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Migraine is a recurrent throbbing headache, headache types are many "big." It is often before the onset of the flash, blurred vision, numbness and other threatened, a few minutes to 1 hour or so there's pain in the side of the head, hop hop, and gradually increased until the nausea and vomiting, the feeling will have The improvement in a quiet, dark environment or headache relief after sleep. Occurred before or at the onset of headache may be associated with neurological, mental dysfunction. At the same time, it is a gradual deterioration of the disease may be, the incidence rate is usually higher. Research shows that migraine patients are more prone than usual to the local damage the brain, triggering a stroke. The more the number of migraine, the brain damaged areas will be greater. Long-term history of recurrent headache, the gap of all normal, normal physical examination and family history of migraine diagnosis is not difficult. Ophthalmoplegia caused by aneurysms, arteriovenous malformations can also be associated with migraine, should be head CT scan or cerebral angiography confirm the diagnosis. Complex organic diseases caused by the migraine often, imaging studies should be nervous. Occipital or temporal lobe tumor can occur early visual field defects or other symptoms, but eventually as the disease advances symptoms of increased intracranial pressure may occur. Temporal occipital headache to be older than temporal arteritis, superficial temporal artery or occipit


al artery thickening, such as rope-like, pulse significantly decreased or disappeared, and arterial biopsy see the features of multinucleated giant cell infiltration. Clinical manifestations, according to the International Headache Society in 1988 developed by the international headache classification and diagnostic criteria, combined with our clinical practice are outlined below. (a) is not associated with migraine with aura (common migraine) is the most common. Onset of moderate to severe throbbing headache, with nausea, vomiting, or photophobia. Increased physical activity make headache. Attack is only the beginning of mild to moderate dull pain or discomfort, reached after a few minutes to several hours of severe pain or throbbing beat. About 2 / 3 side of the headache, but also for bilateral headache, and sometimes the neck and shoulder pain and radiation first. Headache lasts 4 to 72 hours of sleep after the common ease. The normal onset of the gap between the clear period. If 90% of the episodes are closely related with the menstrual cycle, known as menstrual migraine. The attack occurred at least 5 times, except for intracranial diagnosis made after a variety of organic diseases. (b) associated with migraine with aura (classic migraine) aura and headache can be divided into two phases: 1. Omen of the most common visual symptoms such as photophobia, eyes flash, sparks, or complex visual hallucinations, and then there visual field defect, scotoma, hemianopia, or temporary blindness. Small number of patients, there may be partial body numbness, mild hemiparesis or speech impairment. Most precursor for 5 to 20 minutes. 2. Headache began to subside on often when threatened. More than one side of the supraorbital pain started, the rear or the orbital frontal area, gradually increased and extended to the hemi-head, or even the whole head and neck. Pulsating headache, throbbing, or drilling was like, gradually increase the degree of pain into persistent. Often accompanied by nausea, vomiting, photophobia, fear sound. Some patients with facial flushing, sweating conjunctival hyperemia; some patients pale, apathetic, anorexia. Sustainable 1 to the first attack of 3, after the headache is usually relieved to sleep, but several days after the onset of fatigue and weak. Intermittent episodes of everything is normal. The typical migraine can be divided into several subtypes: (1) associated with typical migraine with aura: including eye migraine, hemiplegic migraine, aphasia, migraine and so on. Had at least 2 times the typical episode, excluding organic disease was established only after the diagnosis. (2) associated with migraine with prolonged aura (complicated migraine): Symptoms are similar (1). Aura is still in the process of persistent headache, more than 1 hour duration than 1 week. Neuroimaging of intracranial structural lesions can not be found. (3) basal-type migraine (formerly known as basilar artery migraine): There are clearly originated in the brainstem or bilateral occipital aura symptoms, such as blindness, binocular vision both