Prescription
Main formula
Chuan xiong cha tiao san
Alternative formulas
Qiang huo sheng shi tang
Jing fang bai du san
Modifications
Patent remedy
Main points
Explanations
Alternative points
Modifications
Diagnosis
Principle of treatment
Acupuncture treatment
Explanations
Invasion of Wind-Heat
Symptoms and signs
Principle of treatment
Prescription
Main formula
Xiong zhi shi gao tang
Alternative formulas
Chuan xiong cha tiao san
Ju hua cha tiao san
Modifications
Patent remedies
Main points
Explanations
Alternative points
Modifications
Diagnosis
Principle of treatment
Acupuncture treatment
Explanations
Invasion of Toxic Heat
Symptoms and signs
Principle of treatment
Prescription
Main formula
Pu ji xiao du yin
Alternative formulas
Yin qiao san
Wu wei xiao du yin
Modifications
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Facial pain
Ligusticum–Green Tea Regulating Powder. This formula was originally designed for headache due to invasion of Wind-Cold; however, it is also very good for all the problems on the head and face due to invasion of Wind-Cold. Usually the following herbs could be added to increase the therapeutic result, such as Gui Zhi Ramulus Cinnamomi Cassiae 10g, Man Jing Zi Fructus Viticis 10g and Bai Zhi Radix Angelicae Dahuricae 10g to relieve the facial pain, and add Hong Hua Flos Carthami Tinctorii 5g to promote the Blood circulation and relieve the pain.
Notopterygium Dispelling Dampness Decoction. Although this formula was originally designed to treat headache and pain at the upper parts of the body due to invasion of Wind, Cold and damp, it could also be applied to treat the facial pain resulting from invasion of Wind-Cold. Gui Zhi Ramulus Cinnamomi Cassiae 10g and Bai Zhi Radix Angelicae Dahuricae 10g should be added to relieve the facial pain.
Schizonepeta and Ledebouriella Powder to Overcome pathogenic Toxin. This formula has a good function which dispels Wind, eliminates the Cold and relieves the External symptoms. Its effect to relieve the facial pain is quite limited, so some other herbs should be added into the prescription to relieve the facial pain, such as Gui Zhi Ramulus Cinnamomi Cassiae 10g, Bai Zhi Radix Angelicae Dahuricae 10g and Qiang Huo Rhizoma seu Radix Notopterygii 10g, etc.
1. If there is a runny nose with white discharge and sneezing due to invasion of the Lung system by Wind-Cold, add Cang Er Zi Fructus Xanthii 10g and Cong Bai Bulbus Allii Fistulosi 10g to dispel the Wind-Cold
2. If there is severe headache due to stagnation of Qi and Blood in the head resulting from invasion of Wind-Cold, add Gao Ben Rhizoma et Radix Ligustici 10g to eliminate the Wind-Cold in the head and sedate the headache
3. If there is a severe aversion to cold and the hands and feet are cold because of impairment of the Yang-Qi by Cold, add Gan Jiang Rhizoma Zingiberis 5g to warm the Yang and dispel the Cold
4. If there is spasm of facial muscles due to Cold accumulation, add Bai Fu Zi Rhizoma Typhonii 10g to relieve the muscle spasm.
Chuan Xiong Cha Tiao Wan Ligusticum–Green Tea Regulating Pill.
LU-7 Lieque, LI-4 Hegu, TE-5 Waiguan, GB-20 Fengchi, ST-5 Daying, ST-6 Jiache, ST-7 Xiaguan and SI-18 Quanliao. Reducing method is used. Moxibustion should also be used.
▪ LU-7 and LI-4 are two important points in treating facial pain due to invasion of Wind-Cold. Wind-Cold often attacks the superficial parts of the face, and LU-7 opens the skin pores and relieves External invasion. LI-4 is a key point for treating problems on the head and face. When they are used together, they can promote the dispelling of Wind-Cold and the sedation of pain in the face.
