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三叉神經痛(面部痛如刀割)

Trigeminal neuralgia (facial pain like a knife cut)

Cheung Yung, registered Chinese medicine practitioner · Published · Updated

SYT Wellness · Traditional Chinese Medicine Health Knowledge

Facial Pain Like Knife Cuts
TCM Treatment for Trigeminal Neuralgia

Acupuncture for precise acupoint selection · Chinese herbs to dispel wind and cold · Pain ceases when Qi and blood flow smoothly

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🖼️ Image Placeholder: Please insert AI-generated image — Patients experience severe, knife-like or burning facial pain. SYT Wellness Chinese medicine practitioners use professional acupuncture to relieve patients' pain.

📍 Image: Patients experience severe, knife-like or burning facial pain, affecting daily life and eating.
TCM Health Knowledge Approx. 5-min read SYT Wellness Registered Chinese Medicine Practitioner Hong Kong
Have you ever suddenly experienced an unbearable, electric shock-like or knife-cut-like severe pain in your face when washing, eating, or even just speaking softly? This is a typical symptom of trigeminal neuralgia. Traditional Chinese medicine believes that the root cause of this condition lies in insufficient vital energy, invasion by external wind-cold, leading to blockage of facial meridians, and obstructed flow of Qi and blood. Through precise acupoint selection with acupuncture and conditioning with Chinese herbal medicine, facial meridians can be effectively unblocked, treating both the symptoms and the root cause, allowing you to regain a relaxed face.
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Causes of Trigeminal Neuralgia

The trigeminal nerve is the thickest sensory nerve in the face, widely distributed across various areas of the facial skin, controlling sensory functions of the face, mouth, and nose. When a patient experiences brief, paroxysmal, lightning-like severe facial pain, modern medicine calls this trigeminal neuralgia.

Traditional Chinese medicine believes that the fundamental cause of this condition is insufficient vital energy and invasion by external wind-cold. The cold evil invades both sides of the face, leading to blockage of local meridians and obstructed flow of Qi and blood. "If there is obstruction, there is pain," thus triggering paroxysmal severe facial pain.

This condition is more common in adults, with more female than male patients, especially with a higher incidence after middle age. If not treated promptly, the frequency and severity of attacks may gradually worsen.


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Clinical Manifestations and Triggering Factors

During an attack of trigeminal neuralgia, patients experience a sudden, severe facial pain like being cut by a knife, pricked by needles, or burned. The facial muscles on the affected side often experience reflective spasms at the same time. The pain is often unbearable, making it difficult for patients to perform normal daily activities.

The following daily activities and factors can all trigger pain attacks:

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Exposure to cold wind
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Talking
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Washing face
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Brushing teeth
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Eating
Touching trigger points

Each attack lasts from a few seconds to about a minute, but can occur multiple times a day, severely affecting the patient's quality of life and ability to eat. There are specific trigger points on the skin of the affected side of the face and in the oral mucosa. In Chinese medicine, these are called "Ashi points"; in Western medicine, they are called "Trigger Points." Touching these points will immediately cause pain, so patients often dare not touch the affected side of their face.


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TCM Treatment Methods

SYT Wellness Chinese medicine practitioners use a comprehensive treatment plan of acupuncture combined with Chinese herbal medicine. Based on the distribution of the trigeminal nerve branches, differential diagnosis and precise acupoint selection are performed to unblock facial Qi and blood. This is combined with Chinese herbal medicine to dispel wind and cold, improving the condition from both internal and external aspects, achieving both symptomatic and root cause treatment.

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1. Acupuncture Treatment

According to the locations of the three branches of the trigeminal nerve, different acupoints are selected for precise unblocking of facial meridians, promoting the circulation of Qi and blood to achieve the effect of "no pain when free-flowing." Combined with local treatment of Ashi points, the treatment directly targets the affected area, effectively relieving pain.

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2. Chinese Herbal Medicine Treatment

Based on the patient's individual constitution and condition, Chinese herbal medicine is prescribed to dispel wind and cold, activate blood and unblock collaterals, and relieve pain. This internally regulates vital energy, enhances disease resistance, treats both symptoms and root causes, and effectively prevents the recurrence of trigeminal neuralgia.

📍 Image: Acupuncture for facial pain mainly targets Cuanzhu, Yangbai, Hegu and other acupoints, with precise acupoint selection based on the distribution of the trigeminal nerve branches.

