First of all, it is to actively prevent and treat various primary diseases. Symptomatic treatment can use analgesic drugs other than morphine, such as various antipyretic and analgesic drugs, which can be taken suddenly or 2-3 times a day for a short period of time according to the condition, and in severe cases, a small amount of codeine, pertussis or dihydroetorphine can be taken. Various sedatives or tranquilizers can be added as appropriate, especially for those who are anxious and irritable. Those with depressive symptoms should be given antidepressants. All of the above can refer to the lecture notes on psychiatry. In the treatment, it can also be carried out according to the mechanism of headache, such as: ① correcting intracranial pressure: if the intracranial pressure is high, give dehydration and diuretics; For patients with low intracranial pressure, low osmotic fluid is given intravenously. ② Contracted and dilated blood vessels: If migraine attacks, ergot preparation should be used as early as possible. For non-migraine vascular headache, compound antipyretic and analgesic drugs containing caffeine, such as APC, Sumitong and Miglinin, are often used to improve vascular tension. ③ Relaxation and contraction of muscles: It is suitable for muscle contraction headache, such as massage, hyperthermia, pain point blocked by novocaine, etc., or taking weak stabilizers such as diazepam and tranquillity, which can help to relax muscles and relieve mental tension. ④ Blocking the cranial surface nerve: used for cranial surface neuralgia. ⑤ "Update" the pathological cerebrospinal fluid: For severe headache after subarachnoid hemorrhage, 5 ~10 ml of bloody cerebrospinal fluid can be released as appropriate, or the same amount of oxygen can be injected to promote the absorption of cerebrospinal fluid to "update", which can often relieve the headache quickly. This method is also suitable for the headache of serous meningitis.

The above will introduce several specific prevention and treatment methods of common headaches:

1. Migraine: One of the following methods can be used to relieve pain as soon as possible during the attack: take ergotamine caffeine 0. 1-0.2g orally, and take 0. 1g again after half an hour if it fails, with the total amount not exceeding 0.6g per day. 0.2-0.5mg ergonovine is injected intramuscularly, and it can be repeated after 1 hour if it is ineffective. Intramuscular injection of 4-5mg of anisodine or slow intravenous injection of 2-6mg (in 40ml of 50% glucose). 0.5% novocaine subcutaneously seals around the dilated temporal artery and so on. Ergot preparation should not be used in patients with arteriosclerosis, cardiovascular and cerebrovascular diseases and pregnancy. Oryzanol (20-30mg), propranolol (10-20mg), camphoridine (1-4mg) or pizotifen (0.5- 1mg) can be selected for three times a day to prevent seizures. You can also take ergotamine butylamide (the first dose is 0.5mg, gradually increased to 1-2mg, twice a day, and the contraindication is the same as ergotamine), camphaline (1-4mg) and pizotifen (0.5- 1mg) for three times. Pueraria lobata tablets, Ligusticum Chuanxiong injection, traditional Chinese medicine for promoting blood circulation and removing blood stasis, and intravenous injection of 0.5% novocaine (each time 10ml, ***20-30 times) also have certain curative effects. For serious patients with long course of disease, frequent attacks, ineffective drug treatment and obvious temporal artery dilatation, superficial temporal artery ligation can also be tried as appropriate.

Second, cluster headache: ergot preparation can be used during the attack. During the intermission, you can also try the above drugs, or take 30mg of prednisone at a time, and change it to 5-20mg after 3 consecutive days, once a day or every other day, and stop taking the medicine after 3 times.

Third, cervical migraine: cervical traction, taking vasodilators or traditional Chinese medicine for promoting blood circulation and removing blood stasis at the same time, and treating coexisting cervicothoracic radiculitis. Stellate ganglion block can also be tried. If conservative treatment fails and the symptoms are serious, resection of vertebral uncinate joint may be considered.

Fourth, muscle contraction headache: massage, hot compress, electric excitation therapy and taking muscle relaxants and sedatives such as diazepam and Anning tablets. It can also be sealed with 2% novocaine 1-2ml at the muscle tenderness point. Acute neck muscle strain can be blocked with cortisone acetate 1ml (plus 1% novocaine 1-2ml). Cervical traction should be added to patients caused by cervical hyperplasia or injury, and neck brace should be used to consolidate the traction effect.

5. Neurotic headache: In addition to the treatment according to the principle of neuritis, 2% novocaine 0.5- 1ml (or Vi.t B 1 50mg or Vit. B12100) can be used for many times at supraorbital notch and Fengchi point. Oral phenytoin sodium or carbamazepine is also effective in relieving pain. Cervical traction should be added to the greater occipital neuralgia caused by cervical hyperplasia.

Headache is a kind of disease caused by nervous and mental factors such as intracranial inflammation, hypoxia, bleeding, tumor, mechanical injury, cranial nerve and paranasal sinus lesions. It is also called "head wind" and "brain wind" in Chinese medicine.

Headache has a wide range, involving internal and external diseases, neurological diseases, mental diseases, facial features and other diseases, including external feelings and internal injuries.

