年輕男性巔頂頭痛治療病案報告

Chinese Medicine Treatment of Young Male Parietal Headache: A Case Report

這位36歲男性，無其他慢性疾病史，近期值夜班，主訴巔頂頭痛四天，脹痛合併重感，常常持續一整天，頭痛無前兆，起床時較嚴重，伴有雙眼視力些微模糊。無頭部明顯外傷，近來無感冒或流鼻涕。辨證為脾氣虛弱頭痛，治則為益氣溫中補虛，調整上焦氣血。服用中藥後，病患頭痛改善，續追蹤治療。透過病案了解中氣虛弱頭痛成因及其特色。

This is a 36 year-old man with no chronic underlying disease. He works in graveyard shift in recent months. He suffered from headache for four days. It's dull pain with heavy sensation, and always last for a whole day especially in the morning. There's no aura but with blurred vision. He denied trauma history or cold signs. He was diagnosed as qi deficiency headache. Headache subsided after Chinese herbs powder given. We could learn how qi deficiency headache happened and the symptoms and signs of qi deficiency headache from this case.