Trigeminal Neuralgia, the Meridian Massage Approach

Trigeminal neuralgia pain along branches of the trigeminal nerve.

Trigeminal neuralgia pain along branches of the trigeminal nerve.

Trigeminal Neuralgia is painful!

“Neuralgia” means pain along a nerve. Nerve pain is particularly challenging because of its intensity.
The trigeminal nerve is a three branched (“tri”) nerve that covers a large area on the side of the face (see image).
Trigeminal Neuralgia is a very painful condition usually affecting one side of the face. Something has irritated the trigeminal nerve, which results in the sensation of pain – this is the perspective from western medicine.

Meridian Massage Approach to Trigeminal Neuralgia

When Qi cannot flow, it backs up, gets stuck, and it stagnates. Wherever Qi stagnates, there is the potential for pain. Meridians are the pathways where Qi flows. There are several meridians on the sides of the face but two, in particular, almost mirror portions of the trigeminal nerve.

  1. The San Jiao (or Triple Heater) meridian wraps tightly around the ear and then travels to the outer eyebrow (see image below).
    San Jiao Meridian

    The San Jiao Meridian is on both sides of the head.

  2. The Gallbladder meridian crosses the sides of the head several times, and also passes close to the outer eye and ear (see image below).
    Gallbladder meridian

    The Gallbladder meridian is on both sides of the head.


Move the Qi to relieve pain

Since stagnant Qi can give rise to pain, let’s move the Qi to relieve the pain. This is a simple premise that yields great results. By activating a few points on the Gallbladder and San Jiao meridians, we help move the Qi in order to relieve the pain.

Acupoints to relieve trigeminal neuralgia

There are many points on the face that can be used. Below are a few to get you started:

  1. San Jiao (SJ) 21, SJ 22, and SJ 23
    San Jiao acupressure points

    San Jiao acupressure points for trigeminal neuralgia

  2. Gallbladder  (GB) 1, GB 2, GB 7, GB 14, GB 20
    Gallbladder acupressure points

    A few Gallbladder acupressure points


How to massage acupoints

Make very light contact with these points, especially when there is pain.
Ask the person you are working with to tell you how much pressure feels comfortable to them. It is likely that the amount of pressure that is best will vary from point to point, so keep asking for feedback.

Use the soft tip of your fingers or thumb to gently contact acupoints.

Use the soft tip of your fingers or thumb to gently contact acupoints.

With the soft part of your finger or thumb on the point, think about gently sinking into the point. I find that “sinking into a points” creates more comfortable contact for my client than “pushing pressure” into points. Because there is so much pain and sensitivity with trigeminal neuralgia, making gentle contact is of the utmost importance.
For more about working with acupoints, here is a previous post: How to Apply Pressure to Acupoints.”

Move the Qi

We are assuming that the pain is coming from Qi that is not moving through the meridians. Therefore, the intention of our contact with the acupoints is to help get the Qi moving again; maintain this intention while contacting the points. If it is comfortable to your client add tiny, gentle, circular motions in order to help move the Qi.
To continue learning, check out the “Trigeminal Neuralgia Support” video on demand.

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Cindy Black

Cindy Black is the Founder of Big Tree School of Natural Healing and the author of Meridian Massage, Pathways to Vitality. She is appreciated for her ability to make the complex accessible, fun, and practical.


  1. Poojitha on October 6, 2021 at 9:45 am

    Hi Cindy,

    I’ve TN for the last 8 years. I’m on tegretol. When the pandemic started to about 3 months back my pain was very manageable and reduced my dosage of tegretol. Now it’s showing up again in 2 branches of the nerve. More than anything I get too worried and scared when this hits. So these will help me calm down as well? Also how to massage. Is it press release or circular motion massage? 25 to 30 times?

    I have done this but this time want to know the right way to do it.


    • Cindy Black on October 6, 2021 at 12:21 pm


      I am glad that you are going to try the acupressure points again – take your time, experiment and follow the 7 steps outlined in this blog post>> How to Apply Pressure to Points

      Feel your breath while you apply the pressure – add a little more pressure as you exhale and release a bit as you inhale, this will help you to relax a bit too.

