TCM Diagnosis for Migraine
In TCM, a disease or a symptom might be caused by one pathogenic factor, even two or three pathogenic factors. When diagnosing a disease or a symptom, TCM doctors must follow the principle of "Syndrome Differentiation", and then "Suit the Remedy to the Case". In order to gain a right and valuable diagnosis, it's important and necessary for the doctor to learn the detailed health information of the patient, including his/her disease duration, age, sex, height, weight, family history, urine, stool, diet, sleep, sweat, energy, mood (emotion), as well as the tongue conditions and the palm conditions, etc. If you would want our expert to create a TCM diagnosis, please fill out the health form as requested.

Migraine is a complex disorder characterized by recurrent episodes of headache, most often unilateral and in some cases associated with visual or sensory symptoms-collectively known as an aura-that arise most often before the head pain but that may occur during or afterward. Migraine is most common in women and has a strong genetic component. Following are some of the main patterns related to the conditions of Migraine:

1. The disharmony of the Liver system is the most common reason causing migraine headache.
According to the Zang-Fu theory, the Liver is the organ system that regulates the flow of Qi as well as stores the soul (related to mental activity). The smooth flow of Qi regulates emotional activities as well as ensures that the overall body activity operates normally. The disharmony of the Liver system, most commonly deficiency of Yin energy or excess of Yang energy, causes irregular Qi flow and Blood stasis, and accumulates Heat inside the body.

2. Both the Qi stagnation and the Heat accumulation may result in migraine headache.
The Liver type of migraine shows moderate to severe intensity, sometimes with pulsating quality and aggravation by walking stairs or physical exercise. This type of migraine is commonly in conjunction with emotional strain or stress, feeling of oppression in the chest and hypochondrium, depression or anxiety, reddened tongue with thin coating, and taut pulse.

3. Deficiency of the Kidneys
It is another common reason to cause migraine, especially for those patients with a long history of headache. According to the theory of the Five Elements (Phases), Water (Kidney) energy produces Wood (Liver) energy. The Kidney deficiency, caused by prolonged illness, may result in the Liver Yin deficiency and trigger headache.

4. The Kidney deficient type of migraine
This shows mild to moderate intensity and is commonly in conjunction with weakness of lower back, low energy, lassitude, pale tongue, deep and weak pulse. Clinically there is a third type of migraine, which is the combination of the Liver type and the Kidney type of headache. The Liver Qi stagnation and Kidney deficiency may co-exist in the same patient.

Four syndromes of migraine categorized in TCM diagnosis
Disharmony of the Liver system
Qi stagnation and the Heat accumulation
Deficiency of the Kidneys
Kidney deficient type of migraine
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