『節氣誘發頭痛』醫案一則

A Case Study on Headache Caused by Season Division Point

85歲女性患者，於98年端午節（陽曆5/28）午睡睡醒（15~16PM），洗完澡後受風，之後只要一做咀嚼動作右前額定點處就痛，導致不敢進食，身體日漸衰弱。經中醫四診診斷為風邪外襲，足三陽經脈阻滯證，投以川芎茶調散及小柴胡湯加減，以疏散風邪，通調足三陽經脈。從6/22日初診後經2次治療，頭痛症狀改善7成，然該病患於中元節（陽曆9/3）復發頭痛，由於擔心又不能飲食故患者非常的焦慮，經使用加味逍遙散及竹葉石膏湯加減，配合針刺神門（L）、太谿（L）、太衝（L）、內庭（L），本個案的頭痛終獲徹底改善。

An eight-five years old female patient got cold when she was taking a bath after a nap (15~16 PM) on May 28th (the date of Dragon Boat Festival in 2009). After then, she always felt pain on her right frontal side of her head when she made a chewing movement. Therefore, she was afraid of eating and became gradually weaken. With the TCM clinical diagnosis, it occurred due to wind evil assailing the outer body and stagnation in three yang meridians of the foot. It was advised to take Chuan Xiong Cha Tiao San and Xiao-Chai-Hu-Tang in order to expel wind evil and regulate three yang meridians of the foot. Having two sessions of treatment after the preliminary diagnosis on June 22, her headache got significantly improved to 70%. On Sept. 3rd (the date of the Ghost Festival), her headache reoccurred. She felt very agitated. After taking Jia Wey Shiau Yau and Zhu Ye Shi Gao Tang as well as receiving acupuncture on Shenmen point (L), Taihsi point (L), Taichung (L) and Neiting point (L), her headache got totally improved.