Trigeminal neuralgia (TN) is often described as one of the most excruciating pain conditions known to medicine. The sudden, electric shock-like pain of TN can make simple daily activities—like speaking, chewing, or even a light touch on the face—unbearable.
Conventional medicine relies on medications and surgery to manage TN. Traditional Chinese medicine (TCM) approaches it with a holistic alternative: the Upper Gate (Shang Guan, GB3) acupoint, which has been recognized for centuries for its ability to ease pain and improve energy circulation in the face and head.
Understanding Trigeminal Neuralgia
Trigeminal neuralgia is a condition that strikes without warning. It is a chronic pain disorder affecting the trigeminal nerve responsible for facial sensation. It primarily affects older adults, especially those over 50, and is more common in women. The sudden and severe pain episodes can be triggered by everyday activities or even a gentle breeze. Because of its intensity and unpredictability, TN significantly disrupts a person’s life.
Conventional Treatments and Associated Risks
Doctors typically prescribe carbamazepine, an anti-seizure medication, as the first-line treatment for TN. This drug helps dull nerve pain but may cause side effects such as dizziness, drowsiness, or nausea. If medication proves ineffective, surgical procedures like microvascular decompression may be recommended to relieve pressure on the trigeminal nerve. Some patients also explore Botox injections or nerve blocks to manage their symptoms.
Special Warning
Individuals of Asian descent, particularly those with Han Chinese ancestry, should take extra precautions before using carbamazepine. This is because of the HLA-B*1502 gene, which significantly increases the risk of Stevens-Johnson syndrome and toxic epidermal necrolysis—potentially fatal skin reactions. Because of this risk, genetic screening is highly recommended before starting carbamazepine therapy in Asian patients.
A Natural Approach to Pain Relief
Shang Guan was first described in “The Spiritual Pivot,” a classic text on traditional Chinese medicine believed to date back to the first century B.C.E. It has been recommended for treating headaches and toothaches, and its unique ability lies in alleviating trigeminal neuralgia. By activating this point, you can enhance the circulation of qi and blood in the head, naturally relieving discomfort.
Modern research validates this historical knowledge. A 2020 study compared acupuncture, medication (carbamazepine), and surgery for trigeminal neuralgia treatment. The study found that acupuncture had the highest success rate at 86.5 percent, outperforming surgery at 79.3 percent and medication at 71.7 percent. Acupuncture also had fewer side effects, was the least stressful for patients, and most cost-effective long-term solution. Though some data on side effects were inconsistent, acupuncture appeared to be a safer approach.
Locating and Stimulating Shang Guan
Locating this acupoint is straightforward. Shang Guan is found just in front of the ear, on the upper border of the cheekbone, in a little depression that feels slightly sore or tender to the touch. When you open and close your mouth, you may feel a slight movement in this area, making it easier to pinpoint.
To stimulate Shang Guan and relieve pain, try the following gentle yet effective techniques:
- Direct Pressure: Use your thumb or index finger to press firmly for 3–5 seconds, then release for 3 seconds. Repeat for 1–3 minutes on each side.
- Circular Massage: Apply moderate to firm pressure and massage in small circles using your index, middle, and ring fingers for 1–3 minutes per side. A soothing ointment or massage cream can enhance this process.
2 Precautions
- Avoid stimulating Shang Guan acupoint if you have injuries, swelling, or infections in the area.
- While acupressure is safe, acupuncture on Shang Guan is often discouraged due to its proximity to sensitive structures in the head.
A Holistic Self-Care Tool for Long-Term Relief
Shang Guan is not just a remedy for existing pain—it can also be used as a preventative measure to maintain energy flow in the head and face. If you or someone you know struggles with trigeminal neuralgia or facial nerve pain, consider incorporating this acupoint into a regular wellness routine. Sometimes, holistic methods like acupressure can provide relief that even conventional medicine struggles to match.
By sharing this knowledge, you may help someone discover a natural and effective way to manage their pain and improve their quality of life.
Originally published in Epoch Times on 19 Feb 2025
