Prescription for angioneurotic headache

Prescription for angioneurotic headache

Composition: Baihui (GV 20), Fengchi (GB 20), Taiyang (EX-HN 5), Touwei (ST 8),
Xuanlu (GB 5), Yangfu (GB 38), Xiaxi (GB 43), Taichong (LR 3).
Source: Therapeutics of Chinese Acupuncture and Moxibustion compiled by Qiu
Maoliang.
Action: Clearing away pathogenic heat located at shaoyang and calming liver to
suppress sthenic yang.
Elucidation: The liver meridian flows upward to the vertex and the gallbladder
meridian to the side of the head. If one is hot-tempered by disposition or has
disharmony between emotions, i.e. overacting of the five emotional activities, the
liver and gallbladder of him will fail to disperse. Then stagnated fire generates,
blood-heat obstructs lucid orifices, and migraine will occur. The structure of liver
belongs with yin while its function with yang, and the structure is soft while its
characteristic rigid. The function of suppressing excessive liver-yang and the body
being soft all depend on the nourishment of liver- blood and kidney-water. If
excessive fire impairing yin leads to failure of nourishing the liver, or deficiency of
kidney-water results in the inability of kidney-yin to nourish the liver, hyperactivity of
liver-yang will disturb the lucid orifices, and headache will occur. Hence, Baihui (GV
20), the convergent acupoint of the liver meridian and governor vessel, is selected to
calm the liver to suppress the sthenic yang. The gallbladder meridian is distributed
over the temple and skull, and excessive fire of the liver-gallbladder always
accompanies hyperactivity of liver-yang, so headache is often located at both sides.
Hence, Fengchi (GB 20), Xuanlu (GB 5), and Yangfu (GB 38) are distally-proximally
coordinated to clear away pathogenic heat located at the shaoyang meridian; Taiyang
(EX - HN 5) point and Touwei (ST 8) are proximally selected to disperse pathogenic
wind located at head, to clear away the brain to arrest pain. Xiaxi (GB 43) and
Taichong (LR 3) are exteri0rly-interiorly associated to suppress the sthenic wind-yang.
All the acupoints are combined to reach the effect of clearing away pathogenic heat
located at the shaoyang meridian and calming liver to suppress sthenic yang.
Indication: Angioneurotic migraine. The disease often has family history, mainly
affects the female who suffers from the disease in the puberty first and with periodical
attack. The state of illness of some female patients is closely correlated with their
menstrual circle. The typical onset of the disease is the appearance of fatigue, frequent
yawning, melancholy, or visual hallucination, blindness, numbness of the face, lips
and limbs etc. Several minutes or half an hour later, headache will occur. The pain is
drilling, dull or stabbing, and it is always located at frontotemporal part, the whole
sides of the head. If severe, the symptoms i.e. nausea, vomiting, vertigo often
accompany. Pale complexion, closing eyes due to photophobia may occur. The attack

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Prescription for angioneurotic headache

will last several hours or 1 2 days each time. Headache can be alleviated or
eliminated usually after vomiting or sleeping.
Performance: Baihui (GV 20) and Xuanlu (GB 5) are needled backward 1 cun
subcutaneously with the reducing method achieved by swirling-rotating manipulated
on the needles.
Fengchi (GB 20) is needled 1.5 cun subcutaneously with the pinpoint being horizontal
or toward the opposite side. The needle is manipulated with the technique of
swirling-rotating and lifting-inserting till the acuesthesia can be felt at the local
region.
Taiyang (EX- HN 5 ) is needled subcutaneously backward 0. 5 - 0. 8 cun with the
reducing method achieved by swirling-rotating manipulated on the needle. Or is
pierced to bleed with the three-edged needle.
Touwei (ST 8) is needled backward 1 cun subcutaneously with the reducing method
achieved by swirling-rotating manipulated on the needle.
Yangfu (GB 38) is needled vertically 1 cun with the reducing method achieved by
swirling-rotating and lifting-inserting manipulated on the needle.
The needles in Xiaxi (GB 43) and Taichong (LR 3) are manipulated with the reducing
method achieved by swirling-rotating and lifting-inserting.
All the needles are retained for 30 minutes. The treatment is given once a day, and ten
days make up one course.
Clinical material: Yang et al reported the treatment of 26 cases of migraine with
acumox. The acupoints selected were Touwei (ST 8) and Taiyang (EX - HN 5).
Dazhui (BL 11), Hegu (LI 4) and Ashi point were added if the disease was due to
pathogenic wind invading meridians and collaterals; Fengchi (GB 20) and Taichong
(LR 3) were added if it was due to hyperactivity of liver- yang. The principal
acupoints were needled toward Shenting (GV 24) if the headache was mainly located
at the forehead; toward Baihui (GV 20) if the headache was mainly located at the
vertex; toward Shuaigu (GB 8) if mainly at the retroauricular part and occiput.
Swirl-rotate the needles at the speed of 180 - 220 times per minute once every 5
minutes. Repeat the manipulation 3 times. Consequently, 11 were cured, 9 were
significantly effective, 5 effective, and 1 ineffective. The total effective rate was
96.2%. [ Journal of Acumox, 1990, 6(2): 51]
Tang et al adopted acupuncture to treat 40 cases of migraine. The principal acupoints
selected were Taiyang (EX- HN 5), Shuaigu (GB 8), Fengchi (GB 20), Waiguan (TE
5), Zulinqi (GB 41). Xuanlu (GB 5), Xiaxi (GB 43) and Xingjian (LR 2) were added
if there was excessive fire of the liver and gallbladder. Select the acupoints located at
one side if the pain was at the one side, while select bilateral acupoints if the pain was
at the two sides. Taiyang (EX- HN 5) was penetrated subcutaneously to Shuaigu (GB