temporal and nasal visual symptoms, dysarthria , vertigo, tinnitus, hearing loss, diplopia, ataxia, bilateral paresthesias, bilateral paresis or mental disorder and so on. More in a few minutes to 1 hour gone, and then showed bilateral occipital throbbing headache. Gap of all is normal. (4) migraine without aura with headache (migraine attacks and other bits): There is a variety found in migraine aura symptoms, but time is not followed by headache. When getting older patient age, headache completely disappeared and there are still episodes of aura symptoms, but it has showed no sign of headache symptoms are less. First onset after the age of 40 are required for in-depth examination, other than thromboembolic TIA. (c) ophthalmoplegia migraine rare. Mostly in the age of onset of 30 years of age. Fixed on the side of headache history in a more severe headache (post-orbital or orbital pain) after the onset, the ipsilateral ophthalmoplegia appeared above the most common face of sagging. Paralysis for several days or several weeks after recovery. Incidence of paralysis recovered the first few times, but after repeated seizures without recovery left part of the ophthalmoplegia. Neuroimaging is not Times New Roman rule out intracranial organic lesions. (d) of benign paroxysmal vertigo of childhood (and other bits of migraine attacks) have a family history of migraine headache, but I have no children. Performance of multiple, brief episodes of vertigo, and imbalance can occur between episodes, anxiety, associated with nystagmus or vomiting. The nervous system and EEG were normal. Gap of all is normal. Some adult children may be turned into a migraine. (E) of status migraine duration of migraine attacks in 72 hours (during which there may be less than 4 hours of remission) is called continuous state of migraine. Pathogenesis of migraine and foreign experts said the cause of migraines is not clear, but may be related to the following factors: (1) genetic factors, because about 60% of the patients can ask a family history of the family in some patients patients with epilepsy, so experts believe the disease with genetic, but there is no consistent genetic form. (2) endocrine factors, vascular migraine more common in adolescent females, frequent attacks in the menstrual period, pregnancy, seizures stopped after childbirth hair, while gradually reduce or disappear after menopause. (3) dietary factors, regular consumption of cheese, chocolate, spicy food or smoking, alcohol consumption per capita of vascular susceptibility to migraine. (4) other factors, emotional stress, trauma, worry, anxiety, hunger, insomnia, poor external environment and climate change can trigger a migraine. Specific explanation: the cause is unclear, about 50% of patients have family history. Tendency of women with migraine patient before the onset of menstruation, pregnancy seizure reduction, suggesting that the incidence may be related to endocrine or water retention. Mental stress, excessive fatigue, sudden change of climate, light stimulation, sun exposure, low blood sugar, or reserpine application of vasodilators, high-tyramine foods consumed alcoholic beverages, could induce a migraine attack. What caused all kinds of incentives for migraine attacks, the general theory according to the for vascular and neuronal doctrine. Wolff and other theories to explain the of vascular clinical manifestations of migraine. A typical migraine prior intracranial arteries, regional cerebral blood flow, causing the visual changes, paresthesias, or aura symptoms such as hemiparesis, followed by intracranial artery expansion, headache. Each using different methods of attack of migraine patients who were observed but failed to find changes in intracranial blood vessels and the constant relationship between headache. Goltman craniotomy in 1 case of migraine patients, we saw the expansion of intracranial blood vessels. Thie, etc. In one case a typical migraine attack was found by angiography the diameter of all arteries are relatively small, but Olson and other in 11 patients with typical migraine and cerebral angiography were unchanged. Lauritzen and other observations to 133Xe-SPECT, 12 patients with normal rCBF during migraine attacks, no abnormalities, 11 patients with typical migraine attack aura symptoms in 8 patients in the corresponding contralateral hemisphere than in the corresponding areas of rCBF reduction of 17% on average, continuing seen headache of 4 to 6 hours. RCBF increases seen not brain. At the onset of intermittent period of examination, two types of migraine have no abnormality was found, only 1 case