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Cluster Headache

How Chinese medicine differentiates cluster headache — distinct from Headache, Migraine, and Tension-Type Headache already covered — the six patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. A first-ever severe one-sided headache, or one with neurological symptoms, needs urgent medical evaluation and diagnosis before assuming it is cluster headache.
General Acupuncture Points

Acupuncture points traditionally used for cluster headache — 7 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver Yang, clears interior Wind.
G.B.-20Subdues Liver Yang, expels exterior/interior Wind.
DU-20Expels interior Wind, subdues or raises Yang.
L.I.-4Expels exterior Wind, regulates Defensive Qi.
ST-40Master point for Phlegm, powerfully transforms Phlegm.
ST-36Tonifies Qi and Blood, strengthens Spleen and Stomach.
SP-6Nourishes Blood and Yin, invigorates Blood.
REN-6Tonifies Original Qi, builds core energy.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Yang Rising View full pattern →

Clinical manifestations: Stabbing or throbbing one-sided head pain, often behind or around the eye; eye redness, tearing, and facial flushing on the painful side; irritability and quick temper during attacks; symptoms triggered by emotional stress.
Tongue: Red body with redder sides, thin dry yellow or scanty coat. Pulse: Wiry and forceful, possibly fine and rapid.
Treatment principle: Calm the Liver and extinguish Wind, subdue Yang.
LR-3 ↓ G.B.-20 ↓ EX-HN-5 (Taiyang) ↓ DU-20 ⊥
Note: no moxa. Direct match with this site's own Liver-Yang-rising slide.

2. Wind-Heat View full pattern →

Clinical manifestations: Distending, bursting headache worse around eyes or temples, red face and bloodshot eyes, nasal congestion with yellow discharge, feeling of heat and thirst.
Tongue: Red tip and edges with thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Release the exterior, disperse Wind-Heat.
L.I.-4 ↓ G.B.-20 ↓ EX-HN-5 (Taiyang) ↓ LR-3 ↓
Note: no moxa. Direct match with this site's own Invasion-of-Lungs-by-Wind-Heat slide.

3. Wind-Cold View full pattern →

Clinical manifestations: Headache triggered by cold or wind exposure, strong aversion to cold and chills, stiff, tight neck and upper back, clear watery nasal discharge, no sweating.
Tongue: Normal or slightly pale body with thin, white, moist coating. Pulse: Floating and tight.
Treatment principle: Disperse Wind, release the exterior.
G.B.-20 ↓ L.I.-4 ↓ EX-HN-5 (Taiyang) ↓
Note: moxa applicable given the Cold. Direct match with this site's own Invasion-of-Lungs-by-Wind-Cold slide.

4. Damp-Phlegm

Clinical manifestations: Heavy, wrapped or distending head pain, chest stuffiness and nausea, poor appetite and loose stools, fatigue, drowsiness, and brain fog.
Tongue: Pale, swollen body with tooth marks, thick white greasy coating. Pulse: Slippery.
Treatment principle: Transform Wind-Phlegm and stop spasms, strengthen the Spleen.
ST-40 ↓ ST-36 ↑ DU-20 ⊥ EX-HN-5 (Taiyang) ↓
Note: no moxa except tonifying points. No deck on this site has a generic Damp-Phlegm slide outside the Lungs, so no pattern link is given here.

5. Qi and Blood Deficiency

Clinical manifestations: Dull, lingering headache, worsens with fatigue or overwork, pale or sallow complexion, heart palpitations, persistent fatigue.
Tongue: Pale body, may be thin or teeth-marked, thin white coating. Pulse: Fine and weak, especially at right Guan.
Treatment principle: Tonify Qi, nourish Blood, strengthen the Spleen.
Note: moxa applicable throughout. No deck on this site combines Qi and Blood deficiency into one slide, so no pattern link is given here.

6. Qi and Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain in same location every attack, worsens with pressure, irritability and mood swings, chest or rib-side distension.
Tongue: Dark purple body with scattered stasis spots, distended dark sublingual veins. Pulse: Wiry and choppy.
Treatment principle: Invigorate Blood and dispel stasis, move Qi.
LR-3 ↓ L.I.-4 ↓ SP-6 ↓ EX-HN-5 (Taiyang) ↓
Note: no moxa. Matches this site's Liver-Blood stasis slide — a dark purple tongue with stasis spots is the same discoloration marker named there.
Related conditions

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