From the Department of Clinical Neurosciences, St Vincent's Hospital, Melbourne, Vic., Australia (C. Sun-Edelstein); SUNY Downstate Medical Center, New York, NY, USA (A. Mauskop).
Headache. 2011 Mar;51(3):469-483. doi: 10.1111/j.1526-4610.2011.01846.x.
There is a growing body of evidence supporting the efficacy of various complementary and alternative medicine approaches in the management of headache disorders. These treatment modalities include nutraceutical, physical and behavioral therapies. Nutraceutical options comprise vitamins and supplements (magnesium, riboflavin, coenzyme Q(10), and alpha lipoic acid) and herbal preparations (feverfew, and butterbur). Although controversial, there are some reports demonstrating the benefit of recreational drugs such as marijuana, lysergic acid diethylamide and psilocybin in headache treatment. Behavioral treatments generally refer to cognitive behavioral therapy and biobehavioral training (biofeedback, relaxation training). Physical treatments in headache management are not as well defined but usually include acupuncture, oxygen therapy, transcutaneous electrical nerve stimulation, occlusal adjustment, cervical manipulation, physical therapy, massage, chiropractic therapy, and osteopathic manipulation. In this review, the available evidence for all these treatments will be discussed.
越来越多的证据支持各种补充和替代医学方法在头痛疾病管理中的疗效。这些治疗方式包括营养疗法、物理和行为疗法。营养疗法包括维生素和补充剂（镁、核黄素、辅酶 Q(10) 和α-硫辛酸）以及草药制剂（小白菊和缬草）。虽然存在争议，但有一些报告表明，娱乐性药物如大麻、麦角酸二乙基酰胺和裸盖菇素在头痛治疗中具有益处。行为治疗通常是指认知行为疗法和生物行为训练（生物反馈、放松训练）。头痛管理中的物理治疗方法没有那么明确，但通常包括针灸、氧疗、经皮电神经刺激、咬合调整、颈椎推拿、物理治疗、按摩、脊椎按摩疗法和整骨疗法。在这篇综述中，将讨论所有这些治疗方法的现有证据。