was found in the small island of low cerebral perfusion. Applications such as 133Xe-SPECT Andersen observed after the start of a migraine attack rCBF, 3 patients without abnormal, 2 infusion only partially reduced, 7 patients with typical symptoms of migraine aura associated in the rear hemisphere than the contralateral rCBF decreased by 19% of headache, When the headache is very light or disappearance of headache to high pulsatile perfusion, rCBF increased by more than 19% of contralateral levels, including 2 cases of high perfusion for 24 hours. Olsen applications such as carotid artery injection of 133Xe induced typical migraine, with 254 probes found back of the head camera CBF can reduce up to 20ml / (100g · min), localized to the aura of sustainable low perfusion few hours after symptoms disappear. Olesen, such as measurement of a typical migraine patient attacks the whole process of rCBF, observed that aly exists before the onset of hypoperfusion in the occipital, rCBF was reduced by 25 to 30% on average and gradually extended over the forehead forward, continuing throughout the period of 4 headaches 6 hours. Kobari applications such as determination of the local 133Xe-enhanced CT cerebral blood flow (1CBF), remission of the 10 cases are normal, common migraine in 6 cases and 6 cases of typical migraine attack after the start of 30 minutes to 8 hours, threatened disease has disappeared The headache is when both sides of the 1CBF general increase can be higher than the remission of 25% to 35% in frontal temporal cortex and thalamus as the most significant, the increase of the occipital and no significant difference in remission. Between two types of migraine without distinction. Qin Zhen applications such as transcranial Doppler (TCD) in 10 cases of common migraine patients, it was discovered headache remission in most patients showed bilateral abnormalities or individual skull artery flow faster. 3 to 5 times the migraine attack, have shown that abnormal cerebral blood flow velocity faster and broadband noise. Thie other cases of typical migraine in 1 and 1 migraine attack and other bits of the TCD examination, the same findings. Qin Zhen other 2 cases of common migraine with 99mTc-SPECT examination, found that the top side respectively, after the existence of the cortex and temporal lobe hypoperfusion. Therefore, the migraine attack can be seen in the considerable number of patients or less cerebral blood flow, increased or decreased and then increased, cerebral blood flow abnormalities faster, cerebral vascular dilation or smaller caliber. But these types of changes and headache, aura, or headache, there is no constant relationship between seizures. After some changes to the head, and some changes have been previously as the head. Report the same are found in all abnormal findings were not observed in similar patients, some patients also exist in the interval of localized headache, low perfusion or cerebral blood flow velocity faster. In conclusion, migraine and cerebral vascular dysfunction in the relationship between the yet to be elucidated. Migraine attack occurred a series of biochemical changes in fashion. In the aura phase, plasma 5 - hydroxytryptamine (5-HT) levels may have increased short-term; headache onset urinary metabolite of 5-HT, 5 - hydroxyindole acetic acid (5-HIAA) increased significantly. This suggests that the plasma 5-HT is degraded rapidly excreted from the urine. 5-HT has a biphasic effect on smooth muscle, decreased plasma 5-HT induced contraction of small arteries and large arteries of the expansion. Small artery contraction cerebral ischemia, resulting in damage to threatened or other nervous system symptoms; artery distensibility cause headaches. Part of the 5-HT to the vascular leakage of extracellular fluid around, and histamine, bradykinin, vascular relaxation of bradykinin and other neural peptides with the blood vessel wall and lead to lower pain threshold artery "aseptic inflammation." Vasodilator merge "aseptic inflammation" caused the clinical symptoms of migraine. 