Acupuncture for headaches. Massage for headaches and migraines, acupressure points

Headache can be the leading and sometimes the only symptom in approximately 50 different diseases. Epidemiological studies indicate that up to 80% of the working population of European countries suffer from headaches. Tension headache is the most common (70-75%), with migraine taking second place (16%).

Hypertension can occur with arterial hypertension, hypoglycemia, glaucoma, infections and intoxications, with post-traumatic syndromes, medical procedures (lumbar puncture, epidural anesthesia), with syndromes of damage to the sympathetic ganglia of the cervical sympathetic trunk, etc. Acute increasing headache may indicate a life-threatening disease, therefore, when approaching treatment, one should first of all identify provoking factors and eliminate them, focusing on an accurate clinical diagnosis, the symptom of which is headache.

The main sources of headache are nociceptors of the dura mater and tissues covering the skull, arteries of the base of the skull and extracranial arteries, cranial nerves, and the first and second cervical spinal nerve roots. HD, which has various clinical manifestations, often develops according to similar pathophysiological mechanisms.

A differentiated diagnosis requires excluding arachnoiditis, subarachnoid hemorrhage, aneurysm, brain tumor, meningitis, hypoglycemia, otitis media, traumatic brain injury, for which emergency medication and other special therapy are used.

Migraine(M) and a number of other headaches are syndromes of vegetative dystonia (VD); according to A.M. Vein, M is interpreted as a psychovegetative syndrome of VD, since in the genesis of M there is a psychovegetative-endocrine-somatic link. Clinically, M is considered as paroxysmal conditions, manifested by attacks of headache of a pulsating nature, usually unilateral, mainly in the orbital-frontotemporal region; Women get sick more often (60-75%).

The main pathogenetic mechanism of M is spasm of cerebral vessels followed by their pathological expansion, edema of the brain and its membranes. The pathogenesis of M is associated with a violation of neurohumoral mechanisms regulating vascular tone. The exchange of serotonin, histamine and other vasoactive substances is disrupted. Congenital insufficiency of opioid and adrenergic mechanisms of pain control is assumed.

Attacks of M and other headaches can be provoked by emotional stress, irritation of the visual analyzer (bright light), overheating, changes in atmospheric pressure, the action of certain allergens, including food ones, and can occur in the premenstrual period, with exacerbation of allergic pathology.

Classic shape At has a prodromal period: 10-20 minutes before the onset of headache, a visual aura occurs in the form of blurred vision, distorted

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objects, flashing spots before the eyes, chills, numbness of the limbs. Then a unilateral pulsating headache occurs, increasing over 1-6 hours;

the pain is highly intense, accompanied by nausea, sometimes vomiting, hyperesthesia to sound and visual stimuli, malaise, and irritability.

Among other forms of M are:

simple M- The headache is pulsating in nature, begins without prodromal visual disturbances, the attack lasts longer than in the classic form;

associated M, in which headache is combined with transient neurological disorders, aura (according to A.M. Wein, the classical form of M is a particular form of associated M). In the associated form of M, there are a) ophthalmic M, in which bright photopsia and short-term decreased vision occur, b) ophthalmoplegic M (Moebius disease) - gasomotor disorders (ptosis, diplopia) occur against the background of hypertension, c) hemiplegic M - with the development hemiparesis, hemianesthesia on the side opposite to headache, d) aphasic M - with speech disorders, e) vestibular M - with dizziness, f) cerebellar - with coordination disorders, g) basilar M - with various symptoms caused by circulatory disorders in the basilar artery basin and (or) its branches;

special forms of M." a) vegetative form of associated M, b) abdominal M, c) facial forms of M with localization of headache in one, often in the lower, half of the face, with nausea and vomiting, d) syncopal M, in which fainting develops against the background of headache, e ) cervical M (Barre-Lieu syndrome, posterior cervical sympathetic syndrome, develops more often against the background of osteochondrosis of the cervical spine), in which headache is localized in the back of the head with irradiation throughout the head, with vestibular, auditory, visual, vegetative-vascular disorders;

complicated M- with it, neurological disorders persist for a long time, occurring more often with ischemic stroke and in the post-stroke period;

chronic daily headache during migraine - dull, diffuse, rarely with vomiting and nausea, occurs more often with the abuse of sleeping pills and narcotic drugs;

migraine status - M attacks follow each other for several days,

accompanied by vomiting, nausea, headache.

