I don't know that you are that headache, on no hospital to do the check, I am in 45 years old, also is every day headache, go to the hospital to check, what is wrong with nothing, the doctor said, I am caused by menopausal syndrome, gave me a lot of headache medication, ate also does not matter, and then there is a sister told me to let me eat a kind of medicine, that is, goat's horn tablets, tube all kinds of nerve-induced headache, I bought several bottles, according to the instructions to eat, after eating, my headache disease slowly restore health, no pain, I am more than 50 years old this year, has not been recurring, now all good. I bought several bottles, according to the instructions to eat, after eating, my headache disease slowly restore health, no pain, I am more than fifty years old this year, has not been repeated episodes, now all good, I do not know if you are the same as me, belonging to the neurological headache, if you belong to the neurological headache, you go to the drugstore, buy sheep's horns tablets to eat on the tube, you want to be not a neurological headache, then you go to the hospital to check out the evidence-based treatment, and I hope you I hope you will be able to get rid of your headache sooner.

Thank you.

No one is unfamiliar with the mention of headaches, but everyone dreads them because they disrupt our normal lives .

Headache is one of the more common clinical symptoms of

A generalized term for pain between the lower occipital region and the top of the head on the arch of the eyebrow.

Causes of headaches.

♥ Contraction and dilation of cerebral blood vessels, and changes in cerebral blood flow;

♥ Disorders of brain function;

♥ The meninges are irritated and stretched by cranial inflammation, spontaneous or traumatic hemorrhage and edema;

♥ Muscular lesions of the scalp, neck, and some ear, nose, and teeth;

♥Headache-causing substances such as 5-hydroxytryptamine (5-HT) and endorphins are increased in the nerves.

♥ Some systemic diseases

What to think about when you have a headache

Headaches are roughly divided into three parts:

1. Headache due to primary pathology Mostly functional without organic pathology, it is the most common type of pain;

2. Headaches due to secondary pathologies

Headaches caused by localized organic lesions or systemic diseases, including intracranial infections, head tumors, craniocerebral trauma, cerebrovascular accidents, and other lesions;

3. Cerebral neuralgia, primary facial lesions causing and other headaches.

What about the headaches?

Seek prompt medical attention and medical personnel for further management of the condition/condition.

1. Avoid over-exertion, maintain stability, pay attention to rest, do not smoke or drink, avoid stimulating too much food, oxygen therapy;

2. Find the cause as soon as possible and treat the primary cause of the headache. If the headache is unbearable, pain relief can be given according to the condition to alleviate the headache, and if further infusion or surgical treatment is needed, the patient will be admitted to a specialized department for the treatment of the primary cause.

3. If the condition is critical and requires monitoring and treatment, the patient will be admitted to the monitoring room for treatment;

4. Symptomatic painkillers can choose diclofenac sodium, craniopharmine, aminophenol dihydrocodeine, tramadol, dulcolax, ergot alkaloids and other painkillers.Taken intermittently according to the patient's condition, short-term2 to 3 times a day, oral medication does not work well, then intramuscular or intravenous medication for pain relief.

5. Treatment related to pathogenesis

As:

(1) Restore normal intracranial pressure:

Patients with high cranial pressure were treated with dehydration and diuresis to lower cranial pressure;

In patients with low cranial pressure, you can administer hypotonic fluids, etc., intravenously;

(2) Constriction of dilated blood vessels:

Application of ergot alkaloids may provide some relief from migraine attacks

And taking caffeine-containingefficacy of antipyretic pain tablets (APC) in non-migraine vasotonic pain.Relieves headaches by improving the tone of blood vessels

(3) Relaxation of contracted tense skeletal muscles: applicable to headaches caused by muscle contraction, massage and with physiotherapy, procaine pain closure and psychotherapy, or combined oral diazepam, not only helps to relax the muscles, but also helps to relieve the patient's mental tension.

(4) Closure of the patient's cranial surface nerves: for cranial surface neuralgia.

(5) Lumbar puncture for cerebrospinal fluid replacement or release of 5-10 ML of cerebrospinal fluid, such as subarachnoid hemorrhage.

5. Headache of cervical vertebral origin can be treated with medication for pain relief, cervical traction, laser therapy, massage, magnetic therapy, nerve block (cervical parasympathetic ganglion block), and at the same time taking vasodilator drugs or traditional Chinese medicines to activate blood circulation and remove blood stasis and treating coexisting cervicothoracic radiculitis.

