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FACIAL PAIN

GENERAL

Clinical Manifestations
Treatment Principle
Herb Formulas
Points	GB-41, SJ-5

WIND-COLD

Clinical Manifestations	A sharp pain on the face with spasming Pain worse on exposure to Cold Pain is alleviated by warmth Purplish or slightly blue facial complexion Itching or tickling in the throat Cough with expectoration of thin, watery or frothy white sputum Chills with low grade fever Anhidrosis No thirst Headache Aversion to Wind Blocked and / or runny nose with clear, watery nasal discharge Sneezing General body aches Maybe asthma T: Pink C: Thin, white and moist P: Floating and tight
Treatment Principle	Expel Wind Dispel Cold Unblock the channels Sedate pain
Herb Formulas	Chuan Xiong Cha Tiao San modified Chinese Patent Medicine: Chuan Xiong Cha Tiao Wan
Points	Moxa or moxa needle GB-20, LI-4, LU-7, SI-18, SJ-5, ST-7 With a runny nose with white discharge and sneezing: +UB-12, UB-13 With a headache: + DU-16 With a an aversion to Cold and cold extremities: + ST-36 With facial spasms: + LIV-3, SP-3 DU-16, GB-20, LI-4 + LU-7 or LI-4 + KI-7, LU-5, UB-12, UB-13

WIND-COLD WITH PHLEGM

Clinical Manifestations	The pain is often paroxysmal, spasmodic and unbearable Pain worse on exposure to Cold Pain is alleviated by warmth Pallor when the pain occurs Facial swelling A sensation of something tight wrapped around the head Heavy headedness or head distention T: Swollen and pale C: Thick ans greasy P: Soft and slippery
Treatment Principle	Expel Wind Dispel Cold Unblock the channels Resolve Phlegm Sedate pain
Herb Formulas	Mian Tong Fang Er Hao modified
Points	LI-4, SJ-5, ST-40 With pain in the forehead: + DU-24, GB-14, ST-8, Yintang With pain around the eyes or supra-orbital bone: + GB-1, Taiyang, UB-2, Yuyao With pain at the temples: + GB-3, Taiyang With pain in the nose: + Bitong, DU-25, LI-20 With cheek pain: + SI-18, ST-3, ST-4, ST-6 With pain around the ear: + GB-2, SI-19. SJ-17, SJ-20, SJ-21 With pain around the lips: + DU-24, DU-26, ST-4 With chin pain: + REN-23, REN-24, ST-5

EXCESS HEAT IN THE YANG MING CHANNELS

Clinical Manifestations	Gradual occurrence of facial pain A hot feeling in the face Toothache Headache Thirst Constipation Excess hunger A foul smell in the mouth T: Red C: Yellow and dry P: Rapid and forceful
Treatment Principle	Clear Heat Reduce fire Regulate the Stomach and Intestines
Herb Formulas	Liang Ge San modified Chinese Patent Medicine: Wei Te Ling
Points	LI-4, LI-11, ST-3, ST-6, ST-7, ST-34, ST-44 With bleeding gums: + ST-45 With constipation: + ST-25, ST-37 With thirst: + SP-6 With Stomach pain: + REN-12

WIND-HEAT

Clinical Manifestations	Facial pain with a burning or prickling sensation or a sharp pain Constant pain Red face Pain is aggravated by exposure to warmth Pain is alleviated by cold Cough with thick, sticky, yellow sputum Sore, red, swollen throat Thirst with a desire to drink cold liquids Runny or blocked nose with thick, yellow discharge Fever with perspiration Slight chills Aversion to Wind Headache Maybe dyspnea with flared nostrils Maybe chest pain Deep, yellow urine T: Red tip C: Thin and yellow P: Superficial and rapid
Treatment Principle	Expel Wind Clear Heat Sedate the pain
Herb Formulas	Xiong Zhi Shi Gao Tang modified Qing Shang Juan Tong Tang Chinese Patent Medicine: Yin Qiao Pian
Points	GB-20, LI-4, LI-11, SJ-5, ST-6, ST-7 With a fever: + DU-14, ST-44 With throat pain and swelling: + LU-10 With a headache: + Taiyang, Yintang With a swollen, red face: + LI-1, ST-44 DU-14, DU-16, GB-20, LI-4 + LU-7 or LI-4 + SJ-5, LU-5, LU-10, LU-11, UB-12, UB-13

