Stress and anxiety are probably the most common causes of headache and, where possible, the reasons – overwork, family problems, unemployment, ?nancial diffculties, etc. – should be tackled. An unpleasant environment such as tra?c pollution or badly ventilated or overcrowded working conditions may provoke headaches in some people, as may excessive smoking or ca?eine intake. MIGRAINE is a characteristic and often disabling type of headache; high blood pressure may cause the condition (see HYPERTENSION); and, occasionally, refractive errors of the eyes (see EYE, DISORDERS OF) are associated with headaches. SINUS infections are often characterised by frontal headaches. Rheumatism in the muscles of the neck and scalp produce headaches; fever is commonly accompanied by a headache; and sunstroke and HEAT STROKE customarily result in headaches. Finally, diseases in the brain such as meningitis, tumours and HAEMORRHAGE may ?rst manifest themselves as persistent or recurrent headaches.
Treatment Obtaining a reliable diagnosis – with the help of further investigations, including CT (see COMPUTED TOMOGRAPHY) or MRI scanning when indicated – should always be the initial aim; treatment in most cases should then be aimed at the underlying condition. Particular concerns include headache that worsens at night or in the early morning; ever-increasing headaches; those associated with abnormal neurological signs on examination; or those associated with ?ts (see FIT).
Whether the cause is physical or stress-induced, used sensibly and for a limited period a low dose of aspirin or paracetamol may be helpful. In many cases of stress-induced headache, however, the most e?ective treatment is relaxation. There are many speci?c treatments for migraine and hypertension. Sinusitis is treated with antibiotics and sometimes by surgery.... headache
Infection is potentially serious as it may spread to the brain.
Treatment is with high doses of antibiotic drugs.... orbital cellulitis
See separate entry for migraine.
As indicated: relaxants, antispasmodics, hepatics (liver agents), laxatives. BHP (1983) recommends: Betony, Hops, St John’s Wort, Yerba Mate, Catmint, Passion flower, Jamaican Dogwood, Pulsatilla, Rosemary. A diuretic may release excess body fluid and surprisingly relieve headache as in pre-menstrual tension.
Frontal headache: Agnus Castus.
From eyestrain: Rue, Witch Hazel.
After heavy physical work: Ginseng.
Neuralgia of the skull: Gelsemium.
Low blood pressure: Gentian.
High blood pressure: Lime flowers.
Depressive conditions: Cola.
Pain, back of the head: Oats, Ladyslipper.
Pre-menstrual: Cramp bark, Agnus Castus.
Excess mental exertion: Rosemary.
Following anger: Sumbul.
In children: see CHILDREN’S COMPLAINTS.
Pain, top of head: Pulsatilla, Cactus.
Throbbing headache: Chamomile.
Sick headache: Blue Flag.
Tension headache: Skullcap, Betony, Passion flower.
Cluster headache, associated with shingles: Vervain, Skullcap.
Menstrual headache: see entry: MENSTRUAL HEADACHE.
Alternatives. Tea. Combine equal parts: Skullcap, Betony, Chamomile. 1-2 teaspoons to each cup boiling water; infuse 15 minutes. Half-1 cup when necessary.
Decoction. Combine equal parts: Valerian, Blue Flag, Barberry bark. 1 teaspoon to each cup water gently simmered 20 minutes. Half-1 cup whens necessary.
Tablets/capsules. Blue Flag, Valerian, Chamomile, Passion flower.
Powders. Formula. Equal parts: Skullcap, Rosemary, Valerian. 500mg (two 00 capsules or one-third teaspoon) when necessary.
Tinctures. Combine equal parts: Mistletoe, Valerian, Skullcap. One to two teaspoons in water every 3 hours as necessary.
Tincture Rosemary. 15-30 drops in water as necessary.
Practitioner. Tincture Gelsemium 5 drops to 100ml water (half cup) – 1 teaspoon hourly.
Traditional combination: Skullcap, Valerian, Mistletoe.
Topical. Hot footbaths. Cold compress to head.
Aromatherapy. Anoint forehead with few drops: Lavender, Chamomile, Rosemary, Mint, Balm, or Tiger Balm essential oils.
Diet. Low fat. Low salt. Avoid meats preserved in sodium nitrite (bacon, ham, red meats, etc). Supplementation. Vitamins A, B-complex, B6 (50mg), B12, C (up to 1 gram), E (up to 1000iu). Magnesium, Zinc. ... headache, common
Treatment. Uterine restoratives, nerve relaxants. Formula. Tea. Equal parts: Raspberry leaves; Skullcap; Agnus Castus. 1 heaped teaspoon to each cup boiling water; infuse 5-15 minutes; drink freely. Alternative formula. Agnus Castus 2; Black Cohosh 1. Dose: Liquid Extracts: 1-2 teaspoons. Tinctures:
2-3 teaspoons. Powders: 750mg (three 00 capsules or half a teaspoon). Thrice daily.
Feverfew: good results reported.
Evening Primrose oil capsules. 500mg thrice daily.
Sleep. One in two patients find relief in ‘sleeping it off’ any time of the day or night. Hot bath. Passion flower tea or tablets.
Diet. High fibre, low fat, low salt. Hot soup. A cooked meal but not with rich fatty or spicy foods. Oatmeal porridge.
Supplements. Vitamin B6, 50mg daily. Magnesium, Zinc.
Preventative: Raspberry leaf tea 3 days before periods. ... menstrual headache