Etiology and pathogenesis
The causes of headache are complicated, including exogenous headache and internal injury headache. Exogenous headache can be caused by wind-cold, wind-heat and summer-dampness; Headache caused by internal injury can be caused by hyperactivity of liver yang, blood deficiency, phlegm and blood stasis blocking collaterals and kidney deficiency.
massotherapy
1. Treatment principle: dredging meridians and relieving pain.
2. Basic treatment
(1) Head-face manipulation: When the patient is sitting or lying on his back, the performer performs the manipulations of "small 8" and "Da 8" with one finger meditation, and pushes them repeatedly for 3-5 times respectively. Press Rou, Shenting, Rhododendron, Fish Waist, Sun, Baihui and Sishencong in turn, and each point lasts about one minute; Wipe the forehead 3 ~ 5 times; Hold it with five fingers from the hairline of forehead to Fengchi point, and repeat it for 3 ~ 5 times. Carry out hand scanning for about one minute; Fingertips hit the forehead to the top of the head, repeating 3 ~ 6 times.
(2) neck and shoulder surgery: the patient takes a sitting position or a prone position. Manipulate the bladder meridian and du meridian in the nape with one-finger Zen massage, and cooperate with kneading, poking and pushing the above points for 3-5 minutes. Then take Fengchi point, muscle wells on the back of neck and shoulders for half a minute; Tighten the neck, shoulders and upper back for about two minutes.
3. Dialectical addition and subtraction
(1) cervicogenic headache: Massage and poke with your fingers at Ashi point on the neck, shoulders and upper back for 3-5 minutes, with the force from light to heavy, mainly on the affected side, pay attention to the combination of points and lines, and use cervical reduction if necessary.
(2) Exogenous headache: Moxibustion and Yizhichan massage are applied to the temple on the nape, with emphasis on kneading Fengchi, Fengfu, Shoujing, Dazhui, Shu Fei, Fengmen, Dingchuan, Quchi and Hegu for 3-5 minutes. Rub the bladder meridian on both sides of the back, with heat penetration as the degree.
(3) Migraine: Massage the temples, head and tail points with one finger, and forcibly massage Fengchi point for 3-5 minutes.
(4) Headache due to internal injury: Headache due to liver-yang refers to pressing Ganshu, Yanglingquan, Taichong and the middle point for about one minute each; Push the bridge bow about 30 times, alternating on both sides; Scan method operation plus times. Headache due to blood deficiency refers to massage for about one minute at Zhongwan, Qihai, Guanyuan, Zusanli, Sanyinjiao and Shu Ge. Palm and abdomen for about 5 minutes; Wipe the back du meridian, with heat penetration as the degree. Phlegm-turbid headache, pushing Zhongwan and Tianshu points with one finger Zen for about two minutes; Knead the abdomen for about 5 minutes; Refers to the point of kneading Pishu, Shu Wei, Dachangshu, Zusanli and Fenglong for about one minute. Headache due to kidney deficiency refers to massage Shenshu, Mingmen, Yaoyangguan, Qihai, Guanyuan and Taixi for 1 ~ 2 minutes per point; Rub the back du meridian and lumbar spinal cord, with heat penetration as the degree. For those with blood stasis and headache, apply 1 ~ 2 minutes to the forehead; Refers to rubbing bamboo and drying each point 1 ~ 2 minutes; Refers to pressing points Rougu, Xuehai and Taichong for about 1 min; Wipe your forehead with a certain degree of heat penetration.
appropriate technology
1. Traditional Chinese Medicine: Tea, Chuanxiong, Angelica dahurica.
2. Acupuncture: Main acupoints: Baihui, Taiyang, Fengchi and Hegu; Acupoint matching: For those who have a cold, cupping with a damper. Wind and heat, with curved pool; Rheumatism, with Yin Lingquan, head and tail; Headaches include Tang Yin and Hegu; Migraine exogenous gap, foot crying; Use Tianzhu and Kunlun after headache; Top pain with four gods, too strong.
3. Scraping: Four points (Baihui, Taiyang, Fengchi and Hegu), and the area from forehead to shoulder should be done well.
Matters needing attention
1. The cause of headache is very complicated. Clinically, we should first distinguish diseases and combine syndrome differentiation. After excluding brain abscess, acute cerebrovascular disease, intracranial space-occupying lesions, brain contusion and traumatic intracranial hematoma and other intracranial organic diseases, manual therapy can generally alleviate, especially migraine, muscle contraction headache, cold headache and hypertensive headache. Viral encephalitis, Japanese encephalitis, meningitis, etc. Early symptoms similar to exogenous headache should be carefully distinguished clinically. If it is a headache caused by encephalopathy, it is necessary to treat the primary disease in time with the combination of traditional Chinese and western medicine.
2. The technique should be gentle and penetrating.
3. It can be treated with Chinese and western medicine.