Search JIM Advanced Search

Journal of Chinese Integrative Medicine ›› 2012, Vol. 10 ›› Issue (9): 961-965.doi: 10.3736/jcim20120902

Special Issue: Acupuncture & Moxibustion

Previous Articles     Next Articles

Target points: A discussion on acupuncture treatment of primary trigeminal neuralgia

Lan He1(), Dong Li1, Ying-sheng Xu2   

  1. 1. Department of Traditional Chinese Medicine, the Third Hospital, Peking University, Beijing 100191, China
    2. Department of Neurology, the Third Hospital, Peking University, Beijing 100191, China
  • Received:2012-02-19 Accepted:2012-04-28 Online:2012-09-20 Published:2018-09-15
  • Contact: Lan He

In this paper, issues of acupuncture using target points and depth of needling were discussed based on the theory of traditional Chinese medicine acupoints and combined with anatomical and neurological research of Western medicine. The theoretical evidence of acupuncture on nerve foramen and ganglion and the reasons for being nonstandard operating on acupoints were analyzed. This study summarized the method of using acupuncture at Xiaguan (ST7), Cuanzhu (BL2), Sibai (ST2) and Jiachengjiang acupoints to align with the spheno-palatine ganglion and additional nerve foramen (supraorbital, infraorbital and mental foramina) to treat primary trigeminal neuralgia. This study adhered to the Standards for Reporting Interventions in Clinical Trials of Acupuncture and helped in development of study standardization for acupuncture processes. The authors hoped that should help in significantly diminishing risk and improving therapeutic efficacy in clinic.

Key words: acupuncture target points, trigeminal neuralgia, primary, needling depth, needling direction, review

