Traditional Chinese Medicine Diagnosis and Treatment Survey Questionnaire

中医药诊断治疗调查问卷

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

(1) Western Medical Diagnosis: 

        Migraine with typical aura – ICHD-3 code 1.2.1

(1) 西医诊断：

        典型先兆性偏头痛 （ICHD-3 1.2.1）

(2) TCM Diagnosis:

    Disease Name: 

        Bian Tou Tong (migraine-type headache)

    Syndrome Pattern: 

        Liver-yang rising with phlegm-damp and blood stasis obstructing the channels

(2) 中医诊断:

    疾病名称：

        偏头痛（偏头痛属“头痛”范畴）

    证候类型：

        肝阳上亢、痰瘀阻络

(3) TCM Treatment Principle: 

        Pacify Liver, subdue yang, transform phlegm, invigorate blood, open the orifices, relieve pain

(3) 中医治则：
        平肝潜阳，化痰祛瘀，通络止痛

(4) Herbal Prescription:
    Prescription Name:

        Modified Tian Ma Gou Teng Yin
    Herbal Composition:

        Tian Ma 12 g, Gou Teng 15 g (add last 10 min), Shi Jue Ming 20 g (crush, pre-decoct), Chuan Niu Xi 10 g, Du Zhong 10 g, Sang Ji Sheng 12 g, Huang Qin 10 g, Zhi Zi 10 g, Chuan Xiong 10 g, Ban Xia 9 g, Dan Shen 12 g, Yi Mu Cao 15 g

    Decoction Method: 

        Add herbs (except Gou Teng) to 600 mL water, boil 30 min, add Gou Teng for final 10 min, strain; take 200 mL warm, three times daily after meals

(4) 中药方剂:
    方剂名称：

        加味天麻钩藤饮

    药物组成：

        天麻12g，钩藤15g（后下），石决明20g（先煎），川牛膝10g，杜仲10g，桑寄生12g，黄芩10g，栀子10g，川芎10g，半夏9g，丹参12g，益母草15g
    煎服方法：

            诸药（除钩藤外）加水600 mL，武火煮开后文火30 分钟，加入钩藤再煮10 分钟，去渣取汁；温服200 mL，日三次，饭后服

Case Report ( English Version)

(1) Western Medical Diagnosis:

        Migraine

(1) 西医诊断:
        偏头痛

(2) TCM Diagnosis:

    Disease Name: 

        Headache

    Symptom Type: 

        Liver wind and blood stasis

(2) 中医诊断:
    疾病名称：

        头痛
    证候类型：

        肝风夹瘀

(3) TCM Treatment Principle:

        Clearing the liver, relieving wind, expelling phlegm and activating blood circulation.

(3) 中医治则:
        清肝息风 祛痰活血

(4) Herbal Prescription:

    Prescription Name: 

        Chuanxiong Ligustici Pain Relief Drink

    Herbal Composition: 

        Chuanxiong Ligustici 12 Rhizoma Dioscorea Hypoglossum 10 Chrysanthemums 10 Cow's Knee 10 Tribulus Terrestris 10 Semen Huperzia 6 Coix lacryma-jobi Ren (Coix Seed Pasteur) 10 Myricetes 10 Angelica dahuricae 10 Radix Paeoniae Alba (Red peony) 10 Zingiber officinale (ginger) 6 (grams)

    Decoction Method: 

        chrysanthemums, Crocus Sativus, decoctions of water, take one dose daily. Take two doses of 5 doses

(4) 中药方剂:
    方剂名称：

        川芎定痛饮
    药物组成：

        川芎12 萆薢10 菊花10 牛膝10 白蒺藜10 清半夏6 生薏苡仁10 白豆蔻10 白芷10 赤芍10 生姜6 (克)
    煎服方法：

        菊花 钩藤后下，水煎服日一剂分两次服，5剂

(5) Preventive care:

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

(2) TCM Diagnosis:
        Disease Name: Head Wind (Toufeng)

        Syndrome Pattern: Blood Stasis Obstructing the Channels with Phlegm-Dampness and Liver Qi Stagnation

(2) 中医诊断:
        疾病名称：头风病
        证候类型：瘀阻脑络兼痰湿肝郁

(3) TCM Treatment Principle: 

        Activate blood circulation, resolve stasis, dispel phlegm-dampness, and relieve headache by regulating Liver Qi.

(3) 中医治则:
        活血通络，化痰息风，疏肝止痛。

(5) Preventive Care: 

        Avoid cold exposure, manage stress, and maintain regular meals. Limit greasy foods to reduce phlegm-dampness.

(5) 预防调护:
        避风寒，调情志，忌高脂饮食，规律作息以化痰祛湿。

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

(1) Western Medical Diagnosis:
        Migraine with aura (ICHD-3 code： 1.2.1)

(1) 西医诊断:

        有先兆偏头痛 (ICHD-3 编码： 1.2.1)

(2) TCM Diagnosis 

    Disease Name:
        Migraine (Pian Tou Tong)
    Syndrome Pattern:
        Liver Yang rising with Phlegm-Dampness and Blood stasis

(2) 中医诊断:

    疾病名称：

        偏头痛

    证候类型：

        肝阳上亢夹痰瘀证

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

(4) Herbal Prescription:
    Prescription Name: 

        Modified Chai Hu Shu Gan Tang (柴胡疏肝汤)
    Herbal Composition: 

        Chai Hu (Bupleurum) 9g, Da Huang (Rhubarb) 6g, Huang Qin (Scutellaria) 6g, Yan Hu Suo (Corydalis) 9g, Zhi Ke (Citrus) 6g, Fu Ling (Poria) 12g, Shen Qu (Massa Fermentata) 15g

    Decoction Method: 

        Boil herbs in 2000ml water for 1 hour. Strain and drink in 2-3 divided doses throughout the day.

