Struggling with zazen during heavy migraines

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  • spinnylights
    Member
    • Jun 2025
    • 2

    Struggling with zazen during heavy migraines

    Hi folks, nice to meet y'all, I'm Zoë hopefully I'll find lots of things to talk with y'all about ultimately, but at least right now I wanted to ask people here for, I guess, advice or guidance on a point of difficulty I've had recently regarding zazen. I have a rare type of migraine disorder where I (a) have wild auras that are kind of like a grab-bag of stroke symptoms and occasionally last as long as 24 hours, and (b) often have migraines in continuous cycles that go on for as long as a few weeks, where I'll get an aura and then a new migraine right as the prior migraine is coming to an end, over and over, so I never get a reprieve until the whole cycle ends. I typically have about 5–20 migraines a month, each lasting somewhere between a few hours and a few days. The auras can be quite serious—during them I've completely lost consciousness (waking up confused in my partner's arms on the floor with the migraine just starting), forgotten how to read, and lost the ability to walk, among other things—but what I'm actually here to ask about is more in regards to the migraines that come after.

    Basically, the pain during these migraines is something else! It's kind of a sensation like someone is stabbing big white hot needles into my right temple, or the right side of my forehead is being crushed in a vice somehow. It's in a totally other world from normal pain—at worst it's honestly the most extreme pain I've ever experienced, the kind of pain where you totally lose control of yourself and thrash around screaming and not thinking at all. Usually it's not quite at that level—I'm helpless under those conditions so they're kind of irrelevant—but it's still something you can get totally swallowed up by, like it's the only thing happening in the universe in that moment. The migraines also come with strong, surreal dizziness, like my body is flying around the room or spinning in midair, and intense sensitivity to light and sound, among other random wacky brain things like constant pulsating high-pitched ringing noises and impossibly-colored undulating blobs that come and go in my vision and so on. I generally stay in a dark room and live my life at library volume until it passes; sometimes that means I stay in our bedroom for days or weeks.

    Over the years, I've learned to get by during these migraines by constantly distracting myself whenever possible. I'll chat with my partner, read, study, write, do math, code, space out and think about my dreams last night or animals or something—anything I can get really absorbed in that doesn't require me to listen to loud sound or look at something bright. If I can stay focused on an activity like that, the pain and discomfort mostly fade into the background and I don't notice them too much, so they have less of an impact on me and I can kind of function and get work done and things. My attention will wander back to my body now and again, and for a few moments it'll be like I'm drowning in pain and dizziness, but I'm practiced at gently redirecting my attention back to whatever I'm doing and letting those sensations fade into the background (a trick I got keyed into from a dentist I had as a child who distracted me by talking continuously while he stuck that weird anaesthetic needle thing in my gums, which somehow made it not hurt at all; at one point my attention wandered to my mouth and he noticed me startle and wince and calmly said "stay focused on my voice" and I had a kind of revelation ). When I first started having migraines in my late teens, I wasn't very good at handling them this way and would mostly just lie in bed in agony, but through hundreds of "training sessions" it's a well-honed skill now. I'd be lying if I said I wasn't grateful for that, even though in a way it doesn't seem very Buddhist.

    However, on that note, recently I've decided that I'd like to have another go at keeping up a daily zazen practice. The trouble is that I'm currently on day 18 of back-to-back cyclic migraines with no sign yet of stopping. I've never tried to do zazen during one of these long cyclic episodes until now (it's been a long time since I had one this long); in the past I've fit it in around the migraines, but I don't have that option right now. It's very different from "normal" zazen (if there is such a thing) and I'm actually finding it a huge challenge to maintain for even a few minutes. ;-_-

