H23 Supraorbital Cutaneous

This ARP is formed right on the supraorbital notch, which is the passage for the supraorbital nerve (see Fig. 8-13). This cutaneous nerve from the ophthalmic branch (V1) of the trigeminal nerve extends to the top of the head. The method of needling this point is similar to that for the H19 infraorbital.

The supraorbital nerve is smaller than the infraorbital nerve; therefore the H23 supraorbital becomes sensitive after the H19 infraorbital. For example, the H19 infraorbital point is always sensitive in a patient with a slight headache. If the headache lingers on, the H23 supraorbital point becomes sensitive, too. If the headache continues further, other points in the face—such as the mental nerve (V3), the zygomaticofacial nerve (V2), and the zygomaticotemporal nerve—also become sensitive. The more sensitive points there are, the more chronic and more severe the symptom is and the more treatments are needed.

In treatment of patients with facial problems such as temporomandibular pain, chronic sinus pain, or facial paralysis, other points innervated by the facial nerve (VII) should be carefully palpated and selectively needled according to the individual symptom.

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