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Prescription for angioneurotic headache

8) if the pain was at the temple. After insertion, swirl-rotate the needle quickly. The
point, which was 0.1 - 0.2 cun in front of Shuaigu (GB 8), was punctured backward
1.5 cun with quick swirling-rotating technique manipulated on the needle if the pain
was at one side of the occiput. Baihui (GV 20) was penetrate d 1 cun to Shuaigu (GB
8) if the pain was at the vertex. The needles were retained for 30 minutes during
which the needles were swirled-rotated for 1 -2 minutes each time, and were
manipulated 1 - 2 times. The treatment was given once a day, and 5 days made up one
course. Consequently, 22 were cured, 14 were significantly effective, and 4 effective.
The total effective rate was 100%. [Journal of Beijing College of TCM, 1989, 12(3) :
26]
Du reported the treatment of neurotic migraine with high-frequency
electroacupuncture. The acupoints selected were Baihui (GV 20 ), Fengchi (GB 20 ),
Shuaigu (GB 8), Waiguan (TE 5), Hegu (LI 4). Being in the sitting position, the
patient took off mental work with him. Baihui (GV 20) was firstly needled backward
1 cun with the filiform needle till the acuesthesia was felt. Then Shuaigu (GB 8) was
penetrated subcutaneously to the helix till the heat sensation was felt at the temple.
Fengchi (GB 20) was penetrated 2 cun to the opposite till the obvious acuesthesia was
felt, and swirling-rotating the needle by a big margin should be avoided. Waiguan (TE
5) and Hegu (LI 4) were selected alternately. After puncturing, carry on
high-frequency manipulation. The manipulator stood firm to make the point of
high-frequency holder approach the handle of the filiform needle with 1 cm distance
between them, and kept a certain distance with the patient. Spark and discharge
emerged between the point of the high-frequency holder and the filiform needle, then
high-frequent quaking engendered, and the patient could feel strong acuesthesia at the
puncturing region with a quick interior transmission. Manipulate each acupoints for 1
minute as the above method. Then withdraw the needles. Give the treatment once 1 2 days. Of 46 cases, 42 were mainly cured, 4 were effective. The total effective rate
was 100%. [ Sichuan Journal of TCM, 1990, 8 (1) : inside back cover]
Typical ease: A female of 18. The patient had suffered from left migraine for over one
month. Recently, because of intense learning and short sleeping, headache always
attacked, and the pain was localized. The pain of the whole sides of the head was
stabbing. Accompanied by nausea, vomiting, pallor complexion, reddish tongue with
yellowish and greasy fur, stringy pulse. The diagnosis was migraine. The principles
were calming the liver to suppress sthenic yang and dredging collaterals to arrest pain.
Sizhukong (TE 23) through Shuaigu (GB 8), Feng- chi (GB 20), Taiyang (EX- HN 5)
(be pricked to bleed), Touwei (ST 8), Xuanlu (GB 5), Taichong (LR 3) (bilateral),
Hegu (LI 4) (bilateral) were selected and manipulated with the reducing method. After
2 times of needling, headache lightened, and times of the attack decreased. After
another 3 times of puncturing the above acupoints and Shenmen (HT 7), Xinshu (BL
15) as well as Ganshu (BL 18), all the symptoms were eliminated.

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Prescription for angioneurotic headache

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