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How to thoroughly treat intractable headache and migraine?
Migraine is a paroxysmal headache caused by vasomotor dysfunction. Clinically, recurrent paroxysmal headache, nausea, vomiting, photophobia, dizziness and other symptoms may occur. Women are more common. It often happens around puberty.

A New Method for Treating Migraine

When migraine attacks, use a pot of hot water (the water temperature should not burn your skin) and immerse your hands in hot water. It is advisable for water to pass through the wrist. Soak for half an hour at a time. In the process of soaking, hot water should be heated continuously to keep the water temperature. After soaking for several times, the symptoms can gradually disappear.

Health guide:

1. Live regularly, pay attention to the combination of work and rest, and don't be overly nervous or tired, otherwise it will cause migraine attacks. Physical activities such as jogging, walking, swimming, Tai Ji Chuan and Qigong should be carried out properly. Exercise can enhance the toughness and elasticity of blood vessels and improve the vasomotor function of blood vessels.

2. We should maintain a good mental state of being open-minded and relaxed when things go wrong, and avoid mental stimulation or nervousness and depression. Cultivate the interest in raising flowers and goldfish. When you are in a bad mood, you can wait to see goldfish and flowers to distract yourself. Angry.

3. Be careful of catching a cold. When the weather is cold or the climate changes suddenly, pay attention to cold and warmth, and wear a hat or headscarf when going out. Usually don't sleep in the wind, and don't run in the rain. Women should pay special attention to prevention during menstruation.

4. The occurrence of migraine may be related to eating food containing tyrosine, such as cheese, chocolate, beer and high-fat food. Eat as little or no food as possible. Avoid spicy hair and alcohol. It is advisable to eat light, delicious and digestible food, eat more fresh vegetables and fruits, and keep the stool unobstructed.

What are the causes of migraine attacks?

There are many factors that induce migraine, which can be summarized into two categories: common and rare:

(l) Common incentives:

1。 Mental factors: such as anxiety, anger, tension, anxiety or excessive sadness;

2。 External physical stimulation: such as strong light, noise, peculiar smell, patterns, etc.

3。 Dietary factors: hunger or eating late, food type (such as food containing nitrite, glutamate, tyramine aspartate, etc. ), chocolate, alcoholic drinks, cold drinks, etc. It can also induce the decrease of magnesium intake in the body due to partial eclipse.

4。 Climate change: such as exposure, blowing, cold stimulation, etc.

In addition, lack of sleep, head trauma, fatigue, female menstrual cycle, taking birth control pills are also common reasons.

(2) Rare inducement: high fever; Sleep too much; Plateau area; Excessive vitamin a; Drugs: nitroglycerin, histamine, reserpine, hydralazine, estrogen; Stop the exam; Cold food; Reading and conversation lights are abnormal; Carbon? Why don't you thank me? Swords? Hey? From alpha?

What is migraine? Can migraine be inherited? What are its clinical manifestations?

Migraine is a vascular headache, which is caused by the change of intracranial vasoconstriction function. Vascular headache can be divided into primary vascular headache and secondary headache. Primary vascular headache is also called migraine, and secondary headache is mostly bilateral headache.

Migraine is an ancient disease, which was described as early as 3000 years ago. It was named migraine by Hippocrates 2500 years ago and is still in use today.

Traditional Chinese medicine (TCM) has long recognized the symptoms of migraine and believed that its mechanism is mostly the pathological changes of Sanyang Meridian. "Cold Art Heron Talk" says: "Headache is a solar disease, and its pain is continuous from the back of the head to the top of the head; For those who belong to Yangming, the eyes are attached to the forehead; Those who have less yang have two horns and have pain on the head side. "

Migraine is hereditary. For nearly a hundred years, neuroscientists believe that genetic factors play an important role in the pathogenesis of migraine. For example, Gawers wrote: "Migraine is obviously hereditary, and genetic effects can be found in more than half of cases. Often other members of the patient's family (at most parents) have migraine patients. "

At present, the genetic model of migraine cannot be finally confirmed. From the distribution of family members, unlike recessive inheritance, it belongs to autosomal dominant inheritance with incomplete penetrance, but some scholars think it is recessive inheritance with incomplete penetrance. In a word, the heritability of migraine is certain, but its genetic mode is still inconclusive.

Migraine patients often have headaches during the day, but they still have headaches at night. Headache attacks are generally confined to one side of the head. Some patients may have a change in the location of headache every time they have an attack, sometimes there will be pain in the pillow and the top of the head, and some patients will have pain in the face and neck. But you can't just diagnose migraine based on headache. When the patient has a headache attack, the pain gradually increases, and the headache reaches its peak within a few minutes to 1 ~ 2 hours, which can last for several hours or even days, and then the headache gradually weakens or disappears. There are also a few patients who suddenly have a severe headache without obvious inducement, which peaks in a few seconds and the pain can last for hours or even days. Pain is often pulsating, some patients show non-pulsating dull pain, and a few patients show head tingling or shock. Compressing the artery at the headache site or the diseased carotid artery or eyeball can relieve the headache, and the pain will return to its original state without compressing it. Exercise can aggravate headache, bed rest can relieve pain, and short-term sleep can make the pain disappear completely.

