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NYERI KEPALA
EKO RUSMIYATI
 Pendahuluan
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Terdapat 4 tipe nyeri kepala:

Vascular migren; nyeri kepala toksik, nyeri

kepala cluster
Muscle contraction (tension) tegang di
Dapat disebabkan oleh
leher/wajah penyakit lain
Traction

Inflammatory

Mungkin merupakan sinyal dari kondisi lain yg

lebih serius (terutama tipe inflamasi)
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Migren
Nyeri hebat dapat mengenai satu atau kedua

sisi kepala
Perut terasa tidak nyaman

Gangguan penglihatan

Lebih banyak diderita wanita

Toxic headache dapat disebabkan oleh demam

"cluster headaches episode berulang nyeri
kepala dapat diakibatkan oleh tekanan darah
tinggi
 Migren
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Terjadi karena gangguan keseimbangan energi

Gejala
Nyeri sebelah kanan/kiri; sering kambuh

Bersifat menekan, tak tertahan, kadang

berdenyut
Disertai mual, keringat dingin, pandangan
kabur
Patogenesis
Eksogen

Endogen
 Penggolongan migren
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Berdasarkan lokasi
Oksipital m. kandung kemih

Frontal m. lambung

Temporal m. kandung empedu

Parietal m. hati

Pembagian lain
Tipe Xu defisiensi qi dan darah

Tipe Shi hiperaktivitas Yang hati

 Sindrom Xu
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Gejala:
Nyeri didahului ketegangan, kelelahan, stress

Nyeri tersembunyi

Nyeri dpt kuat/lemah, bereaksi terhadap

tekanan & rangsang panas

Dpt disertai lesu, palpitasi, insomnia, lidah
pucat, denyut nadi lemah
 Sindrom Shi
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Gejala
Nyeri keras & mengganggu, diikuti pusing
Mudah terangsang
Mual
Rasa penuh & nyeri di dada bawah & perut
atas
Lidah berselaput tebal
Nadi seperti kawat
 Terapi
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Nyeri dahi/frontal (m. yang ming tangan-kaki)

St-8; GV-23; Li-4; St-44; Yintang

Nyeri kepala sisi temporal (m. shao yang tangan-

kaki)
Taiyang; GB-8; Te-5; GB-41

Nyeri kepala sisi parietal (m. taiyang tangan & kaki

+ m. Cie yin kaki)
GV- 20; Si-3; Bl-67; Lr-3

Nyeri kepala sisi occipital (m. tay yang tangan-kaki)

GB-20 ; Bl-60; Si-3
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Shi
Lr-2; GB-34

Xu
CV-6; St-36

Terapi lain:
Kop sepanjang sisi VL-1 VS-4

GB-20; GB-14; Taiyang

Auriculoterapi T34; T33; T29; T95; T96

 Penjelasan titik dlm terapi
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nyeri kepala
TOUWEI ST-8
Pertemuan 3 meridian (St, Gb, Yangwei)

Indications

Headache, splitting headache with chills and

fever, dizziness, bursting eye pain.
Serangan angin-panas
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Classical combinations
Headache with eye pain: Touwei ST-8 and Zanzhu
BL-2 (Ode of the Jade Dragon).
Head wind with splitting pain, bursting pain of the
eyes and lacrimation: Touwei ST-8 and Zanzhu BL-2
(Golden Mirror).
Splitting headache with bursting eye pain: Touwei
ST-8 and Daling P-7 (Thousand Ducat Formulas).
One-sided or generalised head wind: Touwei ST-8,
Baihui DU-20, Qianding DU-21, Shangxing DU-23,
Shenting DU-24, Sizhukong SJ-23, Fengchi GB-20,
Hegu L.I.-4 and Zanzhu BL-2 (Great Compendium).
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YANGBAI GB-14
Pertemuan antara m GB-Li-St

Indications

Pain of the forehead, pain of the supraorbital

ridge, head wind, wind-cold headache.
Classical combinations

Head wind with splitting sensation, pain

between the eyebrow and the eye: Yangbai GB-
14, Jiexi ST-41 and Hegu L.I.-4 (Classic of the
Jade Dragon).
 FENGCHI GB-20
Indications

Headache, head wind, one-sided and generalised

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headache.
Classical combinations

Headache: Fengchi GB-20, Muchuang GB-16 and

Tianchong GB-9 (Systematic Classic).

One-sided or generalised headache: Fengchi GB-20,

Hegu L.I.-4 and Sizhukong SJ-23 (Great

Compendium).
One-sided or generalised head wind: Fengchi GB-20,

Baihui DU-20, Qianding DU-21, Shenting DU-24,

Shangxing DU-23, Sizhukong SJ-23, Hegu L.I.-4,
Zanzhu BL-2 and Touwei ST-8 (Great Compendium).
Head wind and dizziness: Fengchi GB-20, Hegu L.I.-

4, Fenglong ST-40 and Jiexi ST-41 (Great

Compendium).
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BAIHUI DU-20
Indications

Head wind, one-sided headache, pain of the vertex,

heaviness of the head.

Classical combinations

Head wind: Baihui DU-20, Xiaxi GB-43, Shangxing DU-

23, Qianding DU-21, Yanggu SI-5, Hegu L.I.-4,

Guanchong SJ-1 and Kunlun BL-60 (Great Compendium).
Pain of the head and eyes: Baihui DU-20, Tongli HE-5

and Houding DU-19 (Supplementing Life).

Pain of the head and nape: Baihui DU-20, Houding DU-

19 and Hegu L.I.-4 (Great Compendium).

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HEGU L.I.-4
Indications

Exterior wind-cold pattern, chills and fever,

headache, one-sided headache, headache of
the whole head, hypertension.
Hegu L.I.-4 is a primary point to expel wind-cold

or windheat and to release the exterior.

 Li-4
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Classical combinations
Headache: Hegu L.I.-4, Tianchi P-1, Tongziliao GB-1, Yuji

LU-10, Sibai ST-2, Tianchong GB-9, Sanjiaoshu BL-22 and

Fengchi GB-20 (Systematic Classic).
One-sided or generalised headache: Hegu L.I.-4,

Sizhukong SJ-23 and Fengchi GB-20 (Great Compendium).

Head wind and dizziness: Hegu L.I.-4, Fenglong ST-40,

Jiexi ST-41 and Fengchi GB-20 (Great Compendium).

Head wind with splitting sensation, pain between the

eyebrow and the eye: Hegu L.I.-4, Yangbai GB-14 and Jiexi
ST-41 (Classic of the Jade Dragon).
Pain of the head and nape: Hegu L.I.-4, Houding DU-19

and Baihui DU-20 (Great Compendium).

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HOUXI SI-3
Indications

Stiffness and pain of the neck, difficulty in

turning the neck, one-sided headache, bilateral
headache.
Classical combinations

Headache: Houxi SI-3, Tianzhu BL-10, Taodao

DU-13, Dazhu BL-11 and Kongzui LU-6
(Thousand Ducat Formulas).
Pain of the head and eyes: Houxi SI-3 and
Waiguan SJ-5 (Divine Moxibustion).
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FENGLONG ST-40
Indications

Dizziness, headache, wind-phlegm headache.

the single most important acupuncture point to

transform phlegm in the body, whatever its origin.

Classical combinations

Headache that is difficult to endure: Fenglong ST-40

and Qiangjian DU-18 (One Hundred Symptoms).

Head wind and dizziness: Fenglong ST-40, Hegu L.I.-
4, Jiexi ST-41 and Fengchi GB-20 (Great
Compendium).
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TERIMA KASIH