SLOANE R B
Can Med Assoc J. 1964 Oct 24;91(17):908-11.
Headache is considered as a non-specific syndrome illustrating the concept of pain as an emotion. Viewed in this way, its meaning looms larger than its site.Pain indicates dis-ease of the patient, sometimes with his body, but more often with his life. No pain is "imaginary", nor can some pain be assigned to physiological and some to psychological pathways. Such a decision is often merely a judgmental one.Just as the "brain" cannot easily be separated from the "mind", so to believe that some pain is "physical" and some "emotional" is a distortion. All painful syndromes are mixed and the problem is to decipher the meaning of the pain. Only rarely will headache respond to physical measures alone.
头痛被视为一种非特异性综合征，它阐释了疼痛作为一种情感的概念。从这个角度来看，其意义比疼痛部位更为重要。疼痛表明患者身体不适，有时是身体方面的，但更多时候是生活方面的。没有疼痛是“想象出来的”，也不能将某些疼痛归为生理途径，而将另一些归为心理途径。这样的区分往往只是一种主观判断。正如“大脑”难以轻易与“心智”分离一样，认为有些疼痛是“身体上的”而有些是“情感上的”这种观点也是一种曲解。所有疼痛综合征都是混合性的，问题在于解读疼痛的意义。头痛很少仅通过物理手段就能缓解。
