Abstract：This paper analyzes the current situation of acupuncture and moxibustion in the treatment of primary trigeminal neuralgia(PTN)， and emphatically discusses the rules of point selection， treatment scheme and existing differences of acupuncture and moxibustion for PTN. It is considered that acupuncture and moxibustion is effective in the treatment of PTN， but the point selection methods and treatment scheme are diversified. How to choose the best acupuncture treatment scheme and how to deal with the differences still require further clinical research to provide reliable evidence.