HD is also distinguished according to its etiology: a) psychogenic - dull, compressive, almost always bilateral, diffuse, often constant, accompanied by depression, anxiety, occurs against the background of mental, muscle tension, b) atypical - dull, one- or two-sided, accompanied by depression, sometimes psychosis; V) for sinusitis, dull or acute, the duration of the attack varies, accompanied by rhinorrhea; G) for post-concussion syndrome Hypertension is accompanied by nystagmus, dizziness, photophobia, and intolerance to loud sounds (post-commosis cerebrospinal fluid).

Among headaches with clear symptoms there are bundle headache (synonyms: histami-new Horton's neuralgia, migrainous neuralgia of Harris), which characterizes

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It is characterized by short-term (from 15 minutes to 2 hours) paroxysms of unilateral headache without prodromal phenomena, most often localized in the orbital area. Pain has a burning, piercing, boring character, without nausea or vomiting; attacks occur in series, “bundles”. On the side of pain - facial hyperemia, Horner's syndrome, nasal congestion, lacrimation. Men get sick 5 times more often than women, exacerbations occur after drinking alcohol.

A migraine attack occurs in three phases: 1 - prodromal (decreased mood, lethargy, drowsiness, then increasing headache and symptoms according to the form of migraine), 2 - phase of intense headache, 3 - phase of decreasing pain, general lethargy, weakness, drowsiness; sometimes migraine status develops.

The goal of treatment for M is to prevent an attack, stop it in the aura phase and in the phase of a full-blown attack. Treatment is carried out against the background of eliminating allergens, sanitizing provoking foci of infection, normalizing the work and rest regime, psychotherapy, and auto-training. The choice of treatment method is prescribed taking into account the form M and the phase of the disease (outside an attack, during an attack, against the background of precursors of an attack) and its combination with other symptoms.

Treatment for M includes analgesics, drugs that normalize serotonin metabolism (diseril, stugeron) and improve cerebral blood flow (instenon, sermion), as well as belloid, elenium, amitriptyline, seduxen, which have a sedative effect, antiemetics, homeopathic drugs (spigelon, etc. ). The base drug is acetylsalicylic acid.

RT is a component of treatment during an attack; at the stage of precursors of an attack, it can be an independent method of therapy. For hypertension of other etiologies, RT is performed against the background of special drug therapy prescribed in accordance with the underlying disease of which hypertension is a symptom. For psychogenic headache, symptoms of anxiety, and depression, RT is performed against the background of psychotherapy.

Reflexotherapy for hypertension is used to achieve analgesic, muscle relaxant, antidepressant effects and treatment of functional disorders that provoke hypertension. For migraine and other headaches, AP, craniopuncture, EP, EAP, MP, acupressure, PIU, tsubo-RT, microneedle-RT are used with a differentiated approach in the prodromal phase, during an attack and in the interictal period, as well as taking into account the M form , localization of hypertension and factors provoking the development of an attack of M.

When choosing TA prescriptions, auriculodiagnosis and EP diagnostics according to R. Voll are used.

In the prodromal phase M, the methods of choice are auriculo-corporeal AP, tsubo - and microneedle RT, when symptoms of headache appear - MP using magnet applicators in corporal TA with a magnetic induction of 80 mtl, in AT - 40 mtl and magnet exposure from several hours to several days. During an attack of M, the optimal EAP is with a pulse frequency of 3-15 Hz and a threshold current amplitude for 30-60-90 minutes. In the interictal period, AP, microneedle-RT, tsubo-RT, PIU (medium intensity), acupressure using the inhibitory method are optimal.

Recipes include EAK Yang LV (TE5-GB(VB)41) and Yin LV (PC(MC)6-SP(RP)4); for any headache, corporal TAs are used: N4.11; LU(P)7, BL(V)60, GB(VB)38.39; GB(VB)14, LR(F)2,3, auricular - AT26a,34,55,78,95. Zhu Lian recommends using only

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TA of the distal limbs on the side of the headache, the main ones being LI(GI)4, SP(RP)6, GB(VB)39, LR(F)2. Method of influence - II VTM.

According to G. Luvsan, during an attack of any headache, emergency TAs are LU(P)7, LI(GI)4, SI(IG)3, BL(V)10, EX-HN3 (yin-tang).

