ACUPUNCTURE CARE FOR A PATIENT WITH MIGRAINE AT GRIYA SEHAT MUSLIMAH MAKASSAR
DOI:
https://doi.org/10.62354/jurnalmedicare.v5i4.481Abstract
Background: Migraine is a primary neurological disorder characterized by recurrent headaches of moderate to severe intensity that can interfere with daily activities and reduce quality of life. Acupuncture is used as a complementary approach in migraine management; however, findings from an individual case cannot establish treatment efficacy.
Objective: This study aimed to describe the assessment, diagnosis, treatment principles, acupuncture intervention, and clinical response in a patient with migraine at Griya Sehat Muslimah Makassar.
Methods: This qualitative study employed a single-case study design involving one 44-year-old woman with a three-month history of right temporal throbbing headache. The initial headache intensity was recorded as 7, although the measurement instrument was not specified in the source record. Data were collected using a Client Data Sheet and the four traditional Chinese medicine (TCM) examination methods: inspection (Wang), auscultation and olfaction (Wen), inquiry (Wen), and palpation (Qie). Acupuncture treatment was administered in six sessions.
Results: At the initial assessment, the participant reported headache, dizziness, nausea, irritability, difficulty relaxing, heat sensations, excessive thirst, and difficulty initiating sleep. Examination findings included a reddish facial complexion, a red tongue with a very thin coating, and a rapid pulse. At the sixth-session assessment, the participant reported that the headache, dizziness, and nausea were no longer present. She also reported feeling more relaxed and having less difficulty initiating sleep. The tongue was described as pink with a thin coating, while the pulse remained rapid. A numerical post-treatment pain score and session-by-session pain measurements were not available.
Conclusion: Symptom improvement was reported in this participant following six acupuncture sessions. This case describes a clinical response during the observation period and does not establish the general effectiveness of acupuncture for migraine.
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Keywords:
acupuncture, migraine, case study, traditional chinese medicineReferences
Ailani, J., Burch, R. C., & Robbins, M. S. (2021). The American Headache Society consensus statement: Update on integrating new migraine treatments into clinical practice. Headache, 61(7), 1021–1039. https://doi.org/10.1111/head.14153
Ashina, M., Katsarava, Z., Do, T. P., Buse, D. C., Pozo-Rosich, P., Özge, A., Krymchantowski, A. V., Lebedeva, E. R., Ravishankar, K., Yu, S., Sacco, S., Ashina, S., Younis, S., Steiner, T. J., & Lipton, R. B. (2021). Migraine: Epidemiology and systems of care. The Lancet, 397(10283), 1485–1495. https://doi.org/10.1016/S0140-6736(20)32160-7
Ashina, M., Terwindt, G. M., Al-Karagholi, M. A. M., de Boer, I., Lee, M. J., Hay, D. L., Schulte, L. H., Hadjikhani, N., Sinclair, A. J., Ashina, H., Schwedt, T. J., & Goadsby, P. J. (2021). Migraine: Disease characterisation, biomarkers, and precision medicine. The Lancet, 397(10283), 1496–1504. https://doi.org/10.1016/S0140-6736(20)32162-0
Ashina, M., Buse, D. C., Ashina, H., Pozo-Rosich, P., Peres, M. F. P., Lee, M. J., Terwindt, G. M., Halker Singh, R., Tassorelli, C., Do, T. P., Mitsikostas, D. D., & Dodick, D. W. (2021). Migraine: Integrated approaches to clinical management and emerging treatments. The Lancet, 397(10283), 1505–1518. https://doi.org/10.1016/S0140-6736(20)32342-4
Buse, D. C., Greisman, J. D., Baigi, K., & Lipton, R. B. (2022). Migraine progression: A systematic review. Headache, 62(1), 1–17. Google Scholar
Headache Classification Committee of the International Headache Society. (2018). The International Classification of Headache Disorders, 3rd edition. Cephalalgia, 38(1), 1–211. https://doi.org/10.1177/0333102417738202
