• Title/Summary/Keyword: Headache

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A story of literature n acupuncture & moxibustion techniques to treat 10 kinds of lumbago described by Huh Jun in DongUiBoGam(東醫寶鑑) (동의보감(東醫寶鑑) 두통분류(頭痛分類)에 따른 십종두통의(十種頭痛義) 침구치료(鍼灸治療)에 대(對)한 문헌연구(文獻硏究))

  • Ji, Jun-Hwan;Lee, Joon-Moo
    • Korean Journal of Acupuncture
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    • v.21 no.4
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    • pp.167-177
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    • 2004
  • Objective : The purpose of this study is as follows. We classify headache into ten kinds as mentioned in DongUiBoGam(東醫寶鑑), and are going to present each acupuncture & moxibustion treatment. Methods : For the purpose of looking for each treatment, we referred to a. large number of literature for headache treatment from ancient to malearn. Results : The ten kinds of headache have each treatment. above all, In treatment of headache due to middle - headache (正頭痛) and megrim(偏頭痛) have pain in the formable of ache part. Therefore, general point such as GV20, GV23, ST8, TE23, Extra Meridian are used in turn, also wind-cold-headache(風寒頭痛) and many kind of headache such as GV16, LI4, GB20 are mainly used much in turn. Especially BL is in common use. Conclusions : We conclude that ten kinds of lumbago have each different acupuncture & moxibustion points and treatment, so if we follow each treatment we might obtain more higher rate the treatment of headache.

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The Effect of Forward Head Posture and Cervical ROM on Chronic and Episodic Tension-Type Headache in University Students (대학생에서의 만성 및 특발성 긴장성 두통이 두부전방자세와 경추가동범위에 미치는 영향)

  • Chae, Yun-Won
    • The Journal of Korean Physical Therapy
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    • v.21 no.2
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    • pp.71-77
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    • 2009
  • Purpose: This study assessed the differences in the forward head posture (FHP), cervical range of motion, and headache clinical parameters in episodic tension-type headache (ETTH) subjects, chronic tension-type headache (CTTH) subjects, and healthy controls (university students). Methods: Fifteen CTTH subjects, 15 ETTH subjects and 15 controls without headache were examined. Side-view images of each group were taken in both the sitting and standing positions, in order to assess the FHP by measuring the craniovertebral angle. The CROM was used to measure the cervical range of motion. A headache diary was kept for 4 weeks to assess the headache intensity, frequency, and duration. Results: The craniovertebral angle was smaller, ie, there was a greater FHP, in the CTTH and ETTH subjects than in the healthy controls in both the sitting and standing positions (p<0.05). The CTTH and ETTH subjects showed a lower cervical range of motion than the healthy controls in the total range of motion as well as in the half-cycles (p<0.05). Conclusion: The increased FHP and decreased cervical range of motion might be a contributing factor in the initiation of tension-type headache.

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The Study about the Comparison of Oriental-Western Medicine on the Classification and Diagnosis of Headache (두통의 분류와 진단의 동서의학적 고찰)

  • Jung, Chan-Yung;Kim, Eun-Jung;Jang, Min-Gee;Yoon, Eun-Hye;Nam, Dong-Woo;Kang, Jung-Won;Lee, Seung-Deok;Lee, Jae-Dong;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.26 no.6
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    • pp.225-239
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    • 2009
  • Objectives : To establish a well organized and systematic oriental medicine classification of headache, the western and oriental medicine diagnosis and treatment systems of headache were reviewed. Methods : The history and development process of western medicine classification of headache were studied. A literature review of oriental medicine classification of headache was done. The characters of each classification systems were assessed. Results : In western medicine, many international societies concerning headache have been established. Through these societies, a classification of headache which can be used by both researchers and practitioners has been suggested. And the suggested classification system is highly recommended to be used in studies in order to increase utilization. As data is accumulated, new versions of the classification system were updated. But in the case of oriental medicine, various classification systems of headache are presented in numerous literatures. But the effort to unify and systemize the oriental medicine headache classification has been in lack. Conclusions : Establishment and utilization of a standardized oriental medicine headache classification system, based on various classifications and detailed descriptions is needed.

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The clinical effect of Noechongyolhaedok-tang on the chronic headache (만성 두통에 대한 뇌청혈해독탕의 임상적 효과)

  • Kim, Jae-Young;Lee, Si-Sup;Yu, Jung-Suk;Song, Beom-Yong;Kim, Lak-Hyunng;Yook, Tae-Han
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.1
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    • pp.133-142
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    • 2007
  • Objective : Chronic headache is the most common headache. The objective of this study is to find the clinical manifestation of chronic headache and has been carried out to investigate the effects of Noechongyolhaedok-tang on the chronic headache. Method : This observation was carried out on 73 patients with chronic headache. They were applied to Noechongyolhaedok-tang and the degree of improvement of chronic headache was evaluated by VAS. Results : 1. Distribution of study population by sex, age : male : female = 1 : 3, 30s-50s group = 81% Duration of onset : over 10years = 48% Reported site of chronic headache : the whole = 28% Clinical pain characteristics : be torn = 25% Frequency of headache : everyday = 72% Time of attack : irregular = 52% 2. In VAS scores, there were significant differences between before and after Noechongyolhaedok-tang treatment. There were no differences between before and after treatment in each sex and the duration of onset Conclusion : The effectiveness of Noechongyolhaedok-tang on the chronic headache was shown through VAS. Further study is needed about Noechongyolhaedok-tang.