Recommended auricular and corporal TA for headaches of various localizations(the proposed TAs can be used for M and other headaches of vascular etiology, but with the inclusion of TAs in the recipes for the treatment of the underlying disease causing the headaches):

In the frontal region: TA of general action - LI(GI)4, ST(E)40,41,44; BL(V)60.62; GB(VB)44; local - ST(E)8, GB(VB)1.14; BL(V)3-5, TE(TR)23, CV24, EX-HN3 (yin-tang); auricular-ATZZ (2);

In the temporal region: general TA - LU(P)7, SP(RP)4, SI(IG)2-4, TE(TR)2-6, GB(VB)38, local - TE(TR) 12, 18,20,21,23; GB(VB) 1.3-5.7; ST(E)2.8; CV22,23; EX-HN9 (tai-yang), auricular - AT35 on the side of pain;

In the occipital region: TA of general action - SI(IG)2,3; BL(V)64.65; GB(VB)36, local BL(V)11.GB(VB) 12.20; GV20; auricular - AT29.37 (2);

In the parietal region: TA of general action - BL(V)58.60; local - GV20, BL(V)6-9; GB(VB)7.13; auricular - AT36,55,78;

In the face area: TA of general action - LI(GI)4, ST(E)40.41; local - LI(GI)18, ST(E)2.6; GB(VB)1, TE(TR)22,23; EX-HN3 (yin-tang), auricular-AT26a,11,33 homo- or bilateral;

Hemicrania: general TA - LI(GI)4.7; GB(VB)39, local - GB(VB)20, painful TA on palpation on the side of pain, auricular - AT34,35,55 on the side of pain;

Diffuse: option 1: LI(GI)4, ST(E)41.44; GB(VB)20, GV20, auricular - AT29,55,78 (2); Option 2: PC(MC)5,6; SP(RP)6, CV5.20; painful on palpation of TA in the head area, auricular - AT29,55,78 (2);

Vestibular: general TA - SI(IG)3, BL(V)62, TE(TR)5, local - SI(IG)19, TE17,19,21;cerMeHT(C)apHbie-BL(V) 11, GB(VB)20, auricular - ATI 3,16,20,34,55,78;

Cerebellar: general TA - GB(VB)39, local - TE(TR)17, GB(VB)20; auricular - AT29,37,112 (2);

Abdominal (due to dysfunction of the stomach, intestines, gallbladder): TA of general action - LI(GI)10, ST(E)36, SP(RP)4, SI(IG)4, PC(MC)6, KI(R )6, GB(VB)38, segmental - ST(E)25, BL(V)17,19,43; LR(F)14, CV12J5; auricular - AT22,104 homo - or bilaterally and AT according to somatotopy, taking into account complaints;

Menstrual type (develops more often against the background of premenstrual tension syndrome): TA of general action - LU(P)7, LI(GI)4, SP(RP)6.9; PC(MC)4,6,9;

BL(V)60, KI(R)6, GB(VB)41, LR(F)2,3; CV3-5, GV4, LR(F)2; auricular-AT22,23,56,58 and AT, taking into account the localization of headache; according to other authors - TA BL(V)31,34,64;

CPS,4,5; AT56.58; RT begins 4-5 days before the onset of menstruation and aims not only to activate the ANS, but also to normalize the reactions of the neuroendocrine system, activate the adrenergic section of the ANS in the second phase of the cycle;

Against the background of allergization: TA of general action - LU(P)7, LI(GI)4.11; TE(TR)5, segmental-BL(V)11,13,43; AT13,33,34,55,71;

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For mental overstrain: TA of general action - LU(P)7, LI(GI)4.11; TE5, local - GB(VB)1.14; TE21; auricular - ATZZ, 34,35;

Ophthalmoplegic M, ophthalmic headache (for example, in case of acute injury or inflammation of the eyes): TA of general action - GV3J4; SI(IG)3, BL(V)60, auricular - ATZZ,55; (French - LU(P)7 and BL(V)60 cross), as well as the effect of II SVM in TA LU(P)5,7 on the side of pain and P SVM - in TA LU(P)9, ST(E )36, BL(V)60, GB(VB)39 healthy side;

Meteopathic in nature - TE(TR)3 on the side of pain, SP(RP)4 on the opposite side; auricular - AT51,55,59 (2);

Hereditary form of migraine: general TA - PC(MC)6, local - BL(V)2,10,15; segmental - GB(VB)20, GV20; auricular - AT34,55,78,95;

Against the background of exacerbation of cervical dorsopathies (“cervical migraine”): general TA - SI(IG)3, BL(V)62; segmental - BL(V)11, GV14; auricular - AT26a, 29, 37, 41;

Against the background of arterial hypotension: general TA - LI(GI)11, ST(E)36, SP(RP)6, BL(V)67, GB(VB)43, GV4, auricular - AT13.51;

Syncopal M: with this form of M, emergency measures are applied:

intravenous or intramuscular administration of solutions of caffeine, ephedrine, cordiamine, AP GV26 I IVM, then the use of TA recipes taking into account the form of migraine;

HD in the syndrome of the vertebral nerve and vertebral artery: TA of general action - LI(GI)4,10,11; BL(V)62, SI(IG)3, TE5, segmental - SI(IG)15,16; LI(GI)15, BL(V)11, GB(VB)21, GV14, point of the vertebral artery (at 2/3 of the distance from the spinous process of the C2 vertebra to the mastoid process);

Hypertension with post-commitment syndrome: general-action TA - BL(V)62, SUZ, 14.20; PC(MC)6, SP(RP)6; TA of the cervical-collar zone, auricular - AT - 34.55,78.95;

GB after epidural anesthesia, spinal puncture: main TA:

PC(MC)6, GB(VB)34.39; AT25.29.

