Western & Eastern Medicine Treatment
Approaches to Headaches
According to Eastern Medicine thought, there are many paths
up a mountain. In this article we will be discussing headaches and how both
Eastern and Westerin medicine view headaches. The Western (aka Biomedical)
approach is reductionist and relies on empirical observation and symptom
differential. The Eastern approach is dynamic, holistic, personalized and also
relies on a symptom differential. However,
that process looks quite different from the conventional approach. Here
we discuss both approaches and how they differ.
How does a Western Medicine Clinician View,
Evaluate and Treat Headaches?
According to conventional western medicine, a headache is
quite simply defined as the experience of pain in the upper neck, head or face.
According to Western Medicine, the most common types of headaches are vascular
(think migraines), or involve muscle tension and stress.
Primary and Secondary Type Headaches
According to the Mayo Clinic, there are two classifications
of headaches, primary and secondary. In primary headaches, there is no
identifiable underlying disease process that is the cause. Primary headaches
are most common and are categorized as migraines, migraines with aura, tension
and cluster headaches. Here we will briefly discuss the two most common primary
headaches, tension and migraine.
Primary headaches are mainly due to lifestyle factors that
trigger the headache. Examples include stressful events, poor sleep, poor
posture, specific foods, skipping meals, alcohol, hormonal fluctuations,
certain smells or bright lights.
Tension headaches are the most common type of headache.
These account for 90% of all headaches and are usually felt on both sides of
the head and can affect the eyes, scalp, neck as well as head. Tension
headaches are most commonly caused by chronic stress or a stressful event.
Secondary headaches are caused by an underlying disease
process or illness. The list of causes is extensive but includes such things as
sinus infections, influenza, infections, dental problems, glaucoma, hangovers,
etc....
A Western doctor will classify your headache as primary or
secondary by assessing your symptoms and by doing a medical exam. If necessary,
you may need blood tests or an image of the head or neck. However, primary-type
headaches are most common and usually do not require more than an in-office
exam.
Western Treatment of Headaches
Treatment is determined based on your diagnosis. However, most people with
primary headaches will be given over-the-counter pain relievers like Tylenol or
NSAIDs like Ibuprofen.
If the headache is a migraine, treatment may include a
prescription medication used specifically for migraines. The most likely
scenario is that you will leave your clinician’s office with some advice to
rest and a prescription of some kind.
How does an Eastern Medicine Doctor View,
Evaluate and Treat Headaches?
According to Eastern Medicine Clinicians, a headache is a
manifestation of a symptom, in this case pain, caused by an internal imbalance,
known as the root cause. Just like in Western medicine where headaches
are categorized as primary or secondary, in Eastern thought, the cause is also
categorized but in a very different way. The clinician will assess whether the
pain is due to an internal imbalance or due to an external influence like an
infection.
Most patients who have headaches due to an internal balance
will be assessed for the type of imbalance by checking the patient’s pulse,
respiratory rate, color and quality of their complexion, their tongue color and
coat. The patient will also be asked about the onset, time, location and the character of the pain.
Through this lens, the clinician looks for a pattern unique to the individual
to assess what type of imbalance is causing the headache. This differentiation
establishes whether the person has an imbalance from a state of excess or a
state of deficiency somewhere in the body. This means the patient may
have an accumulation of too much energy stuck in their body or it could mean they are low in energy and
need some kind of tonifying treatment to relieve their headache.
Excess headaches include symptoms like sharp or throbbing
pain in the temples or behind the eyes, a feeling of cotton or wool inside the
head, sharp pain or feeling of heat in
the head or face, feelings of nausea or chest oppression. Deficiency headaches
are usually dull rather than sharp, involve the whole head, and are relieved by
rest or eating.
In a nutshell, the Eastern clinician is looking for patterns
unique to the individual. After a pattern has been established, a diagnosis can
be made and that is how the treatment is decided.
What are your treatment options in Eastern
Medicine?
There are several options for treatment in the Eastern
Medicine clinician’s toolbox. This may range from nutrition advice, Qi Gong,
stretching, stress-reducing techniques, meditation, or simple exercises.
The patient’s stress levels and environment will be assessed
along with treatment of the underlying internal imbalance. The patient will
have their history and current lifestyle
considered in context with their symptoms.
The primary tools used inside the Eastern clinician’s office
are high-quality traditional botanical medicines, acupuncture or acupressure.
In many instances, a simple trip for an acupuncture treatment can eliminate a
tension headache or migraine in one session. Other times, it takes a few
treatments as the underlying pattern is addressed. Patients will often come in
for preventative treatment so that they can remain headache-free.