How to Treat Trigeminal Neuralgia Caused by Internal Heat

Trigeminal neuralgia triggered by internal heat, often referred to as "fire" in traditional Chinese medicine, is typically managed with medication during the early stages. Carbamazepine is generally recommended as the first-line treatment. This drug has been shown to effectively relieve pain in more than 80% of patients. However, some individuals may experience significant side effects while taking it, which can affect their quality of life and treatment adherence.

Alternative Medications for Better Tolerance

For patients who cannot tolerate the side effects of carbamazepine, alternative medications such as phenytoin may be considered. Phenytoin works by stabilizing nerve membranes and reducing abnormal electrical activity in the nervous system. It is a well-established option for managing trigeminal neuralgia and can provide substantial relief when used appropriately under medical supervision.

Combining Western and Traditional Approaches

Integrating Herbal Remedies

If conventional medications fail to provide adequate pain control, integrating traditional herbal treatments may offer additional benefits. One such remedy is the herbal formulation known as Qiyelian (Flos Campsis), which has been used in traditional Chinese medicine for its analgesic and anti-inflammatory properties. When used in combination with Western medicine, it may enhance symptom management and improve overall outcomes for patients suffering from trigeminal neuralgia.

Surgical Options When Medication Fails

When pharmacological treatments are no longer effective or the pain becomes unbearable, surgical intervention may be the best option. Microvascular decompression (MVD) is a highly effective procedure for treating trigeminal neuralgia. This surgery aims to relieve pressure on the trigeminal nerve caused by blood vessels, offering long-term or even permanent pain relief for many patients. It is considered a safe and reliable option for those who do not respond well to other forms of treatment.