During the procedure, medium-intensity PIU is used in the cervical-collar area, acupressure, to prolong the effect - microneedle-RT, MP, tsubo-RT at auricular points with an exposure of 3-5 days.

In chronic headache, mainly auricular and corporal TAs of general regulatory action are used to normalize the psycho-emotional state, relieve anxiety, as well as TA of extraordinary channels.

RT courses are individual - from 3-5 to 15-20 procedures. 2-3 courses of RT are carried out with intervals between courses of 10-20-30 days, then maintenance therapy is carried out in the form of separate procedures once every 10-15-20-30 days.

Questions for self-control for Chapter 14.

1. Select a TA prescription for headaches in the occipital region:

a) SI(IG)8, BL(V)11.60; AT29; b) LI(GI)4, ST(E)41, ST(E)6, ATZZ;

c) SI(IG)2, BL(V)11.64; GV14, AT37; d) LI(GI)10, ST(E)40, GV14, AT35.

2. Select a prescription for ophthalmoplegic migraine:

a) LI(GI)3, BL(V)60, ST(E)8, ATZZ; b) LI(GI)4, ST(E)2.41; AT8.55; c) BL(V)58, GB(VB)7, BL(V)6, AT36;

d) ST(E)40, GB(VB)44, ST(E)8, GB(VB)14, EX-HN3 (yin-tang), ATZZ.

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3. Reflexology is contraindicated for headaches caused by:

a) migraine, b) post-traumatic encephalopathy, c) the presence of a brain tumor, d) premenstrual tension.

4. For headache in the parietal region, the method of choice is TA:

a) BL(V)60, BL(V)6; b) BL(V)58.9; c) GB(VB)39J; d) KI(R)6, CV21.

5. In case of headache in the temporal region due to meteopathic reactions, the main ones are the TA channel(s);

a) TE(TR), b) SP(RP), c) SI(IG), d) ST(E), e) LI(GI).

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Acupuncture massage (reflexology) was invented by the ancient Chinese, and many diseases were successfully treated with its help. Currently, reflexology has spread throughout the world and is officially recognized as traditional medicine. Acupuncture massage is widely used for migraines to relieve a painful attack.

Acupressure can relieve a migraine attack

The therapeutic effect of reflexology is based on the impact on active points - projections of internal organs on the surface of the human body. There are several types of targeted treatment for a migraine attack: classical acupuncture, superficial acupuncture massage, which is performed by pressing on active points with the fingers (Shiatsu), Su-Jok therapy, the technology of which involves influencing the active areas of the hands and feet, as well as acupuncture treatment with using applicators and massagers.

Performing acupuncture is a minimally invasive procedure and requires special expertise. Only a reflexologist can carry out such treatment in a medical facility. Other types of acupressure for migraines can be performed at home on your own or with outside help. This treatment will not cause harm and has no contraindications.

Shiatsu

Acupuncture technology

It is necessary to perform acupressure massage for migraines with clean, warm hands.
Treatment must be carried out carefully so as not to damage the skin or cause bruises or scratches.
The pressure on the active point increases gradually, starting with light pressure.
Massage effects can be performed with circular, pulsating movements, tapping on a point, as well as direct continuous pressure with varying degrees of impact.
Migraine massage at one point is carried out for one minute.
Paired points are massaged simultaneously with both hands.
The patient should take the most comfortable position: sitting or lying down, his muscles should be relaxed, his eyes should be closed.

Active points for migraine treatment

Acupressure for migraines is performed at points – projections on the head:

Above the bridge of the nose. The point can be easily determined by dividing the distance between the eyebrows in half.
In the center of the temporal fossa on the right and left sides. To find the point, you need to press in a circular motion into the center of the temporal cavity. The deepest place will be the active point.
A depression at the outer edge of the brow ridge.
Depression at the outer corner of the eye.
Projection at the inner corner of the eye.
The depression located in front of the auricle, above the tragus. It is easy to determine by touch by the existing anatomical depression.
The area on the scalp is located above the auricle, one and a half centimeters posterior and above it.

