Patient's question:
The child currently has a tension headache. Yesterday, they received an intravenous infusion as prescribed by the doctor, but today they still have a fever, with a highest temperature of 39.3°C. What should be done?Doctor's answer:
Hello: TCM Differentiation and Treatment for Pediatric MigraineMigraine has an incidence rate of approximately 2% to 5% in children aged 6 to 12. However, pediatric migraine is often misdiagnosed.
If a child has recurrent headaches with completely normal intervals and meets at least 3 of the following criteria, they can be diagnosed with migraine:
(1) Unilateral headache;
(2) Pulsating headache;
(3) Occasional abdominal pain during or without headache, with nausea or vomiting during headache;
(4) Complete or near-complete relief after rest or sleep;
(5) Visual aura;
(6) Family history of migraine.
Visual aura manifestations include bright spots and flashes in the eyes, blurred vision, double vision, colorful balls, and EEG may show abnormalities, but there is no specific presentation, which can manifest as epileptic discharge. Western medicine treats migraine with symptomatic therapy, which can be effective in the short term.
TCM treats migraine by differentiating and treating according to syndrome. The author divides pediatric migraine into four types for treatment, with excellent results. The following are introduced.
1. Qi-deficiency headache
Fatigue, worsening with exertion, sweating, shortness of breath, aversion to wind, and fear of cold. Treatment focuses on replenishing qi and consolidating the foundation. The formula is Bu Zhong Yi Qi Tang: Taizixan, Huangqi, Baizhu, Gancao, Danggui, Shengma, Chaihu.
2. Blood-deficiency headache
Headache with dizziness, palpitations, poor complexion, fatigue, pale tongue with thin coating, and fine pulse. Treatment focuses on nourishing blood and moistening yin. The formula is Modified Si Wu Tang: Danggui, Shu Dihuang, Baishao, Chuanxiong, Manjingzi