Background： Trigeminal neuralgia （TN） is a neuropathic pain syndrome. It is the most frequent cranial neuralgia and defined as sudden, usually unilateral and lightning-like, knife-like or burning-like recurrent epi...Background： Trigeminal neuralgia （TN） is a neuropathic pain syndrome. It is the most frequent cranial neuralgia and defined as sudden, usually unilateral and lightning-like, knife-like or burning-like recurrent episodes of pain within the distribution area of one or more divisions of the trigeminal nerve. Here we reported that an 81-year-old woman with TN who complained of severe pain on her right face showed a complete clinical relief after comprehensive therapy containing fire needle, filiform needle and blood-letting therapy. Methods： The patient was applied fire needle combined with filiform needle therapy （3 times / week for 4 months） and three consecutive fire needle combined with blood-letting therapy （3 times / week for one week）. Fire needle was inserted into the back points of Du meridian, the first lateral line of bladder meridian, the right spreading area of the trigeminal nerve and the points around the pain radiation site. The filiform needle acupuncture was applied to the points on the right face including Yuyao （EX-HN4）, Yangbai （GB14）, Toulinqi （GB15）, et al; points on the abdomen including Xiawan （RN10）, Qihai （RN16）, Guanyuan （RN14） and the bilateral points including Tianshu （ST25）, Daheng （SP15）, Zusanli （ST36）, et al. Finally, the three-edged fire needle punctured the points of Yangbai （GB41）, Shangguan （GB3）, Jiache （ST6） on the right face accompanied by the cupping method on the bleeding points. Results： The patient reported the complete disappearance of pain and could open mouth and eat normally. The face was normal and no triggering pain recurred after one-month follow-up. Conclusions： The fire needle combined with blood-letting therapy can cure the TN and might provide an alternative non-drug therapy for those patients who still suffered from TN after other medical treatments or whom that refused surgical treatment.展开更多
Objective To assess the effect of acupuncture on pain of patients with refractory trigeminal neuralgia(TN).Methods Acupuncture was accomplished for 14 patients with refractory TN,3 sessions in a week for 10 sessions.E...Objective To assess the effect of acupuncture on pain of patients with refractory trigeminal neuralgia(TN).Methods Acupuncture was accomplished for 14 patients with refractory TN,3 sessions in a week for 10 sessions.Every treatment session lasted about 30 min.The pain severity of patients was evaluated by visual analog scale(VAS)at days 0,3,7,14,21 and 1 month later as follow up.The data were analyzed by SPSS version 18.0.Results The mean age of participants was(59.4±13.2)years old.The VAS points decreased from day 0 to the follow-up.As the results showed,the amount of VAS points decreased by acupuncture has emerged more significance in comparisons between days 0,3 and days 14,21,and the one-month follow-up,the differences in VAS points on the mentioned days were significant(P<0.05).Conclusion Acupuncture can cause proper pain relief for refractory TN.Acupuncture can induce an analgesic effect after multiple repetitions of therapeutic sessions.展开更多
文摘Background： Trigeminal neuralgia （TN） is a neuropathic pain syndrome. It is the most frequent cranial neuralgia and defined as sudden, usually unilateral and lightning-like, knife-like or burning-like recurrent episodes of pain within the distribution area of one or more divisions of the trigeminal nerve. Here we reported that an 81-year-old woman with TN who complained of severe pain on her right face showed a complete clinical relief after comprehensive therapy containing fire needle, filiform needle and blood-letting therapy. Methods： The patient was applied fire needle combined with filiform needle therapy （3 times / week for 4 months） and three consecutive fire needle combined with blood-letting therapy （3 times / week for one week）. Fire needle was inserted into the back points of Du meridian, the first lateral line of bladder meridian, the right spreading area of the trigeminal nerve and the points around the pain radiation site. The filiform needle acupuncture was applied to the points on the right face including Yuyao （EX-HN4）, Yangbai （GB14）, Toulinqi （GB15）, et al; points on the abdomen including Xiawan （RN10）, Qihai （RN16）, Guanyuan （RN14） and the bilateral points including Tianshu （ST25）, Daheng （SP15）, Zusanli （ST36）, et al. Finally, the three-edged fire needle punctured the points of Yangbai （GB41）, Shangguan （GB3）, Jiache （ST6） on the right face accompanied by the cupping method on the bleeding points. Results： The patient reported the complete disappearance of pain and could open mouth and eat normally. The face was normal and no triggering pain recurred after one-month follow-up. Conclusions： The fire needle combined with blood-letting therapy can cure the TN and might provide an alternative non-drug therapy for those patients who still suffered from TN after other medical treatments or whom that refused surgical treatment.
基金The authors thank the Vice-Chancellor of Shiraz University of Medical Sciences for supporting this research(Grant No.18108).
文摘Objective To assess the effect of acupuncture on pain of patients with refractory trigeminal neuralgia(TN).Methods Acupuncture was accomplished for 14 patients with refractory TN,3 sessions in a week for 10 sessions.Every treatment session lasted about 30 min.The pain severity of patients was evaluated by visual analog scale(VAS)at days 0,3,7,14,21 and 1 month later as follow up.The data were analyzed by SPSS version 18.0.Results The mean age of participants was(59.4±13.2)years old.The VAS points decreased from day 0 to the follow-up.As the results showed,the amount of VAS points decreased by acupuncture has emerged more significance in comparisons between days 0,3 and days 14,21,and the one-month follow-up,the differences in VAS points on the mentioned days were significant(P<0.05).Conclusion Acupuncture can cause proper pain relief for refractory TN.Acupuncture can induce an analgesic effect after multiple repetitions of therapeutic sessions.
