What medicine is good for trigeminal neuralgia?

This article discusses the knowledge points related to the medication for trigeminal neuralgia, and hopes to be helpful to you. Let's start the formal explanation! The preferred medication for treating trigeminal neuralgia is 【Answer】: D. This question tests the rational selection of pain treatment medications. The preferred medication for treating trigeminal neuralgia is carbamazepine (D). Ergotamine caffeine tablets (E) are recommended for patients with recurrent migraines. Ibuprofen (A) is commonly used for symptomatic treatment of headaches caused by colds and to relieve mild to moderate soft tissue pain. Guaiacine (B) is generally used in combination with other analgesics for tension headaches and neuralgia patients. Diazepam (C) is often recommended for patients with long-term mental stress and tension headaches. The last three options do not correspond to the question stem. Therefore, D is the correct answer.

What are the specific drugs for treating trigeminal neuralgia? The common medication for treating trigeminal neuralgia is carbamazepine. In the initial stage, patients usually need internal medicine for adjustment, but medication alone cannot fundamentally solve the problem. Dr. Yanbing Yu from the Civil Aviation General Hospital reminds that 70% of trigeminal neuralgia patients are caused by adhesions and compression between facial nerves and blood vessels, leading to abnormal discharges in the trigeminal nerve area and unbearable pain. Currently, microvascular decompression is a more effective method for resolving trigeminal neuralgia.

What medicine can alleviate trigeminal neuralgia? The Western medicine mainly consists of analgesics, such as sodium diclofenac (such as Nofudin, Yingtaiqing, Daifen, and Aofen). This medicine has good analgesic effects and relatively small side effects, so it can be used as a second-choice drug. Acetaminophen (with less side effects and slightly weaker analgesic effects) can be the first choice, and if it is ineffective, other options can be considered. Another option is carbamazepine, which is originally used for epilepsy treatment but also has therapeutic effects on trigeminal neuralgia, usually when analgesics are ineffective.

As for traditional Chinese medicine, the only drug I have encountered for trigeminal neuralgia is Anluotong tablet. It promotes meridian circulation, activates blood flow, and relieves pain, and it is used for sciatica, trigeminal neuralgia, rheumatoid arthritis, etc. What medicine should be taken for trigeminal neuralgia? Carbamazepine can be taken, but it has the drawback of worsening liver and kidney function metabolism, leading to liver damage. At the same time, it may cause drowsiness, dizziness, dry mouth, nausea, indigestion, and other symptoms.

Professor Yu Yanbing from the General Hospital of Civil Aviation believes that microvascular decompression surgery is a treatment method for the cause of trigeminal neuralgia, which can preserve the anatomical integrity of the trigeminal nerve. It is currently a safe and effective method for functional treatment of trigeminal neuralgia.

How to treat trigeminal neuralgia with traditional Chinese medicine? Trigeminal neuralgia is a branch of the human nervous system located in the head, specifically in the trigeminal nerve. It is one of the types of headaches that people may experience. Many people may experience symptoms of headaches, which may be trigeminal neuralgia. So, how can trigeminal neuralgia be treated? What traditional Chinese medicine can be taken for trigeminal neuralgia?

1. Treatment of trigeminal neuralgia Chrysanthemum, chuanxiong, gastrodia, asarum, angelica, rhizoma cyperi, vitex negundo, safflower, saposhnikovia divaricata, dahurian angelica, and radix rehmanniae are taken in equal parts and ground into fine powder. It should be taken twice a day, 6 grams each time, with warm water. This can effectively treat trigeminal neuralgia.

Trigeminal neuralgia belongs to the category of "headache" and "facial pain" in traditional Chinese medicine. Its pathogenesis is related to liver depression transforming into fire, phlegm obstruction, and deficiency of Qi and blood. It is often caused by the invasion of wind and cold, leading to the obstruction of Qi and blood in the head and face. Traditional Chinese medicine believes that "wind is the cause of many diseases," and the head (face) is the highest part of the body, making it the most susceptible to wind evil.

Chuanxiong in the formula has the functions of ascending and dispersing, promoting blood circulation, and relieving pain, making it an important herb for treating headaches and facial pain. Angelica can nourish blood, regulate menstruation, promote blood circulation, and relieve pain. Safflower can promote blood circulation, remove blood stasis, and relieve pain. The combination of chuanxiong, angelica, and safflower can simultaneously promote Qi and blood circulation, disperse blood stasis, relieve pain, and enhance the therapeutic effect. Bai Zhi can dispel wind and cold, unblock meridians, and relieve pain. Asarum and gastrodia can dispel wind, relieve spasm, dispel cold, and eliminate dampness. Adding rhizoma cyperi can promote blood circulation, remove blood stasis, and relieve pain. The combination of these four herbs significantly enhances the analgesic effect. Additionally, chrysanthemum can dispel wind, clear heat, calm the liver, and relieve pain. Gastrodia can dispel wind and dampness, and relieve pain. Vitex negundo can disperse wind-heat, clear and unblock head meridians. Saposhnikovia divaricata can dispel wind, eliminate dampness, and relieve pain. This formula can effectively promote blood circulation, dispel wind, eliminate dampness, and relieve pain. It can be used for the treatment of trigeminal neuralgia, vascular headaches, and various types of headaches.

