Medical Acupuncture
A Journal For Physicians By Physicians

Spring / Summer 1998 - Volume 10 / Number 1
"Aurum Nostrum Non Est Aurum Vulgi"

     
     
     
     

ABSTRACT 7

MIND-BODY UNITY AND ACUPUNCTURE
IN THE TREATMENT OF MIGRAINE HEADACHES

By Roberto Jordorkovsky, M.D.,
Private Practice, General Pediatrics/Medical Acupuncture,
Baltimore, Maryland

ABSTRACT
     A 28-year-old female presented with a 13-year history of severe temporal migraine headaches; visual aura, vomiting, and postepisode fatigue were common. Medications were unsuccessful in mitigating the symptoms. Her medical history included over two years of infertility. The patient complained of increasing anxiety, prolonged grief reaction, and exacerbation of the headaches after her mother's death from breast cancer the year before. The patient witnessed her mother's acupuncture for pain control prior to her death.
     Three French Energetics-based acupuncture treatments for her own pain relief evoked memories of the terminal phase of her mother's illness. The patient experienced a close connection to her mother, and visualized her as a healthy, pretty, young woman, wrapped in a soothing bright light. Grief and anger began to dissipate; she became relaxed, optimistic, and energized. Shortly after her last treatment, the patient became pregnant; her headaches did not recur.


INTRODUCTION
     The etiology of headaches is multifactorial, encompassing anatomical, biochemical, neurohumoral, constitutional, and psychological factors. Traditional medicine tends to support a body-mind duality paradigm. The result may be treatments which address these causes in a fragmented fashion. Conversely, Oriental medicine embraces the ultimate unity of all phenomena: mind, consciousness, movement, and matter. These factors are seen as representations of an omnipresent energy (Qi) in varying degrees of aggregation. The treatments proposed by Oriental medicine integrate these multiple etiological dimensions. This case report is illustrative of this theory; acupuncture appeared to facilitate the integration of psychological experience with somatic manifestations. The treatment resulted in apparent healing; infertility was eliminated.

REVIEW OF SYSTEMS

  • Tendency to sweat
  • Preference for warm weather
  • Occasional palpitations
  • Chest pain when anxious
  • Anxiety and anger under stress
  • Cold feet in winter
  • Fatigue
  • Unable to conceive for two years; infertility evaluation normal
  • Preference for sweets; the color, blue

PHYSICAL EXAMINATION

  • Generally healthy
  • Vital signs, blood pressure normal
  • Trigger points: GB 20-2 1, BL 10, SI 13
  • Tongue: tip, borders red
  • Decreased KI and LIV pulses

DIAGNOSIS
Primary: Jue Yin Imbalance

  • Anxiety/anger
  • Headaches
  • Sweating
  • Preference for the color blue

Secondary: Tai Yin/Shao Yin imbalance

  • Infertility
  • Fatigue
  • Cold feet
  • Preference for sweets

CONCLUSION
     Well-established diagnostic and therapeutic treatments proposed by the French Energetics School of Acupuncture resolved this patient's headaches after 3 treatments. Treatment evoked powerful images of her deceased mother. The acupuncture experience appeared to promote resolution of grief and anger toward this parent. The result was increased vigor and stress relief. Treatment reached its zenith point when she was able to conceive a child. This case suggests acupuncture as a means of facilitating the inte- gration between mind and body; the achievement of mind-body unity appears to enhance the healing process.


AUTHOR INFORMATION
     Dr. Roberto Jodorkovsky is in private practice in Baltimore, Maryland. His specialties are General Pediatrics and Medical Acupuncture. Dr. Jodorkovsky is an attending Pediatrician and Pediatric Nephrologist at the University of Maryland Medical System, Clinical Associate Professor of Pediatrics at the University of Maryland School of Medicine, and Secretary of Maryland Society of Medical Acupuncture.

Roberto A. Jodorkovsky, M.M.
304 Kenwood Avenue,
Baltimore, MD 21237
Phone: 410-866-39980
Email: roberto_a_jodorkovsky@mercy-ventures.com

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