Headache

头痛 (Tóu Tòng)

A Chinese medicine perspective — in everyday language

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In Chinese medicine, two people with “headaches” may be understood very differently.

Assessment looks at the whole picture — including constitution, lifestyle, emotional load, and physical patterns.

Common Headache Patterns

External Influence

“A sudden impact from wind, cold, or heat”

When the body is more exposed or sensitive, external influences can affect the head— often suddenly.
These patterns are shaped by weather, environment, and changes in temperature.

What it may feel like:

Sudden onset of headache
Tight or aching pain (often neck or back of head)
Sensitivity to wind or cold
Symptoms that shift or come and go

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Deficiency & Fatigue

“A sense of low energy, depletion, or lack of support”

These patterns tend to develop gradually and are linked to reduced energy, nourishment, or the body’s ability to sustain and recover.
They are commonly influenced by long-term strain, overwork, insufficient rest, or depletion over time.

What it may feel like:

Dull, persistent, or background headache
A sense of emptiness or weakness in the head
Symptoms often worse with fatigue
Symptoms that improve with rest

Digestive & Internal Heat

“When heat or imbalance in digestion rises upward”

These patterns are linked to how digestion and internal heat are processed in the body.
When heat builds or becomes unsettled, it can rise upward — often affecting the head. These patterns are commonly influenced by diet, eating habits, and digestive balance over time.

What it may feel like:

Frontal or temporal headache (sometimes one-sided)
Throbbing, intense, or burning sensation
Pain linked to food or digestion
May worsen with stress or after eating

Stress & Tension

“Pressure builds up”

These patterns are linked to how energy (qi) moves in the body. When movement becomes constrained or rises upward, pressure can build — often affecting the head.
They are commonly influenced by stress, frustration, or emotional strain, as well as long periods of concentration, difficulty switching off, or an irregular daily rhythm.

What it may feel like:

Tight, band-like pressure around the head
Pain at the temples or sides of the head
Headaches that build gradually
Tension in the neck, shoulders, or jaw

Water droplets on glass creating a blurred, foggy background, representing heaviness and congestion

Heaviness & Congestion

“A sense of heaviness, fogginess, or blockage”

When processing slows, heaviness and reduced clarity can arise — sometimes felt as a sense of obstruction.
These patterns tend to develop gradually and are commonly shaped by digestion, daily habits, and lifestyle over time.

What it may feel like:

Dull, heavy, or foggy sensation in the head
Pressure or fullness
Cloudy thinking or reduced clarity

Stagnation & Obstruction

“When movement becomes blocked or fixed”

These patterns are linked to how circulation and movement occur in the body.
When movement becomes obstructed, pain may become fixed, intense, or persistent — often affecting a specific area of the head. These patterns are commonly influenced by injury, long-term constraint, or stagnation over time.

What it may feel like:

Fixed or localised headache
Sharp, stabbing, or intense pain
Pain that tends to recur in the same spot
Symptoms that feel persistent or difficult to shift

How are headaches understood?

In Chinese medicine, headaches are not seen as a single condition.

They are understood through patterns — looking at how the pain feels, where it appears, and what may be influencing it.

1. By quality of pain

The way the pain feels can offer useful clues. ・Dull or heavy → often linked to low energy or sluggish flow ・Tight or band-like → often linked to tension or pressure ・Throbbing or pounding → may relate to heat or rising activity ・Sharp or fixed → may reflect something more stuck or not moving well

2. By location

Where the pain appears can also give helpful insight. ・Front → often linked to digestion or sinus involvement ・Sides (temples) → often linked to stress or tension ・Back (neck/occiput) → may relate to posture, external factors, or fatigue ・Top → sometimes linked to deeper, long-term patterns

3. By triggers & timing

When headaches appear can be just as important as how they feel. ・During stress or emotional strain ・With fatigue or overwork ・After screen use or poor posture ・Influenced by food, hydration, or weather ・At certain times of day or hormonal phases

This understanding guides the choice of acupuncture points, herbal support, and other therapies.

These are always selected after a full individual assessment, rather than following a fixed protocol..

This overview is shared for education and understanding.

It does not replace medical diagnosis or care.

Persistent, severe, or changing headaches should always be assessed by a medical professional.