Migraine is a pulsatile headache that occurs repeatedly on one or both sides of the temporal region. It can be accompanied by visual and somatosensory precursors before the attack. Females are more common, mostly in adolescence onset, a few occur in childhood or after middle age.
Etiology of Migraine
1.heredity. About 60% of Migraine patients have a family history. The risk of migraine for their parents, children and siblings (with their parents) is 3 to 6 times higher than that of the general population. 2.Endocrine and metabolic factors. Women are more common, starting in adolescence, often in menstrual attacks, pregnancy or postmenopausal decrease or stop, suggesting the impact of endocrine and metabolism. 3.Diet and medicine. Some foods can induce migraine, such as cheese containing tyramine, meat containing nitrite anticorruption agents such as hot dogs or bacon, chocolate containing phenylethylamine, food additives such as sodium glutamate (MSG), red wine and so on. 4.Spiritual factors. Fasting, emotional stress and strong light can be induced.
Types of migraine
Migraine mainly includes migraine with aura and migraine without aura. In addition, there are seven special types of migraine.
- Migraine with aura. It is also called typical migraine, accounting for 15%-18% of migraine, mostly with family history. Typical cases are divided into three stages:
(1) Short-term precursors, such as visual precursors: flash, flickering zigzag lines, dark spots, darkness and hemianopia; visual distortion and color change. Secondly, somatosensory precursors, such as numbness of one limb or face, sensory abnormalities, etc., and motor precursors such as hemiplegia and aphasia, are relatively rare. The omen lasts from minutes to an hour. (2) During the headache stage, one side of the temporal or retro-orbital pulsatile headache occurs simultaneously or subsequently with the aura. About 2/3 of the patients were unilateral and 1/3 were bilateral or bilateral alternately. It can also be manifested as headache in the whole, unilateral or bilateral forehead, and uncommon occipital headache. Headache usually begins in the frontal, temporal and posterior orbital regions and spreads to the hemisphere or the whole head. Typically, the superficial temporal artery is pulsatile, often accompanied by nausea, vomiting, photophobia or phobia, irritability, odor terror and fatigue. The patient prefers to lie quietly in the darkroom and relieve after sleep. Headache lasts 2-10 hours, a few can reach 1-2 days, and children lasts 2-8 hours. The frequency of seizures can be weekly, monthly or several months, and the number of seizures varies. Intermittent episodes were mostly asymptomatic. (3) After headache subsides, patients often show fatigue, fatigue, weakness and poor appetite, and improve 1-2 days.
- Migraine without aura. Ordinary migraine, also known as migraine, is the most common type, accounting for about 80% of migraine. Compared with migraine with aura, it lacks typical aura. It is usually bilateral temporal and periorbital pain. It can be pulsatile, recurrent headache and vomiting. Headache lasts for a long period of time, up to several days. Symptoms can be complicated by pain persistence accompanied by neck muscle contraction. Attacks often have scalp tenderness, vomiting can occasionally stop the headache. This type of migraine is often associated with menstruation. Compared with migraine with aura, migraine without aura has a higher frequency of attack, which can seriously affect the work and life of patients, and often requires frequent use of analgesics.
- Special migraine
(1) Hemiplegic Migraine is rare. Most of them occur in childhood. Hemiplegia can be a precursor symptom of migraine. It can occur alone or with hemiplegia and aphasia. Hemiplegia can last 10 minutes to several weeks after migraine subsides. (2) Basal Migraine or basilar artery migraine. Children and adolescent women are more common, seizures can be related to menstruation. Most of them have family history. Family members may suffer from this type of migraine or other types of migraine. Common visual precursors include flash, dark spot, blurred vision, dark and visual field defect. Occipital pulsatile headache lasts for 20 to 30 minutes, often accompanied by nausea and vomiting. Headache lasts for several hours to one day and relieves after sleep. Brainstem and temporal-occipital symptoms may also occur due to vertebrobasilar artery ischemia, such as vertigo, binocular vision, nystagmus, tinnitus, unclear speech, numbness and weakness of bilateral limbs, ataxia (decreased physical coordination, unable to maintain balance), changes in consciousness (lethargy), falls and nigrescence; multiple attacks can lead to basilar artery or posterior cerebral artery thrombosis. (3) Complex migraine with prolonged omen. Symptoms are the same as those of migraine with aura, which persists in the onset of headache for an hour or even a week. This type of brain lesions should be excluded by magnetic resonance examination. (4) Migraine with ophthalmoplegia is rare, and most patients have migraine history with or without aura. Eye muscle paralysis on the side of headache occurs when migraine onset or gradually subsides after attack. The oculomotor nerve is most often involved. It can also involve trochlear and abductor nerves for several hours to several weeks. Recurrence is more common on the same side. Paralysis can last for a long time after multiple attacks. This type should be excluded from intracranial aneurysms and diabetic ophthalmoplegia. (5) Retinal artery migraine is more common in young people with a history of threatened migraine, which may be caused by retinal artery spasm. Monocular darkness accompanied by flashing dark spots often occurs, but the range of vision may be reduced. Fundus examination showed retinal edema. (6) Late-age migraine onset after 45 years of age, paroxysmal headache with repeated attacks of hemiplegia, numbness, aphasia or unclear speech, each attack of neurological deficit symptoms the same, lasting 1 minute to 72 hours. This should be noted to exclude transient ischemic attack. (7) Migraine allele manifests vascular dysfunction caused by paroxysmal autonomic nervous dysfunction. In very few cases, recurrent autonomic neurological symptoms, such as vertigo, vomiting, abdominal pain, diarrhea, limb and joint pain, can occur in the elderly and children without headache attack or alternating with headache.
The most effective treatment of migraine
The most common treatment is drug therapy. Here’s the most effective treatment: pick fresh Artemisia argyi(Chinese mugwort) in spring and wash it at home. Pour a bowl of water into the pot and cook the Artemisia argyi(Chinese mugwort) with the eggs,Then eat. Disadvantage: Artemisia argyi(Chinese mugwort) is bitter and difficult to swallow.
Artemisia argyi is a perennial Artemisia plant of Compositae, with strong aroma. Stems solitary or few, brown or grayish-brown, base slightly lignified, upper follicle with a few short branches, thick papery leaves, covered with grayish-white pubescence, base usually without pseudostipules or minimal pseudostipules; upper leaves and bracts pinnately cleft, capitate oval, corolla tubular or tall cup-shaped, outside glandular spots, anthers narrowly linear, style and corolla nearly equal Long or slightly longer than corolla. Achenes long ovate or oblong. The flowering and fruiting period is from September to October. The whole herbal medicine has the functions of warming meridians, removing dampness, dispelling cold, stopping bleeding, eliminating inflammation, relieving asthma, relieving cough, relieving pregnancy and anti-allergy. Moxa leaves are dried and mashed to make “moxa velvet” for moxibustion, and can be used as raw material for “printing mud”. It is distributed in Asia and Europe.