Treatment of the head for migraine can be supplemented by points on the limbs and torso:

The area on the front surface of the forearm, five centimeters above the wrist joint.
Depression on the lateral edge of the elbow.
The depression is a centimeter above the inner ankle of the leg.
In the middle of the abdomen two centimeters below the navel.
In the center of the abdomen along the edge of the xiphoid process of the sternum.

The points around the eyes must be massaged carefully, without moving or stretching the skin. Circular driving in this area is prohibited.

Acupressure in paired areas on the limbs is not carried out simultaneously, but in turn from left to right.

Su-Jok

Projections of organs onto the hands and feet

The therapeutic effect of this type of reflexology lies in the ancient Chinese teaching, according to which all internal organs have their projections on the feet and hands. In order to determine the active zones on the hands, you need to fold your palms like a ladle and connect them to each other. You will get a model of the head, where the thumbs and first metacarpal bones are the projection of the face, the remaining zones are responsible for the brain part of the head. With migraines, as a rule, the pain is localized on one side of the head, so it is necessary to massage the hand on the affected side. If the pain is localized in the back of the head, acupressure for migraines is performed in the area of the fifth finger and the inner surface of the palm.

Migraine treatment is performed with smooth circular movements, changing the degree of pressure on the active zones. The duration of exposure can vary from one to twenty minutes, depending on the intensity of the pain syndrome.

Applicators and massagers

Currently, the medical industry has developed many convenient massagers and applicators for performing acupuncture massage. With their help, you can self-medicate or perform acupressure for migraines for a loved one.

The applicator technology is very simple and does not require precise determination of active points. With the help of spikes on the surface of the massager, there is an active impact on points across the entire surface of the body.

Roll applicator

Currently, Lyapko roller applicators, the surface of which is covered with needles made of different metals, are popular for migraines. Massage for migraines using a roller massager is performed on the surface of the scalp. In addition to the direct impact on active zones, when performing acupressure, a galvanic current is applied to the scalp, nerve endings are stimulated, endorphins are produced, which leads to a weakening and even disappearance of pain.

Also, a head massage for migraines can be carried out with the Lyapko “Chamomile” applicator, which is placed on the head like a hat. In addition to needle applicators, you can use silicone and plastic applicators, which are equipped with special devices for acupuncture effects.

– a method of treating various diseases, which is often used for severe headaches. Acupuncture is a technique that helps normalize general health without any interventions, without the use of pills and physiotherapeutic procedures.

The essence of this technique is that special needles act on certain biological points of the human body. Acupuncture is used as an independent therapy or in combination with medications. It all depends on the causes of headaches and their intensity.

Causes of the pathological condition

Headache can be caused by various reasons. Often an unpleasant symptom occurs at the end of the day due to emotional and physical fatigue. Pain in the head can occur due to prolonged exposure to a stuffy room, due to colds and infectious pathologies. But all these reasons can be easily removed by having a good rest or being in the fresh air.

However, there are reasons that adequate sleep or air flow cannot cope with. For example, there is such a disease as neuritis. Its symptoms are not limited to headaches, although this symptom of neuritis has a strong intensity, duration, and is difficult and long to relieve with medications.

Neuritis is a lesion of the facial nerve that can develop as a result of pinching, the development of cervical osteochondrosis, or prolonged exposure to a draft. General signs of the disease: a feeling of numbness on one side of the face, loss of sensitivity in the skin. Neuritis can occur not only on the face. If the cervical nerve has been affected, unpleasant symptoms are felt in the upper extremities.

Nerve damage or pinching is a common pathology in people who, due to the specific nature of their work activity, remain in one position for a long time. entails an increase in blood pressure, which significantly worsens the general condition.

In order not to aggravate the situation and not lead to the development of severe complications, you need to immediately begin treatment. Along with drug therapy, doctors often prescribe acupuncture.

Even in ancient times in the East, Chinese healers knew that a person’s well-being depends on the passage of energy flows through him. When a person becomes an adult, he manages to make a lot of mistakes throughout his life, which causes an imbalance of good and bad energy, which negatively affects overall well-being.

Energy balance can only be restored by influencing certain biological points. Over the course of many decades, a map of such points on the human body was developed by trial and error.

By using needles to influence certain points in the human body, muscles and nerves relax and pain goes away. In most cases, acupuncture is prescribed for pain, the etiology of which could not be determined after undergoing diagnostics.

In fact, acupuncture helps trigger processes in the human body that promote healing. This procedure has the following effects on the body:

relieves pain of varying intensity;
relieves unpleasant signs of osteochondrosis, various types of neuritis;
activates cell regeneration processes;
normalizes the nutrition process;
restores blood circulation;
helps to relax the body, muscles, joint-ligamentous apparatus.