▪ TE-5, the Connecting point of the Triple Burner and the Confluent point of the Yang Linking Vessel, is effective in relieving External invasion especially in the Lesser Yang channel causing the pain around the ears. In this case, TE-5 is often combined with GB-20 in order to dispel Wind-Cold from the Lesser Yang channels. In fact, GB-20 can also be used with other points to dispel External invasion.
▪ ST-7 is the local point selected, as it has the function of circulating the collateral and sedating pain. This point is especially useful when there is an invasion of the Stomach channel by Wind-Cold causing pain at the mandible region; it is often combined with ST-5, ST-6 and ST-40 to promote circulation of the Stomach channel and relieve pain.
▪ SI-18 is used when there is an invasion of the Small Intestine channel by Wind-Cold causing pain around the cheek mandibular region; it is often combined with SI-4, SI-6 and SI-7, to circulate the Small Intestine and sedate the pain.
Moxibustion is a very good method to be used to dispel the Wind-Cold, warm the meridians and harmonise the collaterals. This therapy could be missed here in this pattern.
LI-6 Pianli, LI-7 Wenliu, ST-2 Sibai, ST-42 Chongyang and ST-43 Xiangu, etc.
1. If there is a runny nose with white discharge and sneezing due to invasion of the Lung system by Wind-Cold, add BL-12 and BL-13 to dispel the Wind-Cold
2. If there is headache due to stagnation of Qi and Blood in the head resulting from invasion of Wind-Cold, add GV-16 to relieve Wind-Cold in the head and sedate the headache
3. If there is an aversion to cold and cold hands and feet due to the impairment of the Yang-Qi by Cold, add ST-36 with moxibustion to warm the Yang and dispel the Cold
4. If there is spasm of the facial muscles due to Cold accumulation, add SP-3 and LR-3 to relieve the muscle spasm.
A 40-year-old woman had suffered from facial pain for 2 weeks. For the first 4–5 days, she felt contractions or spasms in the face, which were alleviated with warmth (she used a warm towel and took showers), slight general body pain, aversion of cold, and slight fever. She rested for a couple of days at home and all the symptoms went away except for the facial problems. She was very afraid of her face being paralysed. When she came for consultation, her tongue was thin and white, and her pulse was superficial and tight.
Blockage of the collateral due to uncompleted disappearance of Wind-Cold.
Harmonise the collateral and dispel Wind-Cold.
LI-4 Hegu, LU-7 Lieque, ST-3 Juliao, ST-7 Xiaguan, ST-40 Fenglong and SI-7 Zhizheng. Moxibustion was prescribed on LI-4, ST-3, ST-7 and ST-40. Reducing method was used. Treatment was given once every other day.
▪ Moxibustion warms the channels and dispels Cold in the collateral
▪ LI-4 and LU-7 dispel Wind-Cold, especially on the face
▪ ST-3 and ST-7 regulate the Qi and Blood circulation on the face and sedate the facial pain
▪ ST-40, the Connecting point of the Stomach channel, and SI-7, the Connecting point of the Small Intestine channel, harmonise the collateral on the face.
After a 10 day treatment, her facial pain disappeared.
Acute facial pain with a burning sensation, or a prickling sensation, or a sharp pain, constant pain, redness of the face, sweating, aggravation of pain by exposing to warmth, alleviation of pain by cold, thirst or fever, slight aversion to cold, deep yellow urine, a red tip to the tongue and a thin and yellow coating, and a superficial and rapid pulse.
Dispel the Wind, clear the Heat and calm the pain.
Cnidium, Angelica and Gypsum Decoction. This formula actually is indicated in facial pain due to invasion of Wind-Heat with predominance of Heat. Therefore there are not enough herbs to dispel Wind and relieve the External symptoms. Some other herbs should be added into this formula, such as Sang Ye Folium Mori 10g, Jin Ying Hua Flos Lonicerae 10g, Man Jing Zi Fructus Viticis 10g and Sheng Di Huang Radix Rehmanniae 10g.
