Combining Tianma with other herbs for effective headache treatment

November 21, 2023

Tianma is mild in nature and sweet in taste. It has the effect of soothing the liver and extinguishing wind, and is commonly used to treat headaches, dizziness, numbness of limbs, and seizures. So what should Tianma be paired with to treat headaches? Can Tianma be taken for a long time to treat headaches?

Tianma + Chuanxiong

Chuanxiong has a spicy taste and warm nature. It has the effects of promoting blood circulation, relieving pain, and dispelling wind. When Tianma and Chuanxiong are combined, they have the functions of harmonizing qi and blood, resolving phlegm and stasis, and promoting blood circulation to relieve pain. It is more effective for headaches caused by liver qi stagnation.

Formula:

30g Chuanxiong, 10g Tianma, 10g Jiaocan, 6g Chaihu, 3g Baijiezi, 2 centipedes, 3g Yuliren, 6g Baishao, 3g Gancao, 6g Xiangfu, 15g Baizhi.

Method:

Grind the above herbs into fine powder, take 3g each time, 3 times a day, orally. 2 weeks is one course of treatment.

Tianma + Banxia

Banxia Bazhu Tianma Tang has the effects of resolving phlegm, extinguishing wind, invigorating the spleen, and eliminating dampness. It is mainly used to treat dizziness, headaches, chest tightness, and disturbances caused by wind-phlegm. Common symptoms include nausea, vomiting, greasy tongue coating, and slippery pulse. Banxia Bazhu Tianma Tang has certain therapeutic effects on labyrinthine vertigo, hypertension, neurogenic vertigo, epilepsy, and facial nerve paralysis.

Formula:

4.5g Banxia, 3g Tianma, 3g Fuling, 3g Ju Hong, 9g Baizhu, 1.5g Gancao.

Usage:

One slice of ginger, two jujubes, decocted in water and taken orally. Modern usage: Add one slice of ginger, two jujubes, decocted in water and taken orally.

Tianma + Gouteng

Tianma Gouteng Yin has the effects of clearing heat, calming the liver, and subduing yang. It is mainly used to treat conditions such as liver heat, liver yang hyperactivity, headaches, dizziness, tinnitus, insomnia, and dreams, or hemiplegia, red tongue with a thin coating, and wiry and rapid pulse. It is currently used for hypertension.

Formula:

9g Tianma, 12g Gouteng (later addition), 18g Shijue Ming (pre-decoction), 9g Shanzhi, 9g Huangqin, 12g Chuanniuxi, 9g Duzhong, 9g Yimucao, 9g Sangjisheng, 9g Yejiaoteng, 9g Zhufushen.

Method:

Decocted in water, divided into three doses, taken once a day.

Can Tianma be taken for a long time to treat headaches?

It is not recommended to take Tianma for a long time.

There are many causes of headaches, and medication should not be taken without knowing the cause. Tianma is effective for headaches, dizziness, migraines, and other symptoms caused by liver yang hyperactivity. However, Tianma has certain toxic side effects, and long-term use may cause discomfort. It is recommended that patients with headaches take Tianma according to the prescribed treatment under the guidance of a doctor.

Who should not take Tianma?

1. Pregnant and lactating women should not take Tianma.

2. Children, the elderly, and those with physical weakness should not take Tianma.

3. Tianma should be used with caution in cases of fluid deficiency, blood deficiency, and yin deficiency.

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