Review on the Causes of Headache in Hyungsang Medicine

두통(頭痛)의 원인에 따른 형상의학적(形象醫學的) 고찰 -동의보감(東醫寶鑑) 두문(頭門)을 중심으로

  • Lee, Dong-Min (Dong Min Oriental Clinic) ;
  • Park, Seong-Ha (Dongkang Oriental Hospital) ;
  • Lee, Yong-Tae (Department of Physiology Research Institute of Oriental Medicine, College of Oriental Medicine, Dong-Eui University)
  • 이동민 (동민한의원) ;
  • 박성하 (동강한방병원) ;
  • 이용태 (동의대학교 한의과대학 생리학교실 한의학연구소)
  • Published : 2007.08.25


The followings are concluded from the treatment of headache in Hyungsang medicine, focussed on 11 kinds of headaches in Donguibogam. Headache is classified into overall headache and migraine according to the affected region. The causes are divided into exogenous affection and internal injury; The former brings on headache due to Wind-Cold and headache due to Damp-Heat. The latter, reversal headache, headache due to adverse rising of phlegm, headache due to regurgitation of Gi, headache due to excessive Heat, headache due to excessive Damp, true headache, and alcoholic headache. Headache due to internal injury generally tends to show deficiency syndrome with external affection. Headache due to exogenous affections is common to those who have big head or white skin and to Bangkwang type, and woman. The primary causes are Wind-Cold and Wind-Heat. When the body is observed in the perspective of eight phases, Damp-Heat is to be produced in the front, and Dry-Damp, in the back. Headache due to Damp-Heat is susceptible to Yangmyeong meridian type whose body develops more in the front and to woman. In the perspective of the upper and the lower, Yangdu(that is, head) is related to Eumdu(that is, glans of penis). Headache is also caused by the problems of Eumdu ,such as deficiency of Essence in man, pathologic change of uterus in women, and San syndrome in lower abdomen. In the case of man, headache is frequently severe and difficult to treat because head is a root for man. Disharmony of Gi and blood between the right and the left brings out migraine and headache due to regurgitation of Gi. Migraine is usually accompanied by symptoms of exogenous affection and often afflicts Gi-type, Shin-type, Soyang meridian type, deer type, and Dam-type. Headache due to regurgitation of Gi is brought by Gi deficiency or blood deficiency so that symptoms of exogenous affection do not show. It is mainly common with old people and those who have sunken eyes induced by deficiency of stomach Gi. In the perspective of the upper, the middle, and the lower, the pathologic change of head, chest and abdomen also bring about headache. The pathologic cause of head is Wind-Heat ,which triggers overall headache, migraine, headache due to Wind-Cold, headache due to excessive Heat, The pathogen of chest is phlegm-Fire and brings out headache due to Damp-Heat and headache due to adverse rising of phlegm. The pathologic factor in abdomen is Cold-Damp and produces headache due to adverse rising of phlegm and headache due to excessive Damp. In case of women, headache is generally caused by phlegm-Fire and retention of undigested food.



  1. 許 浚. 對譯東醫寶鑑. 서울, 법인문화사, 1999
  2. 洪元植. 黃帝內經素問解釋. 서울, 高文社, 2000
  3. 大韓傳統韓醫學會篇. 芝山先生臨床學特講 I. 서울, 芝山出版社, 1996
  4. 大韓傳統韓醫學會篇. 芝山先生臨床學特講 II. 서울, 芝山出版社, 1997
  5. Kurt, J. Isselbacher외 해리슨 내과학. 서울, 정담, 1997
  6. 朴成昊 외. 頭痛의 原因과 針灸治療穴에 관한 文獻的 考察. 大韓針灸學會誌 第15券 第2號, 1998
  7. 沈良洙 외. 頭痛의 原因別 鍼灸 取穴方法 및 증상별 처방에 대한 文獻 硏究. 大韓針灸學會誌 第15券 第1號, 1998
  8. 郭 煐. 頭痛의 原因과 分類에 關한 東醫學的 文獻考察. 1989
  9. 權貞南. 頭痛에 대한 考察. 1991
  10. 洪元植. 精校黃帝內經素問. 서울, 東洋醫學硏究院出版部
  11. 李 梴. 醫學入門 外集 券二雜病. 서울, 大星文化社
  12. 張仲景. 仲景全書. 서울, 大星文化社
  13. 張介賓. 景岳全書. 서울, 成輔社
  14. 李東垣. 東垣十種醫書. 서울, 大星文化社