Acupuncture as Migraine Prevention
The landmark 2016 Cochrane review (updated 2022) analysed 22 trials and found acupuncture reduced migraine frequency by an average of 2 days per month compared to sham acupuncture — comparable to the effects of preventive medications like topiramate and propranolol, without their side effects.
Prevention is the main strength of acupuncture for migraines — regular treatment trains the nervous system toward stability and reduces cortical excitability.
TCM Patterns in Migraine
Most migraines in Chinese medicine involve Liver Yang rising — a pattern of internal wind and heat disturbing the head. Triggers (stress, hormones, weather, certain foods) align with classical descriptions of Liver Qi stagnation transforming to heat and wind.
Other patterns include phlegm-damp obstruction (heavy, throbbing headaches with nausea) and Blood deficiency (migraines post-period, in exhaustion).
Acute Treatment During an Attack
Acupuncture applied in the early stages of a migraine attack can reduce its duration and intensity. Specific distal points (LI4, Liver 3, GB41) are particularly effective for acute headache relief and can be used alongside your prescribed medications.
Key Takeaways
- Cochrane review: acupuncture equals preventive drugs for migraines with fewer side effects
- Reduces migraine frequency by an average of 2 days per month
- Effective for both prevention and acute treatment
- TCM identifies the pattern driving each patient's migraines
- A course of 8 weekly sessions is recommended for prevention
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