[1] Han JS, Fan BF. Pain management[M]. Beijing: Peking University Medical Press,2012,39, 204, 260
韩济生, 樊碧发 . 疼痛学[M]. 北京: 北京大学医学出版社,2012,39, 204, 260
[2] Yu WM. Guidelines for research in clinical diagnosis and treatment of traditional Chinese medicine[M]. Beijing: China Press of Traditional Chinese Medicine, 2010, 22-23
于文明 . 中医临床诊疗技术研究工作指南[M]. 北京: 中国中医药出版社, 2010, 22-23
[3] MacPherson H, Altman DG, Hammerschlag R, Li YP, Wu TX, White A, Moher D; STRICTA Revision Group . Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture(STRICTA): extending the CONSORT statement(Chinese version)[J]. J Chin Integr Med, 2010,8(9):804-818
MacPherson H, Altman DG, Hammerschlag R, 李幼平, 吴泰相 , White A, Moher D. 针刺临床试验干预措施报告标准的修订:CONSORT声明的扩展[J]. 中西医结合学报, 2010,8(9):804-818
[4] Qiu ML, Zhang SC. Science of acupuncture and moxibustion[M]. Shanghai: Shanghai Scientific and Technical Publishers, 1985,36, 321
邱茂良, 张善忱 . 针灸学[M]. 上海: 上海科学技术出版社, 1985,36, 321
[5] Zhang R . Accidents in acupuncture treatment: history and current state[J]. J Chin Integr Med, 2004,2(4):306-313
张仁 . 针灸意外事故的历史与现状[J]. 中西医结合学报, 2004,2(4):306-313
[6] Linde K, Streng A, Jürgens S, Hoppe A, Brinkhaus B, Witt C, Wagenpfeil S, Pfaffenrath V, Hammes MG, Weidenhammer W, Willich SN, Melchart D . Acupuncture for patients with migraine: a randomized controlled trial[J]. JAMA, 2005,293(17):2118-2125
doi: 10.1001/jama.293.17.2118
[7] Diener HC, Kronfeld K, Boewing G, Lungenhausen M, Maier C, Molsberger A, Tegenthoff M, Trampisch HJ, Zenz M, Meinert R; GERAC Migraine Study Group.Efficacy of acupuncture for the prophylaxis of migraine: a multicentre randomised controlled clinical trial[J]. Lancet Neurol, 2006,5(4):310-316
doi: 10.1016/S1474-4422(06)70382-9
[8] Fan GQ, Zhao Y, Fu ZH . Acupuncture analgesia and the direction, angle and depth of needle insertion[J]. Shi Jie Zhen Jiu Za Zhi Ying Wen Ban, 2011,21(1):44-51
范刚启, 赵杨, 符仲华 . 针刺方向、角度、深度与针刺镇痛的关系[J]. 世界针灸杂志 (英文版), 2011,21(1):44-51
[9] Yang AG . Acupuncture with mild moxibustion for treating patients with primary trigeminal neuralgia: a report of 40 cases[J]. Shaanxi Zhong Yi, 2007,28(1):91-92
杨阿根 . 温和灸结合针刺治疗原发性三叉神经痛40例[J]. 陕西中医, 2007,28(1):91-92
[10] 李雪冰, 杨永静, 陈新华 . 针刺阳明经穴位治疗三叉神经痛疗效观察[J]. 中国疗养医学, 2009,18(11):1017-1018
Li XB, Yang YJ, Chen XH . Observation on the effect of treating primary trigeminal neuralgia by acupuncturing the acupoints of yang-ming meridian[J]. Zhongguo Liao Yang Yi Xue, 2009,18(11):1017-1018
[11] Zhao YP, Han W . Observation on treating primary trigeminal neuralgia by acupuncture and massage[J]. Zhong Yi Yao Xue Bao, 2008,36(3):35-36
赵永坡, 韩薇 . 针灸推拿治疗三叉神经痛的临床观察[J]. 中医药学报, 2008,36(3):35-36
[12] Guo J, Kang XS, Huang F . Clinical experience on the application of Xiaguan points in acupuncture freatment[J]. Xin Zhong Yi, 1996,( 5):32-33
郭佳, 康希圣, 黄飞 . 下关穴临床运用体会[J]. 新中医, 1996,( 5):32-33
[13] Guo J, Kang XS , Huang F. Clinical observation on deep insertion at Xiaguan points for 37 patients with primary trigeminal neuralgia. Zhongguo Zhen Jiu. 1994; ( S1):239-240. Chinese.
郭佳, 康希圣, 黄飞 . 下关深刺法治疗原发性三叉神经痛37例疗效观察. 中国针灸. 1994; ( S1):239-240.
[14] He L, Zhou WY, Zhang XM . Trigeminal neuralgia of hyperactive of liver yang type treated with acupuncture at Xiaguan(ST7) at different depth: a randomized controlled trial[J]. Zhongguo Zhen Jiu, 2012,32(2):107-110
和岚, 周婉瑜, 张秀梅 . 下关穴不同深度针刺治疗肝阳上亢型三叉神经痛: 随机对照研究[J]. 中国针灸, 2012,32(2):107-110
[15] He L, Zhang XM . Clinical effect of sphenopalatine ganglion needling in treating primary trigeminal neuralgia of liver-yang upsurge syndrome type[J]. Chin J Integr Med, 2012,18(3):214-218
doi: 10.1007/s11655-012-1021-2
[16] Huang XJ . Ge Shu-han’s experience in treating primary trigeminal neuralgia by acupuncture, with clinical effect observation of 2 656 cases attached[J]. Zhen Jiu Lin Chuang Za Zhi, 2000,16(1):5-6
黄晓洁 . 葛书翰治疗三叉神经痛经验——附2 656例疗效观察[J]. 针灸临床杂志, 2000,16(1):5-6
[17] Zhang XY . Therapeutic effect of deep acupuncture at local acupoins on trigeminal neuralgia[J]. Zhongguo Zhen Jiu, 2005,25(8):549-550
张晓阳 . 深刺局部穴治疗三叉神经痛疗效观察[J]. 中国针灸, 2005,25(8):549-550
[18] Mi CC . Analysis on acupuncture method of some acupoints in the method of Xingnao Kaiqiao[J]. Tianjin Zhong Yi Yao, 2009,26(1):50-51
米春存 . 试析醒脑开窍法中部分腧穴的刺法[J]. 天津中医药, 2009,26(1):50-51
[19] Peng LH, Huang GY, Chen JM . Clinical study on deep insertion by an elongated needle at Xiaguan for 46 cases of trigeminal neuralgia[J]. Zhong Yi Za Zhi, 2007,48(5):430-431
彭丽辉, 黄贵英, 陈剑明 . 芒针深刺下关穴治疗三叉神经痛46例[J]. 中医杂志, 2007,48(5):430-431
[20] Chen HX . Treating primary trigeminal neuralgia by acupuncture: a report of 40 cases[J]. Zhongguo Zhen Jiu, 1998,( 3):136
陈辉星 . 针刺治疗三叉神经痛40例[J]. 中国针灸, 1998,( 3):136
[21] Wu YH, Zhu GQ, Shao Y, Zuo B, Hu R . Study on infiltration of Vit B12 through Xiaguan(ST7) acupoint to ganglion pterygopa latinum for treatment of primary trigeminal neuralgia[J]. Zhonghua Shi Yong Zhong Xi Yi Za Zhi, 2009,22(22):1668-1670
吴远华, 朱广旗, 邵勇, 左彬, 胡蓉 . 维生素B12由下关穴行蝶腭神经节浸润对原发性三叉神经痛的研究[J]. 中华实用中西医杂志, 2009,22(22):1668-1670