5-HT mainly stored in platelets, as increased platelet aggregation or the existence of 5-HT release factor, the platelet 5-HT levels showed a sudden drop in both the clinical disease. Certain drugs (such as reserpine) are released and the role of 5-HT depletion, can induce migraine headache; 5-HT blockers (such as dimethyl methysergide, pizotifen) is used to prevent partial headache. Headache of monoamine oxidase (MAO) activity decreased degradation of 5-HT may consume a large amount of MAO when relevant. Many experiments confirm that migraine patients more platelet aggregation than normal. After the release of platelet aggregation to 5-HT, ADP, histamine, norepinephrine, epinephrine, arachidonic acid (AA) and thromboxane A2 (TXA2) and other substances that can further promote platelet aggregation. This interaction to produce large amounts of protocatechuic the phenol amine, AA, and TXA2, a powerful contraction of blood vessels and reduce cerebral blood flow effect. Prostaglandin E1 can never have migraine headaches. Estrogen can increase the synthesis of prostaglandins, some women taking high estrogen birth control pills can induce a migraine attack. However, the extensive body of regulatory mechanisms of vascular disorders, and many biochemical changes, and why only cause head pain? Why most of the headache is unilateral in nature? Sometimes turn around? Neurogenic theory that the origin of migraine in the central nervous system, endocrine changes and vasomotor disorder is a secondary phenomenon, that is, vascular migraine found to be secondary to the nerve center of the "release." Complex migraine symptoms presented in the cerebral cortex is the result of dysfunction may be the hypothalamus / diencephalon down the excitement caused by headache threshold. NE 5-HT containing neurons dominated some of the head vessels, their cell bodies are located in the brainstem nucleus locus coeruleus and raphe magnus. Mental stress, anxiety, fatigue or other factors lead to brain stem neuronal excitability and neurotransmitter release increased vasomotor changes caused by the skull, cerebral ischemia and blood vessels of the "sterile inflammation" to stimulate the blood vessels of the trigeminal nerve endings of nociceptors, pass the brain produces pain. In addition, the trigeminal nerve endings to release vasoactive substances (vascular expansion and pathogenic peptides, P substance) to the school a large intracranial blood vessels. To date there is no effective preventive therapy treatment can result in recurrence of migraine never! However, practice has proved, the patient except through psychological adjustment, diet nursed back to health, the most effective treatment is the gap of the migraine preventive treatment. 1. Less touch 3C cheese cheese food (Cheese), chocolate (Chocolate), citrus foods (Citrous fruit), and pickled sardines, chicken livers, tomatoes, milk, and lactic acid drinks rich in tyrosine. The tyrosine is a major risk factor causing vasospasm, so if you have a history of migraine, it is best to stay away from these foods. 2. Careful sausage, hot dogs, sausages, hot dogs, ham, bacon and other cured bacon category, processed meat and other foods containing nitrite, and foods containing monosodium glutamate will hurt you more than migraine, try to eat the best of everyday life more. 3. Vigilance on behalf of the Food Research found that sugar, sugar substitute, "aspartame" (Aspartame) over stimulate or interfere with nerve endings and increase muscle tension, triggering migraine. The Diet Coke, diet soda, sugar-free chewing gum, ice cream, and many medicines in multivitamins contain aspartame. So on behalf of the people allergic to sugar, as long as a small mouth sipping diet soda, it will cause headaches. "Johnson points" Tip: Note the contents of the food product packaging identity. Found marked with a: Amino acids (amino acids), Aspartic acid (days (the door) aspartate) or a Phenylalanine (phenylalanine), they should be avoided. In addition, Union Hospital, Doctor Liu Yanping nutrition advice: want to increase the sweetness of food or drink, it is best to use honey instead of sugar and sweeteners. 4. Prudent use of painkillers, cough syrup analgesics may be a seductive trap. Many people secretly attempting to take painkillers to reduce pain, but excessive pain medication, pain not only can not be resolved, on the contrary will cause drug-induced "rebound headache" so that you suffer from chronic migraine headaches. If you eat more than a week 2 or 3 times a pain medication to relieve pain, your doctor right away! 5. To some magnesium it! Magnesium can regulate blood flow and relax muscles. For some people, even if only a little lack of magnesium, can trigger headaches. National Headache Foundation suggests, the best day to add 500 to 750 mg of magnesium. "Johnson points" Tip: add magnesium, diarrhea side effects, it is best to consult a doctor, to take by your doctor. Or in the ordinary day to eat more foods high in magnesium to Sibu, such as: whole grains, nuts and seeds (such as sunflower seeds, almonds, cashews, hazelnuts, etc.), cauliflower, tofu and so on. 6. Supplementary vitamin B2 study found that oral administration of high doses of vitamin B2, can reduce migraine frequency and duration of the time, but the dose should not exceed 400 mg a day. 7. Coffee, and happiness for you makes you worry about caffeine stimulates the nervous system, and interfere with sleep, drink addictive, and quit coffee will lead to migraine. So, the day the content of the best coffee intake less than 100 mg (about a cup of espresso.) 