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The Study on Pattern Differentiations of Primary Headache in Korean Medicine according to the International Classification of Headache Disorders (ICHD 분류에 따른 원발 두통의 한의학적 변증 연구)

  • Lee, Jeong So;Park, Mi Sun;Kim, Yeong Mok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.31 no.4
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    • pp.201-212
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    • 2017
  • This study draws pattern differentiations of headache disorders on the ground of modern clinical applications and Korean medical literature. Categorization and symptoms of headache disorders are based on International Classification of Headache Disorders 3rd edition(beta version). And clinical papers are searched in China Academic Journals(CAJ) of China National Knowledge Infrastructure(CNKI). In the aspect of eight principle pattern identification, primary headache occurs due to lots of yang qi and has more inner pattern rather than exterior pattern, heat pattern rather than cold pattern, excess pattern rather than deficiency pattern. And primary headache is related with liver in the aspect of visceral pattern identification and blood stasis, wind and phlegm are relevant mechanisms. Migraine without aura is associated with ascendant hyperactivity of liver yang, phlegm turbidity, sunken spleen qi, wind-heat, blood deficiency or yin deficiency. Migraine with aura is mainly related with wind and it's major mechanisms are ascendant hyperactivity of liver yang, liver fire, yin deficiency of liver and kidney, blood deficiency or liver depression and qi stagnation. High repetition rate of tension-type headache can be identified as heat pattern or excess pattern. And trigeminal autonomic cephalalgias can also be accepted as heat pattern or excess pattern when the occurrence frequency is high and is relevant to combined pattern with excess pattern of external contraction and deficiency pattern of internal damage based on facial symptoms by external contraction and nervous and anxious status by liver deficiency. This study can be expected to be Korean medical basis of clinical practice guidelines on headache by proposing pattern identifications corresponding to the western classifications of headache disorders.

Biofeedback Treatment for Tension-Type Headache and Migraine (긴장성두통과 편두통의 바이오피드백 치료)

  • Park, Joo-Eon;Lee, Kye-Seong;Shin, Sang-Eun
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.1
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    • pp.25-32
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    • 2006
  • Objectives : Headache is a clinical symptom that more than 90% of all individuals experience during their life time. This article provides a current concept of tension-type and migraine headaches and summarizes the effects of biofeedback treatment and/or relaxation techniques. Methods : The following terms were used for Pubmed/Medline search : biofeedback, relaxation, physiological, behavioral, nonpharmacological, headache, tension-type headache, and migraine. A review of references from relevant literature was also conducted to collect reports not identified in the Pubmed/Medline search. Interviews with experts on biofeedback were also included in this review. Results : Headache is a psychophysiological symptom that can be treated by some behavioral interventions including biofeedback and relaxation. Literatures on biofeedback and/or relaxation have consistently reported significant therapeutic effects on headaches. Important factors that we have to consider, when we apply to headache patients with biofeedback and relaxation techniques, were also presented. Conclusion : The available evidence suggests that biofeedback and relaxation techniques are effective treatments for the patients with headaches and can be provided to the patients as monotherapy or combination therapy with medication.

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Study about Etiologic Classification and Commonly Used Meridians in Acupuncture Therapy on Headache by Considering through the Oriental Literature (두통(頭痛)의 병인(病因) 분류(分類)와 침구치료(鍼灸治療)에 대한 문헌적(文獻的) 고찰(考察))

  • Kim Sung-Uk;Gu Byung-Su
    • Journal of Oriental Neuropsychiatry
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    • v.11 no.2
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    • pp.189-200
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    • 2000
  • Object : The purpose of this study is assistant to medical treatment for patient, who suffers from headache, by classifing etiologies of headache and investigating using meridian and acupuncture point.Method : By considering through the oriental literature, we investigated etiologies and frequency of using meridian and acupuncture point on headache.Result:1. The Oriental etiologies of headache is classified in 'wind(風)', 'hot and feverish(熱)', 'humidity(濕)', 'cold(寒)', 'defidiency of qi(氣處)', 'deficiency of blood(血虛)', 'extravasated blood(瘀血)', 'asthenia of kidney(賢處)', 'anger by depression(鬱怒)', 'Damhwa(痰火)'2. The frequently used meridians on headache are followings : the 1st is Choksoyang-Tam-Kyong(足少陽膽經), the 2nd Choktaeyang-Pabggwabg-Kyong(足太陽膀胱經), the 3rd Tok-maek(督脈), and the 4th Chokyangmyong Wi-Kyong(足陽明胃經).3. The frequently used acupuncture points on headache are followings : the 1st is paek'oe(百會), the 2nd Hapkok(合谷) and the 3rd P'ungji(風池).Conclusion:1. The books about treatment of headache by using acupuncture are The Yellow Emperor's Classic on internal Medicine(黃帝內經) and Gab-UI-Kyoung(甲乙經) and so on.2. In The Yellow Emperor's Classic on Internal Medicine(黃帝內經), they mainly used treatment by following the stream of meridian on headache.3. After Gab-U1-Kyoung(甲乙經), they suggested specialized acupunctre point.4. Three Yang meridians(三陽經) that has many acupuncture point located on head area, are related to medical treatment on headache.