    As they say, in zazen there's nowhere to run. The moment I sit down and settle myself, the pain comes screaming into my consciousness at 1000 dB like a constant airhorn right next to me. It really makes me aware of just how much I'm putting it out of mind normally! Based on my experience doing zazen in this state I would go so far as to say that my distracting myself is a more powerful pain reliever than anything I've ever been given for pain short of morphine—I don't think I really appreciated that until now. Once in zazen though that all goes away in any case. It becomes almost impossible not to clench my teeth together very tightly; no matter how much I try to relax it just happens continuously, mostly beyond my control it seems, like I can kind of stop doing it by about half if I focus all my attention on it but if I try to return to equinamous general awareness I can feel the tension ratchet all the way back up again despite myself. I become very aware of all the loud distracting high-pitched ringing sounds going on, and my eyes fill with tears periodically in an automatic, mechanical way as the pain rises and falls on whatever weird logic it follows. Just staying centered and calmly regarding everything evenly is something that only materializes for what seems like fractions of a second; mostly I just find myself thinking pathetically about how wildly and surreally unpleasant it is and how badly I want to stop and do something to take my mind off it all. It feels kind of like trying to balance a plank of wood on a sewing needle.

    What is there to make of all this? ;^^ I'll be honest, the longest I've managed to keep it up so far is four minutes, and I can't really say if what I'm doing even deserves to be called zazen given how completely distracted and scattered it is. It feels embarassing—for example I've read "Zazen, A Better Way of Experiencing Pain" by Nishijima, and he says don't try to overcome it, don't fear it, accept it, just be with it. Sounds so reasonable and mature...and yet, even though I know intellectually there's nothing to fear and it's just sensation, my "reptile brain" has become convinced that I'm attempting something really dangerous by doing zazen in this state and gives me a big jolt of adrenaline when I sit down. So, even though I'd really like to just follow Nishijima's advice and think it makes sense, it's kind of like my viscera have other ideas. Likewise I think of Kodo Sawaki saying that if he was a mouse and a cat caught him, he would just sit zazen and not let the cat have any fun with him. Surely that would hurt! But even though I try to just stay cool as a cucumber like that, the tension, tears, wobbling from dizziness, etc. just happen kind of mechanistically, like my body has gone rogue and is trying to thwart my attempts.

    Do I have the wrong idea somewhere about anything? (Well, I'm sure but in this post, I mean. ) Normally I think of zazen as something I'm just glad if I manage to work into my day, I would never have any fear of it, and I don't have any trouble doing it for 20 minutes normally, so it's strange to have it take on such different qualities under these conditions, like it's morphed into some kind of trial by fire. Should I just keep up my daily attempts and do it for as long as I can manage each time? On some level I suspect that's all there really is to say, but I figured I would ask just in case.

    P.S. In case anyone worries that I might be neglecting the medical side of all this, I see a doctor at least every three months and am on a variety of medication for it. The medication helps—one type I take daily cuts down somewhat on the frequency of the migraines, another will stop a migraine when it starts but I can only use it a few times a month, etc.—but obviously it's far from a cure on the whole. My doctor has told me to go straight to the E.R. a few times after especially scary auras, to make sure it wasn't actually a stroke or a seizure or the like, so I've had MRIs and neurological inventories and so on done and it doesn't seem like I have a brain tumor or anything like that. It's probably a genetic condition as far as I understand things—most of my close family members on my mom's side get migraines too, I just seem to have an especially severe case. (As a maybe-interesting scientic side note, I've read that the kinds of symptoms I have are often caused by genetic mutations that cause a defect in one or another type of ion channel in neurons in the brain, causing the neurons to be overactive and fire too readily and periodically kind of glitch out, in a way which leads to the bizarre aura symptoms.)
    Last edited by spinnylights; 06-15-2025, 10:40 PM.
  • Jundo
    Treeleaf Founder and Priest
    • Apr 2006
    • 42330

    #2
    Hi Zoe,

    First, we have many folks here, including some of our priests, who suffer from migraine and may have something to offer.

    However, there is no need to "sit" Zazen at such times, and feel free to engage in moaning Zazen, teeth clenching Zazen, bed pounding Zazen, calling to Jesus Amida or Thor Zazen, or anything that helps relieve the pain. Yell "Son of a %#%&#&&$ and Damn It to &#$#%" Zazen. It is still Zazen if curled up in the fetal position on the bed --if-- ... even a tiny drop ... one can find an ounce of "let it be, let it go" in one's heart, even as you are totally miserable. No need to cross the legs and let thoughts go, but rather, let the experience just be. If you are "thinking pathetically about how wildly and surreally unpleasant it is and how badly I want to stop", even feel equanimity about your "thinking pathetically about how wildly and surreally unpleasant it is and how badly I want to stop" and accept your reptile thinking that in that moment. Bow to the feeling "thinking pathetically about how wildly and surreally unpleasant it is and how badly I want to stop." It is the one place to be in that instant, the only act to do, even if the other part of your heart wishes to be anywhere else in the world. It is Buddha and All the Ancestors moaning and clenching their teeth in pain. This is your Sacred Migraine Zazen.

