OBJECTIVETo observe therapeutic effect of acupuncture on no-premonitory migraine at remission stage.

METHODSThe scores of pain extent, attack times, lasting time and accompanied symptoms of headache were investigated before treatment and after treatment of 4 weeks.

RESULTSAfter treatment of 4 weeks, the scores of all items had significant changes (P < 0.01). The total effective rate was 95.0%.

CONCLUSIONAcupuncture has obvious analgesic effect on no-premonitory migraine at remission stage.

Migraine is a neurological disorder characterized by attacks of moderate or severe headache and various neurological symptoms. Acupuncture, as a commonly used non-pharmacological therapy, has the advantage of obvious therapeutic effect and few side effects in the prevention and treatment of migraine. But the underlying mechanism of acupuncture on migraine remains unclear. Recently, advances in neuroimaging technology have helped to objectively assess the effect of acupuncture on treating migraine and offered new opportunities to explore the central mechanism of acupuncture on treating migraine. In order to better understand the current status of neuroimaging studies on the therapeutic mechanism of acupuncture on migraine and shed light on future research, this review aims to overview the neuroimaging studies in recent 10 years from two aspects: (1) Central mechanism of acupuncture on treating acute migraine attack; (2) Central mechanism of acupuncture on preventing migraine attack.
Acupuncture Therapy ; Humans ; Migraine Disorders/therapy* ; Neuroimaging

The progress of acupoint research on acupuncture treatment for acute migraine was reviewed in terms of acupoint selection of traditional medicine, acupoint selection of modern medicine and comprehensive method. Seven factors of the acupoint selection were analyzed, such as meridian tropism, acupoint property and disorders. The key issues on the optimal acupoint selection scheme were explored. It was believed that the relevant specificity was displayed in the acupoint selection for acute migraine treated with acupuncture. The specificity of it was reflected not only on the meridians and acupoints in TCM, but also on the relevant specificity of acupoints in modern medicine theory. The shortages and the gaps in the current research situation of acupoint selection were analyzed. The optimized approaches to acupoint selection are proposed in the aspects of TCM, modern medicine and the integrated medicine so that a higher stage of the research on acupoint selection is anticipated.
Acupuncture Points ; Humans ; Meridians ; Migraine Disorders ; therapy

The problems of the syndrome differentiation of migraine in acupuncture treatment were collected, e.g. inconsistency of syndrome differentiation, unclear staging of syndrome differentiation, lack of standardization in comparison between syndrome differentiation and non-differentiation, insufficient research on the factors of syndrome differentiation. In view of the exiting problems, focusing on two aspects of migraine, namely syndrome differentiation and acupuncture effect, the clinical treatment and research are conducted in migraine treated with acupuncture based on syndrome differentiation. It is believed that the comprehensive observation of the relationship between syndrome differentiation and acupuncture effect, as well as the analysis of the relevant factors of syndrome differentiation of migraine should be the focus in future research.
Acupuncture Therapy ; Humans ; Migraine Disorders ; therapy ; Treatment Outcome

Through analyzing the differences in the clinical questions of
Acupuncture ; Acupuncture Therapy ; Humans ; Migraine Disorders/therapy* ; Moxibustion ; Reference Standards

The survey is conducted prior to the development of international standard,
Acupuncture ; Acupuncture Therapy ; Humans ; Migraine Disorders/therapy* ; Moxibustion ; Surveys and Questionnaires

Professor WU Zhong-chao's clinical experience of "dredging stagnation and collaterals" acupuncture for migraine is summarized. Professor WU proposes that occiput-nape dysfunction, meridians-tendons dysfunction and stagnation of collaterals due to obstruction of excess-evil could lead to migraine. As such, migraine is treated by comprehensive treatment of adjusting occiput-nape functional zone, relaxing meridians-tendons and blood-letting combined with fire acupuncture.
Acupuncture ; Acupuncture Points ; Acupuncture Therapy ; Humans ; Meridians ; Migraine Disorders/therapy*

OBJECTIVE: To compare the analgesic effect of bloodletting acupuncture at -well points along three- meridians of foot combined with routine acupuncture and simple routine acupuncture on migraine. METHODS: A total of 60 patients with migraine were randomized into an observation group and a control group, 30 cases in each one, of which, 4 cases were dropped out in the observation group, 1 case was dropped out in the control group. In the observation group, bloodletting acupuncture at -well points combined with routine acupuncture were applied. The bloodletting acupuncture was applied at corresponding -well points of three- meridians of foot [Lidui (ST 45), Zhiyin (BL 67), Zuqiaoyin (GB 44)] according to pain location. And routine acupuncture was adopted at Sizhukong (TE 23), Shuaigu (GB 8), Taiyang (EX-HN 5), Fengchi (GB 20), Hegu (LI 4), Taichong (LR 3), Zulinqi (GB 41), Yanglingquan (GB 34) and Waiguan (TE 5). In the control group, routine acupuncture was applied, acupoint selection and operation were the same as the observation group. The treatment was given once a day, 30 min a time, 5 days as one course with 2 days interval, and 2 courses were required. Before treatment, immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the visual analogue scale (VAS) score was compared in the two groups. Before and after treatment, the migraine comprehensive score was observed in the two groups, and the therapeutic effect was evaluated. RESULTS: Immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment, the VAS scores in the two groups were decreased (<0.05), the VAS scores immediately after needle withdrawal, 4 h after needle withdrawal and after 2 courses of treatment in the observation group were lower than those in the same time of the control group (<0.05). After treatment, the migraine comprehensive scores in the two groups were decreased (<0.05), the reducing degree in the observation group was greater than the control group (<0.05). The total effective rate in the observation group was 92.3% (24/26), which was higher than 89.7% (26/29) in the control group, there was no significant difference (>0.05). CONCLUSION Bloodletting acupuncture at -well points along three- meridians of foot combined with routine acupuncture and simple routine acupuncture have analgesic effect, and the combined therapy is superior to simple routine acupuncture.
Acupuncture Points ; Bloodletting ; Humans ; Meridians ; Migraine Disorders ; therapy ; Treatment Outcome

To summarize the status quo of acupoint optimization for prophylactic treatment of migraine from acupoint selection based on traditional Chinese medicine theory, acupoints selection based on modern medical theory, and the relative specificity of acupoints. It is found that at present, there are many gaps in the research of preventive treatment of migraine, while the initial optimization scheme of acupoints is formed, and there is controversy in the relative specificity of acupoints. It is believed that through the systematic analysis of the disease characteristics of acupuncture, manipulation, acupuncture tools and other factors that affect the selection of acupoints, the relative specificity of acupoints can be further clarified, and the advantages of acupoint selection based on traditional Chinese medicine theory and modern medical theory can be further optimized for the preventive treatment of migraine and improve the curative effect.
Acupuncture Points ; Acupuncture Therapy ; Humans ; Medicine, Chinese Traditional ; Migraine Disorders

Migraine is the most common disabling primary headache with a significant socioeconomic burden. At present, some emerging drugs for migraine preventive treatment are under investigation internationally, which significantly promote the progress of migraine treatment. However, only few of this trial for migraine treatment are explored in China. In order to promote and standardize controlled clinical trials of migraine preventive therapy in China, and to provide methodological guidance for the design, implementation and evaluation of clinical trials, the Headache Collaborators of Chinese Society of Neurology formulated this consensus.
Humans ; Adult ; Consensus ; Migraine Disorders/therapy* ; Headache ; China ; Neurology