Note: The above formula is an adjusted variation of the "chuanxiong tea formula" (chuanxiong, saposhnikovia divaricata, asarum, and vitex negundo). Studies have shown that chuanxiong tea can inhibit platelet aggregation, relieve small blood vessel spasms, and improve blood and oxygen supply to the heart and brain. It can promote blood circulation, eliminate stasis, invigorate blood vessels, dispel wind, and relieve pain. It is indeed the fundamental formula for the clinical treatment of various types of headaches.

2. Cupping therapy in traditional Chinese medicine can expel cold Currently, many people choose air cupping. By extracting air, the pores of the skin can expand, making the tissues loose and allowing the expulsion of cold. However, during the cupping process, the pores are open, making it easy for Yang Qi to be depleted and for external pathogens to invade. This is especially true for people with weak constitution or the elderly, who should be cautious when using cupping therapy. To expel cold, one can choose moxibustion or fire cupping, which create a warm environment around the skin's pores, to a certain extent preventing the invasion of external wind and cold.

It should be noted that people with joint, cervical, or lumbar spine disorders should not engage in excessive physical activity during autumn, to avoid excessive sweating and depletion of Yang Qi. It is recommended to choose gentle and mild exercises with low intensity. When the body feels slightly warm but has not started sweating, it is advisable to stop exercising at this point. This can ensure the internal preservation of Yin essence, prevent the depletion of Yang Qi, and enhance one's resistance. After exercise, it is recommended to consume foods that nourish Yin, moisturize the lungs, and replenish fluids, such as pears, sesame, honey, and tremella.

Cupping therapy can unblock meridians, regulate Qi and blood, and balance Yin and Yang. However, it cannot cure all diseases. Whether it is dampness invading the body or wind and cold invading the meridians, cupping therapy can only relieve symptoms and cannot eliminate the root cause of the disease. The first explanation has some truth, but it is not comprehensive.

First, it is important to determine whether the dampness in the body is internal or external: prolonged exposure to air conditioning in the summer can easily cause external dampness. In this case, cupping therapy can be effective. However, if excessive consumption of cold and raw fruits and vegetables leads to internal dampness, cupping therapy will have minimal effect. Cupping therapy has a wide range of applications and is not significantly affected by seasons. However, in the cold weather of autumn and winter, removing clothes during cupping may cause chilling, so it is important to keep warm.

Trigeminal neuralgia, also known as "facial pain," is easily confused with toothache. Because the etiology and pathology of trigeminal neuralgia are still unclear, the goal of treatment should be long-term pain relief. There are various methods for pain relief. Below, we will introduce the medications used for the treatment of trigeminal neuralgia.

Medication treatment is the foundation of all treatment methods for trigeminal neuralgia, regardless of whether it is closed treatment or surgical treatment. Medication treatment is also the most conservative treatment method for trigeminal neuralgia. The commonly used medications for trigeminal neuralgia treatment include: Carbamazepine, phenytoin sodium, clonazepam, sodium valproate, and vitamin B12. Let's now introduce the medications used to treat trigeminal neuralgia.

Carbamazepine: [English name]: Carbamazepine. [Also known as]: Oxcarbazepine, Tegretol, Carbamazepine. [Dosage]: Oral: ① Adults, 100-200mg per dose, 1-2 times a day, gradually increasing to 400mg per dose, 2-3 times a day. ② Children, 10-20mg/kg per day, divided into multiple doses. [Precautions]: It can cause hypothyroidism. High doses can cause atrioventricular block and should be controlled. It should be avoided in individuals with impaired heart, liver, or kidney function, as well as in pregnant or lactating women. It should be used with caution in glaucoma, severe cardiovascular diseases, and the elderly. Regular blood tests, liver function tests, and urinalysis should be performed.

Sodium valproate: [English name]: Sodium Valproate. [Also known as]: Divalproex sodium. [Dosage]: Oral: Adults, 200-400mg per dose, 2-3 times a day. Children, 30-60mg per day, divided into multiple doses. It is generally advisable to start with a low dose. [Precautions]: It should be avoided in individuals with a history of jaundice caused by medications, as well as those with liver disease or significant liver dysfunction. It should be used with caution in individuals with blood disorders, a history of liver disease, impaired kidney function, or organic brain disease.

Vitamin B12: [English name]: Vitamin B12. [Also known as]: Cobalamin, Cyanocobalamin, Anti-pernicious anemia factor vitamin. [Dosage]: ① Intramuscular injection: 50-200ug per dose, once daily or every other day. The dosage can be increased when treating neurological disorders. ② Oral: 25mg per dose, 3 times a day. [Precautions]: ① Intrinsic factor deficiency in pernicious anemia affects the intestinal absorption of vitamin B12, necessitating intramuscular administration. ② It can accelerate nucleic acid degradation, leading to elevated blood uric acid levels and triggering gout attacks. ③ Hypokalemia should be monitored during medication use.

Medication treatment is highly suitable for two types of patients with trigeminal neuralgia: those who are afraid of the pain of surgery and those who are afraid of the risks of trigeminal neuralgia surgery. Medication treatment for trigeminal neuralgia can temporarily relieve pain. As time goes on and drug resistance develops, the treatment effectiveness decreases and side effects become more apparent.

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