Migraine Headaches: Understanding Causes and Treatment Options

Migraines are a common type of headache often characterized by pain on one side of the head, which can occur on the left, right, top, or back of the head. The pain may feel like pressure, sharp stabbing, or a dull ache that lingers for an extended period without relief. Many individuals experience discomfort that significantly affects their daily activities.

Traditional Perspectives on Migraines

In traditional Chinese medicine (TCM), migraines are often attributed to external factors such as wind-cold invasion or the long-term accumulation of cold pathogens in the body. These elements are believed to stagnate blood flow in the vessels, leading to pain and discomfort. One of the most commonly prescribed remedies in TCM is Sanpian Tang, a herbal decoction specifically formulated to target migraine symptoms.

Key Ingredients in Sanpian Tang

Chuanxiong (Ligusticum wallichii) is a primary component known for its ability to relieve pain and improve local blood circulation, making it highly effective in reducing migraine symptoms. Bupleurum (Chai Hu) helps regulate liver function and relieve qi stagnation, while Cyperus (Xiang Fu) contributes to pain relief by promoting the smooth flow of energy in the body.

Modern Medical Approaches

While traditional treatments like Sanpian Tang are widely used, modern medicine emphasizes the importance of diagnostic testing to identify underlying causes of recurring migraines. Common diagnostic tools include brain MRI scans, cerebral vascular MRI, and neck vascular ultrasound. These tests help detect potential issues such as vascular spasms, abnormalities in blood vessels, or blockages that may be contributing to chronic migraine episodes.

Targeted Treatment for Vascular Issues

For patients whose migraines are linked to vascular problems—such as vasospasm, vascular malformations, or blood vessel obstructions—targeted medical interventions can provide more effective and lasting relief. Addressing the root cause through specialized treatments can significantly improve quality of life and reduce the frequency and intensity of migraine attacks.