HEADACHE AFTER WORK / 工作后头痛
First account: when the pain actually started; what it felt like; associated changes; what ordinary activity became difficult; actual medicine and frequency. Do not choose a diagnosis from the location.
Avery, hypothetical: “I first said after computer work. Actually it began before lunch and lasted beyond closing the laptop, with nausea and wanting quiet.” This is a clearer account, not a migraine diagnosis.
Sudden extremely painful headache, or headache with numbness/weakness, difficulty speaking/walking/balancing, confusion, seizure or loss of vision: emergency help. Headache following head injury also needs immediate medical attention. Do not drive yourself to emergency care.
Recurrent/worsening/not-improving headache needs assessment. With vomiting, vision/eye problems, cough/exercise triggering or worsening, jaw pain eating or a sore scalp: urgent clinical advice. Examples are not an exhaustive triage list; do not delay for notes.
Traditional “disrupted flow” language is not an image of a blocked vessel or a point-selection rule. No medicine, acupuncture, pressure or new exercise is taught.
先说：实际开始时间、怎样痛、伴随变化、哪件普通活动做不下去、真实药名与使用频率。不按位置选诊断。
假设Avery：“最初说看完电脑才痛，其实午饭前开始，合上电脑仍痛，同时恶心、想安静。”这是更清楚的描述，不是偏头痛诊断。
突然剧烈头痛，或头痛伴麻木无力、说话行走或平衡困难、意识混乱、抽搐、视力丧失：立即急救。受头伤后头痛也要立即医疗帮助，不自己开车去急诊。
反复、加重或不改善应评估；伴呕吐、视觉眼部问题，咳嗽运动诱发或加重，吃东西下颌痛或头皮酸痛，应紧急临床咨询。例子不涵盖所有急症，不等记录写完。
传统“不通”不是血管堵塞影像，也不是穴位选择规则。不教授用药、针灸、按压或新练习。私人资料自行保存。