6. Other headaches are treated according to the specific condition.

How do I relieve a headache?

Clinically, headaches, especially migraines, are episodic disorders caused by dysfunctions of vasodilatation and constriction. In these fever groups, 60-80% of individuals have a family history of the disease, and in terms of gender, there is a predominance of lesbians, and a particular proportion of women, which can be aggravated during menstruation, in which case it is mostly to be considered due to the effects related to the hormone levels. From the point of time, usually waking up early in the morning or daytime episodes predominate.

Talk about factors that tend to trigger or cause headaches

1, cerebrovascular disease: the most common is high blood pressure, due to high blood pressure, resulting in cerebral blood vessels continue to diastole, which is manifested in the head of persistent swelling and pain; similarly, cerebral infarction, cerebral vascular malformation, as well as cerebral hemorrhage in the early stages of the brain, are prone to headache.

2, intracranial space-occupying lesions: such as intracranial tumors, resulting in compression of intracerebral tissues, headaches will still occur.

3, the above 2 cases, clinically belongs to the emergency, need to be the first time to the hospital for treatment, and very often, we appear paroxysmal migraine, more than able to relieve themselves, the next is the ordinary situation, such as dietary factors, some foods have to cause vasoconstriction function, such as long-term fermentation of cheese, chicken livers, yogurt, red wine, sausage, as well as coffee, nuts and some lactose. Read here, the netizens will say, so it seems, a lot of things can not eat, in fact, we just need to understand, daily life, can be self-summarized, not every migraine individual taking the above food will aggravate the symptoms.

4, stress factors: as my professional problems, clinical many of this situation, when the individual for some things unpleasant, insomnia, fatigue, may be secondary to migraine.

We can do this.

1, maintain a good routine, go to bed early and get up early, even on holidays, do not have large fluctuations in work and rest;

2, keep the mood happy: when the objective facts can not meet the subjective requirements, to learn to accept, absorb, or dialectical thinking; for individuals suffering from serious emotional problems, you can take antidepressant, anti-anxiety drugs to treat the disease itself.

3, avoid bad food intake in the body, in addition to the above I mentioned, also become one - the pill.

4, strengthen endurance exercise, recommended jogging.

5, strengthen the nutrition, supplement the intake of B vitamins and minerals. There are reports: migraine patients regularly take vitamin B2, previous headaches significantly improved.

6, dietary therapy: you can eat more jujube, yam, peach kernel, etc., in traditional Chinese medicine, you can choose chuanxiong, tianma, mulberry and so on.

I hope my answer is helpful to you, please pay attention, I will continue to update the relevant medical issues

In daily life, many people often feel dizzy, headache, encounter this situation, many people simply think that it is not well rested. Indeed, if because of the study, work pressure, rest is not good will lead to dizziness, headache, upset and irritable, insomnia, sleeplessness, memory loss. But one thing must be clear, frequent headaches, that is the body's unhealthy alarm, must be taken seriously. There are many causes of headaches, the head tissue is rich in muscles, blood vessels, nerves, stimulation, inflammation, pulling will cause headaches.

Headache can be roughly divided into three categories: one is acute headache, such as meningitis, fever, and trauma caused by artifacts, car accidents, etc.; one is acute recurrent headache, such as migraine; and one is chronic progressive headache, which can be caused by brain tumors, mental stress, etc.

Most headaches do not occur in isolation and often go hand in hand with insomnia, nervousness, whiplash, fatty liver, etc.

If there is a frequent headache, must go to the hospital as soon as possible to identify the cause, under the guidance of the doctor to carry out targeted medical treatment, do not identify the cause of the rapid pain relief.

If it's just stress and poor rest, then you need to look at your lifestyle, work style and daily mental state to reduce stress, get enough sleep and improve your quality of life.

Most people in their lives have experienced the symptoms of a headache thatSome people can get relief or the symptoms disappear after resting, but some people will experience persistent or recurrent headaches, which make them uneasy to eat and drink, keep them awake at night, and even greatly affect their daily life, and may lead to very serious consequences if the cause of the headache is not investigated in a timely manner.

