高血壓頸項強痛 the hypertension combines with posterior headache and neck stiffness

案例 ---高血壓頸項強痛
Case ---hypertension
It complicated posterior headache and neck stiffness

姓名name:XXXX
性別sex:女 F
年齡age:59

現病史 (Present i11ness):
高血壓5年 服西藥控制中
血壓140/91mmHg
合併後腦痛及頸項僵硬 時好時壞 大約2周
Hypertension has been attacked for 5 years.
combined posterior headache and neck stiffness for about 2 weeks.

望診observation
舌紅苔少
舌下瘀脈明顯
Red tongue with less coating.
sublingual veins stasis obviously

問診inquiry:
食慾和大便正常
沒有睡眠障礙
Normal appetite and bowel movement
no sleeping disorder

切診Palpation:
脈細 Small pulse

中醫診斷TCM Diagnosis
肝陽上亢 高血壓
Hypertension due to liver yang hyperactivity

治療原則Treatment principles:
平肝潛陽，活血化瘀
pacify the liver to subdue yang
Promoting blood circulation to move away blood stasis

中藥處方Chinese medicine prescription::
天麻鉤藤飲加減 modify tian ma guo teng yin
鉤藤guo teng 3g
天麻tian ma 1g
懷牛膝 huai niu xi 1g
益母草yi mu cao 2g
葛根ge geng 4g
蒿本hao ben3g
赤芍ce cao 1g

針灸處方 acupuncture points selection
腦戶 穴 DU17
風府 穴 DU16
合谷 穴 LI 4
太衝 穴 LR3

醫囑Instructions:
1. 避免熬夜
2.少吃太鹹的食物和味素
3. 要有規律運動
4. 常常自己熱敷 並按摩第一頸椎
1. Don’t burn the midnight oil.
2. Avoid taking too much salt and MSG
3. Doing workout regularly.
4. Trying to massage C1 and put a hot pack on the first cervical vertebra frequently.

治療結果: the result of tratment
針灸後立即緩解
服藥一周後 未再復發
The headache and neck stiffness were released right after acupuncture.
It’s never recurrence after taking one week herbs.

高血壓有用藥控制好
不一定會有頭痛及脖子僵硬痠痛的問題
但如果壓力過大或生活型態欠佳
就有可能引發其他症狀
在臨床上 最常見的是 煩躁頭痛 後頸項痠緊
這個個案 治癒後
常會自我按摩 溫敷 第一頸椎(相應神經)
按摩 合谷穴及太衝穴
效果甚為滿意