GB headaches

[Guest guest]

Bob - I'll wait for your return to respond. Steve, your comments are

appreciated.

 

Will

 

<<I'm leaving for Europe to teach for a month, so I probably won't be

able to read your response. However, Philippe Sionneau does not list

any " gallbladder " patterns for headache in Vol. 1 of The Treatment of

Disease in TCM, which in my experience lists more patterns under

diseases than any other English language CM text. So I'm still don't

understand what you're getting at here in terms of CM pattern

discrimination and practice. If there's no specifically gallbladder

pattern of headache recognized in standard CM, then how does your

discrimination of the liver and gallbladder based on response to

coffee affect praxis? Perhaps you could take it to the next level of

giving concrete Chinese HERBAL examples of the treatment of headaches>

based on the differentiation you are suggesting.>

[Guest guest]

Will and Bob, my clinic teachers and I have had a bit of a

controversy about " gallbladder HA vs liver yang HA's " . According to

Maccioca, liver yang rising headaches typically happen on the weekend

(we didn't have weekends in ancient China, my supervisor remarked

spitefully), and are accompanied by a distending sensation, and

problems with vision. Nauseau and vomiting can occur.

 

I typically see these types of headaches in women. They are one-

sided, happen behind the eye, and as would be expected with Liver

Yang rising, seem to have some underlying deficiency, either blood or

kidney, with liver involvement. Using distal points on the feet seems

to help, and I've usually treated with some variant of Tian Ma Gou

Teng Yin, augmented to help the deficiency. Past clinic supervisors

have said " Liver Yang rising " before I'm even done with the

presentation.

 

However, this one supervisor said that there was insufficient

evidence for " Liver Yang " rising, as the patients do not have red

eyes, high blood pressure, or irritability.

 

I asked what other excess condition would apply, and we settled

on " Blockage of the Liver and GB meridian. " BTW, a recent edition

(June?) of the British acupuncture journal (the one Deadman is

involved with, I think, and that Simon has written for) also

considered a similar diagnosis for chronic sinusitis. They had an

herbal formula based on that principle.

 

Basically this did not significantly alter either the points or

herbal treatment I used for my headache patient. I usually use Huang

Qin (I think it's in Tian Ma Gou Teng Yin anyway) and I don't use

Chai Hu for any excess HA, as I don't want to ascend to the head!

However, if this is actually blockage of Liv/Gb channel with no Yang

rising, it follows that it is not necessary to use Shi Jue Ming or Mu

Li/Long Gu. Also, a medicinal like Long Dan Cao might be indicated.

 

Would any one like to weigh in on this? Jim, if you're reading, I

know you have your " migraine formula. " I will get some as soon as I

am in practice, and can actually dispense as I wish, a day I'm very

much looking forward to.

 

Gabrielle

 

 

However, Philippe Sionneau does not list

> any " gallbladder " patterns for headache in Vol. 1 of The Treatment

of

> Disease in TCM, which in my experience lists more patterns under

> diseases than any other English language CM text. So I'm still don't

> understand what you're getting at here in terms of CM pattern

> discrimination and practice. If there's no specifically gallbladder

> pattern of headache recognized in standard CM...