Headache –
头痛 tou tong
acute headache, pain may extend to the nape of the neck and back regions (Tai Yang areas) it is violent, boring and tight pain; headache is aggravated by exposure to wind and relieved by warmth; chills and fever, floating pulse
excess type
Headache
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Differentiation |
Symptoms |
Formula |
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E x t e r i o r |
Wind-cold attack |
excess type |
acute headache, pain may extend to the nape of the neck and back regions (Tai Yang areas) it is violent, boring and tight pain; headache is aggravated by exposure to wind and relieved by warmth; chills and fever, floating pulse |
no sweating |
tight pulse |
Ge Gen Tang |
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white greasy tongue coat, weak pulse |
Ren Shen Bai Du San |
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deficiency type |
sweating, aversion to wind, a slightly weak pulse |
Gui Zhi Tang |
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Tai Yang syndrome complex with Yang ming and Shao Yang syndromes |
frontal (Yang Ming ) and occipital area headache, dry nose, body aches, irritability, insomnia, fever, and slight chills; thin yellow coat, floating and rapid pulse |
Chai Ge Jie Ji Tang |
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Wind-heat attack |
acute headache with severe distended pain; fever and aversion to wind, red face and eyes, sore throat; thirst with desire to drink cold water; floating and rapid pulse |
Sang Ju Yin Yin Qiao San |
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Interior/Exterior |
Shao Yang syndrome |
temporal headache (Shao Yang region) which may radiate to the ear; dizziness, possible alternating chills and fever; bitter taste in mouth, dry throat, nausea, vomiting, hypochondriac pain and distention; a wiry pulse |
Xiao Chai Hu Tang |
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Headache, cont.
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Differentiation |
Symptoms |
Formula |
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I n t e r i o r |
e x c e s s |
Liver |
Yang rising |
throbbing headache and dizziness or vertigo which is aggravated by emotional stress; irritability, restlessness, insomnia, red face and eyes, tinnitus, red tongue with greasy coating, wiry pulse |
a sensation of heat rushing to the head, numbness, twitching and spasms, or hemiplegia |
Tian Ma Gou Teng Yin |
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excess fire |
thirst, yellow urine, bitter taste, constipation |
Long Dan Xie Gan Tang |
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Qi stagnation |
headache which is aggravated by emotional stress; fullness and distention in the hypochondria and chest, wiry pulse |
Si Ni San, or Xiao Yao San |
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Blood Stagnation |
chronic persistent headache with pain that is sharp and fixed in nature, hair loss, darkness around the eyes, purple tongue with dark spots on the sides, choppy or wiry pulse |
Xue Fu Zhu Yu Tang modified |
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Wind-cold-damp with blood stasis stagnated in channels |
chronic persistent headache or migraine, may be accompanied by numbness or hemiplegia, purple tongue with greasy coat, slippery or wiry pulse |
Xiao Huo Lou Dan |
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Wind-phlegm |
headache which is dull and heavy, frequent attacks, aggravated by cloudy or rainy weather; nausea, profuse sputum, stifling sensation in the chest, slippery pulse |
Ban Xia Bai Zhu Tian Ma Tang |
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Water retention |
headache, possibly accompanied by dizziness and nausea; fever, restlessness; thirst which is followed immediately by vomiting after drinking; difficult urination, body heaviness, white tongue coating, slippery and floating pulse |
Wu Ling San |
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d e f i c i e n c y |
Qi deficiency |
persistent headache which is a slight ache or dull and empty pain; worse in the morning and after exertion; low energy, fatigue, poor appetite, loose stools, pale tongue, weak and deficient pulse |
Bu Zhong Yi Qi Tang |
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Blood deficiency |
slight headache with dizziness, pain at temples and surrounding the eyebrows; aversion to light, aggravated by blood loss such as menses; worse in the afternoon or evening; low energy, insomnia, five center heat, pale tongue, weak and thin pulse |
Si Wu Tang modified |
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Kidney deficiency |
Yin |
chronic headache which feels dull, distended and empty; dizziness, low pitch tinnitus, spermatorrhea, low sex drive, weak back and knees, thin pulse |
night sweats, five center heat, red tongue body |
Liu Wei Di Huang Wan, modified |
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Yang |
cold limbs, aversion to cold, pale tongue |
Jin Gui Shen Qi Wan, modified |
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Deficiency cold in the Liver/ Stomach |
vertex headache (Jue Yin region) accompanied by a sensation of cold; dry heaves or spitting of clear fluids, cold limbs, aversion to cold, slow and wiry pulse |
Wu Zhu Yu Tang |
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