      I hope you are feeling better very soon!
      – Cindy

  2. Anita York on May 21, 2020 at 9:50 pm

    Dear Cindy,
    Thank the Lord I found your page! I’ve been suffering with TN for several years, and when I looked up the medical treatments — surgery and pain meds — I opted against them. Especially since the surgical options are so radical and may only be temporary fixes, requiring them to be repeated. I’ve used natural topical remedies, heat or cold treatments, and lots of prayer to get me to this point, and I’ve had several remissions over the years. However, it’s back with a vengeance. I’ve been wondering about acupressure, and while searching the web tonight, I found you! The correct points to use were exactly what I was looking for. You show these so clearly! Thank you so much!

    • Cindy Black on May 23, 2020 at 7:02 am

      Dear Anita,

      Thank you for writing, I very much appreciate hearing from you and knowing that these points are finding their way into your hands and healing journey!

      Wishing you health and happiness,
      – Cindy

  3. Yogi on March 3, 2020 at 1:22 pm

    I had scalp, forehead, and eyelid shingles two years ago and it was brutal. I have muscle and eye damage (not cornea) now as a result. My right eye is stuck to the right when it should be looking straight ahead. My eyes don’t work together any longer and I can’t think quite as clearly or see depth or focus like I used to. I am still numb on my eyelid, forehead, and scalp. Would these pressure points be helpful for me now? If so, is there any other advice? Thank you so much.

    • Cindy Black on March 4, 2020 at 9:31 am

      Points have many functions and potentials – I would try these points, working gently and a little at a time. The key to knowing if/how they will work for you is to experiment and notice your experience. I would experiment with gentle pressure to the points on both sides of the head and really pay attention to what you feel, make little changes, follow your intuition and notice what changes.

      I hope that you get relief
      – Cindy

  4. Ali on June 23, 2019 at 5:43 am

    Hi Cindy.
    I have recently been diagnosed with TN.
    I’m researching everything holistic that will help with the pain as I do not want to take the horrendous drugs prescribed.
    I’m using a very good CBD oil which seems to be excellent in managing the pain.
    I’ll try using these points too.
    Thank you for putting out this information.

    • Cindy Black on June 23, 2019 at 7:49 am

      You are welcome Ali – I hope the points help to bring you relief.
      – Cindy

    • Jennifer on November 6, 2019 at 2:49 pm

      How do you use the CBD oil? In water, if so how much? Ingest it or rub it on pain areas? I’ve been recently diagnosed with atypical TN and am looking for solutions. I had many teeth pulled from chronic pain, unfortunately it was unnecessary. I’ve started shiatsu massage and ordered a good quality CBD oil.
      A few drops in a beverage? Thanks for your help.

      • Cindy Black on November 6, 2019 at 3:50 pm

        Hi Jennifer,
        I don’t use CBD oil so can’t advise you. I hope the Shiatsu helps you!
        – Cindy

  5. Cat on November 26, 2018 at 8:53 pm

    Thank you so much. I have been making use of your information about pressure points for TN for a couple of months now with great relief. With your permission I want to share it with others who suffer with this frightful affliction.

    Again, thank you!

    • Cindy Black on November 26, 2018 at 9:18 pm

      I am so happy to hear that you are getting some relief!!! Yes, feel free to share with others.


  6. Cindy on November 11, 2018 at 5:08 am

    Hi Cindy

    I am been treated with medicines for about 6months now with little to no relief.

    Could you please share if a daith piercing could offer some relief?


    • Cindy Black on November 11, 2018 at 2:05 pm

      Hi Cindy

      I do not know what that treatment is, so I cannot say anything about it. I am sorry you are in pain, you may want to consult with an Acupuncturist in your area, they may be able to help.

