Migraine is a common recurrent headache, which is characterized by moderate to severe pain on one or both sides, accompanied by nausea, vomiting, photophobia and other symptoms. The etiology of migraine is still unclear, which may be related to genetic endocrine metabolism, environmental factors and mental factors. So the treatment can only be symptomatic. The purpose of treatment is to relieve or stop the onset of headache, alleviate the symptoms accompanying headache and prevent the recurrence of headache. Treatment is divided into non-drug treatment and drug treatment. Non-drug therapy includes a healthy lifestyle, as well as avoiding various causes of migraine, and can also be combined with acupuncture, physical therapy, biofeedback and other treatments.

Ergot preparations, such as ergotamine, caffeine and other drugs are effective, mainly used for moderate and severe migraine. If the migraine attack is mild to moderate, non-steroidal anti-inflammatory drugs, such as aspirin, naproxen, ibuprofen, diclofenac, etc. For obvious nausea and vomiting, antiemetic drugs such as metoclopramide intramuscular injection can be given. If migraine attacks are particularly frequent, you can also choose preventive drugs, such as beta blockers. However, these drugs need to be used reasonably under the guidance of doctors because of their influence on blood pressure and heart rate. Unfortunately, there is no cure for migraine at present, and symptomatic treatment is still the main way. The treatment of migraine includes the following:

1, Psychotherapy: Most migraine patients have anxiety, depression and excessive worry, so psychological counseling is very important.

2, preventive treatment: especially for patients with frequent attacks, it is recommended to take oral drugs to prevent headache attacks before the attack, such as propranolol, sodium valproate or flunarizine, amitriptyline and other preventive drugs. During the attack, analgesic drugs can be taken orally, such as non-steroidal anti-inflammatory drugs, such as ibuprofen, diclofenac sodium, etoricoxib, ergotamine caffeine and sumatriptan succinate.

3. Surgical treatment: The etiology of some migraine patients is related to patent foramen ovale. If the attack is frequent and accompanied by visual aura, it is necessary to screen heart foam test and right heart echocardiography. If there is a patent foramen ovale, occlusion surgery is very helpful for the treatment of migraine.