In Chinese medicine, trigeminal neuralgia is called “facial pain” and “brow bone pain”. It is also called “wind headache” and “thunder head wind” because of its rapid onset and severe pain, which is like wind and thunder. The attacks are mostly unilateral, so it is also called “migraine”. Through comprehensive analysis of the location, nature, triggering causes, systemic symptoms and tongue and pulse, TCM believes that the occurrence of triple neuralgia is related to external evil attacking the human body. If wind-cold attacks Yangming tendons and veins, because cold is a yin evil, its nature is to stagnate and attract, it easily injures Yang Qi, causing paralysis of Qi and blood, resulting in facial pain; if injured by wind-heat, because wind and heat are both yang evils, wind and fire burn Yangming and Shaoyang meridians, resulting in fullness of Qi and veins, resulting in facial pain. In addition, the onset of the disease for a long time, phlegm with the pneumatic, phlegm blocking blood stagnation, then the pain time is increasingly prolonged, the relief period is increasingly shortened, resulting in the aggravation of the disease, and lingering difficult to cure. Clinically, trigeminal neuralgia is roughly divided into three types, namely wind-cold type, wind-heat type and blocked blood type. (1) Types and treatment 1. Wind-cold type Main symptoms: Pain in the cheek, pain like lightning, pain as usual afterwards. The pain occurs when the face is brushed by cold wind, and the pain is reduced by heat. The pain may be accompanied by tightening of facial muscles or twitching of facial muscles, and there are obvious sensitive points on the face. The tongue is pale or light red, with thin white tongue coating and a floating, tight or thin pulse. Treatment: Dispel wind and dispel cold, invigorate blood circulation, move Qi and relieve pain. 2. Wind-heat type Main symptoms: Facial pain, sudden onset, sudden stop, severe pain like cracking: pain can be triggered by talking, eating and other movements: bad wind, fever, facial burning and even redness, red eyes, photophobia and tearing, thirst, dry throat and sore throat, dry stool or constipation, yellow urine. Red tongue, thin yellow tongue coating, string or slippery pulse: treatment: dispel wind and clear heat, relieve pain. 3. Stagnant blood blocking type Main symptoms: pain in the cheeks, paroxysmal attacks, pain like cone stabbing, knife cutting, with a sense of distension, so when the pain frowns and vomits the mouth, every time rubbing the painful side with the hand. The course of the disease is protracted, the pain becomes more and more severe, the attacks are frequent, prolonged for a long time, and the treatment does not cure. The skin of the affected side of the cheek is dull and rough, with sensitive points, which are painful when touched. The tongue is purple and dark or has purple spots and bruises, and the pulse is thin and astringent or stringent. Treatment: Invigorate blood circulation to resolve siltation and activate the meridians. Chinese medicine treatment for trigeminal neuralgia is prescribed on the basis of Chinese medicine identification. (B) Commonly used proprietary Chinese medicines 1. Seven-leaf lotus tablets are available as tablets and injections. The application of tablets is 3 tablets each time, 3-4 times a day; the application of injection, 4ml each time, insult day 2-3 times, intramuscular injection. Generally, it takes 4-10 days to take effect: combining with other drugs can improve the efficacy. This drug treatment efficiency can reach more than 60%. 2. Wild papaya tablets are taken orally 4 tablets each time, 3 times a day. Wild papaya injection, 2ml each time, once or twice a day, intramuscular injection. 3. Yuanhu pain relief tablets are taken orally 6 tablets each time, 3 times a day. 4. Tianma pills orally, 3 capsules each time, 3 times a day. 5. Gentian and Liver Pills are taken orally 6 grams each time, 3 times a day. 6. Niuhuang Shangqing Wan is taken orally 2 pills each time, 2 times daily. 7. Paeonia lactiflora Shangqing Pill is taken orally l/3 sachets each time, 3 times a day. 8. Mao Dongqing (Mao Pishu) injection: 2 times each time, 1 or 2 times daily, intramuscular injection. Tablets: 2-6 tablets per time, 3 times daily, orally, two punch: one packet per time, 2-3 times daily, orally. 9. cranial pain nin each time 4nll, 3 times a day, intramuscular injection: half amount can be maintained after pain relief. (C) Commonly used single prescriptions and experimental prescriptions 1. Whole scorpion and amusement ants are finely ground together: take 2 grams each time, warm yellow wine, 2 or 3 times a day. 2. 30 grams of fried white peony. Roasted licorice coincides with grams. Decoction, 1 dose daily, divided into 2 doses. 3. 30 grams each of white peony and Sichuan peony, 15 grams each of ground dragon, 9 grams each of dahurica dahurica, white envy chrysanthemum, white fenugreek, 5 grams each of whole scorpion and amusement ant, and 1.5 grams of cinnamon. Decoction with water, daily. Dose, divided into 2 doses: 4. Angelica dahurica 4.59, Salvia miltiorrhiza 59, Pericarpium citri Reticulata 4.59, Scorpion powder 39, Silkworm 109, fried Manchuria 109, gypsum 209, fried Yuanhu 159. one dose daily, decoction in water divided into morning and evening. 5. 12 grams each of Angelica sinensis and Xia Gu Cao, 15 grams each of Crocus sativus, 10 grams each of Angelica dahurica, 6 grams each of Sheng Ma, and 3 grams each of Hessian. Decoction with water, daily. Dose, divided into two doses. 6. 6 grams of asparagus, 9 grams each of Radix Angelicae Sinensis and Angelicae Dahuricae, 12 grams of Crocus sativus and 3 grams of Radix et Rhizoma Pinelliae. Decoction with water, 1 dose daily, divided into 2 doses. 7. Che Qian Shu Bao), Huang Cen, Ze Di, Mu Tong 9 grams each, Sheng Di, Angelica 16 grams each, Mast, Expanding Herb, Gentian Herb 4.5 grams each. Decoction with water, I dose daily, divided into 2 doses. 8. 10 grams of peach kernel, 5 grams of safflower, 12 grams each of red peony, Sichuan peony and white silkworm, 30 grams of Salvia miltiorrhiza, 2 amusement clams, 4.5 grams of whole scorpion ‘research punch’. Decoction, daily l dose, divided into 2 doses. 9. 500 grams of Panax quinquefolium, 60 grams of silkworm C water pan for the pill, each time to take 10 grams, 2-3 times a day