Migraine
What is Migraine?
Definition
Migraine is a neurological disorder characterised by recurrent, typically unilateral, pulsating headaches of moderate to severe intensity. It is frequently accompanied by nausea, vomiting, and sensitivity to light and noise.
Common Causes
- Genetic predisposition
- Hormonal fluctuations
- Stress and psychological strain
- Certain foods and beverages (e.g. red wine, cheese)
- Sleep deprivation or altered sleep patterns
- Environmental influences such as bright light or strong smells
Physiological and Pathological Mechanisms
- Trigeminovascular system – activation of the trigeminal nerve
- Cortical spreading depression – a travelling wave of electrical disruption in the brain
- Inflammatory reactions around the meninges
How Traditional Chinese Medicine (TCM) understands Migraine
In TCM, migraine is frequently attributed to the pattern of ascending Liver Yang, Liver Qi stagnation, or Blood deficiency. The emotional component plays a central role.
Treatment Principles
Acupuncture
Points along the Gallbladder and Liver meridians (GB 20, GB 14, LR 3) as well as Du 20 are used to calm ascending Yang and reduce pain.
Tuina Treatment
Gentle massage of the head, neck, and shoulders helps release muscle tension and harmonise Qi flow.
Traditional Chinese Medicine
Classical formulas such as Tian Ma Gou Teng Yin to calm Liver Yang and relieve headaches.
Lifestyle Adjustments
Regular sleep, stress avoidance, identification and avoidance of personal triggers, a light diet, and moderate exercise.
When to See a Doctor Immediately
Warning Signs
- First-ever severe headache (thunderclap)
- Aura with unusual neurological symptoms
- Headache following a fall or injury
- Accompanying fever and neck stiffness
When to Contact a Clinic
Please consult a doctor immediately for unusually severe or first-ever headaches.