
Q Is acupuncture effective for migraine? Can it replace triptan medication?
A Acupuncture has clinical evidence as a preventive treatment for migraine. Triptans work faster for acute pain relief, but acupuncture is effective for preventing recurrence and reducing attack frequency, so it is used alongside medication or to help reduce medication use.
Detailed Answer
Several RCTs and a Cochrane review have confirmed that acupuncture significantly reduces migraine attack frequency and that its preventive effect lasts three months or more. Korean Medicine clinical practice guidelines also recommend acupuncture as a preventive treatment for migraine. For acute attacks, triptans act quickly, whereas acupuncture is better suited for long-term prevention, medication reduction, and recovery from medication-overuse headache (MOH).
Korean Medicine Clinic Perspective
At Dongjedang's Head and Face Clinic, we treat migraine patients with acupuncture at points such as Cheonma (related to Gastrodia), Taechung (LR3), Pungji (GB20), and Baekhoe (GV20) to address Ascending Liver Yang, combined with craniosacral chuna therapy to open obstructed cerebral blood flow. Adding pharmacopuncture (Cheonma/Gastrodia pharmacopuncture) to enhance point stimulation often lengthens the interval between attacks. We use it alongside triptans while gradually reducing the dose, then transition to maintenance treatment once stabilized.
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