    Shikantaza is radical allowing of "what is" in that moment ... and if "what is" is one's feeling terrible, moaning and groaning ... then that is what is. Zazen will not cure many diseases, nor will it remove all discomfort and misery ... but it can allow us to honor and bow to the discomfort and misery. Then, the raging fires of discomfort and misery tend to burn smaller.

    Certainly, do nothing that makes it worse! You do not need to.

    When feeling better, please sit Zazen in the ordinary way. However, Shikantaza is not only sitting cross legged on a cushion, but is all of life, and any time of day ... walking, standing or lying moaning in bed, if one brings the attitude of Zazen ... radical equanimity and sacredness to that moment, especially the moments so hard to accept.

    In that moment, one may feel "resistance" AND "acceptance" in the same moment, which is Great Wisdom.

    By the way, do you know the ancient connection between migraine sufferers and mystics? It is true. This is a very old paper, but he tells the tale:



    Do you know this book?

    https://www.amazon.com/Migraine-Oliver-Sacks-ebook/dp/B00CNQ2NRM/ref=sr_1_1?crid=2P12QDV0VWF1E&dib=eyJ2IjoiMSJ9.Hta 1rXUD_cJMTvJnk6KZK26e_yfLKXVKe8_n8dm0rgrx_fYSWfnfq g7GyVPaU8P6m85UXcGKG3mA2dZYFRHHiIieyZr-ib5M0xhKOcyaaJUtvINGro-VdmYPFoVGsioA._r5MlSptQ_Xak_FhCib_LcCjRGffk3-ulCDRDi9ZpnI&dib_tag=se&keywords=migraine+oliver+s acks&qid=1750032109&s=digital-text&sprefix=migraine+oliver+sack%2Cdigital-text%2C272&sr=1-1

    We chant Metta: May you be healthy and (when not), at ease in all your ills.

    Gassho, Jundo
    stlah
    Last edited by Jundo; 06-16-2025, 12:18 AM.
    ALL OF LIFE IS OUR TEMPLE

    Comment

    • Koushi
      Senior Priest-in-Training / Engineer
      • Apr 2015
      • 1528

      #3
      Hi Zoë,

      I'm one of the migraine priests Jundo was alluding to! Nice to meet you! Fun fact, one of my first (or maybe my first) posts at Treeleaf 10 years ago was also about migraines and how to sit with them—so birds of a feather.

      but it's still something you can get totally swallowed up by, like it's the only thing happening in the universe in that moment.
      This is a profound statement to me. Not just for the extremes that are your migraines—but also because you're absolutely right! When we're experiencing something so painful, and it's all-embracing in its hold on us, it IS the universe having a perfectly extreme migraine in that moment. Just like Jundo said about mustering one tiny drop of equanimity while in zazen during a migraine—these moments hold the entire universe in them, there's nowhere else to go.

      The migraines also come with strong, surreal dizziness, like my body is flying around the room or spinning in midair, and intense sensitivity to light and sound, among other random wacky brain things like constant pulsating high-pitched ringing noises and impossibly-colored undulating blobs that come and go in my vision and so on.
      From the less lofty speech to the more practical now:

      My aura and other symptoms are like yours, except to a much lesser and less frequent degree, where I have muscle weakness on one side of my body, I slur my speech a bit, I see the zigzag kaleidoscope of colors, loss of vision, etc. These things I've grown to accept and not think much of nowadays—though it was a progressive acceptance thing, like you also noted, as they've occurred over the last 15 years or so.

