8 Migraine Headache Patterns from a Chinese Medicine Perspective
In Traditional Chinese Medicine (TCM), migraines are understood through different pattern presentations. These patterns are used as a clinical framework and may help guide individualised care.
Below are some commonly observed patterns. Please note that proper assessment is required, as symptoms can overlap.
Liver Qi Stagnation Pattern
This pattern may be associated with one-sided throbbing headaches, irritability, mood fluctuations, chest tightness, and a sensation sometimes described as a “lump in the throat.” Digestive changes such as alternating constipation and diarrhoea may also be present.
Symptoms may be influenced by stress, frustration, or emotional tension.
Liver Qi Stagnation with Heat
This presentation may involve more intense headache pain, irritability, restlessness, a bitter taste in the mouth, and a flushed face.
Symptoms may be aggravated by emotional stress, alcohol, or spicy foods.
Liver Fire Pattern
Often associated with severe, pulsating headaches, red eyes, dizziness, tinnitus, and irritability.
Symptoms may be triggered by emotional stress or dietary factors such as greasy or spicy foods.
Liver and Kidney Yin Deficiency Pattern
This pattern may present with chronic headaches, dizziness, dry eyes, night sweats, and a sensation of internal heat.
It is often associated with fatigue, overwork, or prolonged stress.
Yin Deficiency with Deficient Heat
May involve throbbing headaches with heat sensations, dry mouth, restlessness, and night sweats.
Symptoms can be more noticeable during periods of stress or depletion.
Qi Deficiency Pattern
Typically presents as dull, lingering headaches with fatigue, low energy, and shortness of breath.
Symptoms may worsen with tiredness or insufficient rest.
Yang Deficiency Pattern
May be associated with chronic headaches, sensitivity to cold, low energy, and cold extremities.
Symptoms can be aggravated by cold or damp environments.
Qi and Blood Deficiency Pattern
Often presents with dull headaches, dizziness, fatigue, and reduced concentration.
In some cases, symptoms may be more noticeable during menstruation or periods of low energy.
At Acupuncture Medicine South Melbourne, we focus on identifying individual presentations using both modern assessment and traditional Chinese medicine frameworks to guide personalised care.