主症

疼痛突然发作，呈阵发性闪电样剧痛，其痛如刀割、针刺、火灼、病人难以忍受，每次发作持续时间短暂，数秒或1-2分钟，一天可以发作多次。常因触及面部的某一点而诱发。常伴有面部肌肉抽搐、流泪、流涕及流涎等症，或有外感症状，脉弦紧。

Main Manifestations

Abrupt onset of pain occurs like an electric shock. The pain in cutting, burning and intolerable, but transient and paroxysmal. Each attack lasts a few seconds or one to two minutes. It may occur by the local spasm, lacrimation , nasal discharge and salivation as well as the exterior symptoms and string-taut, tense pulse.

主症

除上述典型症状外，兼有烦躁，易怒，口渴，便秘，苔黄而干，脉多弦数。

Main Manifestations

Besides the characters of pain in last type, it combines with irritability, hot temper, thirst, constipation, yellow, dry tongue coating and string-taut rapid pulse.

主症

痛势较缓，并兼有形质消瘦，颧红，腰酸，神倦，每遇劳累则面痛发作加剧，脉细数，舌红少苔。

Main Manifestations

Insidions pain, emaciation, malar flush, soreness in the lumbar region, lassitude, pain aggravated by fatigue, thready, rapid pulse, red tongue with little coating.

治法

以分部近取与循经远取相结合。毫针刺用泻法，持续捻针。

Treatment

The points are selected from the local area and the distal and along the course of the affected meridians, and punctured by reduing manipulation with filiform needles combining with continuous rotation.

处方

眶上痛：阳白 鱼腰 攒竹 太阳 合谷
上颌痛：四白 颧髎 迎香 合谷
下颌痛：下关 颊车 大迎夹 承浆 合谷

Prescription

Pain at supraorbital region : Yangbai (GB 14), Yugao (EX-HN 4), Cuanzhu (BL 2), Taiyang (EX-HN 5), Hegu (LI 4).
Pain at maxillary region : Sibai (ST 2), Quanliao (ST 18), Yingxiang (LI 20), Hegu (LI 4).医.学 全在.线,提供www.med126.com
Pain at mandibular region : Xiaguan (ST 7), Jiache (ST 6), Dayingjia (ST 5), Chengjiang (EX), Hegu (LI 4).

随证配穴

感受风寒加风池；
肝胃郁火加太冲、内庭；
阴虚火旺加照海、三阴交。

Additional Points

Invasion of pathogenic wind and cold : Fengchi (GB 20);
Stagnation of fire in the liver and stomach : Taichong (LR 3), Neiting (ST 44);
Excessive fire due to Yin deficiency : Zhaohai (KI 6), Sangyinjiao (SP 6).