Acupuncture Acupoint Details

According to the distribution of the three branches of the trigeminal nerve, Chinese medicine practitioners use the following acupoints:

First Branch
(Ophthalmic)
Cuanzhu Yangbai Hegu Toulinqi Ashi points
Second Branch
(Maxillary)
Sibai Yingxiang Hegu Neiting Ashi points
Third Branch
(Mandibular)
Xiaguan Dicang Waiguan Taichong Ashi points

✳️ Actual acupoint selection is determined by registered SYT Wellness Chinese medicine practitioners based on individual conditions. The above is for reference only.


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Helpful Tips — Daily Care Recommendations

During Chinese medicine treatment, coupled with correct daily care, the therapeutic effect can be effectively enhanced, reducing the frequency of attacks and accelerating recovery.

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Rest more, stay warm

Rest more, stay warm, and avoid exposure to cold. When going out, cover your face, especially in cold or windy weather, to prevent cold wind from blowing directly on your face.

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Avoid irritating foods

Avoid irritating foods such as shrimp, crab, spicy foods, cold drinks, and alcohol, to prevent aggravating inflammation and triggering pain attacks.

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Do more strengthening exercises

Do more "strengthening exercises" to enhance your constitution, boost vital energy, regulate immune function, and fundamentally prevent the recurrence of trigeminal neuralgia.


Frequently Asked Questions

Patients with trigeminal neuralgia experience sudden severe facial pain, like being cut by a knife or burned, often accompanied by reflective spasms of the facial muscles on the affected side. Each attack lasts from a few seconds to a minute, and can occur multiple times a day. Washing, brushing teeth, eating, talking, or exposure to cold wind can all trigger it. There are specific trigger points on the facial skin and oral mucosa, which, when touched, will cause immediate pain. This condition is more common in adult women. If you have the above symptoms, it is recommended to seek consultation with a professional Chinese medicine practitioner as early as possible.
According to TCM theory, trigeminal neuralgia is caused by wind-cold invasion and obstructed Qi and blood flow. Acupuncture can unblock facial meridians and promote Qi and blood circulation, achieving the effect of "no pain when free-flowing." SYT Wellness Chinese medicine practitioners select precise acupoints based on the three branches of the trigeminal nerve and combine it with Chinese herbal medicine to dispel wind and cold, providing synergistic treatment from both internal and external aspects. Many patients show significant efficacy. Specific therapeutic effects vary from person to person. It is recommended to consult a SYT Wellness Chinese medicine practitioner for a personalized treatment plan.
The course of treatment varies depending on individual constitution, severity of the condition, and duration of illness. Generally, early-stage patients who receive timely treatment tend to have better outcomes and shorter treatment courses. It is recommended to continue acupuncture treatments combined with Chinese herbal conditioning, and continue consolidation treatment after symptoms subside to achieve the best results and prevent recurrence. Please consult a SYT Wellness Chinese medicine practitioner for details.
Patients should avoid irritating foods, including shrimp, crab, spicy foods, cold drinks, and alcohol. It is recommended to choose mild, easily digestible foods, and avoid overly cold or hot foods that directly stimulate the oral and facial nerves. At the same time, pay attention to keeping warm, avoid exposing the face to cold, maintain a regular routine, and combine with physical strengthening exercises to effectively reduce the frequency of attacks.
You can contact SYT Wellness directly via WhatsApp to book an appointment. The phone number is +852 6395 1838. Our registered Chinese medicine practitioners will provide you with a comprehensive differential diagnosis and personalized treatment plan, including acupuncture and Chinese herbal medicine, to help you effectively relieve facial pain and restore a healthy life.

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Say Goodbye to Severe Facial Pain
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Professional registered Chinese medicine practitioners provide precise acupoint acupuncture combined with Chinese herbal conditioning,
customizing a personalized treatment plan for you to fundamentally resolve trigeminal neuralgia.

✅ Hong Kong Registered Chinese Medicine Practitioner 🌿 Acupuncture + Chinese Herbal Medicine Comprehensive Treatment 💬 WhatsApp Instant Reply 🎯 Differential Diagnosis Personalized Plan
⚠️ Disclaimer: The content of this article is provided by SYT Wellness Chinese medicine practitioners for general health information and educational reference only. It cannot replace professional medical advice, diagnosis, or treatment. If you have any health concerns or symptoms, please consult your healthcare provider, or book an appointment with a registered Chinese medicine practitioner at SYT Wellness via WhatsApp +852 6395 1838.

 

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