Headache (Tou Tong)

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

Differentiation

Symptoms

Formula

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
or Ma Huang Tang

white greasy tongue coat, weak pulse

Ren Shen Bai Du San

deficiency type

sweating, aversion to wind, a slightly weak pulse

Gui Zhi Tang

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

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

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

Headache, cont.

Differentiation

Symptoms

Formula

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

excess fire

thirst, yellow urine, bitter taste, constipation

Long Dan Xie Gan Tang

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

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

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

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

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

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

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

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

Yang

cold limbs, aversion to cold, pale tongue

Jin Gui Shen Qi Wan, modified

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