Guest guest Posted November 20, 2006 Report Share Posted November 20, 2006 Hi All, I have an 18-year old female patient who has had constant headaches for the last 5 years. She has seen all the western docs, had all the tests done, and nothing is conclusive. Her neurologist referred her for acupuncture. Her history is most interesting. Prior to her headaches, she had a bout of mononucleosis at age 13, followed by removal of her tonsils. After the surgery, her headaches started. One of the things I am wondering, is whether is might be a long-lasting side effect of the anesthesia? On her first visit, she appeared morose, depressed, lethargic, and extremely, ghastly pale. She wears sunglasses and a hat indoors, because light aggravates her headaches. Headaches are also aggravated by exposure to humid weather and cold, damp weather. Other symptoms included achy joints in her hands and fingers, knees, and hips, which also worsened with the same kinds of weather that aggravates the headaches. Other complaints also included difficulty sleeping - restless tossing and turning; profound fatigue, and loss of appetite. In addition, her hands and feet were extremely cold and damp, with her abdomen feeling burning hot and sweaty on palpation. Note that she wore gloves and thermal underwear underneath her clothes and heavy jacket on an 85-degree day. Yes, she complained of feeling cold all the time. 6 acupuncture treatments have not impacted her headache in the slightest. I have worked to raise yang, release muscle tension in the neck and shoulders, downbear liver yang, and tonify qi to no avail. However, her sleep has improved to the point that she is now sleeping soundly through the night and does not need to spend her days languishing exhausted in bed. Her appetite has improved with digestive enzymes. Her energy has increased to the point that she has taken up skateboarding on warm days! Her mood is greatly improved, and she laughs and smiles when she comes for her appointments now. She is interested in learning what she can to do help herself heal. Part of her problem is that she has been a vegetarian most of her life, and has not eaten any red meat since age 3. Her muscles are very weak and droopy, without shape or vigor. She has an issue about eating anything " that has eyes " . She is thirsty all the time. There are no complaints about digestion, defecation, or urination. Her MD's have suggested that she might have Epstein-Barr, or fibromyalgia, or " mono in her bones " . Last spring, she had a rare form of pneumonia caused by Chlamydia in her lungs, which caused her to lose a great deal of weight. She was severely ill for 5 months before coming to see me. She had been gaining 10 pounds per month prior to the pneumonia, with no cause diagnosable by her doctors. Her mother claimed she had not increased her food intake. Her tongue is pale pink with a slightly red tip and sides, and a wet, thin, sticky yellow coat. Her pulse is weak and fine on the right, soft and weak on the left, medium depth, at 70 beats per minute. She has dark circles under her eyes. Before having mono, she says her health was great. Her headaches are mostly onthe right temporal-vertex region of her head, and slightly on the left side also. They are there all the time, varying only in severity. At their most severe, her right eyelid droops and her vision in her right eye is impaired. I have diagnosed her with a shao yang disorder, also with spleen qi deficiency generating dampness, and kidney qi deficiency. There is also a wei qi deficiency. I'm not sure about the latent pathogen axis. I could benefit from some guidance at this point. I have given her two different herbal formulas - Si Ni San, for the possibility that she did have heat constrained in the interior all this time, as reflected by her hot abdomen, with her cold hands and feet. The coldness in her hands and feet improved only slightly with this formula. I also gave her Tong Qiao Huo Xue Tang for the headache, on the basis that any 5-year headache would have stagnant blood as part of its disharmony. The headache did not change with this formula. I am now looking at Xiao Chai Hu Tang, and wondering if there is something I am missing. One of the things I am wondering about is her inordinate sense of cold. Could she have a cold pathogen lodged in her head causing the headaches? And what about the possibility that this is somehow due to some damage from anesthesia during her