Traditional Chinese medicine remedies for various headaches;

First, migraine: more common in women, often onset in adolescence, showing periodic attacks, and some patients' headaches are closely related to menstrual cycles. Before a typical attack, patients often feel sleepy, tired and depressed, and may have flashes and dark spots in front of their eyes, as well as numbness and aphasia of their faces, lips and limbs. These premonitory symptoms subside after about 20-30 minutes, and then there is a severe headache, which hurts like a drill and acupuncture. This kind of headache is often one-sided, often starting from the orbit or forehead, spreading to the semi-side, or spreading all over the head. Headache attacks continue for several hours or days and then gradually relieve, and often completely relieve after falling asleep. Can be treated with the following prescriptions:

① Pueraria lobata tablets (each tablet contains puerarin 100 mg), 5 tablets each time, three times a day, swallowed with boiling water for more than two months.

② Bupleurum12g, Radix Paeoniae Alba 30g, Rhizoma Chuanxiong 30g, Radix Angelicae Dahuricae12g, Radix Aconiti Lateralis10g, Semen Armeniacae Amarum10g, and Herba Asari 6g, decocted in water, one dose per day.

③ Fangfeng Tongsheng Pill (a patent medicine), and take it according to the instructions.

④ 20g of goat horn (scraping crumbs), 6g of Ligusticum chuanxiong, 3g of prepared Radix Aconiti, 6g of Radix Angelicae Dahuricae, taken with water, one dose per day.

⑤ Radish juice (with a small amount of borneol) is dripped into the nose.

Second, hypertension headache: This kind of headache is a common symptom of patients with hypertension. Headache is often a deep throbbing dull pain, sometimes accompanied by a feeling of tightness in the head. Pain is often found in the forehead and occipital region. The degree of headache is often related to a sudden increase in blood pressure. Hypertension and headache can be treated with the following prescriptions:

① Six Flavonoids Tea (finished edible tea, 4g per bag), one to three bags per day depending on blood pressure, and brewed with 95-degree boiling water. Liuwei Flavonoids Tea is a viscous Chinese herbal tea for lowering blood pressure, blood fat and blood. It has obvious effect on headache, dizziness and head swelling caused by hypertension.

② Tianma Gouteng Drink: Gastrodia elata10g, Uncaria 20g, Polygonum Multiflori 30g, Concha Haliotidis 30g, Fructus Gardeniae preparata10g, Scutellaria baicalensis Georgi10g, Achyranthes bidentata10g, Eucommia ulmoides Oliv.12g.

3. Headaches caused by pathological changes of head organs and adjacent tissues can be divided into: headache caused by eye, headache caused by ear boxing, headache caused by nose or sinusitis, headache caused by odontogenic headache and headache caused by cervical cone disease.

1, Ophthalmic Headache: Headache caused by glaucoma can be treated with the following prescriptions:

① Notopterygii Rhizoma12g, Radix Saposhnikoviae12g, Scutellariae Radix10g, Radix Glycyrrhizae10g, Radix Angelicae Dahuricae10g, and Rhizoma Ligustici10g, decocted in water, one dose per day.

② Gentiana scabra10g, Vitex negundo10g, Achyranthes bidentata10g, Hanfu12g, Fructus Leonuri10g, Radix Paeoniae Rubra10g, decocted in water.

③ Raw concha Haliotidis 30g, Rhizoma Atractylodis Macrocephalae 20g, Rhizoma Alismatis 20g, Rhizoma Atractylodis10g, Fructus Broussonetiae10g, Ramulus Cinnamomi10g, Flos Chrysanthemi15g, decocted in water, one dose per day.

Headache caused by ocular inflammation can be treated with the following prescription:

① Chuanxiong12g, Mulberry Leaf 20g, Chrysanthemum 20g, Fructus Arctii 20g, Fructus Leonuri10g, Dandelion15g, Flos Lonicerae12g, Semen Oryzae Sativae10g, and Plantago.

② Radix Paeoniae Rubra12g, Radix Scutellariae10g, Herba Artemisiae Annuae10g, Fructus Gardeniae10g, Olibanum10g, Myrrha10g, and Herba Patriniae 30g, decocted in water.

2. Ear boxing headache: Headache caused by ear inflammation can be treated with the following prescriptions: 30g of Radix Puerariae, 0g of Rhizoma Acori Graminei10g, 0g of Radix Gentianae10g, 6g of Cimicifuga rhizome, 6g of Bupleurum, 0g of Fructus Gardeniae10g of Radix Scutellariae10g of Akebia.

3. Headache caused by rhinosinusitis: Treat with the following prescriptions: Flos Magnoliae12g, Fructus Xanthii10g, Cortex Phellodendri10g, Folium Mori15g, Flos Chrysanthemi15g, and Fructus Viticis/kloc-0. Decoct with water, one dose a day.

