Migraine (Wind-Cold Type due to Insufficiency of Kidney-Yang)

Mr. XXX Lee, 27.

Having migraine on the left side for more than 10 years. Attack usually took place during cold days. Been having many treatments with little improvements. With white tongue coating, small pulse.

Patient was then prescribed with the following main ingredients: Rhizoma Ligustici Chuanxiong 1.5qian, Radix Angelicae Dahuricae 2qian, Bombyx Batryticatus , Herba Schizonepetae 3qian, Radix Ledebouriellae 3qian, Rhizoma seu Radix Notopterygii, Scorpio 1qian, Radix Aconiti Lateralis Praeparata 3qian and etc.. Migraine subsided after two doses, and disappeared after another two doses.

Differentiating syndromes in this case focuses mainly on the time it attacked and the tongue coating. The attacks took place mostly on cold days meant that it was a wind-cold type. White coating confirmed as so. However, the headache had been on and off for more than ten years, which indicated the patient was lacking of yang energy, mostly kidney-yang. That was why the patient had always gotten cold easily. Radix Aconiti Lateralis Praeparata was added for this purpose.