The inadequately diagnosed and suboptimal treatment of primary headaches, especially migraines, are a clinical concern. Localization of primary headaches may be essential for diagnosis and treatment, especially acupuncture.
Objective:
To investigate a new method for localizing pain using New Developed Meridian (Gold Meridian) and Acupuncture Points of Korean Hand Therapy (KHT).
Design, Setting, and Participants:
This study was performed as one part of the physical examination at the Department of Neurology, Pusan National University Hospital in Korea from March 2006 to February 2008. Six hundred patients with primary headaches and without other neurological or systemic diseases were included. The patients were diagnosed based on the classification and diagnostic criteria of the International Headache Society. We checked both sides of the head and neck on Gallbladder Gold Meridian such as CM-1 to CM-10 and Urinary Bladder Gold Meridian such as CI-1 to CI-8 using a roller stimulator produced by KHT or the round tip of neurological examination tools.
Main Outcome Measures:
The exact location for diagnosis of the primary headache.
Results:
Patterns of pain localization of primary headaches were various combinations, migraine and tension-type and mixed pattern based on Gold Meridian and acupuncture points. The patterns were not simple but complicated in certain headache groups. Mainly involved Gold Meridians were Gallbladder and Urinary Bladder.
Conclusion:
The Gold Meridian and Acupuncture Points of KHT can help localize headache pain.
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References
1.
SchwedtTJ, ShapiroRE. Funding of research on headache disorders by the National Institutes of Health. Headache, 2009; 49,2:162–169.
2.
LiptonRB, StewartWF. Migraine in the United States: a review of epidemiology and health care use. Neurology, 1993; 43:6–10.
3.
StovnerLJ, HagenK, JensenRet al.The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia, 2007; 27,3:193–210.
4.
LeonardoM, SteinerTJ, ScherAT, LiptonRB. The global burden of migraine: measuring disability in headache disorders with WHO's classification of functioning, disability and health (ICF)J Headache Pain, 2005; 6:429–440.
5.
EdmeadsJ, FindlayH, TugwellPet al.Impact of migraine and tension-type headache on life-style, consulting behaviour, and medication use: a Canadian population survey. Can J Neurol Sci., 1993; 20,2:131–137.
6.
LiptonRB, BigalME, KolodnerKet al.The family impact of migraine: population-based studies in the USA and UK. Cephalalgia, 2003; 23,6:429–440.
7.
BussoneG, UsaiS, GrazziLet al.Disability and quality of life in different primary headaches: results from Italian studies. Neurol Sci., 2004; 25,3:S105–S107.
8.
TerwindtGM, FerrariMD, TijhuisMet al.The impact of migraine on quality of life in the general population. Neurology, 2000; 55:624–629.
9.
MassettoN, GambiniC, BernardoniPet al.Underdiagnosis of primary headaches: results of a survey on patients attending headache centres. Neurol Sci., 2009; 30,suppl 1:S129–S131.
10.
CevoliS, D'AmicoD, MartellettiPet al.Underdiagnosis and undertreatment of migraine in Italy: a survey of patients attending for the first time 10 headache centres. Cephalalgia, 2009; 29,12:1285–1293.
11.
FumalA, SchoenenJ. Current migraine management – patient acceptability and future approaches. Neuropsychiatr Dis Treat, 2008; 4,6:1043–1057.
12.
FarinelliI, De FilippisS, ColopriscoGet al.Future drugs for migraine [published online ahead of print]Intern Emerg Med., 2009; 4,5.
LiY, LiangF, YangXet al.Acupuncture for treating acute attacks of migraine: a randomized controlled trial. Headache, 2009; 49,6:805–816.
16.
KellyRB. Acupuncture for pain. Am Fam Physician, 2009; 80,5:481–484.
17.
FaccoE, LiguoriA, PettiFet al.Traditional acupuncture in migraine: a controlled, randomized study. Headache, 2008; 48,3:398–407.
18.
AuroraSK, GawelM, BrandesJLet al. BOTOX North American Episodic Migraine Study Group. Botulinum toxin type A prophylactic treatment of episodic migraine: a randomized, double-blind, placebo-controlled exploratory study. Headache, 2007; 47,4:486–499.
19.
AokiKR. Evidence for antinociceptive activity of botulinum toxin type A in pain management. Headache, 2003; 43:S9–S15.
20.
CuiM, KhanijouS, RubinoJ, AokiKR. Subcutaneous administration of botulinum toxin A reduces formalin-induced pain. Pain, 2004; 107:125–133.
21.
DurhamPL, CadyR, CadyR. Regulation of calcitonin gene-related peptide secretion from trigeminal nerve cells by botulinum toxin type A: implications for migraine therapy. Headache, 2004; 44:35–43.
