pfo migraine - Clinical Study on Migraine in Traditional Chinese Medicine

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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Xiuying, D. ( . 100 Cases of Intractable Migraine Treated by Acupuncture and Cupping. Journal of Traditional Chinese Medicine, 19( , 205-

Melchart, D, Weidenhammer, W, Streng, A, Hoppe, A, Pfaffenrath, V, & Linde, K. ( . Acupuncture for Chronic Headaches - An Epidemiological Study. Headache, 46, 632- Never be reluctant to admit that you don't know. There is no one who knows everything. So if you don't know much about pfo migraine, all that has to be done is to read up on it!

Tukmachi, E. ( . Acupuncture therapy in diseases failing to respond to Western Medicine 6 case reports. Journal of Chinese Medicine Number, 67, 6- Variety is the spice of life. So we have added as much variety as possible to this matter on pfo migraine to make it's reading relevant, and interesting!

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., .

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- Every cloud has a silver lining; so consider that this article on pfo migraine to be the silver lining to the clouds of articles on pfo migraine. It is this article that will add more spice to the meaning of pfo migraine.

References Ala-Hurula, V. ( . Correlation between pharmacokinetics and clinical effects of ergotamine in patients suffering from migraine. European Journal of Clinical Pharmacology, 21( , 397- The best way of gaining knowledge about pfo migraine is by reading as much about it as possible. This can be best done through the Internet.

Flaws, B, & Sionneau, P. ( . The Treatment of Mordern Western Medical Diseases with Chinese Medicine (Second ed.). Boulder Blue Poppy Press. Did you ever believe that there was so much to learn about pfo migraine? Neither did we! Once we got to write this article, it seemed to be endless.

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- We worked as diligently as an owl in producing this composition on pfo migraine. So only if you do read it, and appreciate its contents will we feel our efforts haven't gone in vain.

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-

(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. Go ahead and read this article on pfo migraine. We would also appreciate it if you could give us an analysis on it for us to make any needed changes to 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. There is sure to be a grin on your face once you get to read this article on pfo migraine. This is because you are sure to realize that all this matter is so obvious, you wonder how come you never got to know about it!

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.

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. People always think that they know everything about everything; however, it should be known that no one is perfect in everything. There is never a limit to learning; even learning about pfo migraine.

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., . The more readers we get to this writing on pfo migraine, the more encouragement we get to produce similar, interesting articles for you to read. So read on and pass it to your friends.

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- Reading is a habit that has to be cultivated from a small age. Only if one has the habit of reading can one acquire more knowledge on things like pfo migraine.

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-

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

(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- It would be hopeless trying to get people who are not interested in knowing more about pfo migraine to read articles pertaining to it. Only people interested in pfo migraine will enjoy this article.

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 lot of imagination is required in writing. People may think that writing on pfo migraine is very easy; on the contrary, knowledge and imagination has to be merged to create an interesting composition.

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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.

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-

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- Learning about things is what we are living here for now. So try to get to know as much about everything, including pfo migraine whenever possible.

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.

Rosner, AL. ( . Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study: A Response. Journal of Manipulative and Physiological Therapeutics, 29, 248- This article has been written with the intention of showing some illumination to the meaning of pfo migraine. This is so that those who don't know much about pfo migraine can learn more about it.

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, . The length of an article is rather immaterial about its response from people. People are more interested in the matter about pfo migraine, and not length.

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. The more interesting an article, the more takers there are for the article. So we have made it a point to make this article on pfo migraine as interesting as possible!

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-

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) As we got to writing on pfo migraine, we found that the time we were given to write was inadequate to write all that there is to write about pfo migraine! So vast are its resources.

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. When doing an assignment on pfo migraine, it is always better to look up and use matter like the one given here. Your assignment turns out to be more interesting and colorful this way.

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., .

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. People are inclined to think that some matter found here that is pertaining to pfo migraine is false. However, rest is assured, all that is written here is true!

Headache Classification Subcommittee of the International Headache Society. ( . The International Classification of Headache Disorders. Cephalalgia, 24(Supplement , 9-

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

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- With people wanting to learn more about pfo migraine, it has provided the necessary incentive for us to write this interesting article on pfo migraine!

(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. We have not actually resorted to roundabout means of getting our message on pfo migraine through to you. All the matter here is genuine and to the point.

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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