

Congenitial deficiencies and loss of blood or essence resulting in SP + ST Xu and KI Essence Xu

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10
Q

What are the 2 main pathogenesis of deficient Headaches?

A

Qi + Blood Xu
Hollow Sea of Marrow

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11
Q

How does one differentiate headache pain?

A

Diagnosed by channel

Forehead- Yangming (ST + LI)
Temporal- Shaoyang (GB + SJ)
Vertex- Jueyin (LR)
Occiput- Taiyang (BL)

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12
Q

How does one differentiate between a headache that is caused by External Evils + Internally-injured?

A

External Evil causes persistent headaches radiating to the neck and back with a sudden onset. Can also be accompanied by other External Evil S/sx

Internally-injured causes lingering and intermittent headaches with a slow onset. Often accompanied by vertigo and can be triggered by emotions or exertion

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13
Q

The following patterns are differentiations of Headaches caused by _________?

Wind-Cold
Wind-Heat
Wind-Dampness

A

External Evils

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14
Q

The following patterns are differentiations of Headaches caused by _________?

Hyperactivity of Liver Yang
LR + KI Yin Xu
Qi + Blood Xu
Phlegm Turbidity
Blood Stasis Obstruction

A

Internal Injury

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15
Q

The following S/sx of Headache due to ________?

Distending pain, blurred vision, restlessness, irritability, flushed complexion, red eyes, bitter taste in mouth
T: Red w/ thin yellow coating
P: Wiry

A

Hyperactivity of Liver Yang

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16
Q

The following S/sx of Headache due to ________?

Vertigo, tinnitus, soreness + weakness of lumbar + knees, seminal emission
T: Red w/ scanty coating
P: Rapid + Thready

A

LR + KI Yin Xu

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17
Q

The following S/sx of Headache due to ________?

Pain w/ empty feeling, vertigo, lassitude, lusterless complexion, pain aggravated by exertion
T: Pale w/ pale coating
P: Weak + Thready

A

Qi + Blood Xu

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18
Q

The following S/sx of Headache due to ________?

Hazy feeling in head, dizziness, oppression in chest + abdomen
T: w/ thick, greasy coating
P: Slippery

A

Phlegm Turbidity

19
Q

The following S/sx of Headache due to ________?

Fixed, stabbing pain
T: Dark red or purple w/ petechiae w/ thin coating
P: Choppy

A

Blood Stasis Obstruction

20
Q

The following S/sx of Headache due to ________?

Fever, aversion to cold, no thirst, no sweating, body aches
T: w/ thin, white coating
P: Floating + Tight

21
Q

The following S/sx of Headache due to ________?

Fever, aversion to wind, thirst w/ desire for cold drinks, sweating, constipation, yellow urine
T: Red w/ yellow coating
P: Floating + Rapid

22
Q

The following S/sx of Headache due to ________?

Heavy feeling in head, lassitude, fatigue, heaviness in limbs
T: w/ white, greasy coating
P: Floating + Soggy

A

Wind-Dampness

23
Q

What are the treatment principles for Headache due to Wind-Cold?

A

Expel Wind
Warm

24
Q

What are the treatment principles for Headache due to Wind-Heat?

A

Expel Wind
Clear heat

25
What are the treatment principles for Headache due to Wind-Dampness?
Expel Wind Resolve dampness
26
What are the treatment principles for Headache due to Hyperactivity of Liver Yang?
Clear LR Yang Nourish KI Yin
27
What are the treatment principles for Headache due to LR + KI Yin Xu?
Nourish Yin Clear deficient Heat
28
What are the treatment principles for Headache due to Qi + Blood Xu?
Tonify Blood + Qi
29
What are the treatment principles for Headache due to Phlegm Turbidity?
Resolve phlegm
30
What are the treatment principles for Headache due to Blood Stasis Obstruction?
Unblock channel Resolve stasis + invigorate Blood
31
Principles points for Headache due to Wind-Dampness?
Sp-9: Resolves dampness DU-20: Soothe + Dredge Qi Taiyang: Soothe + Dredge Qi GB-20: Resists Wind + Promotes Blood Flow LU-7: Luo-connecting + Disperses LU Qi + benefits head + nape of neck Ashi points
32
Principles points for Headache due to Wind-Heat?
LI-11: Clears whole body heat DU-14: Releases exterior + Expels wind + Clears heat from Yang channels DU-20: Soothe + Dredge Qi Taiyang: Soothe + Dredge Qi GB-20: Resists Wind + Promotes Blood Flow LU-7: Luo-connecting + Disperses LU Qi + benefits head + nape of neck Ashi points
33
Principle points for Headache due to Wind-Cold?
BL-12: Wind Gate + Expels Wind DU-20: Soothe + Dredge Qi Taiyang: Soothe + Dredge Qi GB-20: Resists Wind + Promotes Blood Flow LU-7: Luo-connecting + Disperses LU Qi + benefits head + nape of neck Ashi points
34
Principle points for Headache due to Hyperactivity of Liver Yang?
LR-2: Ying-spring + Clears LR Heat KI-3: Yuan + tonifys KI Yang DU-20: Local point, essential pt for Headache + Vertigo (def or excess) ST-8: essential pt for any type of headache GB-20: Release Wind (Ext or Int Wind) ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm Ashi points
35
Principle points for Headache due to LR + KI Yin Xu?
LR-3: Yuan + tonifys LR KI-3: Yuan + tonifys KI Yang DU-20: Local point, essential pt for Headache + Vertigo (def or excess) ST-8: essential pt for any type of headache GB-20: Release Wind (Ext or Int Wind) ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm Ashi points
36
Principle points for Headaches due to Phlegm Turbidity?
SP-9: Resolves Dampness ST-40: Resolves Phlegm DU-20: Local point, essential pt for Headache + Vertigo (def or excess) ST-8: essential pt for any type of headache GB-20: Release Wind (Ext or Int Wind) ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm Ashi points
37
Principle points for Headache due to Qi + Blood Xu?
SP-10: Builds Blood BL-20: Back-shu of SP DU-20: Local point, essential pt for Headache + Vertigo (def or excess) ST-8: essential pt for any type of headache GB-20: Release Wind (Ext or Int Wind) ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm Ashi points
38
Principle points for Headaches due to Blood Stasis Obstruction?
SP-6: Tonifys Qi + Blood + Invigorates blood BL-17: Hui-meeting of Blood DU-20: Local point, essential pt for Headache + Vertigo (def or excess) ST-8: essential pt for any type of headache GB-20: Release Wind (Ext or Int Wind) ST-36: Tonifys Qi + Blood for malnourishment + help SP with phlegm Ashi points
39
Principle points for Yangming Headache?
ST-8 + LI-4
40
Principle points for Shaoyang Headache?
GB-8 + SJ-5
41
Principle points for Taiyang Headache?
BL-10 + SI-3
42
Principle points for Jueyin Headache?
Sishencong + LR-3
43
A frontal Yangming headache is treated with the following points?
LI-4, ST-44, ST-8