Trigeminal neuralgia is a common disease that occurs in the distribution area of the trigeminal nerves of the head and face, often induced by talking, eating, washing, shaving, brushing teeth and wind blowing, and is often induced by electric shock, knife cutting, burning, needle prick, tearing, stubbornness, paroxysmal, repeated sudden stops and unbearable severe pain. Pain episodes usually stop abruptly from a few seconds to 1 to 2 minutes per episode. The number of seizures at the beginning of the disease is small, and the interval period is also long, ranging from several minutes to several hours, and as the disease progresses, the seizures become more frequent, the intermittent period is gradually shortened, and the pain is gradually aggravated and intense. Fewer episodes of pain at night. There is no regularity of discomfort during the intermittent period. Trigger points (also known as trigger points) are often found on the upper lip, nose, gums, corners of the mouth, tongue, eyebrows, etc., and these trigger points can be touched or stimulated to stimulate pain. The side of the pain is caused by the pain to frown and bite the teeth, open the mouth to cover the eyes, and the patient rubs the face with the palm of the hand to relieve the pain, resulting in local skin roughness, thickening, eyebrow shedding, conjunctival congestion, tears and salivation. Trigeminal neuralgia tends to occur in middle-aged and elderly people over the age of 40, more women than men, and more on the right side than on the left side. Pain begins to spread from a certain point in the face, mouth or jaw to one or more branches of the trigeminal nerve, with the second and third branches being the most common and the first branch rare. The range of pain does not extend beyond the midline of the face (occasionally bilateral) or the trigeminal nerve distribution area. Trigeminal neuralgia has primary (symptomatic) and secondary differences, primary trigeminal neuralgia is more common, secondary trigeminal neuralgia is mostly due to tumor compression, inflammation, trauma, foramen stenosis, vascular malformations, blood circulation disorders and so on. Trigeminal neuralgia is easily confused with toothache, migraine, glossopharyngeal neuralgia, frontal sinusitis or maxillary sinusitis, etc., and local examination of the teeth and nasal cavity is differentiated by X-ray photographs, and a comprehensive neurological examination is carried out, including lumbar puncture, skull base and internal auditory tract photography, cranial CT, MRI and other tests to help distinguish secondary trigeminal neuralgia.
Trigeminal neuralgia belongs to the categories of "head wind", "face pain", "brain wind", "first wind", "face pain" and so on in Chinese medicine. Traditional Chinese medicine believes that trigeminal neuralgia is caused by the evil of the sanyang meridians. The face is the lord of Yang Ming, the essence of the qi and blood of the five organs and six intestines is injected on the head face, "the head is the meeting of the yangs", "the house of Qingyang", because the head part is "above the peak, only the wind can reach", so the evil of the wind and cold, the external wind and heat into the guest or the liver depression fire, the internal wind disturbance or the Yang Ming heat up attack is the Qing Qi is disturbed; or phlegm coagulation, or blood stasis, or yin and yang hyperactivity can induce the disease. Take the Yin, the three Traau Palaces, the Divine Gate, and the Hundred Guilds as the main cave. The first pain plus bamboo; the second pain plus four whites; the third pain plus the pinch pulp. Let the patient take a comfortable supine position to relax the whole body and take off the socks on the affected side, after routine disinfection, the milli needle is applied from three rooms to the Lao Gong directly 2.5 inches, straight to the yin 0.3 inches are applied to the twisting laxative method, the millineele directly stabs the god gate, the needle tip is forward at an angle of less than 15 degrees along the scalp to stab 1 inch each of the scalp to make up for the flat diarrhea technique, the milli needle is directly stabbed bamboo 0.5 inches (it is better to have an electric shock sensation to the forehead and the eyebrow prism), and the needle tip is obliquely stabbed four white 0.8 inches at a 45 degree angle (it is better to spread to the cheeks with an electric shock sensation), Clamp the paste 1 inch (it is preferable to transmit an electric shock sensation to the lower lip) and apply a large twisting technique. After 30 minutes of leaving the needle, the needle is started, and when the needle is started, all the other points except for the Baihui and Shenmen acupuncture points need to be squeezed out of the needle eye of each acupuncture point, such as a few drops of blood beads the size of rice grains. Once daily, after 5 days of acupuncture, change to every other day or twice a week. According to the "Inner Scriptures", "All pains and sores belong to the heart" to obtain the divine gate and the hundred meetings. Shenmen Acupoint is the original acupoint and Yu Acupoint of the Hand Shaoyin Heart Meridian, which achieves the effect of calming the mind and laxative heart fire by conditioning the sedation mechanism of the center and regulating the physiological work of disorder. Baihui Acupoint is located at the top of the head for the meeting of the yangs, the sect of the hundred pulses, the convergence of the meridian qi, and is closely related to the brain, is the key point for regulating the function of the brain, can access the yin and yang veins, coherent around the body meridian points, for the adjustment of the body's yin and yang balance plays an important role. The toes are located 0.1 inches from the toenail horns on the lateral toes of the little toes of the foot, and are the well holes through which the solar bladder of the foot passes. "Behind the Elbow Song" Cloud: "The disease of the head and the face, take the yin." "Three aliases Shaogu, "Medical Sect Jin Jian? Acupuncture Heart Method Tips: "The main treatment of tooth pain, food is difficult...", Lao Gong Acupuncture belongs to the hand Yin Pericardial Meridian Acupoint, "Xing Acupoint", which has the effect of purifying the heart and diarrhea. The three piercing palaces can adjust the blood and dryness, calm the nerves and the stomach, dispel dampness through the passage, and extinguish the wind and cool the blood. The nerve fibers of the trigeminal nerve branches (eye branch, maxillary branch, and mandibular branch) are punctured by the supraorbital fissure and the foramen of the hypoorbital foramen, respectively, and are local acupuncture points. The acupuncture points are combined, and the combination of far and near together achieves the effect of calming the spirit, smooth menstruation, exorcism and analgesia.
For the sake of my profession, I have written some small articles on acupuncture-related science in my spare time, some of which have been published in newspapers and periodicals such as "Health News", "China Traditional Chinese Medicine News", "Family Chinese Medicine", Baidu Library, NetEase Blog, Acupuncture China Network, etc. From the perspective of academic exchange, it is only for your reference and is not used as a basis for medical diagnosis and treatment. Please use under the guidance of a doctor! The copyright of the article belongs to Dr. Cai Xiaogang of the Department of Acupuncture and Moxibustion of Hongdong County Traditional Chinese Medicine Hospital in Shanxi Province, please indicate the source when reprinting and excerpting! Some of the images originate from the Internet, and the copyright belongs to the original author. Hereby declare!