My father is Li Xiangyun, chief physician of the Traditional Chinese Medicine Hall of Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, my father has been practicing medicine for nearly 50 years, and he is the best at using the wind method to treat intractable headaches.
Once, in my third year at the hospital, I met a patient with menstrual cramps. I prescribed her a strong medication and it caused her to bleed profusely.
This incident made me doubt myself and even consider giving up my career as a doctor. So I took three months off to go home and confide in my father about my troubles.
The father said, "It's not that I look down on you, you can't even lift a bucket of water, what else can you do except Chinese medicine?"
I replied, "That's better than Chinese medicine, right?"
The father said, "Okay, the eldest uncle is the owner of the factory, let me say hello to him, and you can go there tomorrow to carry the goods." ”
However, I found that I couldn't hold on for even half a month. So he gave up on this idea and decided to continue his career in Western medicine. The day before I returned to the hospital, my father gave me a prescription for my headaches.
I asked, "What do I want this piece of waste paper for?"
The father replied, "This is the result of decades of hard work. There was once a southern owner who was willing to pay a premium for it, but I didn't sell it. ”
Although I didn't say anything, I still had doubts about it in my heart.
According to my father, headache is the main symptom of the disease, and the main clinical characteristics are headache with convulsions, and the pain site is often on one side, or full headache, or pain on the top of the head, with violent throbbing pain, swelling or tingling pain, pain leading to facial muscles, accompanied by nausea, vomiting, insomnia, irritability and other symptoms.
Intractable headaches tend to be prolonged, lingering, and often intermittent and recurrent.
As the "Criteria for Treatment" said: "Its pain is infrequent, and it will recur after healing." "
Headache (vascular headache)
Mei, female, 68 years old, was first seen in November 1994.
The patient's headache has been recurrent for more than 10 years, and the headache is convulsive-like pain, and the pain is aggravated when exertion, accompanied by insomnia, dreams, tinnitus, low back pain, and fatigue, and no obvious abnormalities were found after multiple examinations.
Now the headache has spread to the left side of the head and face, and when the headache is severe, take drugs such as diazepam tablets and Pak Retamol tablets to control it. The tongue is red, and the veins are fine.
Diagnosis: headache (vascular headache), syndrome differentiation is liver and kidney yin deficiency, blood stasis and heat accumulation, deficiency and wind disturbance.
Add and subtract Soufeng Shu Pain Soup: Chuanying 12g, Gastrodia 15g, Zombie Silkworm 9g, Nanxing 4.5g, Asaroxin 3g, Whole Scorpion 4.5g, Polygonum multiflorum 9g, Goji Berry 9g, Rehmannia 15g, Cassia Seed 24g, Mother of Pearl 15g. 3 doses.
At the follow-up visit, the headache was halved and the headache disappeared completely after taking 7 doses of the original prescription.
The follow-up did not recur until the beginning of February 2023 due to overwork, the headache recurred, and the headache turned severe in the evening, making him restless and sleepless all night.
Headache (intermittent headache)
Zhang, male, 56 years old, has the beginning of July 19, 2019. Chief complaint: Headache intermittent for decades, paroxysmal exacerbation for 5 days.
The patient began to have headache when he was in middle school, continuous, tired and drowsy, poor memory, and then gradually worsened, he had taken a variety of Chinese and Western drugs and did not see relief, and he recurred when he was tired, and the headache attacks were frequent recently, and he lost his appetite and yellowish complexion.
Diagnosis: headache (intermittent headache), syndrome differentiation is qi and blood deficiency, blood deficiency and wind, disturbing the head.
Fang used Soufeng Shu pain decoction plus or minus: Sichuan 15g, gastrodia 15g, zombie silkworm 10g, Nanxing 5g, fine pungent 3g, whole scorpion 3g, Polygonum multiflori 15g, angelica sinensis 12g, salvia 9g, yellow 15g. 7 doses.
The patient's headache was greatly reduced after the medicine, and he said "I had a good night's sleep", and then he kept the original prescription and took 10 doses to stop the headache, and he was instructed to take it for 1 week to consolidate the curative effect, and there has been no headache again.
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