Patient referred by neuro physician arrived with acute symptoms of trigeminal neuralgia that included an acute onset of sharp, stabbing pain to one side of the face. Typically in these case the pain tends to begin at the jaw angle and radiate along the junction lines between the ophthalmic branch V1, maxillary branch V2 and the mandibular branch V3.The pain was severe and described as an electric shock. Furthermore his pain got aggravated by light touch, chewing, or cold exposure in the mouth. In the midst of an attack, affected their face trying to protect it from being touched. This is an important diagnostic sign because with many other pain syndromes like a toothache, the person will rub or hold the face to ease the pain. For Trigeminal Neuralgia, while there may be only one attack of pain, he experienced recurrent sharp pain every few hours or every few seconds. Conservative treatment including steroid and Botox injection did not respond because of high creatinine levels as result of kidney failure.
For Trigeminal neuralgia si3 bl62 tw 5, gb41 swallow needling to opp side and leave for 45 mins. It worked. Pain was relieved thanks to Japanese acupuncture techniques.