Headache is an alarm sympton, whether there is an organic disease (lesional headache) or a perturbation of one of the various functions of the head (functional headache). Lesional headaches follow a sinusitis or an arthrosis, or accompany a "temporal arteritis of Horton". Funstional headaches include several varieties. 1. Trigemellar neuralgia. 2.Vascular algi originating from the basal arteries, the large cerebral venous sinuses or the branches of the external carotid. Among these are: a) headaches due to a dilatation of the internal wall, causing "Horton headache", migraine-like psychosomatic migraine and hormonal migraines (premenstrual, menstrual, menopausal or linked to the use of contraceptive pills); b) headaches caused by an angiospasm of the arteriole, which is the case in exposure to the cold, in traumatic headaches (malfunction of temporomandibular articulation, dry alveolitis), in psychosomatic angiospastic algias and in ethmoidal artery algias preciously described by the author in 1949 (Godin's disease).3. Headaches due to psychic hypertension. 4. Postconcussional psychogenic headaches. 5. Neurotic headaches. The author gives a detailed description of the subjective symptoms in each case, including localisation, from, intensity, duration course and associated phenomenons. This facilitates greatly the differential diagnosis and the choice of complementary examinations. Necessary biological investigations should be performed (e.g. hormonal balance). One should however avoid to increase the number of complementary examination which would only delay treatement and would expose patients to somatisation. Furthermore, in each case drug treatment, periarterial infiltration technics of the temporal, internal frontal, facial, mastoid and occipital arteries are described. The necessity of questioning the patient at lenght and to listen to him to enable him to verbalise conscious conflicts is emphasized. A serious medicopsychlogical examination and a relaxation treatment to reduce anxiety and muscular tension are advised in some cases.
头痛是一种警示症状，无论其是由器质性疾病（病理性头痛）还是头部各种功能之一的紊乱（功能性头痛）引起。病理性头痛继发于鼻窦炎或关节病，或伴随“霍顿颞动脉炎”。功能性头痛包括多个种类。1. 三叉神经痛。2. 源自基底动脉、大脑大静脉窦或颈外动脉分支的血管性疼痛。其中包括：a) 因内壁扩张引起的头痛，导致“霍顿头痛”、偏头痛样的心身性偏头痛和激素性偏头痛（经前、经期、绝经后或与服用避孕药有关）；b) 由小动脉血管痉挛引起的头痛，如在受冷、创伤性头痛（颞下颌关节功能障碍、干槽症）、心身性血管痉挛性疼痛以及作者于1949年曾描述过的筛动脉疼痛（戈丹病）时出现的情况。3. 精神性高血压引起的头痛。4. 脑震荡后心因性头痛。5. 神经症性头痛。作者详细描述了每种情况下的主观症状，包括定位、形式、强度、持续时间、病程及相关现象。这极大地有助于鉴别诊断和选择辅助检查。应进行必要的生物学检查（如激素平衡检查）。然而，应避免增加辅助检查的数量，因为这只会延误治疗并使患者出现躯体化现象。此外，还描述了每种情况下的药物治疗以及颞动脉、额内动脉、面动脉、乳突动脉和枕动脉的动脉周围浸润技术。强调了详细询问患者并倾听其诉说以便使其能够表达出意识冲突的必要性。在某些情况下，建议进行认真的医学心理检查和放松治疗以减轻焦虑和肌肉紧张。