Chinese and Western medical theories on the causes of headache

There are many causes of headaches thatWestern medical theory roughly categorizes headache into primary headache and secondary headache according to the etiology. Primary headache includes migraine, tension-type headache, etc., which is mostly benign, while secondary headache includes head and neck trauma, intracranial infection, intracranial tumor and other organic lesions. For secondary headache with clear etiology, the cause should be removed as early as possible, such as intracranial infection should be treated with anti-infection therapy, and intracranial tumors need to be considered for surgical treatment.

In Chinese medicine theory, headache refers to a class of symptoms characterized by pain in the head, recurring episodes, long-lasting called "head wind".The Ming Dynasty's "Ancient and Modern Medical System Complete - Headache Dafa divided into internal and external causes" summarizes the headache disease: "headache from the internal and caused by gas, blood, phlegm and drink, the five organs of the disease of qi and depression, Dongguan on the gas, blood deficiency, phlegm headache and so on is also; from the external and caused by wind, cold, heat and humidity disease, Zhongjing typhoid and Dongguan six meridians and so on is also," that is to say, the cause of the headache Pathogenesis is divided into:

1. Feeling the external evil mostly due to careless living, sitting and lying down when the wind, feel the wind, cold, dampness and heat and other external evils committed to the head, the Qing Yang Qi is not smooth, blocking the meridians and lead to headaches.

2. Emotional depression and anger, long-term mental tension and depression, liver qi stagnation, the liver is not organized and constricted and headache; or ordinary temperament of violence, too much anger, gas depression and fire, the liver yang is not convergence and upward hyperactivity. Qi congestion and fullness of the pulse, the clear yang is disturbed and headache.

3. Dietary irregularities, vegetarianism, fat, sweet and thick flavors, overeating, or labor injuries to the spleen and stomach, so that the spleen yang is not vibrant, the spleen can not transport the transfer of fluid, the accumulation of phlegm, the clear orifices for the phlegm-dampness of the blind; phlegm blockage of the brain veins to the qi and blood does not flow well, the veins and collaterals of the loss of nourishment and pain.

4. Inherent endowment is insufficient, or labor and desire to injure the kidneys, yin and essence depletion, or old age, qi and blood failure, or prolonged illness, post-partum, after blood loss, ying and blood loss, qi and blood can not be up to the camp in the brain, the medulla is not full and pain.

5. Headache caused by traumatic injury and fall, prolonged illness with poor meridians and channels, blood stagnation and Qi stagnation, and loss of nourishment of the veins and channels.

After understanding the causes of headache, do you also want to know how Chinese medicine practitioners use Chinese herbs to treat headache? The following is a detailed explanation from the pharmacist at EaseMedicine.

Traditional Chinese Medicine Diagnosis and Treatment of Headache

1、Wind-cold headache

Symptoms:Headache at times, pain connecting with the back of the neck, cold and fear of wind, especially severe when exposed to wind, mouth without thirst. Thin white moss, floating pulse.

Formulas:川芎茶调散出自《太平惠民和剂局方》，由薄荷叶、川芎、荆芥、细辛、防风、白芷、羌活、甘草组成。

Efficacy:Relieving wind and relieving pain. Indications: Headache due to external wind. Migraine headache, or pain at the top of the head.

2. Wind-heat headache

Symptoms:Headache and distension, or even headache like cracking, fever or bad wind, thirst for drinking, or red face and eyes, or constipation and ulceration, with red tongue, yellow moss, and floating pulse.

Formulas:Rhizoma Ligusticum and Angelica Gypsum Tang is from "Jin Jian", which is composed of Rhizoma Ligusticum Chuanxiong, Angelica dahurica, Gypsum, Chrysanthemum, Qiangwu, and Ligustrum.

Efficacy:Dispersing wind and clearing heat. Indications: malignant wind and body heat due to external wind, migraine headache.

Modern Applications:Commonly used in cold and flu headache, migraine, vascular neuralgia headache, headache caused by chronic rhinitis and other evidence of wind-evil-induced.

Note on use:It should not be used for headaches caused by Qi deficiency, blood deficiency, or Yin deficiency of the liver and kidney, hyperactivity of liver yang, or internal movement of liver wind.

3、Rheumatic headache

Symptoms:Headache like wrapping, heavy limbs, chest tightness, dullness, unfavorable urination, loose stools, white greasy coating, moistened pulse.