      However, it's the anxiety and panic that occurs when an aura occurs, before the pain is even a thing, that I have the most trouble sitting with. It's hard to sit when your heart is racing, when you're being sensorially bombarded by the brain, and your internal world is being quite literally spun around! Sometimes I can do so without much trouble, sometimes I have to come back to equanimity repeatedly (like when having a panic attack in zazen during our annual Rohatsu retreat—but I'm leading the session/responsible for time and don't wanna jump around in front of everyone), but then there's other times I have to jump up like a deer running from a bear and "shake the adrenaline out" as it were.

      Sometimes when I have aura and migraine, the only thing that settles me is deep-cleaning the apartment. I don't need 100% vision to vacuum or do laundry! Some other times, I ask the silly zen questions to myself; "Who's seeing the rainbow of colors? If they exist only because my brain is sending random signals and there's nothing actually there, what's that say about the rest of the things I'm scared of/experiencing out here?," yada yada. It's still distraction in a way, I'm focusing on the question and not radically allowing the full range of all the things, but it helps get back to a place where I can accept all the things.

      All that to say, zazen and our practice doesn't stop when we get off the cushion, or be any less "real zazen" if we have to find radical allowing in micro-second intervals however we find it. Whether you sit, or stand up and shake, or lay in complete darkness with split-seconds of "all of this, too," the practice is simply to notice, allow, return. When panic or vertigo or ending up on the floor during aura or pain during migraine become too much to accept even for a moment—even distraction can be perfect distraction. Then we find those tiny moments again.

      The measuring stick here is sincerity—not comfort or perfection (not that we're measuring if our zazen is good or bad!)

      Sorry for being a bit long-winded, apologies even more if I were a bit confusing, happy to talk migraines whenever!

      Thank you for sharing, as well. You definitely aren't alone here—a (surprising but not surprising) number of us experience migraines and other fun brain things around Treeleaf.

      Gassho,
      Koushi
      ST
      Last edited by Koushi; 06-16-2025, 02:22 AM.
      理道弘志 | Ridō Koushi

      Please take this priest-in-training's words with a grain of salt.

      Comment

      • spinnylights
        Member
        • Jun 2025
        • 2

        #4
        However, there is no need to "sit" Zazen at such times, and feel free to engage in moaning Zazen, teeth clenching Zazen, bed pounding Zazen, calling to Jesus Amida or Thor Zazen, or anything that helps relieve the pain. Yell "Son of a %#%&#&&$ and Damn It to &#$#%" Zazen. It is still Zazen if curled up in the fetal position on the bed --if-- ... even a tiny drop ... one can find an ounce of "let it be, let it go" in one's heart, even as you are totally miserable. No need to cross the legs and let thoughts go, but rather, let the experience just be. If you are "thinking pathetically about how wildly and surreally unpleasant it is and how badly I want to stop", even feel equanimity about your "thinking pathetically about how wildly and surreally unpleasant it is and how badly I want to stop" and accept your reptile thinking that in that moment. Bow to the feeling "thinking pathetically about how wildly and surreally unpleasant it is and how badly I want to stop." It is the one place to be in that instant, the only act to do, even if the other part of your heart wishes to be anywhere else in the world. It is Buddha and All the Ancestors moaning and clenching their teeth in pain. This is your Sacred Migraine Zazen.

        Shikantaza is radical allowing of "what is" in that moment ... and if "what is" is one's feeling terrible, moaning and groaning ... then that is what is. Zazen will not cure many diseases, nor will it remove all discomfort and misery ... but it can allow us to honor and bow to the discomfort and misery. Then, the raging fires of discomfort and misery tend to burn smaller.
        Thank you!! This was such good advice, I appreciate it so much, thank you. I managed to sit for half an hour today with this approach. There were tears, there was much gnashing of teeth, there were times I felt like a small scared shivering animal in the cold and wanted to run run run run, but by just letting these things happen and not trying to "move past them" or chastise myself for them or the like, I was able to make it much easier on myself even though in a way it was still just as intense. I didn't realize how much I was kind of compounding the discomfort and difficulty by how badly I wanted it to be like "normal" zazen and resenting how challenging it was for me to "keep it together" and other such things—ironically that really added to my troubles! This time I tried to just acknowledge that something in me was reaching for that, true, just a fact, and something in me was shedding tears and gnashing teeth, true, just how it is, and something in me wanted to flee and felt small and pathetic and even ashamed, also true, part of life right now, and the cat was sleeping and it was a bit warm and some cars drove by, all just various phenomena…I think like, heavy pain can produce a wide array of intense reactions at once, of all different sorts, and when they're all coming at you with no filter like that it can be easy to get caught up in trying to slap them away and being like "no! no! no! stop!" and forgetting the larger picture.

