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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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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. It is the normal style of writers to add additional information with the intention of lengthening the length of an article. However, we have provided a short and concise article with only required information on persistent migraine answers.
(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. We were rather indecisive on where to stop in our writings of persistent migraine answers. We just went on writing and writing to give a long article.
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. We have not actually resorted to roundabout means of getting our message on persistent migraine answers through to you. All the matter here is genuine and to the point.
Tukmachi, E. ( . Acupuncture therapy in diseases failing to respond to Western Medicine 6 case reports. Journal of Chinese Medicine Number, 67, 6- The value of this composition is achieved if after reading it, your knowledge on persistent migraine answers is greatly influenced. This is how we find out that the meaning of persistent migraine answers has really entered you!
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. The initial stages of this article on persistent migraine answers proved to be difficult. However, with hard work and perseverance, we have succeeded in providing an interesting and informative article for you to read.
Flaws, B, & Sionneau, P. ( . The Treatment of Mordern Western Medical Diseases with Chinese Medicine (Second ed.). Boulder Blue Poppy Press.
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
Headache Classification Subcommittee of the International Headache Society. ( . The International Classification of Headache Disorders. Cephalalgia, 24(Supplement , 9- With people wanting to learn more about persistent migraine answers, it has provided the necessary incentive for us to write this interesting article on persistent migraine answers!
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., . You may be inquisitive as to where we got the matter for writing this article on persistent migraine answers. Of course through our general knowledge, and the Internet!
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., . Inspiration can be considered to be one of the key ingredients to writing. Only if one is inspired, can one get to writing on any subject especially like persistent migraine answers.
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. We have omitted irrelevant information from this composition on persistent migraine answers as we though that unnecessary information may make the reader bored of reading the composition.
References Ala-Hurula, V. ( . Correlation between pharmacokinetics and clinical effects of ergotamine in patients suffering from migraine. European Journal of Clinical Pharmacology, 21( , 397- People are inclined to think that some matter found here that is pertaining to persistent migraine answers is false. However, rest is assured, all that is written here is true!
(a) Liver Qi stagnation The Liver is considered to be the commander of circulation which ensures the smooth flow Qi. When disrupted with emotional or environmental conditions, an obstruction will result, which causes pain. The Liver Channel has an internal relationship with the Gallbladder Channel therefore any problem with the Liver channel will transcend to the Gallbladder Channel which manifests at the temporal region (Maciocia, . Some of the main signs and symptoms of Liver Qi stagnation include emotional depression, menstrual irregularities, hypochondriac pain, one-sided headache and a wiry pulse. We take pride in saying that this article on persistent migraine answers is like a jewel of our articles. This article has been accepted by the general public as a most informative article on persistent migraine answers.
International Headache Society. ( . Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain. Cephalalgia, 8, 1-
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 Having been given the assignment of writing an interesting presentation on persistent migraine answers, this is what we came up with. Just hope you find it interesting too!
(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.
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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 persistent migraine answers, we found that the time we were given to write was inadequate to write all that there is to write about persistent migraine answers! So vast are its resources.
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-
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- It is not necessary that only the learned can write about persistent migraine answers. As long as one ahs a flair for writing, and an interest for gaining information on persistent migraine answers, anyone can write about it.
Rosner, AL. ( . Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study: A Response. Journal of Manipulative and Physiological Therapeutics, 29, 248- We have taken the privilege of proclaiming this article to be a very informative and interesting article on persistent migraine answers. We now give you the liberty to proclaim it too.
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- This article on persistent migraine answers was written with the intention of making it very memorable to its reader. Only then is an article considered to have reached it's objective.
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. 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 persistent migraine answers as interesting as possible!
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- Quality is better than quantity. It is of no use writing numerous pages of nonsense for the reader. Instead, it is better to write a short, and informative article on specific subjects like persistent migraine answers. People tend to enjoy it more.
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-
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-
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., . We have used clear and concise words in this article on persistent migraine answers to avoid any misunderstandings and confusions that can be caused due to difficult words.
Melchart, D, Weidenhammer, W, Streng, A, Hoppe, A, Pfaffenrath, V, & Linde, K. ( . Acupuncture for Chronic Headaches - An Epidemiological Study. Headache, 46, 632-
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.
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- It is always better to use simple English when writing descriptive articles, like this one on persistent migraine answers. It is the layman who may read such articles, and if he can't understand it, what is the point of writing it?
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- The length of an article is rather immaterial about its response from people. People are more interested in the matter about persistent migraine answers, and not length.
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, .
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- Keeping to the point is very important when writing. So we have to stuck to persistent migraine answers, and have not wandered much from it to enhance understanding.
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- We have used a mixture of seriousness and jokes in this composition on persistent migraine answers. This is to liven the mood when reading about persistent migraine answers.
Xiuying, D. ( . 100 Cases of Intractable Migraine Treated by Acupuncture and Cupping. Journal of Traditional Chinese Medicine, 19( , 205-
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. This article has been written with the intention of showing some illumination to the meaning of persistent migraine answers. This is so that those who don't know much about persistent migraine answers can learn more about it.
(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.
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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