Formulas:Qiangwu Sheng Dampness Tang is from "Treatise on the Spleen and Stomach", which is composed of Qiangwu, Duhuo, Ligusticum, Fenghuang, Zhaogangcao, Bramble seed and Chuanxiong.

Efficacy:Dispelling wind and winning dampness to relieve pain. Indications: Paralysis with wind-dampness on the surface. Shoulder and back pain that cannot be recalled, headache and heaviness, or pain in the lumbar spine.

Modern Applications:Commonly used in rheumatoid arthritis, rheumatoid arthritis, osteomalacia, ankylosing spondylitis and other evidence of rheumatism in the surface.

Note on use:Caution should be exercised in cases of Yin deficiency in the body.

4、Headache due to hyperactivity of liver yang

Symptoms:Headache and dizziness, irritability, restlessness at night, or concurrent pain, red face and bitter mouth. Thin yellow moss, strong stringy pulse.

Formulas:Antelope Angle and Hook Teng Tang is from "Common Treatise on Typhoid", which is composed of Antelope Angle, Mulberry Leaf, Sichuan Pei, Fresh Radix et Rhizoma Glycyrrhizae, Hook Teng, Chrysanthemum, White Peony, Licorice, Temperance Bamboo Root, and Poria Cocos.

Efficacy:Cooling the liver and relieving wind, increasing fluid and relaxing tendons. Indications:High fever with insatiable boredom and agitation, convulsions of hands and feet, or even fainting.

Modern Applications:Commonly used in epidemic encephalitis B, epidemic cerebrospinal meningitis, as well as pregnancy eclampsia, hypertension caused by headache, dizziness, convulsions and other evidence of heat extreme wind.

Precautions for use: It should not be applied to those with internal movement of deficiency wind.

5、Headache caused by phlegm

Symptoms:Headache and dizziness, fullness in the chest and epigastric region, vomiting of phlegm and saliva, white and greasy moss, or fat tongue with teeth marks, slippery or stringy pulse.

Formulas:Semixia, Atractylodes Macrocephalae, Tianma Tang is from "The Heart of Medicine", and consists of Semixia, Tianma, Poria, Tangerine, Atractylodes Macrocephalae, and Glycyrrhiza.

Efficacy:Resolving phlegm and calming wind, strengthening the spleen and dispelling dampness. Indications: Wind-phlegm upward disturbance. Dizziness and headache, chest and diaphragm plumpness, phlegm and vomiting.

Modern Applications:Commonly used in neurasthenia, auricular vertigo, primary hypertension, cerebral arteriosclerosis and other evidence of wind-phlegm upturned.

Note on use:This formula should not be used in cases of dizziness and headache due to deficiency of Yin and hyperactivity of the Liver and insufficiency of Qi and Blood.

6、Headache caused by qi and blood deficiency

Symptoms:Headache and dizziness, aggravated by exertion, scanty complexion, palpitations, spontaneous sweating, shortness of breath, fear of wind, fatigue, pale tongue with white moss, sunken and weak pulse.

Formulas:Ba Zhen Tang is from "Rui Zhu Tang Experienced Formula", which is composed of ginseng, atractylodes macrocephala, poria, roasted licorice, angelica sinensis, chuanxiong ligustici, white peony, and ripened rhizome.

Efficacy:Benefiting Qi and tonifying Blood. Indications: deficiency of qi and blood, yellowish color, dizziness, tiredness, shortness of breath, palpitation, and poor appetite.

modern application: Commonly used in neurasthenia, rheumatic heart disease, cardiac arrhythmia, blood diseases, urinary dizziness, hypothyroidism, menstrual disorders, amenorrhea, chronic suppurative osteomyelitis, etc., evidence of deficiency of qi and blood.

Note on use:It should not be used when all bleeding disorders are due to blood heat.

7、Headache due to blockage of blood and collaterals

Symptoms:Headache of long standing, fixed pain, pain like a cone, or history of head trauma. The tongue is purple, the moss is thin and white, and the pulse is fine or astringent.

Formulas:Tongxiao and Blood-vitalizing Tang is from "Reform and Error of the Medical Forest", and is composed of red peony, chuanxiong, peach kernel, saffron, musk, old onion, fresh ginger, jujube, and yellow wine.

Efficacy:Dispelling blood stasis and clearing collaterals. Indications: Blockage of the head and face. Headache and dizziness.

