Headaches
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There is remarkable overlap between tension headaches and Taiyang headaches. Acupuncture is used to effectively treat the primary headaches, namely tension and migraine, which are the most frequent. Acupuncture stimulates the nerves to release hormones, such as endorphins, that trigger a response in the body. This immune and circulation system stimulation alleviates migraines and tension headaches.

What are headaches?

Both western medicine and Traditional Chinese Medicine recognize two types of headaches: primary and secondary. A primary headache is a clinical illness, not a symptom of another disorder, and includes tension headaches, cluster headaches, and migraine headaches. Headaches are also caused by other factors such as hangovers, or other medical conditions such as sinus disease, allergies, dental disorders, head injury or brain tumors. Acupuncture is used to effectively treat the primary headaches, namely tension and migraine, which are the most frequent.

How does Acupuncture view headaches?

Acupuncture seeks to renew the flow of positive energy through the entire body.


Additionally, it claims to eliminate negative energy that's causing you pain. From a contemporary medical standpoint, acupuncture stimulates various systems of your body. This may activate a recovery response.


Acupuncture views your body to be split into a set of zones and pressure points. Acupuncture needles are inserted into various pressure points, based upon your symptoms. These needle points are often close nerves in the body. The needle stimulates the nerves to release hormones, such as endorphins, that trigger a response in the body. This immune and circulation system stimulation is exactly what proponents of acupuncture claim alleviates migraines and tension headaches.


Tension headache (Taiyang Headache)

Taiyang Headache

There is remarkable overlap between tension headaches and Taiyang headaches. Taiyang is cold, and these headaches feel tight and constricted, often with accompanying neck and shoulder pain and tension. They tend to follow the path of the Taiyang sinew channels, the Bladder, and Small Intestine. Often the tension can be felt creeping from the back up the neck, over, and around the head, but especially at the back of the head. The neck and upper back tighten up as if to ward off a cold wind by hunching the shoulders and pulling the head down. The weakness of the extensor muscles that have been noticed by biomedicine is reflected here in the weakness of the Taiyang sinews.

The root of the Taiyang is the Shaoyin, which corresponds (in part) to the kidney/adrenal complex. Therefore it is intriguing that chronic tension headache sufferers have low cortisol, a sign of adrenal fatigue. Perhaps this is a manifestation of Shaoyin weakness at the biomedical level. Taiyang headaches need to be warmed up. This is why hot showers often feel good. Putting a hot pack on the back of the neck, taking warming herbs like cinnamon, getting in a hot bath, etc. Cold at the level of the body corresponds to fear, and the antidote is courage. When stress has you tightening up your neck to ward off danger, you need something that helps you stand up straight, stand your ground, and assert yourself. This is the role of the Taiyang.

Migraine (Shaoyang Headache)

Shaoyang Headache

Shaoyang headaches are typically pounding, throbbing, and one-sided, around the eye, temple, or side of the head. Some migraines definitely fall into this category, and cluster headaches might as well. Shaoyang arises from metabolic heat that has become obstructed, creating a blockage in the free flow of Qi. This blockage in the Qi is why these types of headaches can include nausea or vomiting. Other Shaoyang symptoms are feelings of alternating hot and cold, irritability, depression, anxiety, abdominal pain, bitter or metallic taste in the mouth, dry throat, and “dizzy” vision. There can be stabbing pain, especially around or behind the eye, which indicates the Qi obstruction has caused some Blood stagnation.

Shaoyang headaches need to be moved. Herbs that move the digestion and stimulate the Gallbladder can help alleviate a headache. Regular exercise helps keep the Qi moving and prevents these types of headaches. The role of the Shaoyang is to be flexible, and when rigidity sets in we need techniques to help us shake out the kinks.

The root of Shaoyang is Jueyin, and most people with chronic Shaoyang headaches have a weakness in the Jueyin, the realm of Blood. Once the Qi obstruction is cleared away there may be some underlying Blood deficiency which will need to be nourished to prevent the headaches from returning.


Yangming and Taiyin Headache

This headache is felt in the front of the head, across the forehead area. It feels dull, heavy, or pressing, and it can be accompanied by brain fog or muddled thinking. Headaches from sinus congestion are also of this type. Headaches from dehydration that occur in this area also fall into Yangming. A headache could be accompanied by abdominal symptoms, such as pain, fullness, or constipation.

If the pain is due to dehydration drinking more water will help. The pain can also come from damp or phlegm, in which case treatment needs to be directed towards “digesting” this damp accumulation. Herbs that work with the stomach and increase digestive power can be very helpful. If there is dryness in the intestines that needs to be purged giving laxatives will help.