surgery - how would we treat that? This young woman has been home-schooled during the last 5 years due to her intolerance of noise, light, and crowds. She has missed out on her teen years. I'd like to give her her life back. Oh yeah, a related question - how long should we administer formulae like Si Ni San or Tong Qiao Huo Xue Tang or Xiao Chai Hu Tang, before expecting to see results or trying a different approach? In a case like this, would we give a higher dose? Any ideas are most welcome. Thank you, Sponsored Link Mortgage rates as low as 4.625% - $150,000 loan for $579 a month. Intro-*Terms Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 Dear Andrea Hi. I think your answer is in your history > Prior to her headaches, she had a bout of mononucleosis at age 13, followed by removal of her tonsils. After the surgery, her headaches started. one of the main reasons for relapses and hard responding patients are scars of surgery ,tonsillectomy , she may have sinusitis and dental problems as well. but most important of all see from ear if the pharynx ,tonsils ( site of the operations ),sinuses has become tender or you may find and changes in electrical potentials there. check if it is right ear or left .or needle both side , +local points ( Temple ,---) + psychotropic points , depression , anxiety ,Valium ...... + shen , thalamus .... I think you main work will be to work on the scar. regards. Dr,Fadaie > --- < wrote: > Hi All, > > I have an 18-year old female patient who has had > constant headaches for the last 5 years. She has > seen all the western docs, had all the tests done, > and nothing is conclusive. Her neurologist referred > her for acupuncture. > > Her history is most interesting. Prior to her > headaches, she had a bout of mononucleosis at age > 13, followed by removal of her tonsils. After the > surgery, her headaches started. One of the things I > am wondering, is whether is might be a long-lasting > side effect of the anesthesia? > > On her first visit, she appeared morose, > depressed, lethargic, and extremely, ghastly pale. > She wears sunglasses and a hat indoors, because > light aggravates her headaches. Headaches are also > aggravated by exposure to humid weather and cold, > damp weather. Other symptoms included achy joints > in her hands and fingers, knees, and hips, which > also worsened with the same kinds of weather that > aggravates the headaches. Other complaints also > included difficulty sleeping - restless tossing and > turning; profound fatigue, and loss of appetite. In > addition, her hands and feet were extremely cold and > damp, with her abdomen feeling burning hot and > sweaty on palpation. Note that she wore gloves and > thermal underwear underneath her clothes and heavy > jacket on an 85-degree day. Yes, she complained of > feeling cold all the time. > > 6 acupuncture treatments have not impacted her > headache in the slightest. I have worked to raise > yang, release muscle tension in the neck and > shoulders, downbear liver yang, and tonify qi to no > avail. However, her sleep has improved to the point > that she is now sleeping soundly through the night > and does not need to spend her days languishing > exhausted in bed. Her appetite has improved with > digestive enzymes. Her energy has increased to the > point that she has taken up skateboarding on warm > days! Her mood is greatly improved, and she laughs > and smiles when she comes for her appointments now. > She is interested in learning what she can to do > help herself heal. > > Part of her problem is that she has been a > vegetarian most of her life, and has not eaten any > red meat since age 3. Her muscles are very weak and > droopy, without shape or vigor. She has an issue > about eating anything " that has eyes " . She is > thirsty all the time. There are no complaints about > digestion, defecation, or urination. > > Her MD's have suggested that she might have > Epstein-Barr, or fibromyalgia, or " mono in her > bones " . > > Last spring, she had a rare form of pneumonia > caused by Chlamydia in her lungs, which caused her > to lose a great deal of weight. She was severely > ill for 5 months before coming to see me. She had > been gaining 10 pounds per month prior to the > pneumonia, with no cause diagnosable by her doctors. > Her mother claimed she had not increased her food > intake. > > Her tongue is pale pink with a slightly red tip > and sides, and a wet, thin, sticky yellow coat. > Her