22.
SilbersteinS, MathewN, SaperJet al.Botulinum toxin type A as a migraine preventive treatment. Headache, 2000; 40:445–450.
23.
MathewNT, FrishbergBM, GawelMet al.Botulinum toxin type A (BOTOX®) for the prophylactic treatment of chronic daily headache: A randomized, double-blind, placebo-controlled trial. Headache, 2005; 45:293–307.
24.
SilbersteinSD, StarkSR, LucasSMet al.Botulinum toxin type A for the prophylactic treatment of chronic daily headache: a randomized, double-blind, placebo-controlled trial. Mayo Clin Proc., 2005; 80:1126–1137.
25.
MathewNT, KailasamJ, MeadorsL. Predictors of response to botulinum toxin type A (BoNTA) in chronic daily headache. Headache, 2008; 48,2:194–200.
26.
LakeAE, SaperJR, MaddenSF, KreegerMA. Comprehensive inpatient treatment for intractable migraine: a prospective long-term outcome study. Headache, 1993; 33,2:55–62.
27.
SilbersteinSD, SilbersteinJR. Chronic daily headache: long term prognosis following inpatient treatment with repetitive IV DHE. Headache, 1992; 32,9:439–445.
28.
MathewNT, RapoportA, SaperJet al.Efficacy of gabapentin in migraine prophylaxis. Headache, 2001; 41,2:119–128.
BrandesJL, SaperJR, DiamondMet al.Topiramate for migraine prevention: a randomized controlled trial. JAMA, 2004; 291,8:965–973.
31.
ChakravartyA, MukherjeeA, RoyD. Migraine pain location: how do children differ from adults?J Headache Pain, 2008; 9,6:375–379.
32.
KelmanL. Migraine pain location: a tertiary care study of 1283 migraineurs. Headache, 2005; 45:1038–1047.
33.
SjaastadO, BovimG, StovnerLJ. Common migraine (“migraine without aura”): localization of the initial pain of attack. Funct Neurol., 1993; 8,1:27–32.
34.
D'AmatoD, LeoneM, BussoneG. Side-locked unilaterality and pain localization in long-lasting headache; migraine, tension-type headache, and cervicogenic headache. Headache, 1994; 34:526–530.
35.
Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders: second edition. Cephalalgia, 2004; 24,1:1–160.
36.
ParkKH, JooH, KimDS, JungDS, YooTW. Where are pain localizations in migraineurs? localization of pain in head, shoulder and abdomen in migraineurs. J Korean Pain Res., 2003; 13:81–85.
37.
YooTW. Koryo Hand Therapy -Korean Hand Acupuncture. Seoul, Korea: Eum Yang Maek Jin, 2004.
ParkKH, YooTW. Useful method to confirm tender points of primary headache: corresponding points of Koryo Hand Acupuncture Therapy. Internet J Altern Med., 2005; 3,1.
40.
YooTW. Gold Meridian Therapy. Seoul, Korea: Eum Yang Maek Jin, 2009; 157173207–220.
Anatomical Meridian and Acupuncture. Seoul, Korea: Eum Yang Maek Jin, 1984.
43.
BowingG, ZhouJ, EndresHGet al.Differences in Chinese diagnoses for migraine and tension-type headache: an analysis of the German acupuncture trials (GERAC) for headache. CephalalgiaPublished online July 13, 200910.1111/j.1468-982.2009.01921.x.
44.
D'AmicoD, GrazziL, UsaiSet al.Disability pattern in chronic migraine with medication overuse: a comparison with migraine without aura. Headache, 2005; 45,5:553–560.
45.
ScherAI, StewartWF, RicciJAet al.Factors associated with the onset remission of chronic daily headache in a population-based study. Pain, 2003; 106:81–89.
46.
KatsaravaZ, SchneeweissS, KurthTet al.Incidence and predictors for chronicity of headache in patients with episodic migraine. Neurology, 2004; 62:788–790.
47.
MarkDR, RapoportAM. Practical evaluation and diagnosis of headache. Semin Neurol., 1997; 17,4:307–312.
48.
BeckerWJ. Communication with the migraine patient. Can J Neurol Sci., 2002; Suppl 2:S1–S2.
49.
ParkKH, YooTW. Relieving migraine headache by regulating cerebral blood flow with Koryo Hand Therapy. Internet J Altern Med., 2001; 1,1.
50.
ParkKH, KimHJ, BaekSY, ChoBM, YooTW. Effect of acupuncture on blood flow velocity and volume in common carotid and vertebral arteries in migraine patients. Medical Acupuncture, 2009; 21,1:47–54.
