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Tension-Type Headache

How Chinese medicine differentiates tension-type headache — distinct from the migraine and generic headache patterns 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 sudden severe 'worst headache of my life,' a headache with fever/stiff neck/vision changes, or one that starts after a head injury needs urgent medical evaluation before assuming it is a tension-type headache.
General Acupuncture Points

Acupuncture points traditionally used for tension-type headache — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang, extinguishes interior Wind.
DU-20Extinguishes interior Wind, subdues Liver-Yang, raises Yang.
G.B.-20Expels exterior Wind, subdues Liver-Yang, clears Heat.
L.I.-4Expels exterior Wind, regulates Defensive Qi, stops pain.
HE-7Calms the Mind, nourishes Heart-Blood.
ST-36Tonifies Qi and Blood, tonifies Stomach and Spleen.
SP-6Tonifies Spleen and Stomach, nourishes Blood.
SP-10Invigorates Blood, removes stagnation.
REN-6Tonifies Original Qi, lifts sinking Qi.
BL-20Tonifies Spleen Qi/Yang, resolves Dampness.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Qi Stagnation View full pattern →

Clinical manifestations: Dull, band-like pressure headache; pain worsens with emotional stress; chest tightness or rib-side distension; frequent sighing; irritability or mood swings.
Tongue: Normal or slightly dark body, red or slightly purplish sides, thin white coat. Pulse: Wiry, taut like a guitar string.
Treatment principle: Smooth Liver Qi flow, release constraint.
Note: no moxa except on HE-7 if used. Direct match on the core distension/irritability/sighing picture.

2. Blood Deficiency

Clinical manifestations: Dull, band-like pressure headache; worsens with fatigue and mental strain; pale complexion; dizziness or lightheadedness.
Tongue: Pale, thin body with a thin white coating. Pulse: Fine and weak, sometimes choppy.
Treatment principle: Rebuild blood reserves to nourish the head and brain.
Note: moxa applicable on the tonifying points. Matches Liver-Blood deficiency — pale complexion and dizziness are the same core markers named there.

3. Qi Deficiency View full pattern →

Clinical manifestations: Dull, heavy ache or pressure worsening with exertion or end of day; persistent fatigue and weakness; shortness of breath on mild effort; reduced appetite and loose stools; pale complexion.
Tongue: Pale, puffy, and tender with scalloped edges, thin white coating. Pulse: Empty or weak, soft and forceless.
Treatment principle: Strengthen Spleen Qi production, lift sinking clear yang to the head.
Note: moxa applicable throughout. Direct match — the deck slide's poor appetite/loose stools/pale complexion/tiredness picture mirrors the source exactly.

4. Liver Yang Rising View full pattern →

Clinical manifestations: Throbbing or distending headache at the temples; dizziness or lightheadedness; irritability or mood swings; flushed face and red eyes; soreness and weakness of lower back and knees.
Tongue: Red body with red sides, thin dry yellow or scanty coat. Pulse: Wiry, possibly fine and rapid.
Treatment principle: Subdue rising Liver Yang, anchor yin, calm internal wind.
Note: no moxa. Direct match, reusing the same well-established Liver-Yang-rising slide used for Postconcussion Syndrome and Macular Degeneration.

5. Damp-Phlegm

Clinical manifestations: Sensation of head wrapped in a band or filled with cotton; dull heavy headache worse in damp weather; nausea/poor appetite/chest stuffiness; fatigue, drowsiness, brain fog.
Tongue: Pale, swollen body with tooth marks, thick white greasy coating. Pulse: Slippery, like beads rolling in oil.
Treatment principle: Transform dampness and resolve phlegm at the root via Spleen strengthening.
ST-36 ↑ G.B.-20 ↓ EX-HN-5 (Taiyang) ↓
Note: no moxa. No deck on this site has a generic head-focused Damp-Phlegm slide, so no pattern link is given here.

6. Blood Stagnation View full pattern →

Clinical manifestations: Fixed stabbing pain that does not move; pain worsens at night; history of head trauma or chronic stress; dark or purplish lips and complexion.
Tongue: Dark purple body with possible stasis spots, distended dark sublingual veins. Pulse: Choppy, rough and uneven.
Treatment principle: Invigorate blood circulation, dispel stagnation blocking the channels.
Note: no moxa. Matches Liver-Blood stasis — dark/purplish lips and a dark purple tongue with stasis spots are the same discoloration markers named there.
Related conditions

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