TCM Pattern Differentiation Library
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Cluster Headache - Liver-Gallbladder Fire Pattern
Cluster Headache · Liver-Gallbladder Fire Pattern
Updated: June 23, 2026
Reviewed by: Dr. Li Wei, DACM
Reading Time: 7 min
Body Area: Head
Pattern Overview
Liver-Gallbladder Fire is the core pattern in cluster headache, characterized by hypothalamic gray matter activation, trigeminal autonomic reflex, severe unilateral periorbital pain, red eye, tearing, and nasal congestion. The core pathogenesis is Liver-Gallbladder Fire blazing upward, causing trigeminal vascular activation, autonomic symptoms, and severe headache.