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Yifan Feng, OMD, L.Ac, Hongyan Li，MD(CN)，L.Ac, Hongmei Li, OMD, L.Ac
Patient: 59 year old male, 5’10’, 183lb
The patient had trigeminal neuralgia for 6 months. It started when he was riding a motorcycle without a helmet. At the onset of symptoms he noticed slight pain and numbness in his right eyebrow when he was putting on clothes. The pain and numbness expanded to his nose and cheek, making it such that light touch or brushing over the eyebrow caused sudden severe pain and numbness in the area to the right of the bridge of the nose, and his right cheek. He went to his doctor, who wanted him to take cortisone medication and injections, but he wanted to try acupuncture and TCM to improve his trigeminal neuralgia condition.
Physical Examination: Swelling and redness was apparent on the right side of the bridge of the nose. There were tender spots in his right eyebrow, right side of nose, and right cheek regions. He had a red tongue, with a yellow- greasy coating. His pulse was slippery.
Method of Treatment: Acupuncture was used, needling BL2 (Cuanzhu), SJ23 (Sizhukong), ST2 (Si Bai), LI20 (Yinxiang), and ST8 (Touwei). The patient came for treatment 2 times a week for 3 weeks, and then once a week until the condition was resolved.
Results: After the first 4 treatments the patient felt the pain and numbness in his right eyebrow and nose has decreased in severity and frequency. After 10 treatments the patient felt almost fully recovered from the symp- toms.
Discussion: Acupuncture treatment of trigeminal neuralgia is effective, reducing pain in the face, eyes, nose and cheeks. Traditional acupuncture points like BL2, SJ23, ST2, LI20, ST8 can improve a patient’s symptoms. Trigeminal neuralgia is a hypersensitivity of the trigeminal nerve (CNV), which causes pain and numbness near one’s eyebrow, nose, and cheek. Acupuncture can help to decrease the sensitivity of these regions, and help patients improve and recover.
病案：三叉神經痛的中醫臨床治療
患者：59 歲男性，5’10’ ，183lb
患者有 6 個月的三叉神經痛。它開始於他騎摩托 車時沒有頭盔。出現症狀時，他注意到穿衣服時 右眉毛有輕微疼痛和麻木感。疼痛和麻木擴大到 他的鼻子和臉頰，輕輕觸摸或刷過眉毛會導致右鼻樑和右臉頰突然劇烈疼痛和麻木。他去看了他的西醫，西醫要他服用皮質醇藥物和打針，但他想嘗試針灸和中醫來改善他的三叉神經痛狀況。
PE ：鼻樑右側腫脹發紅。他的右眉毛、鼻子右側 和右臉頰區域有壓痛點。舌質紅，苔黃膩。 他的脈搏很滑。
方法 ：針灸 BL2 (攢竹)、SJ23 (絲竹空)、ST2 (四白)、LI20 (印香)和ST8 (頭圍)。 患者每週來針灸治療2次，持續3週，然後每週針灸一次。
結果 ：經過前 4次治療後，患者感覺右側眉毛和 鼻子疼痛和麻木的程度和頻率有所降低。 10次治療後，患者感覺症狀幾乎完全恢復。
討論 ：針灸治療三叉神經痛有效，可 減輕面部、眼睛、鼻子和臉頰的疼痛。 BL2、SJ23、ST2、LI20、ST8等 傳統穴位可以改善患者的症狀。 三叉神經痛通常與三叉神經 (CNV) 的超敏反應有關，導致眉毛、鼻子和臉頰附近的疼痛和麻木。針灸有助於降低這些區域的敏感性，並幫助患者改善和康復。 針灸和中醫對三叉神經痛患者有益。
