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Face Pain

How Chinese medicine differentiates face pain into the six patterns you'll actually meet in practice, and the points for each. Distinct from this site's own Trigeminal Neuralgia page. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. Sudden severe facial pain with vision changes, weakness, or numbness needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for face pain — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Expels exterior Wind and releases the Exterior. Stops pain.
LR-3Subdues Liver-Yang. Promotes the smooth flow of Liver-Qi.
ST-2Expels Wind. Brightens the eyes. Clears Heat.
ST-7Removes obstructions from the channel. Benefits the ear. Expels Wind.
ST-44Clears Heat. Regulates the Intestines and resolves Damp-Heat.
S.I.-18Expels Wind. Clears Heat and resolves swelling.
LR-2Drains Liver-Fire and subdues Liver-Yang.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Wind-Cold View full pattern →

Clinical manifestations: Sudden sharp facial pain, worse with cold and wind, chills and aversion to cold, stiff neck and headache, no thirst or preference for warm drinks, clear nasal discharge.
Tongue: Normal or slightly pale body with a thin white moist coating. Pulse: Floating and tight.
Treatment principle: Expels Wind-Cold and relieves facial pain by unblocking the channels, promotes circulation through warmth.
Note: moxa applicable given the Cold signs. Linked to this site's own Invasion-of-Lungs-by-Wind-Cold slide via the established exterior-invasion convention, regardless of body location.

2. Wind-Heat View full pattern →

Clinical manifestations: Burning or hot facial pain, thirst with desire for cold drinks, fever and mild chills, sore throat or red eyes, worse in warm rooms or after hot food.
Tongue: Red tip and edges, thin yellow coating. Pulse: Floating and rapid.
Treatment principle: Disperses Wind-Heat from the exterior, clears Heat that scorches the collaterals.
Note: no moxa. Linked to this site's own Invasion-of-Lungs-by-Wind-Heat slide via the established exterior-invasion convention, regardless of body location.

3. Liver-Yang Rising View full pattern →

Clinical manifestations: Throbbing or distending facial pain at the temples or around the eyes, dizziness and vertigo, red face and eyes, irritability and anger, dry mouth and throat.
Tongue: Red body with red sides, thin dry yellow or scanty coat. Pulse: Wiry, forceful at the left middle position, possibly fine and rapid.
Treatment principle: Subdues rising Liver-Yang, calms internal Wind, settles the head.
Note: no moxa. Direct exact-name match with this site's own Liver-Yang-rising slide.

4. Liver Qi Stagnation That Transforms Into Heat View full pattern →

Clinical manifestations: Stabbing or burning facial pain, worse with emotional stress and anger, bitter taste in the mouth, irritability and anger, red face and eyes.
Tongue: Red body with redder sides, yellow coating. Pulse: Wiry and rapid.
Treatment principle: Soothes Liver-Qi stagnation, clears Heat generated by the stuck Qi.
Note: no moxa. Direct exact-name match with this site's own Stagnant-Liver-Qi-turning-into-Heat slide.

5. Phlegm in the Channels

Clinical manifestations: Heavy, distending pain like pressure or fullness, numbness or thick heavy sensation in the face, foggy or heavy head sensation, excess mucus or phlegm in the throat, worse in damp or humid weather.
Tongue: Swollen body with a white, greasy coating. Pulse: Wiry and slippery, like pearls rolling in a dish.
Treatment principle: Dries Dampness and transforms Phlegm, unblocks sticky obstructions from the facial channels.
Note: no moxa. This site has no Phlegm-in-the-channels/joints/muscles slide on any deck, a gap confirmed absent many times over this session — no pattern link is given here; points still link fine individually.

6. Blood Stagnation View full pattern →

Clinical manifestations: Fixed, stabbing pain in one spot, boring or drilling sensation, pain worsens at night, history of trauma or chronic unresolved pain.
Tongue: Dark purple body with stasis spots and distended sublingual veins, thin white coat. Pulse: Choppy like a knife scraping bamboo, often wiry.
Treatment principle: Invigorates Blood and dispels stasis, unblocks facial collaterals, relieves fixed stabbing pain.
Note: no moxa. Direct match with this site's own Liver-Blood-stasis slide via the established discoloration-marker rule.
Related conditions

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