WIND-HEAT AND PHLEGM OBSTRUCTING THE CHANNELS

Clinical Manifestations	The pain is often paroxysmal, lancinating and severe Occasionally a very painful trigger point can be found around the nose or lips Most commonly, pain in the middle or lower portion of the face Pain is often located on the entire side of the face Bilateral pain is uncommon A red facial complexion Sweating The pain is aggravated by Heat and improved by Cold Fever Dry mouth Dark colored urine\ T: Red C: Yellow and dry P: Wiry and rapid
Treatment Principle	Dispel wind Clear Heat Resolve Phlegm Unblock the channels
Herb Formulas	Mian Tong Fang Yi Hao
Points	LI-4, LI-11, ST-40 With pain in the forehead: + DU-24, GB-14, ST-8, Yintang With pain around the eyes or supra-orbital bone: + GB-1, Taiyang, UB-2, Yuyao With pain at the temples: + GB-3, Taiyang With pain in the nose: + Bitong, DU-25, LI-20 With cheek pain: + SI-18, ST-3, ST-4, ST-6 With pain around the ear: + GB-2, SI-19. SJ-17, SJ-20, SJ-21 With pain around the lips: + DU-24, DU-26, ST-4 With chin pain: + REN-23, REN-24, ST-5

LIVER FIRE

Clinical Manifestations	A painful face with a burning feeling Pain aggravated by emotional upset and nervousness Pain aggravated by Heat Severe, splitting headaches with dizziness Sudden tinnitus or Sudden deafness Flushed face Red, swollen, painful eyes Irascibility with violent angry outbursts Dry mouth and throat Bitter taste in mouth Thirst Fullness of the chest Vomiting sour or bitter liquid Insomnia Restlessness Irritability Constipation or dry stools Lateral costal distention Frequent sighing Maybe rib pain Maybe Five-Sole Heat Dark colored urine In severe cases: Mania Hemoptysis Hematemesis T: Red tip and edges or Red C: Yellow or Thick, yellow, dry and rough P: Wiry, Excess and rapid
Treatment Principle	Clear the Liver Purge Fire
Herb Formulas	Long Dan Xie Gan Tang modified Mian Fang Tang San Hao Chinese Patent Medicine: Long Dan Xie Gan Wan
Points	DU-20, GB-2, GB-20, GB-43, LI-4, LIV-2, LIV-3, LIV-8 With emotional upset or depression: + LIV-14, UB-18 With pain in the cheek around the stomach channel: + SP-6, ST-7, ST-44 With a headache: + DU-19, DU-21, GB-1 With restlessness, palpitations and insomnia: + HT-3, PC-8 With a bitter taste in the mouth with vomiting: + GB-34, PC-6 GB-20, LIV-2 With pain in the forehead: + DU-24, GB-14, ST-8, Yintang With pain around the eyes or supra-orbital bone: + GB-1, Taiyang, UB-2, Yuyao With pain at the temples: + GB-3, Taiyang With pain in the nose: + Bitong, DU-25, LI-20 With cheek pain: + SI-18, ST-3, ST-4, ST-6 With pain around the ear: + GB-2, SI-19. SJ-17, SJ-20, SJ-21 With pain around the lips: + DU-24, DU-26, ST-4 With chin pain: + REN-23, REN-24, ST-5 GB-12, GB-34, GB-37, LIV-2, UB-18, UB-19

QI DEFICIENCY WITH DAMPNESS

Clinical Manifestations	Persistent facial pain with a heavy feeling Pain is aggravated by fatigue Pale face Facial edema A poor appetite Loose stools Shortness of breath Aversion to Cold Spontaneous sweating A weak, low voice T: Pale C: Thin and white P: Thready and weak
Treatment Principle	Tonify Qi Eliminate Dampness Unblock the channels
Herb Formulas	Bu Zhong Yi Qi Tang modified Chinese Patent Medicine: Bu Zhong Yi Qi Wan
Points	Moxa or moxa needle DU-20, REN-6, SP-3, ST-36, needle SP-6, ST-6, ST-7, ST-34, ST-42 With chronic fatigue: + moxa or moxa needle REN-4 With shortness of breath: + LU-9, PC-6 With a poor appetite and loose stools: + REN-12, SP-9 With numbness of the face: + plum blossom the face

