Vascular migraine (migraine for short) is a common one of the acute headache, seizures due to vasomotor dysfunction of certain body fluids as well as temporary physical pain caused by change. The cause is not that often a family history, and mostly female. Its clinical manifestations are: pre-attack visual hallucination hallucinations, brain function, such as short-term偏盲obstacles, following the positive side of headache, Bo mobility drill for pain, tingling or dull pain. When accompanied by severe dizziness, sweating, nausea and vomiting, palpitations, constipation等症which lasted about a few hours. Recurrence interval in general a few weeks, cyclical attacks.
Also known as Chinese medicine for the disease or migraine偏头wind, more due to liver depression and chemical weathering of fire through the liver and gallbladder of the walking surface, as caused by. Acupuncture treatment of migraine have a longer history and better results. Continuous screening of clinical comparison, over the past decade, the election method to stimulate the points and have proven experience in many摸索到. Application of general propositions through traditional acupuncture points, Bloodletting and Cupping is also a good analgesic effect. There are methods of embedding the use of acupuncture points, and achieved some success. Specific point in the election and operation practices, it was in immediate pain relief as an index, by contrast observed that migraine points to a better local elections, while a gas after the acupuncture needle to the needle quickly twist the strong sense of the needle, and its efficacy is superior to 20 minutes left needle [1]. At present, acupuncture is effective in migraine (pain rate) more than 90%. Comparison of the efficacy of the consolidation, a small number of after-effect has been repeated cases, further treatment may be effective.
Sometimes as a result of a headache for some serious performance or prominent early symptoms, therefore, should be used for pre-treatment system checks. The acupuncture treatment only on the basis of subjective and objective basis to make even a preliminary diagnosis, emergency treatment should be considered.
【Treatment】
Body acupuncture (one)
(A) Selection
Main Point: Wind screen, no bone.
(B) Treatment
Get 1 point each time, no significant effect can be taken with the two points. Yifeng acupuncture points: the local disinfection, the right hand holding the needle along the mandibular angle between the needle and the mastoid, deep to the contralateral mastoid 1.5 ~ 2-inch thorns, mainly in combination contortus to plug, so that a sense pin (multi - for the acid, Ma, heavy, bulging) or the base of the tongue to the throat of radiation. Obvious sense of the needle may pass in order to electro-acupuncture device, continuous-wave stimulation. No bone needle hole: 2-inch needle around to mentioning contortus combination of a small plug, so that a sense of upward conduction needle. Needles were left for 20 minutes. 1 or 2 times a day.
(C) Evaluation
A total of 188 cases of governance, and the total efficiency of between 81.5 ~ 97.3% [9,10].
Body acupuncture (bis)
(A) Selection
Main points: divided into two groups. 1, hanging skull (or the sun) through the rate of canyon; 2, Huatuo Jiaji 5,7,9,11,14.
Point allocation: the wind pool, Taichong, Kinmen, and in the bank, shoulders well,合谷.
(B) Treatment
Every time a group of the main temple, the turn-round use, with point酌加1 to 2 points (the wind pool will be used). Suspended skull (or the sun) through the rate of Valley law: 3-inch to 28 cents needles hanging from the skull temple piercing point or to the rate of needle Valley contortus direction (into the temple can be 1.0 ~ 1.5 inch, a gas back to skin, further penetration), about 1.5 to about 2.5 inch using contortus to add a small plug of law, Yun-pin 1 to 2 minutes, leaving the needle. Huatuo Jiaji needle: the needle to the vertebral body, the needle body and the skin was 75-degree angle, away from the ridge in the middle lane 7 sub-offices piercing 1.5 ~ 2 inch, resulting in a strong sense of the needle, the needle above the law shipped 1 ~ 2 minutes left needle. Feng-chi point, the needle to the piercing of the inner canthal look deep by 1.5 inches around, carefully searching for, so that the needle with the flu spread to the temporal侧头, the above method Yun-pin 1 to 2 minutes left needle. Acupuncture points more than similar to the above. Generally only check the first side face point, other parts of the desirability of both sides. Stimulus intensity, Taichong to use the strong stimulation points are used in more than strong stimulation. Acupuncture points are all to stay for 30 minutes, every 10 minutes and transported the needle 1.
(C). Evaluation
A total of 231 cases observed, the total effective rate in 93.5 ~ 95.7% [2 ~ 5].
Point implant
(A) Selection
The main point: the sun, the first dimension, Yintang, the wind pool, the Arab-Israeli is the point,合谷, Zusanli.
Arab-Israeli position is the point: the pain point.
(B) Treatment
Each choice of 2 or 3 points. Ordinary intravenous injection of 8 or 9 needles for casing, 1.5-inch needle for needle core cents. 0.2-centimeter-long 4 / 0 catgut No. soak and disinfect the needle into the hole. Shi surgery, the doctor left the skin tension around the green, right hand holding the needle, quickly penetrate, to a certain depth, the light has to be inserted contortus mention a sense of酸胀that catgut implantation, small piece of sterile gauze with paste Pinhole enough. 7 ~ 10 days of treatment 1.
(C) Evaluation
Efficacy criteria: 1, markedly: the disappearance of headache and a variety of symptoms, 1 year, no recurrence; 2, effective: headache disappeared or significantly reduced, but there are still attacks a year (the number of reduced or less); 3, null and void: before and after treatment no change in symptoms.
Observed a total of 65 cases were cured 50 cases (76.9%), effective 11 cases (16.9%), total effective rate of 93.8%. And most of them in 2 or 3 times that found in symptom improvement [6].
Gill blood
(A) Selection
The main point: the sun.
Distribution Point: Taichong, Yintang.