(4) 中药方剂:
    方剂名称： 

        改订 柴胡疏肝汤

    药物组成：

        柴胡 9克 大黄 6克, 黄芩 6克, 延胡索 9克, 枳实 6克, 茯苓 12克, 神曲 15克
    煎服方法：

        将中药材放入锅中，加水2000毫升，煎煮1小时。 滤取药汁，分2-3次饮用。

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

(1) Western Medical Diagnosis:

        Migraine with aura (ICHD-3 code: 1.2.1)

(1) 西医诊断:

        偏头痛伴先兆 (ICHD-3 code: 1.2.1)

(4) Herbal Prescription:
    Prescription Name: 

        Modified Tian Ma Gou Teng Yin 
    Herbal Composition: 

        Tian Ma 6g, Gou Teng 12g, Shi Jue Ming 15g, Sang Ji Sheng 12g, Du Zhong 10g, Niu Xi 12g, Yi Mu Cao 15g, Chuan Xiong 9g, Dan Shen 12g, Ban Xia 9g, Fu Ling 12g, Chen Pi 6g

    Decoction Method: 

        Decoct herbs in water for 30 minutes. Add Gou Teng in the last 5 minutes. Take 150ml warm twice daily.

(4) 中药方剂:

    方剂名称：

        天麻钩藤饮加减

    药物组成：

        天麻6g，钩藤12g，石决明15g，桑寄生12g，杜仲10g，牛膝12g，益母草15g，川芎9g，丹参12g，半夏9g，茯苓12g，陈皮6g

    煎服方法：

        水煎服30分钟，钩藤后下煎5分钟。每日2次，每次150ml温服。

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

病案 (中文版)
患者，女，26岁，2019年3月13日初诊。主诉：头痛反复发作6年，再发加重5 h。现病史：患者6年前无明显诱因出现头痛，头痛发作前眼前常浮现圆形闪光点，约2 min后右侧额颞部出现剧烈疼痛，呈搏动样疼痛，难以忍受，伴畏光，呕吐痰涎，每次发作持续约3天，安静休息后头痛稍减轻，发作时口服布洛芬可缓解。每月发作2或3次，伴情绪急躁，失眠多梦，痛经，尤以经期第1天为甚，经量少，色紫暗。患者体型偏胖，平素饮食偏少。此次患者5 h前双眼呈现圆形闪光暗点后右颞部搏动性剧烈疼痛，伴畏光、畏声，自行口服布洛芬后症状未缓解，发病前1天有外出受凉史。查颅脑CT及MR未见明显异常。其母亲有偏头痛病史。刻下症见：右侧额颞部搏动性头痛，见光闻声加重，伴呕吐痰涎，偶有恶风，胸闷，舌质暗红、苔白腻，舌体两边可见长约1 cm的黯紫色瘀条，舌下络脉迂曲，色紫黑，脉弦涩。

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜

(2) TCM Diagnosis:

    Disease Name: 

        Toutong (Headache)

    Syndrome Pattern: 

        Blood stasis obstructing collaterals, complicated by liver qi stagnation and cold invasion

(2) 中医诊断:

    疾病名称：

        头痛
    证候类型：

        瘀血阻络，兼肝气郁结、寒邪侵袭

Case Report ( English Version)
Patient Profile
Female, 26 years old. Initial consultation on March 13, 2019.
Chief Complaint
Recurrent headache for 6 years, with acute exacerbation lasting 5 hours.
Present Illness History
The patient began experiencing headaches 6 years ago without any obvious trigger. Prior to the onset of pain, she typically perceives circular scintillating scotomas lasting approximately 2 minutes. This is followed by intense, pulsating pain in the right frontotemporal region, described as unbearable. Attacks are accompanied by photophobia, vomiting of frothy saliva, and typically last about 3 days. Pain is slightly alleviated with rest and oral ibuprofen. Episodes occur 2 to 3 times per month.
Associated symptoms include irritability, insomnia with vivid dreams, and dysmenorrhea, most severe on the first day of menstruation. Menstrual flow is scant and dark purple. The patient is overweight and reports a relatively low dietary intake.
Five hours prior to this visit, she developed circular dark scintillating spots in both visual fields, followed by severe pulsating pain in the right temporal region, along with photophobia and phonophobia. Oral ibuprofen was taken but failed to relieve the symptoms. She reported exposure to cold weather the day before symptom onset. Cranial CT and MRI showed no significant abnormalities. Her mother has a history of migraine.
Current Symptoms
Right-sided frontotemporal pulsating headache, aggravated by light and sound, accompanied by vomiting of frothy sputum, occasional aversion to wind, chest tightness. Tongue is dark red with a white greasy coating. A dark purple ecchymosis strip (~1 cm) is visible on both sides of the tongue. Sublingual veins are tortuous and dark purple black. Pulse is wiry and choppy.

Please rate the models' performance based on your expertise or experience using a 5-point Likert scale
1: Completely inaccurate, irrelevant, or inappropriate
2: Mostly inaccurate, irrelevant, or inappropriate
3: Partially accurate, relevant, or appropriate
4: Mostly accurate, relevant, or appropriate
5: Completely accurate, highly relevant, or highly appropriate

请根据您的专业知识或个人经验，使用5分制李克特量表对模型的表现进行评分：
1分：完全不准确、不相关或不适宜
2分：大多不准确、不相关或不适宜
3分：部分准确、相关或适宜
4分：大多准确、相关或适宜
5分：完全准确、高度相关或非常适宜