Trigeminal Neuralgia #2

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Also Known As:

Herbs And Actions

Pharmaceutical Latin	Pin Yin	Dosage	Actions
Rz. Gastrodiae	Tian Ma	12g	Alleviates pain, Calms the Liver, Extinguishes Wind, Stops spasms and tremors, Subdues Rising Liver Yang.
Ram. Uncariae cum Uncis	Gou Teng	24g	Extinguishes Wind, alleviates spasms, drains Liver Heat, pacifies Liver Yang and releases the Exterior. With Tian Ma, calms the Liver and extinguishes Wind. With Tian Ma and Quan Xie, for convulsions due to Liver Wind. With Tian Ma, Shi Jue Ming and Quan Xie, for eclampsia due to Liver Wind. With Quan Xie, for trigeminal neuralgia from Liver Wind or Liver Yang Rising.
Rx. Polygoni Multiflori	He Shou Wu	30g	Tonifies the Liver and Kidneys and expels Wind from the skin by nourishing the Blood.
Rx. Rehmanniae	Sheng Di Huang	15g	Clears Heat, Cools the Blood, Nourishes Yin and generates fluids.
Concha Haliotidis	Shi Jue Ming	30g	Drains Liver Fire, pacifies the Liver, anchors sedates Liver Yang and calms Internal Wind. With Ju Hua, for eye redness, swelling, and pain due to Liver Yang Rising.
Magnetitum	Ci Shi	24g	Anchors Liver Yang, Augments the Liver, Benefits Yin, Calms the Spirit, Nourishes the Kidneys.
Flos Chrysanthemi	Ju Hua	12g	Disperses Wind, clears Heat, calms Liver Yang and extinguishes Wind. With Chan Tui, for superficial visual obstruction and red, watery, swollen, painful eyes due to Liver Heat from either Wind-Heat or Liver Yang Rising.
Fr. Tribuli	Bai Ji Li	12g	Anchors Yang, Calms the Liver, Expels Wind-Heat, Extinguishes Liver Wind.
Periostracum Cicadae	Chan Tui	12g	Disperses Wind, clears Heat, stops spasms and extinguishes Liver Wind. With Quan Xie, for Seizures, tetany and childhood convulsions.
Scorpio	Quan Xie	12g	Extinguishes Wind, stops tremors and convulsions, unblocks the collaterals and Stops pain.

Formula Actions

• Nourishes Yin
• Pacifies the Liver
• Subdues Yang
• Extinguishes Wind
• Stops pain

Syndromes

• Liver Yin Deficiency with Liver Yang Rising

Clinical Manifestations

Paroxysmal distended solitary, limited attacks of unilateral headache that does not shift sides (Sjaastad syndrome) Throbbing headache with distended feeling Contracture of the cranial angle with referred pain to the teeth Facial twitching Dizziness Dysphoria Insomnia Impaired vision Night blindness Tinnitus Irascibility Flushed face Blurred vision Red, dry eyes with feeling of grit in eye Dry mouth and throat with bitter taste in mouth Palpitations

Headache Nervousness Insomnia with much dreaming Dry throat Irritability Thirst Five sole Heat (palms, soles and center of chest) Night sweats Light or late menses or Amenorrhea Scanty, yellow urine With Stomach Fire: Constipation T: Red and dry C: Little or None or Dry and yellow P: Thready and wiry or Wiry and rapid (when Yang is Rising and Excess, pulse is forceful) or Thready and rapid when Yang is not prominent or Taut, thready and rapid

Treats

Trigeminal neuralgia

Contraindications And Herb/Drug Interactions

Notes

Modifications

For Liver Fire, with dysphoria and a quick temper:		For insomnia:
+ Stir-fried Sm. Zizyphi Spinosae	Suan Zao Ren
+ Rx. Gentianae	Long Dan Cao
+ Fr. Gardeniae	Zhi Zi	+ Caulis Polygoni Multiflori	Ye Jiao Teng
For severe twitching of the facial muscles:
+ Pheretima	Di Long
+ Bombyx Batryticatus	Jiang Can