Acupuncture enhances the therapeutic effect of drugs, therefore, for severe pain, acupuncture is recommended to be supplemented with drug therapy.

How is it going?

Before performing the procedure, the doctor asks the patient about the symptoms that are troubling him, and, depending on the nature of the clinical picture and the characteristics of the case, the doctor determines the points that need to be affected:

If it is necessary to influence biological points in the frontal part of the head: long needles are inserted into the skin located in the area between the eyebrows and the nasal septum. The needle is in the skin for no more than 3 minutes, first the needle is inserted into the skin, then the degree of pressure is reduced and brought to a light touch to the skin.
Impact on the temporal lobe: the main biological point is located in line with the end point of the eyebrow and the corner of the eye. If you put your fingers on this combination of lines and move them to the side 1.5 cm, a depression is felt under the finger; this is the biological point that needs to be influenced. The needle is not inserted into the skin, but only lightly touched; the duration of exposure should not exceed 3 minutes.
Point on the crown. The biological point is located in the recess of the crown. The duration of exposure should not exceed 2-4 minutes. The effect of the needle on the parietal part contributes not only to the relief of headaches, but also to the overall toning of the entire body.

General characteristics of the procedure - during the session the person lies on a straight couch. If there is a need to influence the cervical spine, the patient can sit. Before inserting the needle, treat a certain area on the skin with antiseptic solutions.

The first time the needle is inserted for 10-15 minutes. The number of sessions depends on the severity of the symptomatic picture. For pain caused by the development of osteochondrosis, neuritis, 7 procedures are sufficient - daily for 1 week. To prevent symptom recurrence, acupuncture is recommended for preventive purposes several times a year.

It is important for people resorting to this method of treatment to understand that the speed of obtaining the desired effect depends on the severity of the symptomatic picture and the reasons for its occurrence. Sometimes 10 procedures are enough, but it also happens that an improvement in overall well-being occurs no earlier than after 2-4 months.

Severe pain will begin to gradually decrease in intensity. No one can predict in advance how many sessions will be needed. Is there a need for drug therapy during acupuncture? This question should also be considered only by the attending physician.

In most cases, medication is prescribed for severe pain symptoms and the presence of concomitant diseases.

How to protect yourself?

Acupuncture is a procedure that helps to quickly and effectively relieve pain of various types and locations; the method is especially helpful for headaches. But in order to get the desired result, you need to approach the issue of going through the procedure correctly.

First of all, it is important to carefully consider the process of choosing a specialist. If the procedure is carried out incorrectly, you may not only not get the desired effect, but also many side effects.

The person himself must go into the procedure with the right attitude. There is no need to be afraid of needles. The specialist performing the procedure knows how to insert the needle correctly so that the patient does not experience pain. In this case, only a slight tingling sensation will occur.

If during this manipulation a person experiences unpleasant sensations, one should not endure it, but immediately tell a specialist about it. Before resorting to acupuncture, it is recommended to visit a doctor to clarify the diagnosis and the causes of the pain symptom.

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The peculiarity of the analgesic effect of reflexology is that it increases the threshold of excitability of pain receptors and inhibits the conduction of pain impulses along afferent pathways, and also increases the activity of the central antinociceptive system.

This is ensured by a neurohumoral shift, normalization of the balance of mediators and pain modulators: serotonin, norepinephrine and oligopeptides, including endogenous opiates - endorphins and enkephalins [Durinyan R.A., 1980; Goydenko V.S., Koteneva V.M., 1982].

In addition, reflex therapy also affects the pathological mechanisms underlying headaches of various types, for example, dystonia of the cerebral and extracranial vessels, pathological tension of the head muscles, as well as other local and general painful processes that activate the algogenic mechanism [Kryzhanovsky G N., 1980; Goydenko B.S. Koteneva V.M., 1982, 1983].

For reflexology, classical acupuncture (Zhen therapy) is used at corporal points, auriculotherapy - impact on certain points of the auricle, microneedling (introduction of microneedles at several points for a day or more), superficial acupuncture with a hammer, electropuncture (exposure to electric current), electroacupuncture ( exposure to current through an inserted acupuncture needle), microelectrophoresis (introduction of medicinal substances into corporal points using special electrodes), heating and “cauterization” of skin points with wormwood cigarettes and, finally, point pressure with a finger or a rod with a ball at the end [Usova M.K. , Morokhov S.A., 1974; Goydenko V.S., Koteneva V.M., 1978; Tykochinskaya E.D., 1979; Koteneva V.M., 1981; Tabeeva D.M., 1982].

Headache caused predominantly by a vascular mechanism.

