In 2018 I treated two patients with trigeminal neuralgia (TN). The results of both treatments are satisfactary. Both patients are female, 60s, one with history of 10years, the other one of 4 years. Both were taking medication. Although they were diagnosed with TN, but in TCM, they belong to different category. One has water retention in Shaoyang meridian, which can compress on the trigeminal nerve. The other one has Yin difficency, which can harm the norishment of nerve. In first patient I use Chai hu jia long gu mu li Tang together with acupunture to treat anainst the Shaoyang water retention. After one week, the patient notice the relieve of pain, around 40 percent less. After 10 sessions of acupuncture and herbs treatments, the pain completely disappear. she also stopped her medicine. In second patient, I use Yi Guan Jian and acupunture to norish the Yin energy and the trigeminal nerve. After 6 sessions of treatments, she reported much better, just in 10pm the pain began and last for one hour. After 10 sessions her pain almost disappear. She also reduced her medicine.