8. Less drinking red wine, all alcoholic beverages will cause headaches, especially red wine contains more chemicals induced headache. If you really want to drink two cups, then the best choice of vodka, white wine, such colorless. 9. Institute of vacuum pressure of work if you are often a result of migraine, may often warm bubble bath, or try some muscle relaxation techniques, such as abdominal breathing technique: Inhale slowly, so that the full outer drum abdomen and exhale, gradually within the flat belly feeling. 10. Regular exercise, doctors pointed out: the people with migraine, focusing on breathing exercises, the interest rate adjustment of exercise (such as yoga, qigong), can help patients stabilize the autonomic nervous system, slowing anxiety, muscle tension and other symptoms. 11. Sleep patterns, refused to reverse the twilight maintain regular life, even in holiday time also to go to bed, get up on people with migraine is especially important. Because of lack of sleep or sleeping too much is easy to trigger a migraine. 12. Use of hot packs and ice packs during a headache, try hot bags on the neck, put ice packs on the forehead. Hot and cold stimulation can help you relieve muscle tension and reduce pain. 13. Of doing sports experts found that neck and shoulder, neck and shoulder muscles to withstand the pressure of certain parts, it will aggravate migraine, or even that there has never been people who suffer from chronic migraine headaches migraine headaches. So for office workers, if you use the computer takes a long time, will have to pay attention to the screen and the seat height and sitting position, and each work 50 minutes, the best break of 10 minutes, and often moving around the neck and shoulder. 14. Menstrual migraine often of more water in the onset of menstrual period, so when the time is coming and the menstrual period between, the best to drink more water than usual to help the body detox, reduce the probability of the incidence of migraine. 15. Watch your strong perfume and the smell of many cleaning agents, such as cigarettes and cigars, paint, exhaust, detergents and chemical detergents, printing ink, can cause migraines. Weekdays are often the best window ventilation and to avoid a strong close to gas stations and other places to stimulate odor. 16. Be careful to use contraceptives the first time, some women taking birth control pills, they start a migraine attack. Some experts studies suggest that women suffering from migraine taking birth control pills, or even increase the risk of stroke. 17. Put on your sunglasses neurology doctor to remind you: the strong sunlight and bounce flash can increase the incidence of migraine of 25% -30%. Therefore, people with migraine best to wear sunglasses when going out, to avoid glare. 18. To create a quiet environment, a strong light, a noisy environment can induce a migraine. 70% of migraine patients sensitive to noise extraordinary. Decoration, it is best to allow workers to enhance the room's sound effects, slightly thicker curtains also choose the best style. 20. Eat fish at least prevent headaches 3 times per week of fish and taking fish oil supplements can reduce the frequency of migraine attacks. Drug treatment for therapeutic purposes in addition to lift symptoms of acute migraine attacks or reduce the need to try to prevent recurrent headache. Should avoid all kinds of triggers. Drug therapy, psychotherapy, acupuncture and qigong effective for some patients. (A) acute onset of treatment should rest in the quiet dark of the room. Mild analgesic may take the general agent and stabilizer (such as aspirin, ibuprofen, etc.), the majority of available mitigation. Headache accompanied by nausea, vomiting can be applied to metoclopramide. Ergotamine on the part of the system are effective in patients. It is the 5-HT receptor agonist, also has a direct vasoconstrictor effect. Mainly excited 5-HT1A receptors, but dopamine, adrenergic receptors also play a role, so side effects. Used ergotamine and caffeine tablets (each containing 100mg of caffeine and ergotamine 1mg), in the event of threatened or start taking pain immediately 1 to 2 pieces. To avoid ergot poisoning, a single episode