Nature therapy-Acupuncture for Prosopalgia

[Introduction]
Prosopalgia refers to recurrent, short, paroxysmal, lightning-like, stabbing or burning pain in the trigeminal region. Clinically the second and third branches of trigeminal nerve on one side are often involved. Prosopalgia often occurs among people over 40, especially women. It is either primary or secondary. Clinically primary prosopalgia is usually encountered. The following discussion mainly focuses on primary prosopalgia. This disease perrains to the conception of "facial pain" in TCM. It is usually caused by wind attacking the meridians, or upward adverse flow of liver and stomach fire, or consumption of qi and blood as well as stagnation of the vessels and meridians.

[Treatment]
1. Body acupuncture
Prescription: Hegu (LI 4); Taiyang (EX-HN 5), Cuanzhu (BL 2) and Yangbai (GB 14) for pain of the first branch; Sibai (ST 2), Yingxiang (LI 20) and 0uanliao (SI 18) for pain of the second branch; Xiaguan (ST 7), Da-ying (ST 5) and Jiachengjiang (Ext.) for pain of the third branch.

Modification: For wind attacking the meridians, Waiguan (TE 15) and Fengchi (GB 20) are added; for upward adverse flow of liver and stomach fire, Taichong (LR 3) and Neiting (ST 44) are added; for consumption of qi and blood as well as stagnation in the vessels and meridians, Sanyinjiao (SP 6), Zusanli (ST 36) and Geshu (BL 17) are added.

Performance: Local selection of acupoints is made according to the pathological conditions. Twirling and rotating or mild reinforcing and reducing needling techniques are used. Hegu (LI 4) is needled with reducing needling technique; Sanyinjiao (SP 6) and Zusanli (ST 36) are needled with reinforcing needling technique with the addition of moxibustion; Geshu (BL 17) is needled with mild reinforcing and reducing needling techniques. The manipulative techniques for the local acupoints should be mild, while the manipulative techniques for the distal acupoints should be drastic. The needles are retained for 30 minutes or for 1 hour for severe cases and manipulated several times at intervals according to the pathological conditions. The needling is done once a day or once every other day for patients with chronic disease or weak constitution.

2. Ear acupuncture
Prescription: Forehead (AT1), Mandible (L03), Ear Shenmen (TF4), Cheeks (LOs, 6i) and Sympathetic (AH6a).

Performance: Each time 2 - 3 acupoints are selected and needled with strong stimulation. The needles are retained for 30 minutes. Or Wangbuliuxingzi (Semen Vaccariae) is used for ear pressure on both ears in alternation. The patients are advised to press themselves 3 - 4 times a day and 2 - 3 minutes each time.

Source: Acupuncture- Acupuncture for Prosopalgia
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