Migraine (adjunctive care)
Also known as: migraine, migraine with aura, migraine without aura, chronic migraine, menstrual migraine
Migraine is a neurological condition causing recurrent moderate-to-severe headache, often one-sided and throbbing, with nausea, light and sound sensitivity, and sometimes aura. Acute and preventive medication are the medical mainstay; acupuncture has good evidence as a preventive option and Chinese medicine can support trigger management alongside medical care.
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Lifestyle & Diet
- •Keep a headache diary — triggers, sleep, food, cycle — and bring it to medical appointments.
- •Keep sleep, meals and hydration regular; irregular routines are among the strongest triggers.
- •Limit acute painkiller use to avoid medication-overuse headache — discuss frequency with the GP.
- •Regular moderate aerobic exercise has evidence for reducing attack frequency.
Cautions & Contraindications
- •Never attribute a new or changed headache pattern to a TCM pattern without medical exclusion of secondary causes.[,]
- •LI4 and SP6 are contraindicated in pregnancy.[]
- •Acupuncture is adjunctive — patients on preventive medication should not reduce doses without their prescriber.[]
When to reassess or seek care again
Track attack frequency, duration, intensity (0–10) and acute medication use monthly via a headache diary. Review after 8–10 acupuncture sessions; if no improvement, refer back to the GP or neurologist.
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Sources & Further Reading
Clinical guidance, red flags and safety notes on this page draw on the following current sources alongside the classical references above.
- Healthdirect Australia · 2024
- Australian Family Physician (RACGP) · 2022
- Cochrane · 2016
- JAMA Internal Medicine · 2012
- AHPRA / Chinese Medicine Board of Australia · 2024
Educational reference for licensed practitioners. Not a substitute for individual clinical assessment. Refer to conventional care for any red-flag or undiagnosed presentation.
