A patient presents with facial numbness and paresthesia over the trigeminal area. What should you do?

In this case, the presence of facial numbness and paresthesia over the trigeminal area suggests a potential neurological issue, such as trigeminal neuralgia or another condition affecting the trigeminal nerve. While referral to a neurologist could be seen as a helpful step in management, making a TCM diagnosis and treating appropriately can also play a significant role in the patient's care.

The correct approach involves first considering the patient's immediate needs which, in cases of neurological symptoms such as those described, often require a referral to a specialist who can diagnose and manage conditions related to nerve function. A neurologist is well-equipped to assess the symptoms and determine the underlying cause.

In traditional Chinese medicine, understanding the underlying disharmony contributing to the symptoms is also important, but it should not precede a referral in cases where there is a significant risk of serious underlying pathology. The correct response, therefore, is to reinforce the referral to a neurologist to ensure that the patient receives the appropriate diagnostic evaluation and management for the neurological aspects of their presentation.

Overall, while TCM can provide beneficial insights and treatment options, timely referral to a neurologist can be crucial in managing potentially serious conditions impacting nerve function, making the reinforcement of that referral the best choice