Ligusticum–Green Tea Regulating Powder. Although this formula was originally designed for headache due to invasion of Wind-Cold, it is also a very good formula for facial pain due to invasion of Wind-Heat. But in that case, some herbs, which are warm and pungent in nature, should be removed, such as Xi Xin Herba cum Radice Asari and Qiang Huo Rhizoma et Radix Notopterygii, and add Sang Ye Folium Mori 10g, Jin Ying Hua Flos Lonicerae 10g, Man Jing Zi Fructus Viticis 10g and Sheng Di Huang Radix Rehmanniae 10g to dispel the Wind, clear the Heat and sedate the facial pain.
Chrysanthemum Powder to be Taken with Green Tea. This formula is formed based upon CHUAN XION GCHA TIAO SAN by adding Ju Hua Flos Chrysanthemi 10g and Jiang Can Bombyx Batryticatus 10g. Actually in this case, the effect of this formula is almost the same as that of the above after the modifications.
1. If there is a high fever, add Da Qing Ye Folium isatidis 10g and Ban Lan Gen Radix isatidis 10g to remove the Toxin and reduce the fever
2. If there is redness and swelling on the face, add Pu Gong Ying Herba Taraxaci 10g and Zi Hua Di Ding Herba Violae 10g to clear the Heat, remove the Toxin and reduce the swelling
3. If there is throat pain, add Xuan Shen Radix Scrophulariae 10g to benefit the throat and relieve the throat pain
4. If there is cough and expectoration of yellow phlegm add Sang Bai Pi Cortex Mori Radicis 10g and Zhe Bei Mu Bulbus Fritillariae Thunbergii 10g to clear the Heat, eliminate the Phlegm and to stop the cough
5. If there is blocked nose with running nose, add Cang Er Zi Fructus Xanthii 10g to open the nose and relieve the blockage in the nose.
Yin Qiao Pian Honeysuckle and Forsythia Tablet.
Yin Qiao Jie Du Pian Honeysuckle and Forsythia Tablet to Overcome Toxins.
LI-4 Hegu, LI-11 Quchi, TE-5 Waiguan, ST-6 Jiache, ST-7 Xiaguan, ST-34 Liangqiu, ST-40 Fenglong, ST-42 Chongyang and GB-20 Fengchi. Reducing method is used for all these points.
▪ LI-4 and LI-11 are used to clear Heat, especially in the Bright Yang channel of the hand. These two points are suitable for pain around the nose since the Large Intestine channel ends at the nose. Besides, these two points can dispel the Wind-Heat and reduce fever. If there is a blocked nose, add LI-20, LU-7, LU-10 and Extra Bitong to circulate the channel and open the nasal orifice.
▪ ST-6 and ST-7 are used especially to circulate the channel and sedate the pain to treat pain in the cheek region since the Stomach channel passes through this region. In fact, Stomach channel disturbance is one of the main causes of facial pain.
▪ ST-34 is the Accumulation point of the Stomach channel, which has a good effect on relieving the pain in the Stomach channel. ST-40 is the Connecting point, which is effective for harmonising the collateral. ST-42 is the Source point, being effective for circulating the channel and stopping the pain.
▪ GB-20 is used to dispel the Wind-Heat and stop the pain. This point is prescribed especially for the facial pain occurring near the ear that refers to the neck, causing a painful and stiff neck. This point also relieves headache, and in this case it would be best to combine it with TE-5, since this is the point that connects to the Yang Linking Vessel. And it is also the Connecting point of the Triple Burner, so it is effective in relieving pain on the side of the head. TE-5 is also effective for dispelling Wind and clearing Heat.
LI-2 Erjian, ST-41 Jiexi, ST-43 Xiangu, and ST-44 Neiting, etc.
1. If there is a fever, add GV-14 to reduce fever
2. If there is throat pain and swelling, add LU-10 to relieve the pain and to reduce the swelling
3. If there is headache, add Extra Taiyang and Extra Yintang to sedate the headache
4. If there is a swollen face with redness add ST-44 and LI-1 to clear the Heat and to reduce the swelling.
A 30-year-old man had been suffering from facial pain with a burning feeling for 5 days. At the beginning, he had fever, throat pain, headache, an aversion to cold and runny nose with a white discharge, so he went to his general practitioner and took antibiotics for 3 days. Generally his symptoms improved slightly, but the burning facial pain remained. He also had general body pain, a tidal fever and aversion to cold, a slight thirst, a dry mouth, a red tip to his tongue, and thin and slightly yellow coating, and a superficial and slightly rapid pulse.
