HA Case Studies

Case 1

F 44

TCM Dx

Ascendant Yang tending LV Xue stasis

Channel Dx

Shao Yang Headache - Heat in Shao Yang

Bio Med

Tension Headache

Tx

Settle Liver, Subdue Yang, Relieve Pain and Move Blood

Acu Tx- Zang fu

LV 3 (Source): Subdue LV Yang, Clears Head

GB 43 (Clamped Stream Spring): Clears Heat, Benefit Head
GB 4, 5: Eliminate Wind, Clears Head, ACAP
GB 20 (FengChi): Benefit Head
KI 3 (Source): Nourish Yin

Acu Tx- Channel

GB 41 - SJ5 - balancing Shao Yang

LIV-3, GB-34 Earth points of the Liver and Gall Bladder channels. Calm the Liver
GB-43 Water point of the Gall Bladder channel. Cools false heat. Since it is a distal point it downbears excesses.
Yin Tang - Calm Shen
DU-24 / LIV-3 / PC-6 / Tai Yang (Extra) / Yin Tang (Extra)

Herbs

Tian Ma Gou Teng Yin

Red Flags

None. Yellow Flags

Case 2

F 34

TCM Dx

Sp Qi Xu leading to Damp Heat

Channel Dx

Tai Yin - Heaviness in head with abdominal fullness and spontaneous sweating

Bio Med

Sinus Headache

Tx

Supplement Qi, Alleviate Px and transform phlegm

Acu Tx- Zang fu

DU 20
DU 23
UB 20 (SP Back Shu) : Tonify SP Qi, Raise Qi
REN 6 (Sea of Qi) : Tonify Qi, esp Original Qi
ST 36 (He Sea): Tonify Qi
LI 4 (Source): Regulates Face, Regulates Wei Qi
Yin Tang : Frontal HA
ST 40 -

Acu Tx- Channel

UB 60 SI 3, UB 67, DU 20 LV 3

Herbs

Modify Bu Zhong Yi Qi Tang:

FXN : Tonify MJ, Benefit Qi; Ascends Yang-Qi
Huang Qi: Tonify & Ascends Yang Qi / Relace with Zhi Ke
Ren Shen, Bai Zhu, Zhi Can Cao : Tonify SP/MJ
Dan Gui: Tonify Blood, Enhances Qi Production
Chen Pi: Regulate Qi
Chai Hu, Sheng Ma: Ascend Yang Qi - Remove these
Chuan Xiong, Xi Xin (remove this), Man Jing Zi ~ Alleviate HA

Red Flags

None

Case 3

72 F

TCM Dx

Lv Blood and Yin xu

Channel Dx

Shao Yin Headache

Bio Med

Temporal Arteritis

Tx

Tonify Lv Blood and Yin and relieve pain

Acu Tx- Zang fu

BL-23, KID9, REN-4, KID-6, KID-3 Tonify Kidney Yin, which is the root of Liver Yin.
LIV-3, LIV-13, BL-18, LIV-9, SP-6, LIV-8 Tonify Liver Yin.

Acu Tx- Channel

DU 20, SI 3 UB 67 LV 3

Herbs

Bu Gan Tang add

Chuan Xiong, Man Jing Zi ~ Alleviate HA

Red Flags

Sudden loss of weight, Very High ESR, alanine transminase indicate Lv disease of Congestive Heart Failure

Case 4

37 F

TCM Dx

Chronic Qi Xu

Channel Dx

Yang Ming, Shao Yang and Tai Yang

Bio Med

Rebound Headache

Tx

Supplement Qi, alleviate pain

Acu Tx- Zang fu

DU 20
DU 23
UB 20 (SP Back Shu) : Tonify SP Qi, Raise Qi
REN 6 (Sea of Qi) : Tonify Qi, esp Original Qi
ST 36 (He Sea): Tonify Qi
LI 4 (Source): Regulates Face, Regulates Wei Qi
Yin Tang : Frontal HA

Acu Tx- Channel

Herbs

No Herbs

Red Flags

none

Case 5

F 35

TCM Dx

Lv Qi stagnation leading to Ascendant Lv Yang Headache and harassing heart

Channel Dx

Shao yang

Bio Med

Tension Headache

Tx

Settle Liver, Subdue Yang, Relieve Pain and Calm Shen

Acu Tx- Zang fu

LV 3 (Source): Subdue LV Yang, Clears Head

GB 43 (Clamped Stream Spring): Clears Heat, Benefit Head
GB 4, 5: Eliminate Wind, Clears Head, ACAP
GB 20 (FengChi): Benefit Head
KI 3 (Source): Nourish Yin

Acu Tx- Channel

Tai Yang, GB 8, SJ 5, GB 41

Herbs

Tian Ma Gou Teng Yin

Red Flags

Shoulder pain with Smoking and family history of Cardiac disease