Modern Applications:Migraine, long lasting, head and face bruises, hair loss, eye pain white beads red, rosacea, deaf for a long time, purple vitiligo, dental chancre, women's dry blood labor, pediatric chancre and so on.

Note on use:This formula activates blood circulation and removes blood stasis, and is contraindicated in pregnant women.

Special attention should be paid toFor example, if the headache of exogenous sensation is progressively aggravated, accompanied by fever, vomiting, or change in consciousness, it is a case of spasm (viral meningitis or epidemic meningitis), which is very dangerous, and should be sent to the hospital in time for rescue and treatment; and if the headache of internal injuries is progressively aggravated, or accompanied by fever, visual disturbances, and numbness of the limbs, etc, it should be considered to be evolving into other evidence, and sent to the hospital in an urgent manner for diagnosis and treatment.

Attention to medication

Formulas containing wind-expelling drugs are prohibited for patients with yin deficiency and hyperactivity of yang, pregnant women, the elderly and infirm, and young children should be used with caution; formulas containing cold medicinal flavors are prohibited for pregnant women, and are contraindicated for those who are weak and cold and have diarrhea.

health guidance

1. Eat a light, low-salt diet.

2. Avoid thick flavors, spicy, cold, fish, and oversatiety. External headache is related to the feeling of external evil, should be cautious of wind and cold, especially in winter, should pay attention to keep warm. Internal headache should be adjusted to avoid the sudden rise of liver yang; quit smoking and alcohol, prevent overwork, so that no internal injuries and accumulation of damage to the qi and blood, yin and yang secret.

3. Headaches in hypertensive patients often flare up or worsen as a result of elevated blood pressure, which should be monitored at all times and controlled to a safe range in a timely manner.

References:

1. "Comprehensive Knowledge and Skills of Traditional Chinese Medicine" State Food and Drug Administration, Licensed Pharmacist Qualification Center Organization. China Pharmaceutical Science and Technology Press.

2. Formulary, edited by Jia Bo and Li Ji. China Traditional Chinese Medicine Press.

(This answer was provided by Zhang Ruiming and Ye Suiwen of Sun Yat-sen Memorial Hospital, Sun Yat-sen University)

Welcome to "Yixian Pharmacist", which contains articles on the rational use of medication for various diseases!

Years ago, I suffered from headaches, which were often excruciatingly painful.

It is said that the headache, the feet, which is a mockery of quackery, but also said that the problem is used to the simplest way to solve the perfunctory past, and ultimately still did not solve the problem.

There are many causes of headaches, and the problem of headaches cannot be ignored. All human thinking relies on the brain, and the effects of long-term headaches are not only a decline in quality of life and damage to health, but also ultimately bring about diminished mental capacity and even jeopardize life.

So, what should you do about headaches? The most effective way is to seek prompt medical attention.

The hospital will have the most advanced diagnostic and treatment facilities and advanced examination methods. If one is consulting a Chinese medicine practitioner, a good one will also take the pulse accurately to find out the cause of the disease. Generally speaking, Chinese medicine practitioners will think that it is a case of qi blockage and will use methods to dredge qi and blood to improve the condition. The problem can also be solved as long as you persist in cooperating with the doctor's treatment.

The method of Western medicine is actually similar to that of Chinese medicine. Western medicine discovers brain foci with the help of examination equipment, and then dredges or removes the foci in a targeted manner. Chinese medicine uses traditional Chinese medicine to regulate qi and blood to achieve the same effect, also can disperse the knot to remove the blockage, through the pain.

In general, headache should go to the regular hospital, through the specialized doctor treatment to solve the problem. Never take a chance, delay the condition, or believe in superstition, witchcraft and so on, that will delay the life.

　　Headaches are a common symptom in everyday life and can be caused by physiological or pathological reasons. Whichever the cause, the most important thing is to relieve the pain as soon as possible.

　　When headache symptoms occur, in addition to the need to promptly seek medical attention, you can also take the following small ways to relieve headache.

　　A, massage, massage head relief headache, temple area is an important point of headache, in its surrounding back and forth massage friction, generally can effectively relieve headache.

　　Second, pay attention to more rest, it is best to be able to sleep, in a quiet room, dim light, lying in bed slowly breathing, close your eyes and rest for half an hour can also achieve the effect of headache relief.

