In this form of headache the head is hot; face flushed; arteries of the neck throbbing; eyes red; and patient complains of a bursting feeling, as though the brain were too large for the skull; the hands and feet are generally cold.

The Treatment of Congestive Headache

This headache is best relieved by derivative measures applied to the extremities and the application of cold to the head and neck. When it is persistent, it may be necessary for the patient to wear the wet head cap for several days. If complicated with neuralgia, fomentations should be applied for fifteen to twenty minutes at a time, three or four times a day, the head being kept cool by cold compresses during the intervals. Among the most frequent causes of congestive headache are errors in diet, tight lacing, defective clothing of the feet and the limbs, taking cold, and especially the use of tea, coffee, and alcoholic liquors. All these causes must be scrupulously avoided. The patient should restrict himself to a careful diet, using very little flesh-meat, and avoiding condiments altogether. But few kinds should be taken at a meal, and the patient should eat sparingly. A short course of eliminative treatment, consisting of packs and warm baths should be resorted to when the patient is quite fleshy and plethoric. When there is great coldness of the lower extremities, the hot foot bath, alternate hot and cold rubbing, and the leg pack, are excellent measures for restoring the balance of the circulation. Persons who are subject to congestive headaches should sleep with the head elevated, so as to check, in some degree, the tendency of blood to the head.