I had a new patient with a chief complaint of a dull headache around the eyes and in the back of the head at the base of the skull. The headache was consistent throughout the day and at times progressed to a more stabbing headache for no particular reason. The patient could not recall any stress or particular event that may have brought on the headache, but did note that she has an issue with teeth clenching. The teeth clenching has been going on for years, however, and this headache only started 2 months ago.
The patient is in her 20's and complained of fatigue and frequently waking up during the night. She said she had no trouble getting back to sleep. She said she was generally more hot than cold and said that she had a problem with frequent urination. She also had some upper back tension that she was seeing a chiropractor for. Her tongue was pink with a redder tip. She had a thin white coat, slightly toothmarked, with purplish sublinguals. Her pulse was deep, weak, and slightly slippery.
I felt that this headache was caused by qi deficiency and treated her as such. I used DU20, GB20, GB14, Taiyang, LI4, CV6, ST36, SP6, and GB41. The needles were retained for 20 minutes. The needling was mostly quite shallow with little to no manipulation. After removing the needles, the patient complained that her headache had become more severe and throbbing. I did some tuina on the GB20 with herbal cream and it brought the pain down a little bit.
Any suggestions on what I might have done wrong? I thought this was a qi deficiency headache due to the pulse and other S/S, however, could this headache been one of excess? I thought I was following the correct point perscription for a deficiency headache in the Tai Yang/Shao Yang meridians and was surprised to learn that the headache had worsened. Please share any thoughts or suggestions you might have. Thanks.