Migraine

Treatment of an attack begins with an inhibitory effect on the restorative points of the meridians of the stomach (E36, E40), colon (GI4, GI18), pericardium (MC6), spleen (RP6, RP9), and sedative points (C5, C7, V60, V62).

The effect increases when exposed to local points - depending on the location of the pain. For pain in the frontal region - VB3, VB14, TR5, TR23, E36, E41; in the temporoparietal region - VB2, VB17, TR22, VB40, V2, V64, VG22, E8; in the occipital region -VG14, VG20, VB20, VI1, IG14.

During auriculotherapy, projection points of the forehead, back of the head, sympathetic, etc. are selected.

If the attack is aggravated by vomiting, then treatment can begin with points G14, RP6, VC12. In case of severe swelling or pastiness, sharpening points R7, RP6, RP2 are used.

For certain clinical forms of migraine, different formulations of additional points are chosen.

For classical (ophthalmic) migraine - VB20, VG16; associated - VG22, VB16, VB17, VG21, V6; vestibular - TR17, TR21, IG19, VII, VB20; cerebellar - VG17, VB20; menstrual - MS5, MS6, R6, VG4, V3, F3; cardiac - C5, C7, MS6, VI5, V62, with peculiar forms of migraine - “beam” - GUI, E36, TR23, VB14, E2, E8, PCI; “cervical” - VB20; VB12, VG14, VI1, VG20; for facial - GI19, E6, E2, VB1, PCI, TR22.

With electropuncture or electroacupuncture, the current strength for points on the head ranges from 15 to 40 μA, and for points on the body - from 15 to 60 μA. The duration of exposure to each point is no more than 5-7 minutes with a change in current polarity [negative 45 s, positive 15 s]. For clearly localized pain, treatment can begin with auriculoelectropuncture [current strength 30 μA with alternating polarity].

In case of a full-blown migraine attack, reflexology should be carried out strictly individually: acupressure on craniofacial points and corporal superficial acupuncture.

In the interictal period, treatment is aimed at normalizing vascular regulation and reducing the excitability of vasomotor centers. If there are signs of sympathicotonia, then the inhibitory effect on common points with a parasympathicotonic orientation is effective - MC6, Vro, P7, RP6, TR3. When vagotonia predominates, points with a sympathicotonic orientation are affected - VB41, VB34, VB20, V13, GI4, VG12, TR22, VB3.

Patients with frequent severe attacks after 2-3 months. Repeated courses of treatment are carried out until satisfactory results are obtained. In this case, attention should be paid to the normalization of emotional and autonomic reactions and combine reflexology with other treatment methods (medicines, psychotherapy, normalization of work and rest regimes).

Vascular headache

In patients with regional cerebral angiodystonia with arterial hypertonicity (stages I and II hypertension, NCD with arterial hypertension), points that influence the regulation of vascular tone, sedative points, are used: E36, GI10, Gil 1, MS6, SZ, C5, F8, F2 , F3, P7, points of the collar zone, and on the ear - the Shenmen point, the point that lowers blood pressure, the point of the heart. The second version of the inhibitory method is used, but at the first moment of exposure it is possible to excite the acupuncture point.

In case of pronounced lability of vascular reactions, in particular in patients with vegetative-vascular dystonia, it is not recommended to simultaneously use potent points on the arms and legs.

Angiodystonia with a predominance of low arterial tone may have a background of hyposympathicotonia or hyperparasympathicotonia. In the first case, treatment should be aimed at activating the sympathetic system: points R12, GI4, B37, F3, TR3, TR5 act as an excitatory method, and point TR20 acts as an inhibitory method.

If regional cerebral hypotension is accompanied by severe general asthenia, then the stimulating effect is carried out on MC7, MC8, VG12, V18, E36, R20, and if neurotic complaints predominate, the inhibitory effect (II option) of the point E36, NW, C7, SW is indicated. If arterial hypotension is caused by hyperparasympathicotonia, then they have an inhibitory effect on points Vro, VI3, VG12, VB34.

In auriculotherapy, points of the cortex and hypothalamus, adrenal glands and spleen, and a hypotensive point are used for the same purpose. With electroacupuncture, the current strength for points on the head, arms and waist of the upper limbs is 50-75 µA, on the back and legs - 100-350 µA, and for points above the massive muscle layer (for example, VB30) - up to 500 µA.

For venous hypotension, the points of the MC, TR, VB meridians are used, the influence on which selectively regulates venous outflow: the main points are MC5, MC6, TR5, TR18, V10, VB12, V2, 7, and for auriculopuncture - the points of the kidneys, adrenal glands, occiput, TR and sympathetic point. If the difficulty of venous outflow is caused by any somatic disease (for example, bronchopulmonary processes with prolonged coughing attacks or impaired intestinal function with constipation), then the points that regulate the functions of these organs are affected.