QI AND BLOOD STAGNATION

Clinical Manifestations	Long-term facial pain with a fixed location Intermittent stabbing pain Pain worse at night Purple facial color T: Purplish C: Thin P: Choppy
Treatment Principle	Circulate Qi and Blood Unblock the channels Sedate the pain
Herb Formulas	Tong Qiao Huo Xue Tang modified Chinese Patent Medicines: Chuan Xiong Cha Tiao Pian Xiao Huo Luo Dan
Points	LI-4, LIV-3, SI-18, SP-6, ST-3, ST-5, ST-7, ST-40 With pain around the mouth: + ST-4, ST-42

BLOOD STAGNATION DUE TO QI DEFICIENCY

Clinical Manifestations	Chronic pain with long-lasting attacks The pain is stabbing, severe and fixed Pain may be accompanied by spasms\ A somber, white facial complexion Scaly skin Aversion to Wind Spontaneous perspiration Shortness of breath A disinclination to speak A soft, low voice T: Pale with possible stasis spots or patches C: White P: Deep, choppy and weak
Treatment Principle	Supplement Qi Invigorate the Blood Transform stasis Unblock the channels
Herb Formulas	Mian Tong Fang Si Hao modified
Points	Ahshi Points, LI-4, REN-6 With pain in the forehead: + DU-24, GB-14, ST-8, Yintang With pain around the eyes or supra-orbital bone: + GB-1, Taiyang, UB-2, Yuyao With pain at the temples: + GB-3, Taiyang With pain in the nose: + Bitong, DU-25, LI-20 With cheek pain: + SI-18, ST-3, ST-4, ST-6 With pain around the ear: + GB-2, SI-19. SJ-17, SJ-20, SJ-21 With pain around the lips: + DU-24, DU-26, ST-4 With chin pain: + REN-23, REN-24, ST-5

TOXIC HEAT

Clinical Manifestations	Acute occurrence of facial pain, redness and swelling A burning feeling on the face Pus formation on the face Itching Fever Thirst Constipation Deep, yellow urine Restlessness A poor appetite T: Red C: Yellow and dry P: Rapid and wiry
Treatment Principle	Clear Heat Reduce fire Eliminate toxin Sedate pain
Herb Formulas	Pu Ji Xiao Du Yin modified Chinese Patent Medicines: Niu Huang Jie Du Wan Yin Qiao Jie Du Wan
Points	LI-2, LI-4, LI-11, ST-5, ST-7, ST-36, ST-42, ST-44 With a fever due to Fire Flaring: + DU-14 With epistaxis due to Lung Heat: + LU-6, LU-10 With redness and swelling of the eyes due to Heat in the Liver channel: + LIV-2, Taiyang With restlessness due to Heat in Heart: + HT-3, HT-8 With nausea due to Toxic Heat in the Stomach: + PC-6, REN-12 With constipation due to blockage of the Large Intestine by Heat: + ST-25, ST-37

WIND-PHLEGM IN THE CHANNELS

Clinical Manifestations	Intermittent facial pain Spasms of the facial muscles Mostly on one side of the face Facial tics Pain is aggravated by emotions, especially anger Numbness of the face T: Normal C: Thin, white and greasy P: Wiry and slippery
Treatment Principle	Suppress Wind Resolve Phlegm Sedate the pain
Herb Formulas	Qian Zheng San modified
Points	GB-3, GB-20, LI-4, LIV-3, LIV-5, LIV-6, SP-6, ST-40 With a tic at the corner of the mouth: + ST-3, ST-4 With a tic at the corner of the eye: + GB-14 With aversion to Cold on the face: + moxa the face, moxa or moxa needle ST-36 With depression, nervousness, irritability, and emotional instability: + UB-15, UB-17, UB-18