amount not more than 4 pieces, total no more than eight per week. Or available ergotamine tartrate 0.25 ~ 0.5mg, for subcutaneous or intramuscular injection. Ergot overdose would be nausea, vomiting, abdominal pain, myalgia and peripheral vasospasm, ischemia and other side effects. Serious cardiovascular, liver, kidney disease and during pregnancy. Type of hemiplegia, ophthalmoplegia, migraine type and does not apply to the base. British Minge (sumatriptan) is the 5-HT1D receptor agonist, on cerebral blood vessels are highly selective role. Adult oral 100mg, 30 minutes after the headache began to ease, after 4 hours to achieve the best results. Subcutaneous injection of 6mg (adult content) rapid onset of symptom recurrence in again within 24 hours of injection 6mg. Side effects are minor, there is a transient body heat, dry mouth, head, feeling of constriction and joints. Occasionally chest tightness, chest pain or palpitations situation. Continuous state of migraine and severe migraine headaches can be oral or intramuscular chlorpromazine (1mg/kg) or intravenous ACTH50 units (placed in 500ml of glucose in water), or oral prednisone 10mg, 1, 3 times. On the attack lasted a long patients should pay attention to proper rehydration to correct water and electrolyte imbalance. (B) the prevention and treatment of migraine attacks per month on 2 or 3 times should consider long-term preventive drug treatment. Take daily doses of these drugs, at least 2 weeks after treatment to be effective. Any effect that continued to take 6 months, then tapered to discontinuation. 1. Propranolol for the -adrenergic receptor blockers. About 50% to 70% of patients effectively, 1 / 3 of patients can be reduced more than half the number of episodes. Dosage is 10 ~ 40mg, 1, 3 times. Side effects, gradually increase to reduce nausea, ataxia, and limb cramps and other adverse reactions. 2. Pizotifen (pizotifen, sandomigran) 5-HT antagonist, also has anti-histamine, anti-cholinergic and anti-bradykinin. Commonly used dose of 0.5mg, 1 day, slowly increased to 3 times a day. Continued treatment for 4 to 6 months, 80% of headache patients to improve or stop seizures. Side effects are drowsiness and fatigue, can increase appetite, long-term use will be fat. 3. U.S. methysergide (methysergide) 5-HT antagonists, mainly 5-HT2 receptor antagonism. Take small doses (0.5 ~ 1mg / day) to start taking a week to gradually increase in the 1 ~ 2mg, 2 times a day. Can cause nausea, vomiting, dizziness, drowsiness and other side effects, long-term use, there may be retroperitoneal tissue, lung - pleural fibrosis. For taking 6 months to stop taking for 1 month. Only in patients who are considered the most stubborn trial. 4. Calcium channel blocker nimodipine (nimodipine) and flunarizine (flunarizine, flunarizine) are commonly used dose of nimodipine is 20 ~ 40mg, 3 times a day. Drug side effects can be dizziness, stretching, nausea, vomiting, insomnia or skin irritation and discomfort. 5. Valproate 100 ~ 400mg, 3 times a day. 6. Amitriptyline (amitryptiline) as tricyclic antidepressants, can prevent the re-uptake of 5-HT. Used for depression and treatment of chronic pain, migraine associated with tension headache effective. Commonly used dose of 75 ~ 150mg / day. 7. Clonidine (clonidine) can inhibit the vasomotor center, a blood pressure. Prevention of migraine headache is weak, but a small amount of application no side effects. Commonly used dose of 0.078mg ~ 0.15mg, 2 or 3 times a day. Migraine treatment based on the sub (a) Exogenous headache 1. Cold outside attack (1) Governing Law: Shufeng cold, declared the flow of qi. (2) Formula: Chuan Xiong Cha Tiao San ("Taiping Benevolent Dispensary Bureau") addition and subtraction. (3) Recipe: Chuan Xiong 20g, Nepeta 20g, mint 15g, Rhizoma 10g, Asarum 3g, Angelica 10g, wind 10g, licorice 10g. Total fine, each 15g, 2 times a day for tea or decoction of transfer services, day 1, 2 times service. (4) Option Party: Evodia soup ("Treatise on") Modified: violation of applicable Jueyin cold by evil, causing the top of the top pain, retching, vomiting Xian Mo, and even the limbs Jueleng, white coating, pulse string by. Evodia 10g, ginger 18g, Pinellia lOg, Ligusticum 10g, Chuan Xiong 6g, licorice 10g. Decoction daily l dose, 2 times service. Shufeng pain soup (prescription): For feeling cold, the Yu and heat of the card, see the pain and swelling the first item, the evil wind chills. Fever, pain in case of air play, the mouth is thirsty, tongue pale, thin yellow tongue coating, floating pulse or several. Nepeta 20g, red peony root 15g, Rehmanniae 10g, wind 10g, Chuan Xiong 15g, Tianma 10g, silkworm 10g, Angelica 10g, Viticis 10g. Decoction daily l dose, 2 times service. (5) Modified: item back fraudulent claims Jiage root 15g; head pain were added ligustilide lOg, Evodia 6g; chills fraudulent claims Guizhi 10g. (6) Clinical issues: the permit due to exogenous, divergent gas consumption of the product is not too much, so as to avoid serious injury righteousness; caution Okara hot of the goods, so as not to Shangyin, if necessary, against rank and file of Zhuojia products. 