      – Cindy

  7. Gerda M on June 9, 2018 at 8:56 am

    I find your article great. It was sent to me by my daughter in New Zealand. Eight years ago I was diagnosed with Trigeminal Neuralgie. I had work done on my two front teeth. Immediately after the visit to the dentist we left for New Zealand. Was a very long flight . A few days after we got home after a lovely two month stay. I seem to have it basically under control. But now every time it does strike is worse and quite scared. I have found if I keep as unstressed as possible, no cold wind on my face and enough sleep it seems to be better.

    I am on Degranol. I take half of a 200mg tablet every morning with my high blood pressure tablets. I am 74 yrs old. I have tried not taking the half tablet that does not work. After a few days the neuralgia sticks its neck out. If I do get an attack I have a full tablet for a day or two.

    Your method sounds amazing as I feel less medication is better than more. I also find if my cholesterol has a spike then my neuralgia sticks out it’s nasty head. I hope this bit of information will also help as I really feel so sorry for all those poor people suffering so much pain

    • Cindy Black on June 10, 2018 at 8:13 am

      Hi Gerda,
      Thank you for sharing your experiences!
      I imagine others will benefit from your clear personal awareness of how other factors impact your symptoms.
      I hope you are able to keep moving toward balance and ease – thanks again for writing.

      – Cindy

  8. Tish on June 3, 2018 at 6:46 pm


    I was diagnosed with TN last year in 2017. It started with little pains/shocks in my teeth & now pain in my head at times. I was on Tegretol for a few months . I thought the TN had gone away so came off the meds. It has now come back every so often with pain in my teeth & head again. I will try the things you recommended. I see a chiropractor & also plan to see a physio therapist for more help. I am 51 & this is not the way I hoped my life would go. I get down sometimes. Wish it would all go away.

    • Cindy Black on June 4, 2018 at 7:51 am

      Hi Tish,
      Give these points a try as they may provide some relief. Use very gentle contact, a little at a time.

  9. […] Trigeminal Neuralgia Relief […]

  10. Linda Price on October 9, 2017 at 6:58 pm

    I also have TN. It started in 2015. I have had it for the last 4 months and am going to a physical therapist who I think is helping me. He is massaging mostly the back of my neck and has also given me neck and back exercises to loosen up the muscles. I am also taking Lyrica which I think is helping. I can’t take the other meds mentioned. They did not help the pain at all. I am also a voice teacher and singer and it was difficult to even open my mouth at times. Thankfully, it is subsiding now. I think the cooler weather is helping. Does this all make sense?

    • Cindy Black on October 10, 2017 at 8:13 am

      Hi Linda,
      I am glad that you are getting relief with PT!
      I am not familiar with Lyrica.
      It sounds like you are moving in the right direction and having great results with your PT – trust your experience and gut instincts.
      There are many approaches to every condition. Since you are getting relief and improvement with your current approach, I would continue with it.

  11. LeeAnn on December 11, 2016 at 6:18 pm

    Hi Cindy –
    Was just diagnosed with TN last Monday. No pain meds (the big ones) helped. Now on Neorontin which has helped, but still get the twinges. As a graduate from Aromahead Aromatherapist Certification, I wrote on the forum and Michelle lead me to this article. THANK YOU for making it public for everyone. This with the addition of my oils will certainly help. I have a MRI with contract brain scan (hope they find my brain because I feel I’ve lost it!) Tuesday so the massage points will help pronto with my nervousness of being in the machine for the hour they’ve told me I will be. Thank you again.

    • Cindy Black, L.Ac., LMT on December 11, 2016 at 8:18 pm

      Hi LeeAnn,
      Take good care of yourself – combining your knowledge of essential oils with the points may prove to be very helpful!
      Wishing you quick and lasting relief,

    • Rachel on December 29, 2016 at 2:24 pm

      I have TN and I was wondering what essential oils have you found to work and how/where do u apply them? I’ve tried several, but none has helped my TN. I’m desperate for relief! Thanks!

      • Kc Rossi on December 30, 2016 at 8:48 am

        Hi Rachel,
        I am so sorry for your pain!
        In addition to any treatment your doctor has recommended, you could look to the essential oils of Helichrysum, Bergamot, Peppermint, German Chamomile, and Geranium to name a few.
        Perhaps creating an inhaler with a combination of 3 of the above would be a good start (5 drops each).
        Good luck!