Li, X., Dai, Q., Shi, Z., Chen, H., Hu, Y., Wang, X., Zhang, X., & Tian, G. (2019). Clinical efficacy and safety of electroacupuncture in migraine treatment: A systematic review and network meta-analysis. The American Journal of Chinese Medicine, 47(8), 1755–1780. https://doi.org/10.1142/S0192415X19500897
Li, Y. X., Xiao, X. L., Zhong, D. L., Luo, L. J., Yang, H., Zhou, J., He, M. X., Shi, L. H., Li, J., Zheng, H., & Jin, R. J. (2020). Effectiveness and safety of acupuncture for migraine: An overview of systematic reviews. Pain Research and Management, 2020, Article 3825617. https://doi.org/10.1155/2020/3825617
Liu, L., et al. (2021). Revealing the neural mechanism underlying the effects of acupuncture on migraine: A systematic review. Frontiers in Neuroscience, 15, Article 674852. https://doi.org/10.3389/fnins.2021.674852
Maciocia, G. (2015). The foundations of Chinese medicine: A comprehensive text (3rd ed.). Elsevier. Google Scholar
Naguit, N., Laeeq, S., Jakkoju, R., Reghefaoui, T., Zahoor, H., Yook, J. H., Rizwan, M., Shahid, N. U. A., & Mohammed, L. (2022). Is acupuncture safe and effective treatment for migraine? A systematic review of randomized controlled trials. Cureus, 14(1), Article e20888. https://doi.org/10.7759/cureus.20888
Ou, M. Q., Fan, W. H., Sun, F. R., Jie, W. X., Lin, M. J., Cai, Y. J., Liang, S. Y., Yu, Y. S., Li, M. H., Cui, L. L., & Zhou, H. H. (2020). A systematic review and meta-analysis of the therapeutic effect of acupuncture on migraine. Frontiers in Neurology, 11, Article 596. https://doi.org/10.3389/fneur.2020.00596
Safiri, S., Pourfathi, H., Eagan, A., Mansournia, M. A., Khodayari, M. T., Sullman, M. J. M., Kaufman, J., Collins, G., Dai, H., Bragazzi, N. L., & Kolahi, A. A. (2022). Global, regional, and national burden of migraine in 204 countries and territories, 1990 to 2019. Pain, 163(2), e293–e309. https://doi.org/10.1097/j.pain.0000000000002275
Song, Z. W., Liu, Y. P., Cui, S., Hu, J., Ma, W. Q., Chen, Z. J., Huo, J., Gao, Q., Ma, S. H., & Wang, J. J. (2023). Effectiveness of acupuncture for prophylactic treatment of migraine: A systematic review and Bayesian network meta-analysis. Advanced Biology, 7(10), Article e2300134. https://doi.org/10.1002/adbi.202300134
Wang, Y., Du, R., Cui, H., Zhang, L., Yuan, H., & Zheng, S. (2023). Acupuncture for acute migraine attacks in adults: A systematic review and meta-analysis. BMJ Evidence-Based Medicine, 28(4), 228–240. https://doi.org/10.1136/bmjebm-2022-112135
World Health Organization. (2023). Headache disorders. https://www.who.int/news-room/fact-sheets/detail/headache-disorders
Xu, S., Yu, L., Luo, X., Wang, M., Chen, G., Zhang, Q., Liu, W., Zhou, Z., Song, J., Jing, H., Huang, G., Liang, F., Wang, H., & Wang, W. (2020). Manual acupuncture versus sham acupuncture and usual care for prophylaxis of episodic migraine without aura: Multicentre, randomised clinical trial. BMJ, 368, Article m697. https://doi.org/10.1136/bmj.m697
Yang, C., Wu, M., Luo, Q., Xu, G., Huang, L., Tian, H., Sun, M., & Liang, F. (2024). Acupuncture for migraine: A systematic review and meta-regression of randomized controlled trials. Complementary Therapies in Medicine, 86, Article 103076. https://doi.org/10.1016/j.ctim.2024.103076
Zhang, N., Houle, T., Hindiyeh, N., & Aurora, S. K. (2020). Systematic review: Acupuncture vs standard pharmacological therapy for migraine prevention. Headache, 60(2), 309–317. https://doi.org/10.1111/head.13723
Zhao, L., Chen, J., Li, Y., Sun, X., Chang, X., Zheng, H., Gong, B., Huang, Y., Yang, M., Wu, X., Li, X., & Liang, F. (2017). The long-term effect of acupuncture for migraine prophylaxis: A randomized clinical trial. JAMA Internal Medicine, 177(4), 508–515. https://doi.org/10.1001/jamainternmed.2016.9378
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