The root of Yangming is Taiyin, and these types of headaches are typically rooted in weak digestion. If the digestion is weak undigested “mucus,” or damp, will build up and create feelings of heaviness, pressure, and dull pain. Strengthening the digestion is necessary to fully resolve the problem.


Shaoyin Headache

A headache of this type is typically felt deep inside the skull and has an empty quality as if the skull is empty. It is typically accompanied by significant fatigue and either excessive sleeping or insomnia. A person with this headache is very run down and has almost certainly been working beyond their capacity for a long time.

Shaoyin headaches need tonification. Eating nourishing foods, resting, and taking herbs that replenish the body are all ways in which to heal and rejuvenate.

Jueyin Headache

Classically, Jueyin headaches are felt at the very top of the head. A dull headache without feelings of tension or throbbing, Jueyin headaches can be due to Blood deficiency. This dull sensation can be anywhere and often manifests on the sides of the head instead of the top. Jueyin headaches can also have more intense symptoms, and chronic migraines often fall into this category. Headaches that look like Shaoyang, with throbbing one-sided pain, or stabbing pain, nausea, and vomiting, can really be Jueyin in nature.

Because Jueyin pathologically is the separation of Yin and Yang treatments to reconnect Yin and Yang and stabilize the body are necessary. Herbal formulas for this condition tend to be complex, focusing on both astringing the floating Yang as well as tonifying Yin and Yang to hold the energy in the body. Nourishing the Blood may also be necessary as part of the strategy.

Scientific studies in Acupuncture for headaches

As a result of the development of legitimate placebo controls (eg, a retractable "sham" device that resembles an acupuncture needle but doesn't penetrate the skin), and the publication of numerous large and well-designed clinical trials in the past ten years, we've got the start of a good foundation for truly understanding the efficacy of acupuncture.


Individual large-scale clinical studies have consistently demonstrated that acupuncture provided better pain relief compared to usual care. However, most studies also showed little difference between the real acupuncture treatment and the sham or the fake version of the acupuncture. To address this issue at the core, a 2012 meta-analysis combined data from approximately 18,000 individual patients in 23 high-quality randomized controlled trials of acupuncture for common pain conditions. This study conclusively demonstrated that acupuncture is superior to sham for low back pain, headache, and osteoarthritis, and improvements seen were like that of other popular non-opiate pain relievers.


Acupuncture is safe, with hardly any adverse events when done by a trained practitioner. Meanwhile, basic science studies of acupuncture between humans and animals have shown other possible advantages, from lowering blood pressure to long-term improvements in brain function. It's reasonable to say that TCM & acupuncture researchers have contributed to doubts about acupuncture, and a concerted effort is required to resolve this situation. Nonetheless, the practice of acupuncture has emerged as a significant non-drug option which may help chronic pain patients avoid the use of potentially harmful drugs.

Acupuncture may be a part of the solution to headaches. Clinicians owe it to their patients to find out about choice, nondrug treatments and also to answer patients' questions and concerns knowledgeably and respectfully.

Summary

Since every person is unique, no headache treatment is going to be the same for everybody. Each person brings their life experiences and circumstances with them. No matter the type of headache, you have the power to completely heal, not just manage symptoms or take pain medication.


References

Sources

1) https://www.health.harvard.edu/blog/acupuncture-for-headache-2018012513146

2) Acupuncture in patients with osteoarthritis of the knee: a randomised trial. Lancet, July 2005.

3) Acupuncture in Patients With Chronic Low Back Pain: A Randomized Controlled Trial. JAMA Internal Medicine, February 2006.

4) Acupuncture in patients with tension-type headache: randomised controlled trial. BMJ, August 2005.

5) Acupuncture for Patients With Migraine: A Randomized Controlled Trial. JAMA, May 2005.

6) Acupuncture for Chronic Pain: Individual Patient Data Meta-analysis. JAMA Internal Medicine, October 2012.

7) Survey of Adverse Events Following Acupuncture (SAFA): a prospective study of 32,000 consultations. Acupuncture in Medicine, December 2001.

8) Safety of Acupuncture: Results of a Prospective Observational Study with 229,230 Patients and Introduction of a Medical Information and Consent Form. Complementary Medicine Research, April 2009.

9) The Long-term Effect of Acupuncture for Migraine Prophylaxis: A Randomized Clinical Trial.JAMA Internal Medicine, April 2017.


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