2. Wind-heat on the disturbing (1) Governing Law: evacuation of wind-heat, clearing and leaders. (2) Prescription: Xiongzhidilong gypsum soup ("Golden Mirror of Medicine") addition and subtraction. (3) Recipe: Chuanxiong 12g, Angelica 9g, gypsum 20g, chrysanthemum 9g, Ligusticum 12g, Scutellaria 6g, gardenia 6g, mint 6g, Rhizoma 9g. Decoction, day 1, morning and evening hours service. (4) Option Party: Chai Ge Jie Ji Tang ("typhoid Six"): for a cold cold course of time, Yu and heat those cards see the headache, aversion to cold gradually light, body heat flaming, nose and head pain dry, upset, insomnia, sore eyes, floating pulse micro-Hung. Bupleurum 9g, Pueraria 9g, Scutellaria 9g, Rhizoma 6g, Angelica 3g, peony 3g, Campanulaceae 6g, licorice 6g. Decoction, day 1, morning and evening hours service. Sang Ju Yin ("warm Diseases identified") Modified: for those who feel the air temperature of evil, card see headaches, Qing Ke, less fever, mouth slightly thirst, pale tongue, thin yellow tongue coating, floating pulse . Mulberry 10g, chrysanthemum 15g, almond 6g, mint 10g, Chuan Xiong 9g, Campanulaceae 6g. Decoction, day 1, morning and evening hours service. (5) addition and subtraction: If the heat is very disability allowance, permit less-chun, who see red tongue, add Zhimu 12g, Dendrobium 15g; If you see the mouth sores, constipation, plus service Huanglianshangqing pills, each serving 5g, daily 2. (6) Clinical issues: the bitter cold, divergence, circulation of air Shangyin consumable goods, visual condition of the goods Zhuojia Yiqiyangyin; treatment when the card statement with Xinsan solution fluid is accompanied by heat of the goods, drug card will be very, shall hand the effect. 3. Exogenous rheumatism (1) Governing Law: Qufengchushi, Tongluo Lee awakened. (2) Prescription: Notopterygium wins wet soup ("the trauma identified Doubts") addition and subtraction. (3) Recipe: Notopterygium 9g, independent living 9g, Ligusticum 6g, wind 6g, Zhigancao prevention knowledge: Migraine is a vascular headache of a typical performance, more common to young women, may have family history. Migraine can be induced by many factors, such as fatigue, stress, weather changes, mood swings, eating some food. After the appropriate treatment of migraine can be relieved, but can not guarantee any kind of treatment of patients with no recurrence. After excluding organic disease, after appropriate checks, migraine patients should be psychologically completely relax. To maintain a regular life, maintaining emotional stability, avoid eating a spicy food and the food can induce headaches, eliminate fear of the disease, this would minimize the number of headache episodes. Must not rely on pain to film. Note migraine with climate change, odor and certain foods and drugs may trigger migraine attacks, to prevent migraine attacks, first to eliminate or reduce the incentive for migraine, such as avoiding stress, avoiding taking vasodilator agent drugs, avoid drinking wine and eating food containing cheese, coffee, chocolate, smoked fish and so on. Migraine patients to the attention of: Wu Shi excessive coffee, too cold ice cream, do not drink too much. Experts estimate that the food likely to cause headaches ranking are: chocolate, alcohol, raw milk, lemon juice, cheese, wine, smoked fish, eggs. Control diet, not drinking and smoking. Should also eat more magnesium-rich vegetables, fruits, increase the magnesium content in the brain. Include: millet, buckwheat or other grains, soybeans, beans, peas, beans and soy products, and potherb mustard, preserved vegetables, mushrooms, seaweed, peach, longan, walnuts, peanuts and so on. Try to avoid excessive fatigue and anxiety, anxiety and other emotions, to ensure good sleep, beware of is the eye, ear, nose and paranasal sinuses, teeth, neck and other lesions caused. Attention to personal hygiene to prevent infection and, if dental disease, dental treatment should be the first. Migraine headaches method: cold packs, lie down and rest, massage head, drinking green tea, meditation, Touchan towels.


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