pulse is weak and fine on the right, soft and > weak on the left, medium depth, at 70 beats per > minute. > > She has dark circles under her eyes. > > Before having mono, she says her health was great. > > Her headaches are mostly onthe right > temporal-vertex region of her head, and slightly on > the left side also. They are there all the time, > varying only in severity. At their most severe, her > right eyelid droops and her vision in her right eye > is impaired. > > I have diagnosed her with a shao yang disorder, > also with spleen qi deficiency generating dampness, > and kidney qi deficiency. There is also a wei qi > deficiency. I'm not sure about the latent pathogen > axis. I could benefit from some guidance at this > point. > > I have given her two different herbal formulas - > Si Ni San, for the possibility that she did have > heat constrained in the interior all this time, as > reflected by her hot abdomen, with her cold hands > and feet. The coldness in her hands and feet > improved only slightly with this formula. I also > gave her Tong Qiao Huo Xue Tang for the headache, on > the basis that any 5-year headache would have > stagnant blood as part of its disharmony. The > headache did not change with this formula. > > I am now looking at Xiao Chai Hu Tang, and > wondering if there is something I am missing. One > of the things I am wondering about is her inordinate > sense of cold. Could she have a cold pathogen > lodged in her head causing the headaches? And what > about the possibility that this is somehow due to > some damage from anesthesia during her surgery - how > would we treat that? > > This young woman has been home-schooled during the > last 5 years due to her intolerance of noise, light, > and crowds. She has missed out on her teen years. > I'd like to give her her life back. > > Oh yeah, a related question - how long should we > administer formulae like Si Ni San or Tong Qiao Huo > Xue Tang or Xiao Chai Hu Tang, before expecting to > see results or trying a different approach? In a > case like this, would we give a higher dose? > > Any ideas are most welcome. > > Thank you, > > > > > > > Sponsored Link > > Mortgage rates as low as 4.625% - $150,000 loan > for $579 a month. Intro-*Terms > > [Non-text portions of this message have been > removed] > > ______________________________\ ____ The all-new Mail beta Fire up a more powerful email and get things done faster. http://new.mail. 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Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 I think of primary importance is to rebuild the Liver. Mono severely depletes Liver qi and yang. Instead of trying to downbear Liver yang, you may want to try nourishing it. A simple formula like Dang Gui Bu Xue Tang with large dosages of Huang Qi would be advisable. Of course, you want to confirm that her left middle pulse position shows significant deficiency, i.e., an Empty pulse (according to Hammer's definition -- Qi depth present, but separating or absent at the Blood and Organ depths). LV deficiency: depressed, lethargic, severe fatigue, sleep issues, temporal-vertex HA, photosensitivity, digestive complaints Of course there are multiple deficiencies presenting simultaneously, so modifications to the above formula would be warranted. -- Ross Rosen, LAc, CA, Dipl OM (NCCAOM) Center for Acupuncture and Herbal Medicine 166 Mountain Ave. Westfield, NJ 07090 (908) 654-4333 www.acupunctureandherbalmedicine.com This email contains confidential information intended for the person(s) to whom it is addressed. If you should receive this in error please contact us immediately by return email, or at the above phone number. Unauthorized use of this information may be in violation of criminal statutes or HIPAA regulations. Under no circumstances shall this material be retained, transmitted, or copied by anyone other than the addressee(s). Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 Thank you for your response, Majid. I hadn't considered the scars, but how do you needle a scar that is deep inside the mouth? I wil check the ear points you suggested - great idea! Andrea Beth majid fadaie <majidfadaie51 wrote: Dear Andrea Hi. I think your answer is in your history > Prior to her headaches, she had a bout of mononucleosis at age 13, followed by removal of her tonsils. After the surgery, her headaches started. one of the main reasons for relapses and hard responding patients are scars of surgery ,tonsillectomy , she may have sinusitis and dental problems as well. but most important of all see from ear if the pharynx ,tonsils ( site of the operations ),sinuses has become tender or you may find and changes in electrical potentials there. check if it is right ear or left .or needle both side , +local points ( Temple ,---) + psychotropic points , depression , anxiety ,Valium ...... + shen , thalamus .... I think you main work will be to work on the scar. regards. Dr,Fadaie > --- < wrote: > Hi All, > > I have an 18-year old female patient who has had > constant headaches for the last 5 years. She has > seen all the western docs, had all the tests done, > and nothing is conclusive. Her neurologist referred > her for acupuncture. > > Her history is most interesting. Prior to her > headaches, she had a bout of mononucleosis at age > 13, followed by removal of her tonsils. After the > surgery, her headaches started. One of the things I > am wondering, is whether is might be a long-lasting > side effect of the anesthesia? > > On her first visit, she appeared morose, > depressed, lethargic, and extremely, ghastly pale. > She wears sunglasses and a hat indoors, because > light aggravates her headaches. Headaches are also > aggravated by exposure to humid weather and cold, > damp weather. Other symptoms included achy joints > in her hands and fingers, knees, and hips, which > also worsened with the same kinds of weather that > aggravates the headaches. Other complaints also > included difficulty sleeping - restless tossing and > turning; profound fatigue, and loss of appetite. In > addition, her hands and feet were extremely cold and > damp, with her abdomen feeling burning hot and > sweaty on palpation. Note that she wore gloves and > thermal underwear underneath her clothes and heavy > jacket on an 85-degree day. Yes, she complained of > feeling cold all the time. > > 6 acupuncture treatments have not impacted her > headache in the slightest. I have worked to raise > yang, release muscle tension in the neck and > shoulders, downbear liver yang, and tonify qi to no > avail. However, her sleep has improved to the point > that she is now sleeping soundly through the night > and does not need to spend her days languishing > exhausted in bed. Her appetite has improved with > digestive enzymes. Her energy has increased to the > point that she has taken up skateboarding on warm > days! Her mood is greatly improved, and she laughs > and smiles when she comes for her appointments now. > She is interested in learning what she can to do > help herself heal. > > Part of her problem is that she has been a > vegetarian most of her life, and has not eaten any > red meat since age 3. Her muscles are very weak and > droopy, without shape or vigor. She has an issue > about eating anything " that has eyes " . She is > thirsty all the time. There are no complaints about > digestion, defecation, or urination. > > Her MD's have suggested that she might have > Epstein-Barr, or fibromyalgia, or " mono in her > bones " . > > Last spring, she had a rare form of pneumonia > caused by Chlamydia in her lungs, which caused her > to lose a great deal of weight. She was severely > ill for 5 months before coming to see me. She had > been gaining 10 pounds per month prior to the > pneumonia, with no cause diagnosable by her doctors. > Her mother claimed she had not increased her food > intake. > > Her tongue is pale pink with a slightly red tip > and sides, and a wet, thin, sticky yellow coat. > Her pulse is weak and fine on the right, soft and > weak on the left, medium depth, at 70 beats per > minute. > > She has dark circles under her eyes. > > Before having mono, she says her health was great. > > Her headaches are mostly onthe right > temporal-vertex region of her head, and slightly on > the left side also. They are there all the time, > varying only in severity. At their most severe, her > right eyelid droops and her vision in her right eye > is impaired. > > I have diagnosed her with a shao yang disorder, > also with spleen qi deficiency generating dampness, > and kidney qi deficiency. There is also a wei qi > deficiency. I'm not sure about the latent pathogen > axis. I could benefit from some guidance at this > point. > > I have given her two different herbal formulas - > Si Ni San, for the possibility that she did have > heat constrained in the interior all this time, as > reflected by her hot abdomen, with her cold hands > and feet. The coldness in her hands and feet > improved only slightly with this formula. I also > gave her Tong Qiao Huo Xue Tang for the headache, on > the basis that any 5-year headache would have > stagnant blood as part of its disharmony. The > headache did not change with this formula. > > I am now looking at Xiao Chai Hu Tang, and > wondering if there is something I am missing. One > of the things I am wondering about is her inordinate > sense of cold. Could she have a cold pathogen > lodged in her head causing the headaches? And what > about the possibility that this is somehow due to > some damage from anesthesia during her surgery - how > would we treat that? > > This young woman has been home-schooled during the > last 5 years due to her intolerance of noise, light, > and crowds. She has missed out on her teen years. > I'd like to give her her life back. > > Oh yeah, a related question - how long should we > administer formulae like Si Ni San or Tong Qiao Huo > Xue Tang or Xiao Chai Hu Tang, before expecting to > see results or trying a different approach? In a > case like this, would we give a higher dose? > > Any ideas are most welcome. > > Thank you, > > > > > > > Sponsored Link > > Mortgage rates as low as 4.625% - $150,000 loan > for $579 a month. Intro-*Terms > > [Non-text portions of this message have been > removed] > > ________ The all-new Mail beta Fire up a more powerful email and get things done faster. http://new.mail. 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Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 Thank you Ross, for reminding me that many of her symptoms can be attributable to liver deficiency. I think I overlooked this possibility, because she has none of the typical personality or emotional characteristics I usually see with liver issues. If I were to choose one word to describe everything about her, it would be flaccid. There is no detectable muscle tension, nor any other kind of tension, anywhere in her body, and perhaps she is too deficient to manifest it and make it apparent. Her pulses are overall deficient - deep, thin and weak; the liver pulse is the same as the others. At your suggestion, I will look more closely for other liver signs and symptoms. Thanks again, Andrea Beth Ross Rosen <rossrosen wrote: I think of primary importance is to rebuild the Liver. Mono severely depletes Liver qi and yang. Instead of trying to downbear Liver yang, you may want to try nourishing it. A simple formula like Dang Gui Bu Xue Tang with large dosages of Huang Qi would be advisable. Of course, you want to confirm that her left middle pulse position shows significant deficiency, i.e., an Empty pulse (according to Hammer's definition -- Qi depth present, but separating or absent at the Blood and Organ depths). LV deficiency: depressed, lethargic, severe fatigue, sleep issues, temporal-vertex HA, photosensitivity, digestive complaints Of course there are multiple deficiencies presenting simultaneously, so modifications to the above formula would be warranted. -- Ross Rosen, LAc, CA, Dipl OM (NCCAOM) Center for Acupuncture and Herbal Medicine 166 Mountain Ave. Westfield, NJ 07090 (908) 654-4333 www.acupunctureandherbalmedicine.com This email contains confidential information intended for the person(s) to whom it is addressed. If you should receive this in error please contact us immediately by return email, or at the above phone number. Unauthorized use of this information may be in violation of criminal statutes or HIPAA regulations. Under no circumstances shall this material be retained, transmitted, or copied by anyone other than the addressee(s). Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 I hope you will check out Kiiko Matsumoto's clinical strategies vol 1 for similar types of cases. This might be considered an immune reaction, confirmed by palpation of the upper cervicals and also lower right abdominal areas. Protocol would also suggest checking the oketsu reflex, lower left abdominal area for sensitivity. Working with original trauma is important and often can cause blood stagnation (oketsu). It would be hard to speculate further w/o actual palpation of reflex areas and release points as to diagnosis. Please get a copy of the text. When stagnation occurs for a long time, it creates a decline in many areas and systems. I would recomment first opening up the channels and then see where things go from there. Let me know if you have more