偏头痛太痛苦？尝试功能医学治疗方法

xiuxuankim

北京协和洛奇功能医学中心

偏头痛是个大问题，仅在美国就影响了数百万人口，美国政府对此投入的财政支出已超出十亿美元。事实上，偏头痛是多数人去看急诊的最常见原因之一。

我们要弄清楚的不是“怎么治疗偏头痛？”，而是“偏头痛是怎么出现的？”

　　这就给功能医学提供了一个大展拳脚的平台。功能医学不是治疗症状的医学，而是找病根儿的医学，它能够帮我们查明导致疾病的根本原因。你可能还不知道，偏头痛出现的根本原因并不一定来自脑袋。事实上，偏头痛由许多其他因素导致。10个症状完全相同的患者，他们的病因可能却是五花八门。那么现在我们就来看看导致偏头痛的原因都有哪些。
　　导致偏头痛的原因包括：
　　1.食物敏感。如花生过敏、牛奶过敏或鸡蛋过敏。我曾经接诊过一位患者，她偏头痛有40年了，后来我们发现这其实都是鸡蛋过敏作的祟。当她不再吃鸡蛋以后，偏头痛的问题也随之而去了；而她一吃鸡蛋，偏头痛就又出现了。
　　2.麸质过敏。这是一种特殊的食物过敏，会造成体内炎症水平升高。许多人都对麸质有不同程度的敏感，麸质是一种存在于小麦、大麦、燕麦、黑麦和斯佩耳特小麦的蛋白质。
　　3.激素失衡。许多女性都有经前偏头痛，这其实是由于体内雌激素和孕酮失衡导致的—雌激素过多而孕酮不足。激素失衡可能来自于压力，可能来自于酗酒或精米精面精糖摄入过多，还可能来自于运动或睡眠不足。
　　4.缺乏维生素B。核黄素摄入不足的人群中有相当比例会患有偏头痛。
　　5.褪黑素失调。最新研究显示偏头痛可能是因为睡眠不好，而褪黑素可以改善睡眠质量。
　　6.缺乏镁元素。镁是一种能让人放松的矿物质。如果镁元素缺乏就很容易带来头痛或偏头痛。我有过一位偏头痛患者，尝试过各种方法都没有效果。我们查出原来她严重缺镁。在补充了大量镁元素之后，她的偏头痛就治好了。

　　所以请记住：偏头痛和偏头痛是不一样的，你必须要找到病根儿才行。下面有几点小贴士可以帮你确认排查导致偏头痛的原因到底是什么。

　　1.进行排除饮食。排除常见的食物过敏原。
　　2.尝试补镁。甘氨酸镁或柠檬酸镁每天两次，每次300-600mg。
　　3.尝试补充核黄素或维生素B2，每天400mg。吃VB后尿液会变暗黄，但不用担心。
　　4.平衡激素。可通过运动；戒掉咖啡、酒精和精糖；多吃西兰花、亚麻籽和豆腐等蔬菜水果来治疗经前偏头痛。
　　5.尝试补充褪黑素。已有证据表明褪黑素有助于缓解偏头痛，每晚服用1-2mg。

英文原文
Migraines- The Functional Medicine Approach

Migraines are a big problem. They affect millions of people and are responsible for billions of dollars in health care costs. In fact, they're one of the most common reasons people end up the emergency room.
The question we really need to ask isn't, "How do you treat a migraine?" but rather, "What is causing the migraines?"

This is where Functional Medicine comes in. Functional Medicine is medicine by cause, not by symptom. It helps us discover the underlying triggers of disease. And you know what? The root cause of your migraine may not be in your head at all. In fact, it may be caused by many other factors. Let's go through some of the things that can cause migraines, because 10 people with the exact same symptoms might have very different underlying causes.
Migraines can be caused by:

　　1.Sensitivity to foods like peanuts or dairy or eggs. I had a patient who had migraines for 40 years, and we discovered that they were caused by the eggs she was eating. When she stopped eating eggs, the migraines went away; when she started eating them again, the migraines came back.

　　2.Gluten allergy. This is a special kind of food allergy that creates a lot of inflammation. Many people are sensitive to gluten, the protein found in wheat, barley, rye, oats and spelt.

　　3.Hormonal imbalances. For example, many women get premenstrual migraines, which is often caused by imbalances in estrogen and progesterone -- too much estrogen, not enough progesterone. This can be caused by stress; by consuming too much alcohol, sugar, flour and starches; and by not getting enough exercise or sleep.

　　4.Vitamin B deficiency. Some people who don't get enough riboflavin get migraines.

　　5.Imbalances in melatonin. Newer studies have shown that this may be related to sleep cycles, which can be improved with melatonin.

　　6.Magnesium deficiency. Magnesium is the relaxation mineral. If you're deficient in it, you can often get headaches and migraines. I once had a patient with chronic migraines who tried everything to cure them, but nothing helped. It turned out that she had a massive magnesium deficiency. I gave her a very high dose of magnesium, and her migraines went away.

So, remember: migraines are not all the same. You have to find the underlying cause. Here are some simple things you can do to identify and eliminate what might be causing your migraines:

　　1.Do an elimination diet. Get rid of the common food allergens.

　　2.Try magnesium. Take 300 to 600 milligrams twice a day in the form of magnesium glyucinate or citrate.

　　3.Try melatonin, which has been shown to help relieve migraines. Take 1 or 2 milligrams at night.

　　4.Balance your hormones to stop premenstrual migraines by exercising; eliminating caffeine, alcohol, and sugar; and eating a diet rich in plant foods, especially the broccoli family, flax seeds and tofu as well as other vegetables, and fruits.

　　5.Try riboflavin or Vitamin b2, 400 milligrams a day. It will turn your urine a dark yellow, but don't worry about it.