Neuropathic headache

Introduction Neuropathic headache mainly refers to tension headache, functional headache and vascular neuropathic headache. It is caused by mental stress and anger. Traditional Chinese medicine belongs to the category of headache, brain wind and head wind. It belongs to qi and blood deficiency and liver yang. Caused by sputum. The intensity of headache is mild to moderate, and it is rarely bedridden or affects daily life due to headache. Some patients may have persistent headaches for many years, and some patients may even go back to 10-20 years.

Cause

Mostly caused by mental stress and anger, Chinese medicine believes that its pathogenesis is qi and blood deficiency, liver yang sputum, blood stasis, kidney deficiency, turbidity and so on.

Neuropathic headaches are caused by tight contraction of the head muscles, tightness or compression of the head, a heavy feeling, often a jump, and an increase in smoking and drinking. This is mostly caused by irregular life, excessive alcohol and tobacco, and insufficient sleep. Menopausal headaches due to endocrine changes, people's physiological functions are affected, often have personality changes, patients are characterized by irritable irritability, fatigue, laziness, nervousness, libido, and less menstruation.

Neurasthenic headaches are more common in mental workers. They often sleep and sleep, work day and night, lack of exercise, inadequate nutrition, and excessive fatigue. Patients often have head up, insomnia, memory loss, and a sense of premature aging. Intracranial Occupational Lesions Headaches caused by headaches or other intracranial lesions usually occur only recently, with intermittent headaches that last for several hours each day and may cause or disappear with changes in body position. At the beginning, headache can be limited to the location of the tumor, but it can become diffuse as the intracranial pressure increases.

an examination

Related inspection

Cerebrospinal fluid neurotensin cerebral blood flow chart brain CT examination

1, the main symptoms of neurological headache is persistent head pain, pressure, heavy feeling, and some patients complained that the head has a "tight" feeling. Most patients have bilateral headaches, mostly two sides, the posterior occipital and the top of the head or the entire head.

2, the nature of headache is dull pain, pain, pressure, numbness and belt-like tightness.

3, the intensity of headache is mild to moderate, rarely bedridden due to headache or affect daily life.

4, some patients may have persistent headaches for many years, and some patients may even go back to 10-20 years. The patient can have a headache all day, and the headache time is longer than the painless time.

5, because of excitement, anger, insomnia, anxiety or depression and other factors often make headaches worse. There are also some patients who not only have the characteristics of muscle tension headache, but also the clinical manifestations of vascular headache, complaining of bilateral pulsating headache. The clinical manifestations of both tension headaches and vascular headaches are called mixed headaches.

6, the patient is often accompanied by dizziness, irritability, anxiety, anxiety, palpitation, shortness of breath, fear, tinnitus, insomnia, back pain, neck stiffness and other symptoms, some patients on the sides of the neck pillow or on both sides of the neck are obvious The tenderness.

Differential diagnosis

diagnosis

1. The main symptoms are persistent head pain, pressure, and heavy feeling. Some patients complained that the head has a "tight" feeling. Most patients have bilateral headaches, mostly two sides, the posterior occipital and the top of the head or the entire head.

2. The nature of headache is dull pain, pain, pressure, numbness and bandage.

3. The intensity of headache is mild to moderate, rarely bedridden due to headache or affecting daily life.

4. Some patients may have persistent headaches for many years, and some patients may even go back to 10-20 years. The patient can have a headache all day, and the headache time is longer than the painless time.

5. Headaches are often exacerbated by factors such as agitation, anger, insomnia, anxiety or depression. There are also some patients who not only have the characteristics of muscle tension headache, but also the clinical manifestations of vascular headache, complaining of bilateral pulsating headache.

The clinical manifestations of both tension headaches and vascular headaches are called mixed headaches.

6. Patients are often accompanied by dizziness, irritability, anxiety, anxiety, palpitation, shortness of breath, fear, tinnitus, insomnia, back pain, neck stiffness and other symptoms. Some patients have obvious on both sides of the neck pillow or on both sides of the neck. The tenderness.

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