　　Third, cold compress, cold compress is an effective and simple way to relieve headache, with ice packs or cool towels directly on the forehead, can relieve headache symptoms, especially cold and fever, headache caused by alcohol.

　　Fourth, hot compresses, hot compresses only for wind-cold cold, cold, vasospasm, neurological headache, etc. have a better role, you can use a hot towel or hand warmer, etc. directly on the forehead, play a role in relieving headache soon.

　　Fifth, drug treatment, the use of drugs to treat the symptoms of headache, you can take non-steroidal drugs, such as ibuprofen, naproxen, paracetamol, or the use of specific drugs, ergot drugs or treprostinil. Headaches caused by high blood pressure or cerebrovascular disease can be treated with medications that activate blood circulation and relieve pain.

　　Six, deep breathing, deep breathing can improve the lack of oxygen in the brain, is a good way to relieve tension headache.

　　Seven, drink more green tea, because it contains tea polyphenols, lipopolysaccharide, theanine and caffeine.

　　These are small ways to relieve headaches, but they do not cure them completely. If you have symptoms of headache, you still need to undergo professional examination and treatment.

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First of all, it is clear whether it is internal headache or external headache. Exogenous headache is a headache caused by the external influence of wind, cold, heat, dampness, dryness and fire. In this case, we need to pay attention to the influence of cold, hot, wet and dry weather on the individual. Pay attention to avoid wind. Avoid cold and heat.

If it is an internal headache, it should be treated from the liver, spleen, stomach and kidney. Pay attention to diet, spicy stimulation, tobacco, alcohol and greasy food is best not to eat or eat less, light diet, emotional stability, for internal headache is also very helpful.

Thanks for the invite!

Headache is a headache symptom caused by various intracranial and extracranial lesions, and sometimes functional or mental factors can also cause headache symptoms. Therefore, the causes of headache are complicated, and reasonable treatment should be carried out on the basis of clear causes when headache symptoms occur. The common types of headaches are explained below for your understanding.

1. The most common headache symptoms such as those caused by colds, fever, and dental diseases can be relieved by applying antipyretic and analgesic medications such as aspirin, ibuprofen, and acetaminophen.

2. Headaches caused by herpes zoster on the head and face can be treated with opioid analgesics such as codeine or carbamazepine to relieve symptoms.

3. Migraine, neurasthenia and other intracranial vasospasm or traction-induced headache symptoms, you can apply flunarizine, glutamine and other vasodilatation and nutritional nerve for treatment, do not recommend the application of antipyretic and analgesic or opioid painkillers.

4. Headache symptoms caused by intracranial hemorrhage, meningitis, tumors and other occupational and head trauma, should be actively treating the primary disease at the same time the application of mannitol and other dehydrating agents to reduce intracranial or reduce the brain tissue edema to relieve the symptoms.

5. Headache symptoms caused by hypertension, the need for reasonable and regular application of antihypertensive drugs to control blood pressure within the normal range, headache symptoms will be relieved on their own, do not need to apply analgesics for treatment.
In general, the causes of headache symptoms are various, once headache symptoms occur, the first need is based on the severity of headache, duration, headache characteristics, accompanying symptoms and other factors, targeted auxiliary examination, try to figure out the cause of headache, and then choose the appropriate method of treatment, do not blindly apply analgesic drugs to relieve the symptoms, which can sometimes cover up the disease! Do not blindly apply analgesics to relieve the symptoms, which may sometimes mask the condition and delay the diagnosis and treatment of some serious diseases.

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Thanks for reading!

The first step is to know the cause of the disease, see my article in my headline: Know the Cause of the Disease in 10 consecutive articles. If you can't tell by yourself, go to the hospital. If the doctor finds the cause, go to the second step: know the cause and seek the method. This is the content of my subsequent articles. If there is a method, you will be cured soon. If you can't, you can only try to cure it! If you can't find the cause, take the third step: seek the Law without knowing the cause. All methods are trial cures, because without knowing the cause, it is impossible to know what method to use. If you can't cure it, you'll have to treat the symptoms. Painkillers can be used to temporarily relieve the symptoms. However, if you use Chinese herbs, you may be able to remove the real cause of the problem, and you will be truly cured. Look at the following schematic diagram of the medical truth to understand.