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A study for post-diagnostic lumbar puncture headache in children (소아에서 척수액 검사 후 발생한 두통에 대한 연구)

  • Jang, Gook Chan;Yang, Eun Seok;Moon, Kyung Rye;Park, Young Bong;Rho, Young Il
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.761-766
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    • 2007
  • Purpose : Post-lumbar puncture headache is common complaint. A study of post-diagnostic lumbar puncture headache in children is rare. Various factors that might influence the occurrence of postdiagnostic lumbar puncture headache in children exist. The purpose of this prospective study was to assess the frequency and risk factors for post-diagnostic lumbar puncture headache in children. Methods : From March 2005 to February 2006, 44 patients with suspected meningitis were enrolled. Patients were received diagnostic lumbar puncture at the Chosun University Hospital, Gwangju, Korea. We evaluated age, sex, previous headache history, number of puncture attempts, volume of cerebrospinal fluid (CSF), pressure of CSF, cell count in CSF, final diagnosis, and the frequency and duration of headaches. Results : Of the 44 patients (mean age $7.36{\pm}2.04$, range 4-13 years), 16 patients (36.4%, male 13/33, 39.4%, female 3/11, 27.2%) had headache. The frequency of headaches was significantly higher in patients with previous headache history compare to those without previous headache history (P= 0.037). The mean of cell count of CSF was significantly higher in patients with post-lumbar puncture headache (P=0.012). The other factors did not influence the post-diagnostic lumbar puncture headache. Conclusion : Post-diagnostic lumbar puncture headache in children was more common than other studies. The factors that influence post-diagnostic lumbar puncture headache in children are previous headache history and cell count in CSF.

Treatment of the Headache (두통의 치료)

  • Chung, Kyung-Cheon
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.2
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    • pp.263-273
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    • 1999
  • Headache is a symptom with varied etiologies and extraordinarily frequent. Headaches can be a symptom of another diseases, such as meningitis, subarachnoid hemorrhage or brain tumor, may represent the disease entity itself as the case in migraine. The international Headache Society criteria were the first to distinguish between primary and secondary headache disorders. When evaluating a patient who presents with headache, the physician abviously needs to identify or exclude the myriad conditions that can cause secondary headache and initial diagnostic workup should be considered. If patient meets the criteria for a primary headache disorder, treatment commonly initiated without additional neurodiagnostic tests. The headache type, its associated feature, and the duration and the intensity of the pain attack all can influence the choice of acute therapy in migraine. Pharmacologically, such as NSAIDs, combination analgesics, vasoactive antimigraineous drugs, neuroleptics, antidepressants, or corticosteroids. Other approches to managing headache include a headache diary to identify triggers, biofeedback, relaxation technique and behavioral modification. Daily preventive medication should be considered by his attack frequency and intensity, and maintained for 4 to 6 months. Tension-type headaches are distinguished between episodic and chronic tension-type headache, but physician must make sure that patient is not drug-overuse or independent during symptomatic abortive therapy or preventive medication. The most difficult headache patients to treat are those with chronic daily headache. They often have physical dependency, low frustration tolerance, sleep problems, and depression. So discontinuation of overused medication is crucial. New developments in migraine therapy are broadening the scope of abortive and prophylactic treatment choices available to the physician. The enhanced ease of the use of sumatriptan and DHE will likely increase patient compliance and satisfaction.

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A Clinical Report of Tension Headache (긴장성 두통 환자 치험(治驗) 1례(例) 보고)

  • Lee, Seung-Hee;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.15 no.1
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    • pp.111-115
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    • 2006
  • Tension headache is one of the most common form of headache. It may occur at any age, but is most common in adult and adolescents. One cause of this muscle contraction is a response to stress that induces changes and imbalance on autonomic nerve system. To cure tension headache, getting rid of psychological stress and anxiety have to do first. In this case, we described a 42 years old woman who diagnosed as tension headache. She complained headache with scruff pain, dyspepsia, nausea and coldness of toes. through oriental medical treatment(for example, acupuncture, herbal medicine ect.), her condition was improved.

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