What are the common gastrointestinal and visual symptoms when migraine attacks?

Nausea is the most common gastrointestinal symptom in migraine patients. More than half of patients are accompanied by vomiting, a few patients may have diarrhea, and most patients have nausea, vomiting and diarrhea at the same time. In addition, a small number of patients with migraine attack mainly have gastrointestinal symptoms, but accompanied by mild headache, which is also a kind of migraine, called migraine equivalence.

When the patient has a headache, one or both eyes may be photophobic, and black spots and flashing hallucinations may appear in front of him; In severe cases, there may be blackness in front of eyes, visual field defect, monocular blindness, transient visual loss, and even visual perception disorder, distorted vision, diplopia or hyperopia, and visual color change.

What are the neurological disorders, advanced neurological dysfunction and autonomic nervous symptoms related to migraine attacks?

Neurological diseases associated with migraine attacks are:

(1) Olfactory disorder: If there is phantom olfactory symptom, the patient complains of smelling special odor.

(2) ophthalmoplegia: it usually occurs on one side of headache and sometimes on both sides.

(3) Somatosensory disturbance: numbness or tingling, hypoesthesia or disappearance may occur on the face or extremities.

(4) Dyskinesia and reflex: A small number of patients may be accompanied by hemiplegia or facial paralysis, tendon reflex hyperactivity or weakening, even consciousness disorder and aphasia, and paralysis will disappear within a few days to weeks. Repeated attacks can lead to permanent paralysis.

(5) Brain stem and cerebellum symptoms: dizziness, ataxia, tinnitus and other symptoms.

Migraine attacks are accompanied by the following autonomic symptoms:

Syncope and tachycardia, a few patients may be accompanied by high fever, and individual body temperature may be as high as 465438 0℃.

Migraine attacks are usually accompanied by the following serious neurological dysfunction:

(1) Consciousness disorder: confusion or even loss of consciousness.

(2) Emotional changes: excitement, irritability, fear, anger, disappointment and inattention.

(3) Speech disorder: there are symptoms of aphasia, aphasia and agraphia.

(4) Memory disorder: short-term complete amnesia occurred during the attack, and memory recovered after the attack.

What is the relationship between mitral valve prolapse and migraine?

Mitral valve prolapse (MVP) is closely related to migraine and has attracted more and more attention. Among the MVP patients reported by many scholars, the incidence of migraine is about 28%.

There is no significant difference in headache frequency, time, trigger factors, accompanying symptoms, headache location and attack time between MVP migraine patients and simple migraine patients.

The mechanism of migraine attack caused by MVP is not clear. Some people think that it is related to genetic factors, while others think that migraine is caused by platelet aggregation and release of 5-HT when blood flows through the heart valve.

What is the relationship between migraine and ischemic stroke and hemorrhagic stroke?

For a long time, ischemic stroke induced by migraine has been concerned by people. It is reported that migraine can induce stroke, but in terms of the total number of migraine patients, the incidence of stroke in migraine patients is still very low. It is reported that 7% of cerebral infarction in young adults is caused by migraine.

Migraine sufferers are mostly women and young people. Therefore, migraine patients complicated with ischemic stroke are also more common in young women. Migraine-induced stroke can involve internal carotid artery system and vertebrobasilar artery system, but posterior cerebral artery occlusion is the most common case.

Migraine stroke can be divided into three types:

(1) Migraine coexists with stroke;

The same patient suffers from migraine and stroke at the same time, but the onset of stroke is separated from migraine for some time.

(2) Stroke characterized by migraine:

The brain lesions of these patients have nothing to do with the pathogenesis of migraine, but their clinical manifestations have typical clinical characteristics of migraine.

(3) Stroke induced by migraine:

The diagnosis of migraine-induced stroke must meet the following criteria: ① The neurological signs of patients must be similar to those of previous migraine attacks; ② Stroke attack must be in the process of typical migraine attack; ③ Other factors that may lead to stroke must be excluded.

Hemorrhagic stroke induced by migraine is rare in clinic, but it has been reported in clinic for a long time. Three cases of cerebral lobe hemorrhage caused by long-term migraine attack were reported recently, all of which were confirmed by CT and MRI. Angiography showed no arteriovenous malformation and hemangioma, only the corresponding internal and external carotid arteries had extensive spasm, and 2 cases of vascular wall necrosis were confirmed by postoperative pathology with subacute inflammatory changes. The occurrence of cerebral hemorrhage is estimated to be caused by severe cerebral vasospasm caused by migraine attack, which leads to ischemic necrosis of intracranial vascular wall, and secondary vascular rupture leads to bleeding when perfusion pressure is restored.

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