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Trigeminal Neuralgia

How Chinese medicine differentiates trigeminal neuralgia, the five patterns you'll actually meet in practice, and the points for each. 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 numbness, weakness, or vision changes needs urgent medical evaluation to rule out other causes.
General Acupuncture Points

Acupuncture points traditionally used for trigeminal neuralgia — 10 key points, used across most of the patterns below rather than tied to just one.

PointKey action
LIV-3Subdues Liver-Yang, promotes the smooth flow of Liver-Qi.
ST-7Removes obstructions from the channel, benefits the ear, jaw and teeth.
G.B.-43Subdues Liver-Yang, expels Damp-Heat.
ST-44Clears Heat, regulates the Intestines, resolves Damp-Heat.
L.I.-4Expels exterior Wind, regulates Defensive Qi, stops pain.
ST-40Resolves Phlegm and Dampness, calms the Mind.
SP-10Cools Blood, invigorates Blood and eliminates stasis.
KI-3Tonifies the Kidneys (Yin and Yang), strengthens Essence.
KI-6Nourishes Kidney-Yin, clears Empty-Heat.
SP-6Strengthens the Spleen, resolves Dampness, nourishes Blood and Yin.
The Five Patterns

reinforcing   reducing   even method — technique below follows standard Excess/Deficiency treatment principle for each pattern, not tied to a specific point-by-point source.

1. Liver Fire Blazing View full pattern →

Clinical manifestations: Sudden, severe, distending facial pain; triggered or worsened by emotional stress; a flushed red face and eyes; a bitter taste in the mouth, dry throat; intense irritability, a short temper; brought on by anger and frustration, alcohol, spicy or greasy food, or overwork and lack of sleep; eased by cooling food and drinks, a calm environment, avoiding alcohol, or deep breathing.
Tongue: Red body with redder sides, dry yellow coating. Pulse: Wiry, Rapid, Forceful.
Treatment principle: Clear Liver-Fire, drain Heat, calm the upward surge that triggers facial pain.
Note: no moxa.

2. Stomach Fire (Stomach Heat) View full pattern →

Clinical manifestations: Burning or stabbing facial pain; worse after spicy, greasy or hot meals; foul breath and swollen, bleeding gums; intense thirst for cold drinks; brought on by spicy or fried food, alcohol, or a hot stuffy environment; eased by cool drinks, fresh air, avoiding spicy or fried food, or a cool environment.
Tongue: Red body, possible red prickles at the centre, thick dry yellow coating. Pulse: Rapid, Slippery, Forceful.
Treatment principle: Clear Stomach-Fire, cool the Blood, direct rebellious Qi downward.
Note: no moxa.

3. Phlegm in the Channels, Joints and Muscles

Clinical manifestations: A heavy or numb sensation in the face; fixed, stabbing pain; a feeling of phlegm or mucus in the throat; dull or darkish skin around the painful area; brought on by a diet heavy in greasy or sweet food, damp weather, a sedentary lifestyle, or chronic Spleen weakness feeding Phlegm production; eased by warm, plainly-cooked food, staying active, or a dry warm environment.
Tongue: Purple body with stasis spots, white greasy coating, distended sublingual veins. Pulse: Wiry and Choppy, or Wiry and Slippery.
Treatment principle: Move Blood, open the facial collaterals, relieve fixed stabbing pain.
Note: no moxa. No deck slide covers this facial/channel Phlegm presentation, so no pattern link is given here.

4. Blood Stagnation

Clinical manifestations: Fixed, stabbing pain that does not shift location; pain worse at night; pain worse with pressure or touch; a dark or dusky facial complexion; purplish lips or dark circles under the eyes; brought on by an old injury, chronic untreated stagnation, cold exposure constricting circulation, or overexertion; eased by gentle movement, warmth, or gentle massage once the acute pain settles.
Tongue: Dark purple or dusky body with possible stasis spots, dark, thick, twisted sublingual veins. Pulse: Choppy, rough, uneven.
Treatment principle: Invigorate Blood, dispel stasis, reduce the fixed pain.
Note: no moxa. No deck slide covers this facial/local Blood-stasis presentation, so no pattern link is given here.

5. Empty-Heat Caused by Yin Deficiency View full pattern →

Clinical manifestations: A mild, burning facial pain that worsens at night; night sweats; a dry mouth and throat with a desire to sip water; a hot sensation in the palms, soles and chest; flushed cheekbones; restlessness and difficulty staying asleep; dry stools or constipation; scanty, dark urine; brought on by ageing, chronic overwork, a long illness, or lack of sleep; eased by rest, cooling hydrating food, avoiding overheating, or a calm evening routine.
Tongue: Red, thin, dry body with cracks, little or no coating. Pulse: Fine, Rapid.
Treatment principle: Nourish Kidney-Yin, clear deficiency Heat, calm the upward disturbance of Fire.
Nourish Kidney-Yin
Local channel
Note: no moxa (Yin deficiency).
Related conditions

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