|
Spontaneous intracranial hypotension (SIH) headache is a postural headache caused by a decrease in intracranial pressure without invasive treatment. Loss of cerebrospinal fluid can lead to lower cerebral pressure. Due to the traction of the brain structure, it produces persistent diffuse or dull pain in the whole head. The treatment of western medicine is epidural blood patch currently, but its treatment may still have a few headache sequelae. In this case, after the car accident, the direct impact on the occipital and the back of the neck, the circulation of the qi movement is inhibited, and the typical symptoms of SIH caused by the poor circulation of the qi movement of the meridian, such as postural headache, neck stiffness, unilateral runny nose, tinnitus, etc. In this paper, the acupuncture treatment is based on the thinking of diagnosis and treatment of fascia in the department of traumatology. Under TCM theory, qi stagnation and blood stasis at governor meridian, bladder meridian, small intestine meridian was diagnosed. Heavy work loading of chef also caused uneven muscle tension on this patient, and sleep disturbance also appeared due to terrified by car accident while comes along with fascia disorders of the triple jiao meridian and gall bladder meridian. Insufficient kidney essence and qi leads to frequent urination, slow speech speed and poor memory function. So the treatment principle is to regulate qi and promote blood circulation, nourish blood, regulate the movement of meridians, and replenish kidney qi and fill essence to improve language and memory function. With acupuncture to loosen the latissimus muscles, forehead and head fascia to promote the circulation of eye and cerebrospinal fluid, and improve the dull head pain, neck stiffness, chest tightness, diplopia, tinnitus caused by intracranial low pressure. Muscle training was taught to this patient, including deltoid muscle, supraspinatus muscle, and upper trapezius muscle to prevent the neck fascia from being pulled and affecting local blood circulation and dural repair, which restore fascia tension and improve blood circulation in the brain.
【Keywords】Intracranial Hypotension headache; Postural Headache; Neck Stiffness; Tinnitus; Traditional Chinese Medicine
|
242.8 疑似脑脊髓液渗漏之颅内低压中医诊治