4. Tooth headache: Headaches caused by pulpitis, periodontitis and gingivitis can be treated with the following prescriptions:

① Flos Lonicerae10g, Radix Rehmanniae15g, Radix Scrophulariae 30g, Fructus Amomi 6g, Gypsum Fibrosum 30g, Herba Asari 6g, Rhizoma Chuanxiong10g, decocted in water, one dose per day.

② 20g of Cimicifuga, 0/0g of Angelica dahurica/kloc, 0/0g of Schizonepeta tenuifolia, 0/0g of Saposhnikovia divaricata/kloc, 0/0g of mint/kloc (bottom), 0/2g of Xanthium sibiricum/kloc, 0/0g of frankincense/kloc. Decoct with water, one dose a day.

5. Headache caused by cervical cone disease: Taking traditional Chinese medicine can relieve the pain: deer contains 30g of grass, 30g of epimedium, cistanche deserticola12g, Rhizoma Drynariae10g, erythrinus bark 20g, Notopterygii Rhizoma10g, Radix Angelicae Pubescentis10g, etc. Decoct with water, one dose per day.

Fourth, trigeminal neuralgia: more common in patients over 40 years old. The pain site is limited to the trigeminal neuralgia, and the pain is sudden and paroxysmal lightning-like pain, such as knife cutting, drilling and scalding. The pain lasts for a short time, from a few seconds to several minutes, suddenly, and suddenly stops. Attack can cause ipsilateral muscle twitching, conjunctival congestion, tears or salivation and other symptoms. Trigeminal neuralgia can be induced by talking, eating, brushing teeth, washing face, blowing hair, etc., so patients dare not talk, wash face or eat. Trigeminal neuralgia has periodic attacks, with fewer attacks at the beginning of the course and longer intermission. With the progress of the disease, the attack is frequent and the interval is short. Trigeminal neuralgia can be treated with the following prescription:

① Gypsum Fibrosum 30g, Radix Rehmanniae15g, Radix Scrophulariae 20g, Rhizoma Corydalis 6g, Radix Angelicae Dahuricae10g, Herba Asari 6g, Radix Saposhnikoviae10g, Radix Achyranthis Bidentatae12g, Radix Ophiopogonis12g and Radix Notoginseng 3g daily.

② Shougong (Gekko gecko), dry on a warm kang, grind into fine powder, dry and disinfect, pack and seal for later use, 2g each time, swallow with boiling water three times a day, and take 15 day as a course of treatment.

③ Rhizoma Chuanxiong12g, Radix Saposhnikoviae10g, Semen Persicae10g, Flos Carthami10g, Lumbricus10g, Leech 6g, Curcuma longa10g, decocted in water, one dose per day.

5. Chronic headache after head trauma: The patient has a history of head trauma. This kind of headache is often accompanied by dizziness, fatigue, insomnia, irritability and inattention. Headache can be aggravated when you are nervous, exert yourself and bend over. Therapeutic prescription:

① Radix Astragali 30g, Radix Angelicae Sinensis10g, Ramulus Mori 30g, Semen Persicae10g, Flos Carthami10g, Lumbricus10g, and Scorpio 6g, decocted in water, one dose per day.

② Angelica sinensis10g, Radix Paeoniae Alba 30g, Eupolyphaga Seu Steleophaga10g, Scolopendra 6g, Magnetite 30g, Caulis Polygoni Multiflori 30g, Amber powder 6g, Acorus calamus10g, Cortex et Radix Polygalae10g, decocted in water, one dose per day.

③ Rhizoma Drynariae10g, Radix Dipsaci 30g, Flos Chrysanthemi15g, Flos Carthami10g, Radix Salviae Miltiorrhizae 30g, Ramulus Uncariae cum Uncis15g, Sanguis Draxonis 6g, Rhizoma Corydalis 6g, decocted in water, one dose per day.

What I have talked about above is the treatment of several common headaches with traditional Chinese medicine. As for the headaches caused by acute infectious diseases and intracranial inflammation, we should seize the opportunity and actively treat the primary diseases. With the cure or improvement of the primary diseases, the headache symptoms will disappear or be alleviated.

Folk trick to treat headache are:

1: prescription: radix ginseng 30g, Flos chrysanthemi indici 20g, radix paeoniae rubra and fructus viticis each15g, flea body10g, Rhizoma chuanxiong 88g and centipede 3.

Usage: daily 1 dose, decocted in water, taken twice, and the residue is wrapped in cloth, and the affected area is hot. Sexual intercourse is forbidden during the medication period, so as to avoid the wind and cold, and avoid spicy.

Efficacy: The effective rate was 93.6% when the dosage was 5-10.

2. Treat migraine

Prescription: Chuanxiong 30g, Radix Paeoniae Alba, Semen Ziziphi Spinosae and Radix Puerariae each15g, Rhizoma Gastrodiae and Bombyx Batryticatus each10g, Semen Sinapis Albae and Herba Asari 3g.

Usage: decoction, daily 1 dose, twice.

Curative effect: the drug was taken for 5-10 day, and the effective rate was 95%.