        I kind of misunderstood what Nishijima was getting at, I think—even though he kind of talks about what I'm encountering here it sort of went over my head at first. When he says for example "accept pain as it is" I felt like I wasn't doing that because my immediate reactions, even on a very coarse physical level, were so much in the direction of distress and resistance, and so then I was also frustrated and sullen and kind of berating myself on top of them. When he mentions "emotional worry about pain which causes...much more severe pain then the real pain," I, at least, certainly wasn't helping matters at all by getting caught up in fretting and judging myself like that, and the getting-caught-up-in maybe did pose more of an obstacle to me really, even considering the gravity of the actual sensations. What you said really helped me get that it's not just about accepting "the pain itself" per se, but expanding that perspective to all the things that come with it, not boxing it off into "just the sensation" but the whole range of outcomes, from the influence on your heart rate to the most abstract psychological meanderings…even if you find yourself afraid, you don't have to "fear the fear," even if you find yourself wanting to overcome, you don't have to grasp desperately at "overcoming your intention to overcome," even if something in you really doesn't want to accept the pain, you don't have to slap it around and say "no! accept!"

        By the way, do you know the ancient connection between migraine sufferers and mystics? It is true. This is a very old paper, but he tells the tale:

        No, I didn't know that! It makes sense to me though—like what he refers to I experience a lot of things in connection with migraine that are truly bizarre. Some of them are occasional but striking, like the well-known scintillating scotoma, a writhing jagged expanding ring of unreal-colored visual noise that can happen during an aura and obstruct vision, looking very alien and like a tear in reality, part of what he ascribes to Hildegard of Bingen—strangely I had one at the age of ten without a migraine following, and then another the first time I ever actually had a migraine, at this point I have them now and again; in my experience they also come with nausea and a dazed feeling like you've been struck in the head, maybe kind of easy to interpret as a sort of overpowering beam from the beyond…other migraine-related phenomena I experience basically all the time, e.g. if I look at a uniformly-colored surface like a white wall I see tons of swarming many-colored dots and lines dancing around all over it, and if I stare at them for a little while they start to form into patterns and then pictures and moving scenes like dreams…I've read that's connected with migraine, they call it "visual snow", another outcome of the neuronal overexcitability…I just tried staring at it for a while and saw an old biplane flying over a field of giant squid. I've said many times that migraine is fascinating in a lot of ways and arguably would be a boon to a person if not for how harsh it is (although the kind of auras I have also involve some risks and things in their own right I guess, like it's rather unsafe for me to drive for example).

        I think like, influenced by modern neurology and so on, I often tend to interpret this sort of phenomena in terms of the light it sheds on the structure of the brain—like, for the scintillating scotoma to start in the center of your vision and expand into a ring, it implies that somewhere in your brain there is a group of neurons connected to each other in a disc-like array that map directly onto "pixels" of your visual field in some straightforward sense, or how, since I hear very specific ringing and whistling pitches and they can vary between the left and right sides, there must be some neurons on both sides of your brain that respond very precisely to specific hairs in either your left or right cochleas, etc. etc. I can easily imagine though how if I lived a thousand years ago I might read it all completely differently—since the sensations are so outside of normal experience you end up relying strongly on your broader cultural background to make sense of them, whatever you can make use of. Often I've thought of resemblance of the ringing and whistling sounds to tiny but somehow very loud tolling bells and bowed strings, or the appearance of visual aura symptoms to writhing sea creatures or plant vines made of impossible light.