(B) Treatment
Mainly to the main points, with points from poor efficiency. Sun, Yintang are三棱针prick, pierce the vein, blood cupping only 2 to 3 minutes. Taichong acupuncture, sit-point selection, a significant frequency after gas contortus to plug, the needle 3 to 5 minutes, leaving the needle 15 to 30 minutes. 1st day or the next day.
(C) Evaluation
Treatment of 50 cases of intractable headache, 88% efficient [7].
Auricular
(A) Selection
The main point: the amount of sun, pillows, Shenmen.
Distribution points: neck, heart, liver,耳尖, round 6.
(B) Treatment
Main points to the main point酌加with each election 4 to 5 points. Acute stage, in which 2 or 3 points to三棱针bleeding. Balance Point Acupuncture cents after the instrument connected to electro-acupuncture, the use of density waves, electrical stimulation of 15 ~ 20 minutes. Re-treatment day 1, day 1 in general.
(C) Evaluation
By observation, ear migraine only have good results. There experiments confirmed that the ear has adjusted cerebral blood flow and thus the role of pain relief [8].
Acupoint laser irradiation
(A) Selection
The main point: the sun, Yintang, save Penny, the rate of valley, is the Arab-Israeli points (pain points), after the River.
Point allocation: the stars, the first dimension, Baihui, Ya door, the wind pool, outside the customs Zusanli listed missing, Yongquan.
(B) Treatment
Mainly to the main temple, with酌加points each from 5 to 6 points. With He-Ne laser irradiation therapeutic apparatus. 6328 Egypt wavelength, beam diameter of 5 mm, fiber optic terminal ≥ 5 mW output power, power density of 25.48 mW / cm2, fiber transmission using single-crystal quartz beam direct exposure points,每穴3 minutes. 1 day, 10 times for 1 course of treatment, treatment interval 5 ~ 7.
(C) Evaluation
A total of 150 cases of governance, the results of 129 cases treated, 15 cases markedly effective in 6 cases, total effective rate was 100% [11].
Ear gill blood
(A) Selection
The main point: behind on the 1 / 3 near the Department show the vascular suggestible.
(B) Treatment
Affected more than just access, such as bilateral headache or headache-wide, and the desirability of bilateral Ear. Patients taking the seat, thumb and index finger surgery in order to be stabbed in the ear of local轻揉moment to congestive heart, blood vessels exposed in general can be seen three to the middle of a thorn for the best part of the blood, conventional disinfection with rapid三棱针punctured blood vessel and bled about 5 milliliters. Blood vessels can be punctured, the term artesian blood. Hemorrhage poor, should be squeezed light increases; bleeding than with a sterile gauze to stop bleeding compression. 15 Treatment of 1, 5 times for a course of treatment.
(C) Evaluation
A total of 120 cases of treatment, as a result, the basic recovery (symptoms disappeared within one year of non-attack) in 74 cases; markedly (basic disappearance of symptoms, sometimes within one year of onset) of 32 cases; effective (to reduce symptoms, but there are still attacks), 9; 5 cases ineffective. The total effective rate was 95.8% [12]. This mainly for the treatment of vascular migraine.
Acupoint Injection
(A) Selection
The main point: the Arab-Israeli is the point, the wind pool.
Arab-Israeli position is the point: Feng-chi point 5 hours straight.
(B) Treatment
Solution: vitamin B12 (content of 0.5 mg / ml). Such as the bilateral injection of 1 ml water for injection.
Only 1 point each time points can be fixed to select can be used interchangeably. Afghanistan is the point when the pressure pain was ipsilateral to the conduction目眶or forehead. Dental needle on the 5th to inhalation liquid, piercing points to a酸胀, the rapid injection of 1 day or the next day, 3 times for a course of treatment.
(C) Evaluation
More than 286 cases of cohabitation law, the results of 205 cases of full recovery, 24 cases markedly effective, effective 49 cases, 8 cases ineffective, the total effective rate was 97.2% [13,14].
Eye acupuncture and scalp acupuncture
(A) Selection
Main points: the focal area, sensory area (on the 1 / 5, under 1 / 5), vasomotor area (on the 1 / 5).
Point allocation: adequate sense of district transportation.
(B) Treatment
Before the eye of a needle point, both are taken. 5 nickels and dimes from the orbital margin of the needle in the Foreign Office, 2, left clockwise, counterclockwise right to cross-刺进subcutaneous needle, the needle was left after the gas 15 to 20 minutes, and are no way. Following the needle hole, 2-inch by 1.5 cents down from the needle piercing the scalp under the sub-fast, and then to> 150 times / min the frequency of rapid and sustained contortus hands three minutes, every 10 minutes, repeat 1, a total of 3 times . 1st day on the law, 10 times as a course of treatment, treatment on the 3rd interval.
(C) Evaluation
More than 124 cases of law rule in patients with migraine, the results of 66 cases cured, 44 cases of effective and ineffective in 4 cases, total effective rate of 96.8% [15,18].
Buried the needle points
(A) Selection
Main points: divided into 2 groups. 1, the sun, the first dimension; 2, the temporal front, after the temporal line (the first point).
Point allocation: the stars, Baihui.
(B) Treatment
Take only 1 point can be fixed to select can be used interchangeably. Group 1 intradermal needle-shaped grain, conventional disinfection after intradermal needle forceps gripping handle, so that the needle body and the meridians to vertical, horizontal along the barbed leather 0.5 ~ 1.5 cm, with plastic sheets fixed (with hair are advised to剃去), disease-pin light to stay 1 or 2 days, re-2 ~ 4. Group 2 general 2 cents to 2.5-inch needle to the thumb, holding the needle handle food, fast along the horizontal barbed leather, according to the provisions of the direction of the needle into the 1.5 ~ 2 inch, the needle handle fixed on the scalp, leaving the needle 24 to 48 hours or more to pain only after the needle.
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