三叉神經痛(面部痛如刀割)

Trigeminal neuralgia (facial pain like a knife cut)

 

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

The trigeminal nerve is the thickest sensory nerve in the face, widely distributed across various facial skin regions, controlling sensory functions of the face, mouth, and nasal cavity. When a patient experiences brief, paroxysmal, lightning-like severe facial pain, modern medicine calls it 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 impeded circulation of qi and blood. "Where there is blockage, there is pain," thus triggering paroxysmal, severe facial pain.

This condition is more common in adults, with more female than male patients, especially 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 sudden, knife-like, needle-prick, or burning pain in the face. The affected side of the face often has reflex muscle spasms, and the pain is often unbearable, preventing patients from carrying out normal daily activities.

The following daily activities and factors can 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 multiple attacks can occur in a day, severely impacting the patient's quality of life and ability to eat. Specific trigger points exist on the facial skin and oral mucosa of the affected side. These are called "Ashu points" in TCM and "trigger points" in Western medicine. Touching them immediately causes pain, so patients often avoid touching 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 each branch of the trigeminal nerve, they differentiate syndromes and select precise acupoints to unblock facial qi and blood, combined with wind-expelling and cold-dispersing Chinese herbs. This dual approach from both internal and external aspects improves the condition, treating both the symptoms and the root cause.

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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 flow of qi and blood to achieve the effect of "no pain where there is flow." Combined with local treatment at Ashu points, it directly targets the affected area and effectively relieves pain.

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2. Chinese Herbal Medicine Treatment

Based on the patient's individual constitution and condition, Chinese herbal medicine that expels wind and cold, invigorates blood and unblocks collaterals, and relieves pain is prescribed. This regulates vital energy internally, enhances disease resistance, treats both symptoms and root cause, and effectively prevents recurrence of trigeminal neuralgia.

📍 Image: Acupuncture for facial pain mainly targets points such as Zanzhu, Yangbai, and Hegu, with precise acupoint selection based on the distribution of each trigeminal nerve branch.

Acupoint Selection Details

Based on the distribution of the three branches of the trigeminal nerve, Chinese medicine practitioners use the following acupoints:

First Branch
(Ophthalmic)
Zanzhu Yangbai Hegu Toulinqi Ashu points
Second Branch
(Maxillary)
Sybai Yingxiang Hegu Neiting Ashu points
Third Branch
(Mandibular)
Xiaguan Dicang Waiguan Da Chong Ashu points

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


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Warm Tips — Daily Care Recommendations

During TCM treatment, proper daily care can effectively enhance therapeutic effects, reduce the frequency of attacks, and accelerate recovery.

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Rest more, stay warm

Get more rest and stay warm, avoiding cold exposure. When going out, cover your face, especially in cold or windy weather, to prevent cold wind from directly hitting 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 boost your physical constitution, enhance vital energy, regulate immune function, and fundamentally prevent recurrence of trigeminal neuralgia.


Frequently Asked Questions

Patients with trigeminal neuralgia experience sudden, severe knife-like or burning pain in the face, often accompanied by reflex muscle spasms on the affected side. Each attack lasts from a few seconds to a minute, with multiple attacks possible in a day. Washing the face, brushing teeth, eating, talking, or exposure to cold wind can trigger attacks. There are specific trigger points on the facial skin and oral mucosa that cause pain upon touch. This condition is more common in adult women. If you experience these symptoms, it is recommended to seek consultation with a professional Chinese medicine practitioner as soon as possible.
According to TCM theory, trigeminal neuralgia is caused by invasion of wind-cold and obstructed qi and blood. Acupuncture can unblock facial meridians and promote qi and blood circulation, achieving the effect of "no pain where there is flow." SYT Wellness Chinese medicine practitioners select precise acupoints based on the three branches of the trigeminal nerve, combined with wind-expelling and cold-dispersing Chinese herbal medicine, for synergistic treatment from both internal and external aspects. Many patients experience significant relief. Specific efficacy varies by individual, and 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, for patients who seek timely treatment in the early stages, the results are more ideal, and the treatment course is relatively shorter. It is recommended to continue acupuncture treatments combined with Chinese herbal medicine for regulation, and to continue consolidating treatment after symptoms subside to achieve optimal results and prevent recurrence. Please consult a SYT Wellness Chinese medicine practitioner for detailed information.
Patients should avoid irritating foods, including shrimp, crab, spicy foods, cold drinks, and alcohol. It is recommended to choose mild, easily digestible foods, avoiding excessively cold or hot foods that directly stimulate the oral cavity and facial nerves. Simultaneously, pay attention to keeping warm, avoid facial exposure to cold, maintain a regular schedule, and engage in strengthening exercises to effectively reduce the frequency of attacks.
You can directly contact SYT Wellness via WhatsApp to book an appointment. The WhatsApp number is +852 6395 1838. Our registered Chinese medicine practitioners will provide you with a comprehensive diagnosis, syndrome differentiation, and a personalized treatment plan, including acupuncture and Chinese herbal medicine, to effectively relieve facial pain and help you regain a healthy life.

🏥 SYT Wellness · Professional Chinese Medicine in Hong Kong

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Experienced registered Chinese medicine practitioners provide precise acupuncture and Chinese herbal medicine,
tailoring personalized treatment plans to address the root cause of trigeminal neuralgia.

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⚠️ Disclaimer: The content of this article is provided by SYT Wellness Chinese medicine practitioners for general health information and educational reference only, and cannot replace professional medical advice, diagnosis, or treatment. If you have any health questions or symptoms, please consult your healthcare provider, or book an appointment with SYT Wellness's registered Chinese medicine practitioners via WhatsApp +852 6395 1838.

 

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