directed questions about this method. Best of luck. Mike W. Bowser, L Ac ________________________________ > Chinese Traditional Medicine ; ; alumni-sd > > Mon, 20 Nov 2006 15:41:35 -0800 > Help for 5 years of daily headaches > > Hi All, > I have an 18-year old female patient who has had constant headaches for the last 5 years. She has seen all the western docs, had all the tests done, and nothing is conclusive. Her neurologist referred her for acupuncture. > Her history is most interesting. Prior to her headaches, she had a bout of mononucleosis at age 13, followed by removal of her tonsils. After the surgery, her headaches started. One of the things I am wondering, is whether is might be a long-lasting side effect of the anesthesia? > On her first visit, she appeared morose, depressed, lethargic, and extremely, ghastly pale. She wears sunglasses and a hat indoors, because light aggravates her headaches. Headaches are also aggravated by exposure to humid weather and cold, damp weather. Other symptoms included achy joints in her hands and fingers, knees, and hips, which also worsened with the same kinds of weather that aggravates the headaches. Other complaints also included difficulty sleeping - restless tossing and turning; profound fatigue, and loss of appetite. In addition, her hands and feet were extremely cold and damp, with her abdomen feeling burning hot and sweaty on palpation. Note that she wore gloves and thermal underwear underneath her clothes and heavy jacket on an 85-degree day. Yes, she complained of feeling cold all the time. > 6 acupuncture treatments have not impacted her headache in the slightest. I have worked to raise yang, release muscle tension in the neck and shoulders, downbear liver yang, and tonify qi to no avail. However, her sleep has improved to the point that she is now sleeping soundly through the night and does not need to spend her days languishing exhausted in bed. Her appetite has improved with digestive enzymes. Her energy has increased to the point that she has taken up skateboarding on warm days! Her mood is greatly improved, and she laughs and smiles when she comes for her appointments now. She is interested in learning what she can to do help herself heal. > Part of her problem is that she has been a vegetarian most of her life, and has not eaten any red meat since age 3. Her muscles are very weak and droopy, without shape or vigor. She has an issue about eating anything " that has eyes " . She is thirsty all the time. There are no complaints about digestion, defecation, or urination. > Her MD's have suggested that she might have Epstein-Barr, or fibromyalgia, or " mono in her bones " . > Last spring, she had a rare form of pneumonia caused by Chlamydia in her lungs, which caused her to lose a great deal of weight. She was severely ill for 5 months before coming to see me. She had been gaining 10 pounds per month prior to the pneumonia, with no cause diagnosable by her doctors. Her mother claimed she had not increased her food intake. > Her tongue is pale pink with a slightly red tip and sides, and a wet, thin, sticky yellow coat. > Her pulse is weak and fine on the right, soft and weak on the left, medium depth, at 70 beats per minute. > She has dark circles under her eyes. > Before having mono, she says her health was great. > Her headaches are mostly onthe right temporal-vertex region of her head, and slightly on the left side also. They are there all the time, varying only in severity. At their most severe, her right eyelid droops and her vision in her right eye is impaired. > I have diagnosed her with a shao yang disorder, also with spleen qi deficiency generating dampness, and kidney qi deficiency. There is also a wei qi deficiency. I'm not sure about the latent pathogen axis. I could benefit from some guidance at this point. > I have given her two different herbal formulas - Si Ni San, for the possibility that she did have heat constrained in the interior all this time, as reflected by her hot abdomen, with her cold hands and feet. The coldness in her hands and feet improved only slightly with this formula. I also gave her Tong Qiao Huo Xue Tang for the headache, on the basis that any 5-year headache would have stagnant blood as part of its disharmony. The headache did not change with this formula. > I am now looking at Xiao Chai Hu Tang, and wondering if there is something I am missing. One of the things I am wondering about is her inordinate sense