This case was clearly a condition of facial pain due to invasion of Wind-Heat. The key symptoms of external invasion of Wind-Heat were: he was a young man who had never complained about these symptoms before; it was an acute attack; it was facial pain with a burning feeling; fever; an aversion to cold; throat pain; and the conditions of the tongue and pulse.
Dispel Wind, clear Heat, harmonise the collateral and sedate the pain.
LI-4 Hegu, TE-5 Waiguan, ST-3 Juliao, ST-7 Xiaguan, SI-18 Quanliao, GB-20 Fengchi. Reducing method was used on these points. Treatment was given once every other day.
▪ LI-4 and TE-5 dispel Wind-Heat in general. Also, LI-4 and GB-20 can dispel Wind-Heat in the upper body, especially the face.
▪ ST-3, ST-7 and SI-18, all local points, are used to harmonise the collateral and sedate the facial pain.
▪ Normally, LI-11 is recommended to be added to the prescription; however, in this case there was not much fever, so this point can be omitted.
Due to the short duration of his problem, the facial pain was under control in 2 weeks.
Acute occurrence of facial pain, severe and rapid occurrence of redness, swelling and burning feeling on the face, formation of pus or even blisters on the face, itching, fever, thirst, constipation, deep yellow urine, restlessness, a poor appetite, a red tongue with a yellow and dry coating and a rapid and wiry pulse.
Clear the Heat, reduce the Fire, eliminate the Toxin and relieve the facial pain.
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Universal Benefit Decoction to Eliminate Toxin. This formula has a good effect on clearing the Heat, removing the Toxin and reducing swelling, indicated in facial pain due to invasion of Toxic Heat with predominance of Heat in the body. If there is not much Internal Heat, remove Huang Qin Radix Scutellariae and Huang Lian Rhizoma Coptidis and add Ju Hua Flos Chrysanthemi 10g, Jing Jie Herba seu Flos Schizonepetae Tenuifoliae 10g, Fang Feng Radix Ledebouriellae Divaricatae 10g and Chan Tui Periostracum Cicadae 10g to dispel Wind-Heat. If these External symptoms are almost relieved, then remove Chai Hu Radix Bupleuri, and add Jin Yin Hua Flos Lonicerae Japonicae 10g and Da Qing Ye Folium isatidis 10g to clear the Internal Heat and Toxin.
Honeysuckle and Forsythia Powder. This formula also has some effect on dispelling the Wind, clearing the Heat and removing the Toxin, but its effect on the Toxin and the swelling are not as strong as the formula above. Moreover, its function to clear the Internal Heat is much weaker than that of the above. When there is invasion of Toxic Heat with not much accumulation of Internal Heat, this formula could then be applied. Huang Lian Rhizoma Coptidis 5g, Huang Qin Radix Scutellariae 10g, Chuan Xiong Radix Ligustici Wallichii 10g and Bai Zhi Radix Angelicae Dahuricae 10g, etc., could be added to relieve the facial pain.
Five-Ingredient Decoction to Eliminate Toxin. This formula is also good for clearing the Heat, removing the Toxin, reducing swelling and relieving pain. However, its effect on facial pain is not as strong as that of the first one. Huang Qin Radix Scutellariae 10g, Chuan Xiong Radix Ligustici Wallichii 10g and Bai Zhi Radix Angelicae Dahuricae 10g, etc., could be added to relieve the facial pain.
1. If there is fever due to flaring up of Fire-Heat, add Zhi Mu Rhizoma Anemarrhenae 10g to clear Heat and to reduce the fever
2. If there is severe swelling on the face, add Zhe Bei Mu Bulbus Fritillariae Thunbergii 10g to clear the Heat and to subside the swelling
3. If there is nasal bleeding due to invasion of the Lung system by Heat, add Sheng Di Huang Radix Rehmanniae Recens 10g and Sang Bai Pi Cortex Mori Radicis 10g to clear the Heat in the Lung system and to stop the bleeding