In case of headache during vascular crises in the first stage of hypertension, the inhibitory method is applied to points E36, F8, GI10, Gil 1, RP6; and in case of sympathoadrenal crises - the second version of the inhibitory method of sharpening VB20, TR3, TR5, SZ, C5, C7, P7. For headaches against the background of a vascular crisis with a decrease in vascular tone, the MC7, MC6, TR5, R12, GI4, V10, VB20 points are stimulated using the stimulating method.

With long-term progressive vascular diseases (hypertension, atherosclerosis), vascular reactions become inhibitory or perverted, adaptation to meteorological fluctuations, shifts in water-salt metabolism are disrupted, and biological rhythms are disrupted.

Reflexotherapy in these cases is less effective and is prescribed periodically in addition to systematic drug treatment. If you are prone to edema, choose the points that regulate water-salt metabolism - R7, R6, RP3, and on the ear - the points of the kidney, adrenal glands and the sympathetic point.

In cases of headache due to complications or exacerbation of vascular disease (cerebrovascular accident, exacerbation of the rheumatic process), drug treatment is preferable. Reflexology is resorted to after the acute stage has passed.

Tension and muscle tension headaches

Reflexology is determined by the nature of the underlying disease, which leads to tension in the head muscles in different ways.

Neuroses with a predominance of emotional excitability and increased irritability require inclusion in the treatment program of common points of sedative action: E36, VB20, C7, SZ, V43, GI10. Use options I and II of the braking method. In case of predominance of asthenia, rapid mental exhaustion, a tonic effect on VG14, VB4, VB41, GI4 is preferred - by the method of superficial acupuncture. In case of functional impotence against the background of neurosis, the points EZO, Rl 1, F2-4, RP6, RP9, VG4 are used, using the II version of the inhibitory method for the points of the back and the II version of the exciting method for the points of the abdomen.

Good results in the treatment of headaches in cases of neurosis are observed from the use of electropuncture. Main points -V6; E8; VB4.6; PCI, PC2, tocado strength 50-60 μA with polarity change after 5-10 s, procedure duration for excitatory influence is 30-60 s, for inhibitory influence - 2 min. For headaches of muscular origin, points RP6, F8, Rll, V31, E36 are used as part of premenstrual syndrome. If during this period, due to hormonal and humoral fluctuations, vasomotor headache comes first, then points MC5, MC6, R6, IG4 act.

In case of cervical osteochondrosis, the relief of muscle tension headaches is due to the segmental relaxing effect of reflexology. Common points are V60, V62, E36, GI4, GI10, segmental points of the collar zone and points in areas of primary localization of pain. Options I and II of the braking method are used.

For auriculotherapy, the points of the cervical spine, back of the head, neck, and Shen Men are affected. When microneedling, points in the collar zone and points in areas of primary pain are used, the needles are left for 5-7 days. Cupping massage along the spine and collar area is also useful. If, in addition to muscle pain, there are signs of vascular pain, then add an effect on the points that regulate vascular tone: MC6, RP46, E36, F2-3, TR5.

Muscle-type headaches due to diseases of the paranasal cavities resolve with effective treatment of inflammation by an otolaryngologist. Reflexology is used as an auxiliary method. Affects distant points: P7, GI4, F3, E44, V60, V62. During auriculotherapy, the points of the inner nose, forehead, urticaria, and Shen Men are taken. Local points on the face are selected depending on the predominant localization of pain. Microneedles are also used to target points on the ear and face. A good effect can be obtained from heating the points of the face (ju therapy).

Facial pain with psychalgia

Reflexology should be aimed at extinguishing the pathological dominant. The preferred method is classical acupuncture on the points of the hands and feet and craniofacial points. The effect is weak (variant II of the stimulating method) with the needles left in the tissues for 10-15 minutes.

Combinations of symmetrical points in the area of pain projection, auricular points in the area of the antihelix and trilateral fossa and points on the hands and feet - P7, F14, IG3, RP4, E44, VB41, V62, PI, P5, as well as new and extra-meridian points - PN25, 20 are advisable , 140, MLRS, 32, 35, 37, 132, 134, 133, RS135.

CSF headache with expansive intracranial processes is not subject to reflexology. When liquorodynamic disorders do not require neurosurgical or other special treatment, reflexology can be used as an auxiliary method; it should be aimed at normalizing the water-salt balance and improving venous outflow. For cerebrospinal fluid hypertension, the recipe includes points E28, R7, RP6, for cerebrospinal fluid hypotension - R1HR2, R7, VB12, TR18.