of cold. Could she have a cold pathogen lodged in her head causing the headaches? And what about the possibility that this is somehow due to some damage from anesthesia during her surgery - how would we treat that? > This young woman has been home-schooled during the last 5 years due to her intolerance of noise, light, and crowds. She has missed out on her teen years. I'd like to give her her life back. > Oh yeah, a related question - how long should we administer formulae like Si Ni San or Tong Qiao Huo Xue Tang or Xiao Chai Hu Tang, before expecting to see results or trying a different approach? In a case like this, would we give a higher dose? > Any ideas are most welcome. > Thank you, > > > Sponsored Link > Mortgage rates as low as 4.625% - $150,000 loan for $579 a month. Intro-*Terms > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 21, 2006 Report Share Posted November 21, 2006 <!-- @page { size: 21.59cm 27.94cm; margin: 2cm } P { margin-bottom: 0.21cm } --> Hi Andrea: It's possible that your patient is suffering from what used to be called “tou2 feng1” -- Wind in the head Wind. This is a term that isn't used much in Chinese medicine these days, and references to it in English-language literature are a little hard to come by. In modern Chinese, it seems to be used as another name for migraines. Perhaps my biased view arises from the fact that i'm currently doing some research into this term/entity called " tou2 feng1 " . What follows is partially derived from that research: Dictionaries (Wiseman & Ye's Practical Dictionary and the Zhong Yi Da Ci Dian) define “tou2 feng1” as: * “prolonged and difficult to cure” * The causative factors are often phlegm fire or wind cold which become lodged in the body and then cause heat constraint and oppressive pain. * wind cold can enter the nape and rise “to the ears, eyes, mouth, nose and above the eyebrow; and can cause many local problems: numbness in the eye/ear region or mouth, heaviness and dizziness in the head, stubborn dandruff or dazedness and lack of taste. Also either deafness or eye pain or pulling pain above and below the eyebrow or hypersensitive sense of smell, or one might be very dizzy when merely yawning. * At the time of onset, it is generally ferocious, pain is linked to the outside edge of the eyebrow, can't open the eyes, dizzy unable to rise, scalp numbness, This pattern is often from phlegm fire, and also caused by wind bringing along cold evil and entering the brain from the fengfu area, because there's constraint then there is pain ... A different form is called “shou1 feng1”, which *indicates evil Qi rising and poisoning the head and so there is pattern of unceasing headache. * if the head wind has sweating at head and face, aversion to cold this is called shou feng (head wind). * <<Xuan Ming Lun Fang>> 2nd article: “sudden dizziness, @ the exterior with Yang Qi & wind-cold contending, there is phlegm fluids @ the stomach-diaphragm, tendency to head pain, body is restricted and weary. <<Za Bing Yuan Liu Xi Zhu: Tou Tong Yuan Liu>>: “shou feng is a disease of Wind damaging the wei, after washing, then pores are all opened... evil attacks and enters, then affects the wei, therefore it constitutes shou1 feng1, its sign is sweating of head region, and there must be aversion to cold.” * It is generally believed that head pain on the left belongs to Wind due to Blood xu or to Blood xu causing exuberant Fire; head pain on the right side belongs to phlegm which in turn is part of heat, or to qi xu which brings along with it phlegm Another symptom is worsening or improvement of symptoms during days of stronger winds. (Qin Bo-Wei: “one day before it starts to get windy may be one day of severe pain, or on contrary with one day of windiness there may be a small cure.”) My theory is that the tonsillectomy surgery itself might be viewed as an external pathogen. Some treatment ideas: # If pain is at the left and the right, often due to Shaoyang channel fire constraint, suitable to use sweet ju hua, dan pi, shan zhi [zi], sang ye, gou teng to “effuse” it # “Yu Hu Wan” (Imperial Standard Formulary) treats headaches from Wind deficiency; it also treats patients suffering from phlegm. bai zhu 6 grams, remove the stems This ingredient is powdered finely, and mixed with ginger juice, then steamed into pills. 