[22] Yu WM. Chinese medicine clinical grassroots appropriate technology[M]. Changchun: Jilin Scientific and Technical Publishers, 2008, 39-41
于文明 . 中医临床基层适宜技术[M]. 长春: 吉林科学技术出版社, 2008, 39-41
[1] Ming-min Xu, Pei Guo, Qing-yu Ma, Xuan Zhou, Yu-long Wei, Lu Wang, Yue Chen, Yu Guo. Can acupuncture enhance therapeutic effectiveness of antidepressants and reduce adverse drug reactions in patients with depression? A systematic review and meta-analysis. Journal of Integrative Medicine, 2022, 20(4): 305-320.
[2] Ting-ting Lu, Cun-cun Lu, Mei-xuan Li, Li-xin Ke, Hui Cai, Ke-hu Yang. Reporting and methodological quality of meta-analyses of acupuncture for patients with migraine: A methodological investigation with evidence map. Journal of Integrative Medicine, 2022, 20(3): 213-220.
[3] Ubiratan Cardinalli Adler, Maristela Schiabel Adler, Ana Elisa Madureira Padula, Livia Mitchiguian Hotta, Amarilysde Toledo Cesar, José Nelson Martins Diniz, Helen de Freitas Santos, Edson Zangiacomi Martinez. Homeopathy for COVID-19 in primary care: A randomized, double-blind, placebo-controlled trial (COVID-Simile study). Journal of Integrative Medicine, 2022, 20(3): 221-229.
[4] Witoo Dilokthornsakul, Ramanya Kosiyaporn, Rattanamanee Wuttipongwaragon, Piyameth Dilokthornsakul. Potential effects of propolis and honey in COVID-19 prevention and treatment: A systematic review of in silico and clinical studies. Journal of Integrative Medicine, 2022, 20(2): 114-125.
[5] Jun-peng Yao, Li-ping Chen, Xian-jun Xiao, Ting-hui Hou, Si-yuan Zhou, Ming-min Xu, Kai Wang, Yu-jun Hou, Lin Zhang, Ying Li. Effectiveness and safety of acupuncture for treating functional constipation: An overview of systematic reviews. Journal of Integrative Medicine, 2022, 20(1): 13-25.
[6] Yi Yuan, Rui-Ting Wang, Jun Xia, Hui-Juan Cao. Interventions for preventing influenza: an overview of Cochrane systematic reviews and a Bayesian network meta-analysis. Journal of Integrative Medicine, 2021, 19(6): 503-514.
[7] Liang Ding, Xin-you Zhang, Di-yao Wu, Meng-ling Liu. Application of an extreme learning machine network with particle swarm optimization in syndrome classification of primary liver cancer. Journal of Integrative Medicine, 2021, 19(5): 395-407.
[8] Meng-zhu Zhao, Chen Zhao, Shuang-shuang Tu, Xu-xu Wei, Hong-cai Shang. Evaluating the methodology of studies conducted during the global COVID-19 pandemic: A systematic review of randomized controlled trials. Journal of Integrative Medicine, 2021, 19(4): 317-326.
[9] Shu-jun Wei, Qing-man He, Qing Zhang, Kang-hua Fu, Ruo-lan Li, Wei Peng, Yong-xiang Gao. Traditional Chinese medicine is a useful and promising alternative strategy for treatment of Sjogren's syndrome: A review. Journal of Integrative Medicine, 2021, 19(3): 191-202.
[10] Jie Wu, Shu-wei Duan, Hong-tao Yang, Yue-yi Deng, Wei Li, Ya-ni He, Zhao-hui Ni, Yong-li Zhan, Shan Lin, Zhi-yong Guo, Jun Zhu, Jing-ai Fang, Xu-sheng Liu, Li-hua Wang, Rong Wang, Nian-song Wang, Xiao-hong Cheng, Li-qun He, Ping Luo, Shi-ren Sun s, Ji-feng Sun, Ai-ping Yin, Geng-ru Jiang, Hong-yu Chen, Wen-hu Liu, Hong-li Lin, Meng Liang, Lu Ma, Ming Chen, Li-qun Song, Jian Chen, Qing Zhu, Chang-ying Xing, Yun Li, Ji-ning Gao, Rong-shan Li, Ying Li, Hao Zhang, Ying Lu, Qiao-ling Zhou, Jun-zhou Fu, Qiang He, Guang-yan Cai, Xiang-mei Chen. Efficacy and safety of Shenyankangfu Tablet, a Chinese patent medicine, for primary glomerulonephritis: A multicenter randomized controlled trial. Journal of Integrative Medicine, 2021, 19(2): 111-119.
[11] Liang Dai, Ka Kei Chan, Jian-chun Mao, Yu Tian, Jun-hua Gu, Jun Zhou, Linda L.D. Zhong. Modified Zhibai Dihuang pill, a traditional Chinese medicine formula, on steroid withdrawal in systemic lupus erythematosus: A systematic review and meta-analysis. Journal of Integrative Medicine, 2020, 18(6): 478-491.
[12] Arthur Yin Fan, Sherman Gu, Sarah Faggert Alemi, Research Group for Evidence-based Chinese Medicine. Chinese herbal medicine for COVID-19: Current evidence with systematic review and meta-analysis. Journal of Integrative Medicine, 2020, 18(5): 385-394.
[13] Xian-jun Xiao, Lei-xiao Zhang, Yun-zhou Shi, Jun-peng Yao, Wei Cao, Ying Liu, Zi-hao Zou, Si-yuan Zhou, Ming-ling Chen, Chun-xiao Li, Qian-hua Zheng, Ying Li. Cupping therapy for patients with chronic urticaria: A systematic review and meta-analysis. Journal of Integrative Medicine, 2020, 18(4): 303-312.
[14] Dong-dong Yu, Liang-zhen You, Wan-qiu Huang, Hui Cao, Fan-jing Wang, Xiu-qin Tang, Zhao-hui Fang, Guo-ming Shen, Yu-xiang Guan. Effects of traditional Chinese exercises on blood glucose and hemoglobin A1c levels in patients with prediabetes: A systematic review and meta-analysis. Journal of Integrative Medicine, 2020, 18(4): 292-302.
[15] Dona Nirmani Ann Wijewickrama Samarakoon, Deepthi Inoka Uluwaduge, Malith Aravinda Siriwardhene. Mechanisms of action of Sri Lankan herbal medicines used in the treatment of diabetes: A review. Journal of Integrative Medicine, 2020, 18(1): 13-20.
Full text



