Traditional Chinese medicine diagnosis and treatment technology of trigeminal neuralgia

China's traditional Chinese medicine reported

        Trigeminal neuralgia is a reason unknown, trigeminal nerve distribution area short and repeated attacks of acute pain. Divided into primary and secondary two kinds, the latter has a clear secondary factors, the former unknown etiology. This paper mainly discusses the primary trigeminal neuralgia.

        Trigeminal neuralgia may be relegated to traditional Chinese medicine "headache," "head wind" category.

        Cause pathology

        The occurrence and the attacks resistance network (wind evil is given priority to, easy to clip cold, heat), wind phlegm closed resistance, heat, deficiency of the attack on hand, blood stasis resistance collaterals and so on. Pathogenesis points as a collaterals out-of-the-way, general clauses pain. A major disease in facial meridian, and liver, bravery, spleen and stomach viscera closely related.

        Syndrome differentiation type points

        1. The wind chill incoming network card: facial transient knife kind pain, encounter cold and induce or aggravating, the onset of facial tight sense, local xi temperature, cold evil, mouth not thirsty, moss thin white, pulse float tight.

        2. Wind hot injury network card: facial short or knife kind burning pain, encounter heat aggravating, have to cool slightly reduced, pain red face, associated with fever, and the evil wind, the mouth GanYan pain, the red tongue tip, moss thin yellow, pulse floating number.

        3. The attack on WeiHuo certificate: facial hair searing pain array, his forehead rose pain, red eyes red face, gum swelling and pain, bad breath, dry throat, thirsty and like cold drinks, constipation Sou red, red tongue quality, moss yellow, pulse slippery number.

        4. Courage HuoChi card: facial pain of paroxysmal shock samples, cheeks glowing, red eyes red face, dizziness, fidgety irritability, mouth bitter, dry throat, chest tightness in the full threat, constipation, urinary red, red tongue quality, moss yellow dry, pulse string number.

        5. The wind to wind-phlegm: facial tic pain, insensitive, dizziness, chest tightness in the new wan, vomiting phlegm saliary, moss white greasy, pulse string slippery.

        6. Internal blood stasis syndrome: face pain repeatedly hair, play such as the needle when cut bayonet, complexion is dull, without obvious cold incentives, and tongue qualitative or dark purple bruises are, pulse string astringent or fine acerbity.

        7. Hand Yin deficiency syndrome: the long illness or elderly patients, facial hair samples in the pain of twitching, dizzy eyes rise, insomnia, upset irritability, dry throat mouth bitter, lumbar debility, red tongue less tianjin, pulse string fine and number.

        Syndrome differentiation and treatment

        1. The wind chill incoming network card

        [treatment] breeze spread cold, validates the pain.

        [herbs] river xiong tea wulingsan and tone.

        2. Wind hot injury network card

        [treatment] breeze clear heat, validates the pain.

        [herbs] are zhi gesso tonga decreases.

        3. The attack on WeiHuo card

        [treatment] the pure stomach purging fire.

        [herbs] clear wulingsan and stomach.

        4. Courage HuoChi card

        [treatment] clear liver heat venting, send a fire the pain.

        [herbs] spilled a tonic liver tonga decreases.

        5. The wind to wind-phlegm

        [treatment] phlegm wind, acetanilide spasmolysis.

        [herbs] polyester reduce phlegm tonga.

        6. Blood stasis syndrome resistance

        [treatment] for activating blood circulation and eliminating stasis, validates the pain.

        [herbs] : tqbyp has good effect on allergic reduced blood tonga.

        7. Hand Yin deficiency syndrome

        [treatment] dive Yin Yang, XiFeng dredge collaterals.

        [herbs] gastrodia elata hook cane drink to add and subtract.

        Experience side

        1. The lateral ephedra asarum tonga taste

        [drug composition] ephedra 9 g, lateral 10 grams, asarum 4 ~ 6 g, honeycomb 6 ~ 9 g.

        [indication] cold resistance network card.

        2. XiFeng and Yang tonga decreases

        [drug composition] r. officinale, Dan born, skin, raw ShiJueMing (first Fried), mother-of-pearl, beef shanks, gazelles trumpets of RAMS 'horns, hook cane, briers and thorns mulberry, chrysanthemum, JiangCan, cicada skin.

        [indication] Yin deficiency pneumatic card.

        3. Dawn trigeminal neuralgia party

        [drug composition] thorns mustard JiangCan, white carbon, briers, fry tendril JingZi each 9 g, born ShiJueMing (first Fried) 30 grams, Fried yuan hu, hook cane (into) the 12 grams, a. dahurica, each 4.5 g dried tangerine or orange peel, whole xie powder (another swallowed) 3 g.

        [indication] the wind to wind-phlegm.

        4. The pain spread

        [drug composition] whole xie 150 grams, white aconiti 100 grams, a. dahurica, ligustici chuanxiong rhizoma, JiangCan each 200 grams.

        [indication] trigeminal neuralgia.

        [usage] cooked at the end of the inquiry, every time 2 g, twice daily, hot wine tone takes, 10 days for a period of treatment, general treatment 2 ~ 3 a period of treatment.

        5. Pink decoction and antispasmodic scattered

        [drug composition] nut 10 grams, safflower 5 grams, root, river xiong, white JiangCan every 12 grams, 30 grams of salvia miltiorrhiza, centipede two, whole xie (research swallowed) 4.5 grams.

