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Postpartum headache

产后头痛 〔產後頭痛〕 chǎn hòu tóu tòng

Headache occurring after childbirth either as a result of excessive blood loss that deprives the network vessels of the brain of adequate nourishment, or as a result of stagnant lochia ascending the thoroughfare (chōng) vessel to the head.

Patterns

Blood loss (失血 shī xuè) patterns are characterized by a somber-white complexion and dull pain in the smaller abdomen.

Medicinal therapy: Supplement the blood with Eight-Gem Decoction (八珍汤 bā zhēn tāng).

Acumoxatherapy: Base treatment mainly on GV, ST, and SP. Select GV-20 (Hundred Convergences, 百会 bǎi huì), BL-15 (Heart Transport, 心俞 xīn shù), BL-17 (Diaphragm Transport, 膈俞 gé shù), BL-20 (Spleen Transport, 脾俞 pí shù), CV-6 (Sea of Qì, 气海 qì hǎi), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo); needle with supplementation.

Static blood ascending counterflow (瘀血上逆 yū xuè shàng nì) postpartum headache is associated with stabbing pain in the smaller abdomen that refuses pressure.

Medicinal therapy: Quicken the blood and transform stasis with Hand-of-Buddha Powder (佛手散 fó shǒu sǎn).

Acumoxatherapy: Base treatment mainly on LI, SP, and LR. Select LI-4 (Union Valley, 合谷 hé gǔ), BL-17 (Diaphragm Transport, 膈俞 gé shù), CV-3 (Central Pole, 中极 zhōng jí), SP-8 (Earth’s Crux, 地机 dì jī), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), SP-10 (Sea of Blood, 血海 xuè hǎi), and LR-3 (Supreme Surge, 太冲 tài chōng); needle with even supplementation and drainage.

External wind-cold (外感热病 wài gǎn rè bìng) can cause headache with other common cold signs.

Medicinal therapy: Use formulas that course wind-cold combined with Four Agents Decoction (四物汤 sì wù tāng).

Acumoxatherapy: Base treatment mainly on GV, LU, and SP. Select GV-20 (Hundred Convergences, 百会 bǎi huì), GV-14 (Great Hammer, 大椎 dà zhuī), GV-16 (Wind Mansion, 风府 fēng fǔ), GB-20 (Wind Pool, 风池 fēng chí), LU-7 (Broken Sequence, 列缺 liè quē), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), and LR-3 (Supreme Surge, 太冲 tài chōng); needle with drainage and add moxa. For affected area, see headache.

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