      • Barb on September 12, 2017 at 9:52 pm

        I have found Oblas oil and peppermint oil helps.

  12. Judy on December 7, 2016 at 11:41 am

    My trigeminal neuralgia is on the right side of my face. Should I be addressing the points on both sides of my head/face, or only on the affected side?

    • Cindy Black, L.Ac., LMT on December 7, 2016 at 2:26 pm

      Hi Judy,
      Yes, I would contact the points on both sides of your face. Go slowly, very gentle contact. If the points on the affected side are too tender to touch, spend extra time on the other side.
      I hope that helps.

  13. Laure H. on December 7, 2016 at 8:52 am

    Last month, I had dental work, & the most severe lower jaw pain, accompanied by eye, & ear pain. Even though the crown work was on the top, all the pain was in the lower jaw. After 5 days, bruises started appearing, & the pain started to subside. Bruising lasted over 2 weeks! The only explanation the dentist could give was the novocaine shot must have hit the muscle.

    • Cindy Black, L.Ac., LMT on December 7, 2016 at 11:06 am

      That sounds painful, I’m glad you are getting back to balance. If you try these points, use gentle pressure, and let me know how it goes for you.

  14. Catherine on November 2, 2016 at 11:07 am

    I have had a client with TMJ (Temporomandibular Joint) disorder. Could these points help for this as well as even though its not a nerve pain.

    • Cindy Black, L.Ac., LMT on November 2, 2016 at 11:09 am

      Hi Catherine,
      Yes, these points great to help with TMJ too.

  15. jim on October 30, 2016 at 6:57 pm

    sounds like something I get a few times a year for short periods. I work on some of those points every morning. I will use them next time I get the problem. I like the idea of sinking into the point.

  16. Laura on October 17, 2016 at 1:04 pm

    After bone loss, tooth extraction, then crown & root canal in neighboring moler. The bone has all come back very well by using symphytum. But residual ‘toothache’ like pain in lower and upper points. Thank-You for this info!

    • Cindy Black, L.Ac., LMT on October 17, 2016 at 8:43 pm

      You are welcome – I hope this helps!

  17. Genesis M. Roy, LMT, ISHA on October 13, 2016 at 10:36 pm

    Thank you Cindy so much for this protocol … I have used these points with a client that has continued issues with chronic trigeminal neuralgia with much success.

    • Cindy Black, L.Ac., LMT on October 14, 2016 at 8:47 am

      That is great news! I appreciate your expertise, as is your skill is the real key to getting results.

  18. Ginny on October 13, 2016 at 3:04 pm

    Thank you for your posts inspiring me

  19. Patricia on October 13, 2016 at 11:21 am

    Good explanation, excellent images! Thank you from Mexico City!

  20. Becky on October 13, 2016 at 10:51 am

    I am diagnosed with trigeminal neuralgia and is has been randomly episodic for me … always triggered after a plain old dental cleaning appointment. The first time I was 20 years old and was given vicodin … it worked. The next time I was 50 and no pain killer worked, I had to go on neurontin and that was only semi-successful. I’ve heard each time it comes back is worse. This last time was debilitating. But I did go for craniosacral work and chiropractic to help get my body back into better alignment. The San Jiao (Triple Warmer) made me think back and in both cases of the severe pain for TN, there was intense stress going on in my life. I’m going to make use of this blog and apply this to a self-care routine. Thanks!

    • Cindy Black, L.Ac., LMT on October 13, 2016 at 12:51 pm

      Hi Becky,
      I hope these points offer you relief. I’d love to hear any results that you notice, please write back when you have the chance.

      • Manjit Soni on November 27, 2020 at 1:28 pm

        Hi Cindy … I get pain/soreness near the tailbone area when sitting. There is no deformity nor any shift of the tailbone. Pls advise the points to massage for this tailbone area soreness.
        Also where/how can I buy your book …I live in Mumbai, India.
        Tks …Manjit

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