        [indication] blood stasis syndrome resistance.

        6. River xiong analgesic soup

        [drug composition] river xiong 20 ~ 30 grams, mustard, breaking the thorns, whole xie, Ba piper every 10 to 12 grams, centipede, gastrodia elata every 10 grams, asarum 3 ~ 6 grams.

        [indication] attacks winding cold syndrome.

        7. Trigeminal analgesic soup

        [drug composition] gypsum 20 grams, coptis chinensis franch, born tuberous root, angelica, Dan skin each 9 g, river xiong, a. dahurica every 12 grams, cohosh, asarum, sichuan pepper, whole xie, JiangCan every 6 grams.

        [indication] WeiHuo attack on card.

        8. Three insect capsule

        [drug composition], soil terrapin worm, JiangCan dilong each equal parts.

        [indication] the wind to wind-phlegm.

        [usage] BeiGan at the end of the inquiry, into capsule, every grain of about 0.5 grams, every time take 4 grain, a daily dose three times.

        Proprietary Chinese medicine

        1. Are the chrysanthemum clear pill

        [indication] WeiHuo attack on and wind hot cross on the card.

        2. Compound horns granule

        [indication] suffered attack on card.

        3. Yuan hu analgesic capsule

        Appropriate technology

        1. Acupuncture

        [location] eye a: saving bamboo, Yang white, fish waist, emmeniopathy.

        The maxillary a: four white, ophthalmic liao, express, main, son of the pupil liao.

        Mandibular branch: pile pulp, buccal car, hearing, close valley, big meet.

        [operation] every time 2 ~ 3 point, daily 1 ~ 2 times, strong stimulation.

        2. Feng pin prick

        [location] the Lord hole take the sun, with 1 with white through pain Yang fish waist; 2 a pain with four white; The third team with pain, length shimonoseki pulp; With the wind chill wind pool, and valley; Liver WeiHuo filled with main, YangLingQuan; Yin deficiency as the sea with fire, the three Yin emmeniopathy, too, in the valley.

        [operation] disinfection feng needle, prick the hole, about 0.2 ~ needle into 0.3 cm, immediately after the needle cupping, bleeding 2 ~ 3 ml. Match point HaoZhen with thorns, tonify deficiency, xie cold and moxibustion. Two days a thorn, 3 times for a period of treatment, treatment interval 3 ~ 5 days.

        3. Water booster

        [the acupuncture point] express, all the valley of the hole is o.

        [with acupuncture point] add the sun, saving a 1 bamboo, Yang white acupuncture point; 2 a plus four white, ophthalmic liao, meet sweet etc acupuncture point; The third team to add buccal car, warehouse, bearing the pulp acupuncture point.

        [drug] prednisolone acetate 25 milligrams, 1% general lu pronounced 10 ml, vitamin B12250 micrograms.

        [operation] regular disinfection local to 5, acupuncture point injection into, for patients have the sense of needle, needle tube no smoking allowed back again for 0.5 ml into liquids, 7 days treatment time, three times for a period of treatment.

        4. The ears stick pressure

        [location] cheeks and forehead, god of maxillary, door.

        [operation] will not leave the king do with tape pressure points put seed in the daily press 3 ~ 5 times, each time 3 ~ 5 minutes, 3 ~ 6 change once a day.

        5. Apply

        (1) the external party Ⅰ

        [drug composition] centipede a, dilong 10 grams, mole cricket 10 grams, WuBeiZi 10 grams, born lignad 15 grams, sprouting born 10 grams, white aconiti 10 grams, sweet 10 grams.

        [usage] of powder: every time apply adequate amount, to use vinegar adjust into a flat, apply is posted on of the temporal, gauze dressings covering, fixed with tape, the daily change medicine again.

        (2) the external party Ⅱ

        [drug composition] born monkshood, born south star, the white proved equal parts.

        [usage] of powder, and even a leaf shall be the root, ginger, five pieces, chopped dao such as mud, and divide evenly, packed with gauze steam, apply is quick.

        (3) external party Ⅲ

        [drug composition] camphor 10 grams, asarum 10 grams, mint 12 grams, WuJiaPi 15 grams, whole xie 30 grams, GuiBan glue 30 grams, and 30 grams, a. dahurica 30 grams, find bone wind 30 grams, the dandelion 45 g, purple flower DeDing 45 g, ligustici chuanxiong rhizoma 45 g.

        [usage] except camphor, GuiBan glue outside, both by processing, dry pieces, and take balm 500 ~ 750 g, in the pot to burn to drop into beads, join irrigation, fully stir well, soft fire to boiling, cooling is a cream. Each pill 3 g, when using, slightly warm up pressed into round and flat, stick with apply side, according to different affected nerve, choose different points, three days to stick a.

        (4) the white cream

        [drug composition] was born the grass, and became the father of sichuan udinese all 15 g, a. dahurica 15 grams, HuangDan 100 grams, sesame oil 100 grams.

        [usage] will be on 24 hours for medicinal sesame oil, fry for focal slag, pour HuangDan, boil into cream shape, and then add cold water at 24 hours (spent poison). Set aside. Will a few heating booth in gauze patch on in trouble place, 5 days a bandage.