The TCM Clinical Characteristics Of Headache

BackgroundHeadache,which is a frequent disease in Neurology Medical Department,is also a symptom of a variety of disorders.It's reported that 96%people had been in trouble with headache,almost all people who is over 40 years old have had a severe headache.Epidemiologic survey revealed that 1500-2000 people per 100000 have migraine;the incidence rate is 10%to 15%in Europe and America countries.In China, the prevalence rate for 732.1/10 million people,the incidence rate was 0.06%,in 1986.The number of Patients under the age of 30 was growing year after year.the ratio of men and women is 1:4 in prevalence rate.In recent years the incidence of the disease showed an upward trend,the actual data is far more than that.[1] Most common chronic headache with adults is the tension headache,in clinical.The rate is about 90%[2].Western medicine etiology of both headache is not clear at present.We can't get objective clinical signs positioning,and specific symptoms, whose laboratory investigations are normal.So it's difficult for us to diagnose and to treat it effectively,which bring patients a lot of pain.There were reports abort headache in Traditional Chinese medicine for more than 2000 years ago,and affluent clinical experience was accumulated.We will follow the rule of TCM:pattern identifications and Differential Treatment;to treat patient as a whole and to service people with the superiority of TCM and Chinese drug.ObjectiveTo Discuss the clinical feature of head-wind Preliminary,To find if there are difference between the pattern yang asthenia and wind-fire.If it's dependable to brain TCD.To summary the experiences of famous veteran doctor of TCM.MethodsClinical observation is forward-looking research,collection the patients accord with select norm in Guangdong Province encephalopathy Chinese medicine hospital outpatient center frome2007.3 to 2008.3.All the patients selected, complete the survey paper firstly,and take Doppler(TCD),before medication.The data was recorded:Summary of experience is a retrospective study.To collect literature or paper wrote by famous veteran doctor of TCM or their students,which disciples their experience of treatment in head-wind,to find the regularity.Results 105 qualified cases were Collected and 105 questionnaires of head wind were finished,of which 55 belong to cold coagulated due to Yang deficiency group,the left is of another group,and migraine patients toke TCD,there are 55 TCD reports were collected.Yang deficiency:27,wind-fire:28 cases.The number of literature collected is 100 of related famous veteran doctors of TCM is 54,whose experience of treatment with headache.Conclusion1,The Clinical features of Yang deficiency patients:The most Yang deficiency patients is women;with an average age of 41.51±9.80 years,an average duration of 11.44±6.53 years;and the most common symptoms of Yang deficiency patients is encountered after the attack or add cold,headache falling,chilly,limbs cold, light tongue white fur.TCD data Yang deficiency analysis showed that the patients with cerebral blood flow velocity mainly by fast2,The Clinical features of Wind-fire cards card patients:The most Wind-fire cards patients is male,with an average age of 32.7±9.25 years,an average duration of 4.1±2.88 years,the most common symptom is the most common symptoms with wind-fire is distention of head,heavier after drinking,the constipation,with dry and hard mouth,red tongue;TCD characteristics Cerebral blood flow to slow down or normal based.3,Most famous veteran doctors of TCM think that headache is mostly relevant to wind-evil.Other factors followed by are stagnantedblood,phlegm the bleeding, phlegm,heat evil,blood deficiency,and most of the old TCM doctor consider that the first agent;is liver disease(81.5%),followed by the spleen(40.7%),kidney (40.7%),associated with the heart smaller and unrelated to the lung.The methods of treatment to headache,include removing wind-evil,promoting Blood circulation to dissipate Blood stasis.,eliminating phlegm,clear away heat,nourishing blood.The main prescriptions used are due to personal experience(59.80%),and about 22.2%of which have similar effect to Decoction of Four Drugs.Drugs used by more than 50 times in the prescriptions we collected are Chuanxiong,Radix Glycyrrhizae,Radix Paeoniae Alba,Radix fngelicae Dahuricae Radix Angelicae Sinensis,Herb Asari,Fructus Viticis,Rhizoma Pinelliae,Radix,Flos Chrysanthemi,Poria,Radix Scutellariae,rehmannia dride rhizome,Rhizomza Seu Radix Notopterygii.,Radix Paeoniae Rubra.