        It was fascinating to read in that paper how Hildegard of Bingen interpreted them in such striking religious terms; I've seen her art many times but the resemblance of some of it to scintillating scotoma had never ocurred to me until now. This really does look very much to me like how someone from the MIddle Ages might interpret it:

        931562a2fc419afbe62195eb234a4ebc.jpg

        It's uncanny really—I always figured that she used circular motifs like that in her art just because of common Christian imagery of halos or swirling rings of angels etc., but I could so easily believe that in fact she might have been inclined to interpret her visual auras from that perspective given her religious background, so that her art kind of bears marks of both aspects. (Of course, in some ways I suppose the author is even suggesting that the very origins of that imagery in ancient accounts of the biblical prophets and so on might also lie in migraine, and thereby even influenced Hildegard's interprations—you do have to wonder, re the imagery associated with Ezekiel especially I would say.) In any case the idea is so sweet to me that Hildegard might have been so moved by her migraine experiences to feel they were "God-sent" and took them so much in stride, and if so made very beautiful art from what she took from them.

        No, I've never heard of it! I've read The Man Who Mistook His Wife for a Hat but I had no idea Sacks wrote a whole book just about migraine. I bet I would really enjoy it—I'll seek out a copy.

        We chant Metta: May you be healthy and (when not), at ease in all your ills.
        Thank you, you too and thanks again so much for your help and advice.

        Comment

        • Jundo
          Treeleaf Founder and Priest
          • Apr 2006
          • 42330

          #5
          Thank you!! This was such good advice, I appreciate it so much, thank you. I managed to sit for half an hour today with this approach. There were tears, there was much gnashing of teeth, there were times I felt like a small scared shivering animal in the cold and wanted to run run run run, but by just letting these things happen and not trying to "move past them" or chastise myself for them or the like, I was able to make it much easier on myself even though in a way it was still just as intense. I didn't realize how much I was kind of compounding the discomfort and difficulty by how badly I wanted it to be like "normal" zazen and resenting how challenging it was for me to "keep it together" and other such things—ironically that really added to my troubles! This time I tried to just acknowledge that something in me was reaching for that, true, just a fact, and something in me was shedding tears and gnashing teeth, true, just how it is, and something in me wanted to flee and felt small and pathetic and even ashamed, also true, part of life right now, and the cat was sleeping and it was a bit warm and some cars drove by, all just various phenomena…I think like, heavy pain can produce a wide array of intense reactions at once, of all different sorts, and when they're all coming at you with no filter like that it can be easy to get caught up in trying to slap them away and being like "no! no! no! stop!" and forgetting the larger picture.
          Oh, you expressed this so well, that it brought tears to my eyes. It is rare that folks around here get something like this the first time I tell them! It is my own headache when I explain and they don't quite catch on! But you expressed this so well, and it sounds right on to me. Yes, just like this!

          Gassho, J
          stlah
          ALL OF LIFE IS OUR TEMPLE

          Comment

          • Seiko
            Novice Priest-in-Training
            • Jul 2020
            • 1380

            #6
            Originally posted by spinnylights
            I'd like to have another go at keeping up a daily zazen practice.
            Hi Zoë,
            Lovely to meet you. Your migraines sound very difficult to deal with, so I don't underestimate that at all. Much metta to you.

            I can't add any expert advice, only tell you my own experience...

            I have almost constant occular migraine. It's hard to remember a time when I don't have it.
            Then since 13-14 years ago I live with daily symptoms of chronic illness, mainly ME/CFS and Fibromyalgia. Both illnesses can include headaches/migraines and also widespread nerve pain and musculoskeletal pain.

            Everyone has their own way of managing such things, but myself, I never wait for a better day, I will never have a pain-free day, so no reason to wait.

            Zazen, sitting or lying down. The zazen you or I can do today is perfect zazen for you and I today - our health conditions, our life, height, income, family, hair color, our migraine and other symptoms. Tomorrow it will be the same or different.

            Do what you can today. Tomorrow do what you can again. Each new day, keep going.

            This is our life.

            This is our life, The length of our days.
            Day and night
            We meditate upon it.

            Gasshō, Seiko, stlah



            Gandō Seiko
            頑道清光
            (Stubborn Way of Pure Light)

            My street name is 'Al'.

            Any words I write here are merely the thoughts of an apprentice priest, just my opinions, that's all.

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