20 pills make each dose, to be taken with ginger tea. # “Chuan Xiong Cha Tiao San” (Imperial Formulary) treats all cases of Wind rising and attacking the head and eyes, with dizzy pain, nasal obstruction and low voice. bo he [120 grams] (remove the stems, and only use leaves) jing jie spikes, [60 grams] chuan xiong [60 grams] qiang huo [3 grams] bai zhi [3 grams] zhi gan cao [3 grams] xi xin [15 grams] fang feng [7.5 grams] Finely powder and mix together the above ingredients. Two qian [6 grams] makes one dose; take it dissolved into tea after eating. # [Zhu] Dan Xi remarks that in all cases of treating Head Wind, one can effectively treat it with “Er Chen Tang” with the additions of chuan xiong (Radix Ligustici Chuanxiong) and bai zhi (Radix Angelicae Dahuricae). If it is Taiyang channel headache, add qiang huo (Rhizoma et Radix Notopterygii); if it is Shaoyang channel headache, add chai hu (Radix Bupleuri) and huang qin (Radix Scutellariae Baicalensis); if it is Yangming channel headache, add shi gao (Gypsum Fibrosum) and bai zhi (Radix Angelicae Dahuricae). If it is in the Taiyin channel, add cang zhu (Rhizoma Atractylodis); if in the Shaoyin channel, add xi xin (Herba cum Radice Asari); and if in the Jueyin channel, add wu zhu yu (Fructus Evodiae Rutraecarpae). # Lin Pei-Qin: “If pain is more on the left side, it is Wind xu, suitable to use chuan xiong, dang gui, fang feng, bo he. Pain more on the right side is phlegm heat, suitable to use cang zhu, ban xia, huang qin, shi gao. Qi xu case is exhaustion/taxation/overwork, “bu zhong yi qi tang” plus chuan xiong, tian ma. Blood xu is best to be cooled, “si wu tang” plus bo he, bai zhi. Heat pain case will have aversion to heat, use “Xiao Feng San” Cold bi cases have the fear of cold, use “Zhui Feng San” if fever & chills due to longterm constraint, sometimes oppresion and pain, wants to wear a cotton cloth on the head and has much phlegm, use “Er Chen Tang” plus wine (washed) huang qin, jing jie, chuan xiong, bo he, shi gan, xi xin. Wind and simultaneous heat causes, use “[chuan xiong?] cha tiao san”, “Ju Hua San”. Cold which brings along dampness, use “Dao Tan Tang” plus cang zhu, bai zhi. Pain which radiates to the teeth, use “Gou Teng San” plus jing jie, bo he. Pain pulling sense at the eyebrow bone, use “Xuan Qi/Ji Tang” Runny nose with foul snivel, use “Chuan Xi San” or “Tou Ding San” by nasal application to make the snivel exit. If the posterior brain sinew feels pulling, gou teng, he ye bian, lian qiao, ku ding cha, sweet ju [hua]. If Qi is rising and attacking causes the pain, use “Quan Xie San.” If not cured for many years, use wu tou, nan xing powdered and mixed with scallion juice then smeared on the Taiyang points. If Wind is the cause, then there is aversion to Wind, “chuan xiong cha tiao san” Women who get wind at the Blood level, use “Yang Xue Qu Feng Tang.” If the cause is GB fire rising counterflow causing dizziness and pain, the appropriate treatment is to drain the heat, use ling yang jiao, sheng di, dan pi, sweet ju [hua], ku ding cha, fresh sang ye. If caused by the Liver Yang taking advantage of the Stomach, there is vomiting, suitable treatment is to secure/tranquilize the Wind, use fu shen, sweet ju [hua] tan, gou teng, ban xia qu, bo he, shan shi [zi]. If the cause is Liver Yin xu, there is Wind moving internally, appropriately treated by nourishing the fluids, use “Fu Mai Tang” minus [ren] shen, [sheng?] jiang, gui [zhi?rou?], and add ji zi huang (egg yolk), bai shao. If the cause is summerheat rising to cloud the clear orifice/upper orifices/head, the suitable treatment is to clear and to seep, use shi gao, he geng, bo he, ling yang jiao, tong cao, yi mi [yi yi ren]. The pattern of “brain Wind” is often from phlegm fire, and also caused by wind bringing along cold evil as it enters the brain from the fengfu area, because there's constraint then there is pain, can use “Xiao Feng San” (qiang huo, jing jie, fang feng, huo xiang, huo po, jiang can, chan yi, ren shen, fu ling, chen pi, gan cao) mixed with tea and taken. At same time use “Tou Ding San” (xi xin, gua di, ding xiang, bing pian, she xiang, glutinous rice) which is taken via the nose. Qin Bo-Wei: Most cases of Head Wind are for years, also are stubborn cases, Since caused by different causes, treatments are different, however the commonly used herbs are chuan xiong, bai zhi, qiang huo, fang feng, xi xin, gao ben, huang qin, jiang can, dan xing, tian ma, quan xie. --chris Quote Link to comment Share on other sites More sharing options...
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