Treatment Methods for Trigeminal Neuralgia Using Moxibustion

Trigeminal neuralgia is one of the most common disorders affecting the cranial nerves, characterized by recurrent, sharp, and intermittent pain on one side of the face within the trigeminal nerve distribution. According to traditional Chinese medicine (TCM) theory, this condition is often associated with imbalances such as hyperactivity of liver yang or stagnation of qi and blood. Patients experiencing pain due to liver yang rising may not be suitable candidates for moxibustion therapy, while those suffering from qi and blood stagnation may benefit from it. It is strongly recommended that individuals consult a licensed medical facility for proper diagnosis and treatment, while moxibustion can be used as a complementary approach to help manage symptoms.

Step-by-Step Moxibustion Techniques

Method 1: Moxibustion Along the Trigeminal Nerve Pathway

The first technique involves applying moxibustion along the areas where the pain is most intense. Clinically, trigeminal neuralgia typically affects one of three branches of the nerve: the ophthalmic branch, which runs from the outer corner of the eye to the top of the head; the maxillary branch, located between the corner of the eye and the mouth; and the mandibular branch, which extends below the mouth. By carefully applying moxibustion to these regions, patients may experience relief from discomfort. Special care should be taken to protect the eyebrows and hairline from heat exposure to prevent burns.

Method 2: Moxibustion at the Hegu Acupoint

The second method focuses on the Hegu point, also known as LI4, which is located on the back of the hand between the thumb and index finger. To locate this point on the right hand, spread the fingers apart with the thumb at a 90-degree angle. Place the transverse crease of the left thumb joint along the web margin between the thumb and index finger of the other hand. When the thumb is bent, the tip will rest at the Hegu point. Moxibustion at this point can be performed using circular or sparrow-pecking techniques to stimulate circulation and relieve pain.

Important Tips for Safe and Effective Use

1. Always seek professional medical advice from a certified healthcare provider before incorporating moxibustion into your treatment plan. This ensures that the therapy is appropriate and safe for your specific condition.

2. During the moxibustion process, avoid burns by keeping the heat at a comfortable level. Sessions should last until the skin becomes slightly reddened. Regularly remove ash buildup to prevent accidental burns or irritation.

3. In daily life, it is crucial to avoid cold exposure, maintain a warm environment, and prevent sudden temperature changes. Refrain from smoking and alcohol consumption, and reduce intake of spicy or irritating foods. Avoid exposure to cold air after sweating, including air conditioning and fans. Prioritize rest and ensure you get adequate sleep to support overall recovery and nerve health.