[1] Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. An explanation on "guiding principles of clinical research on mild cognitive impairment (protocol)". Journal of Chinese Integrative Medicine, 2008, 6(1): 15-21
[2] Yi-ting He, Qing-lin Zha, Jian-ping Yu, Yong Tan, Cheng Lu, Ai-ping Lv. Principal factor analysis of symptoms of rheumatoid arthritis and their correlations with efficacy of traditional Chinese medicine and Western medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 32-36
[3] Jun Cai, Hua Wang, Sheng Zhou, Bin Wu, Hua-rong Song, Zheng-rong Xuan. Effect of Sijunzi Decoction and enteral nutrition on T-cell subsets and nutritional status in patients with gastric cancer after operation: A randomized controlled trial. Journal of Chinese Integrative Medicine, 2008, 6(1): 37-40
[4] Wei Zhang, Xiang-feng Lu, Xiao-mei Zhang, Jian-jun Wu, Liang-duo Jiang. A rat model of pulmonary fibrosis induced by infusing bleomycin quickly through tracheal intubation. Journal of Chinese Integrative Medicine, 2008, 6(1): 60-67
[5] A-gao Zhou, Yong Zhang, Gang Kui, De-Yun Kong, Hai-liang Ge, Qiu-hua Ren, Jia-rong Dong, Sheng Hong, Xu-ming Mao, Yin Wang, Hui-zheng Zhang, Shu-jun Wang. Influence of traditional Chinese compound recipes with different efficacy on body weight, tumor weight and immune function in H22 cancer-bearing mice. Journal of Chinese Integrative Medicine, 2008, 6(1): 77-82
[6] Guo-hong Yuan, Xiao-jing Pang, He-chao Ma. Synergic effects of Danggui Buxue Decoction in reducing toxicity of cytoxan in tumor-bearing mice. Journal of Chinese Integrative Medicine, 2008, 6(1): 83-88
[7] Li Zhou, Hong-xing Zhang, Ling-guang Liu, Wen-jun Wan. Effect of electro-acupuncture at Fenglong (GV 16) on nitric oxide and endothelin in rats with hyperlipidemia. Journal of Chinese Integrative Medicine, 2008, 6(1): 89-92
[8] Jin-zhou Tian, Jing Shi, Xin-qing Zhang, Qi Bi, Xin Ma, Zhi-liang Wang, Xiao-bin Li, Shu-li Shen, Lin Li, Zhen-yun Wu, Li-yan Fang, Xiao-dong Zhao, Ying-chun Miao, Peng-wen Wang, Ying Ren, Jun-xiang Yin, Yong-yan Wang, Beijing United Study Group on MCI of the Capital Foundation of Medical Developments. Guiding principles of clinical research on mild cognitive impairment (protocol). Journal of Chinese Integrative Medicine, 2008, 6(1): 9-14
[9] Xin-jun Wang, Ling-ling Wang . A mechanism of endogenous opioid peptides for rapid onset of acupuncture effect in treatment of depression. Journal of Chinese Integrative Medicine, 2010, 8(11): 1014-1017
[10] Bo Wang , Wei Yan , Li-hui Hou, Xiao-ke Wu. Disorder of Tiangui (kidney essence) and reproductive dysfunction in patients with polycystic ovary syndrome. Journal of Chinese Integrative Medicine, 2010, 8(11): 1018-1022