Shao Jinming (Henan College of Traditional Chinese Medicine)
The peripheral facial paralysis is commonly seen at clinic. Its main manifestation is dysfunction of muscle movement on one side of the face, thus make the facial appearance in disproportionate state. In recent two years 60 cases of facial paralysis were treated with acupuncture and moxibustion and better results were obtained. The methods and procedures are as follows:
Sixty cases of facial paralysis consisted of 33 males and 27 females. The age of patients ranged from 4 to 74 years, the majority of cases being 24-40 years group.
Duration of illness: The shortest duration was one day whilst the longest was two years. The great majority of patients fell ill about ten days.
Treatment:
1) Main needling points used were Hegu, Jiache, and Dicang. The latter two points were deeply penetrated while the Dicang point was needled as deep as to the opposite side. Yangbai, Zangzu and Sizukong were other points needled. The last mentioned point was needled deeply through Yuyiao and the point Sibai was penetrated as far as to Dicang.
2) Supplementary points would be selected as the symptoms might need. If there is a pressed pain at the root of ears or mastoid area, the points Fengchi and Yufeng should be added.
3) Methods: Except Hegu, the points of affected side were generally punctured. At beginning of the treatment, acupuncture and moxibustion should be given once a day, keeping the needles in related points for about 15 minutes. Manipulation of the needles is given 2-3 times in order to strengthen the sensation effected by the needling. One course of treatment lasted 10 days, followed by an interval of 3-5 days. If the patients' symptoms remain unchanged, needling may be repeated every other day.
Standards of efficacy are classified as follows:
(1) Recovered: The symptoms disappeared with normal expression of face and muscle movement.
(2) Excellent: The symptoms disappeared essentially; the patients could speak and laugh with less oblique lips.
(3) Better: The symptoms have taken a change for the better. The expressions of face and the muscle movement show improvement, though the wrinkles of forehead and the groove between the nose and lips appears slight ablique.
(4) Ineffective: After acupuncture and moxibustion the symptoms remain unchanged.
Results of acupuncture treatment: 45 cases (75%) were recovered, 9 cases (15%) excellent, 4 cases (6.7%) better and 2 cases (3.3%) ineffective.
The method of deep-penetrating points is more late used during the acupuncture, but at the beginning of illness stimulation should be comparatively mild. If the patients have the pressed pain at the root of ear or mastoid area, the points "Fengchi" and "Yifeng" which well help recover facial muscle should be first punctured. If the effect of acupuncture is not obvious, the moxibustion should be added to the points "Dicang" and "Jiache" in order to warm the channels, exclude the cold and restore the physiological function.
In the course of treatment the patient is forbidden to wash his face with cold water and it is necessary for the patient to put on big mask in cold days for the purpose of protecting him from the attack of cold, otherwise, the therapeutic effects may be lessened. The patient is also advised to warm his hands by friction every morning and evening, to massage the parts of illness with his hands repeatedly as an auxiliary treatment for earlier recovery.
The peripheral facial paralysis is commonly seen at clinic. Its main manifestation is dysfunction of muscle movement on one side of the face, thus make the facial appearance in disproportionate state. In recent two years 60 cases of facial paralysis were treated with acupuncture and moxibustion and better results were obtained. The methods and procedures are as follows:
Sixty cases of facial paralysis consisted of 33 males and 27 females. The age of patients ranged from 4 to 74 years, the majority of cases being 24-40 years group.
Duration of illness: The shortest duration was one day whilst the longest was two years. The great majority of patients fell ill about ten days.
Treatment:
1) Main needling points used were Hegu, Jiache, and Dicang. The latter two points were deeply penetrated while the Dicang point was needled as deep as to the opposite side. Yangbai, Zangzu and Sizukong were other points needled. The last mentioned point was needled deeply through Yuyiao and the point Sibai was penetrated as far as to Dicang.
2) Supplementary points would be selected as the symptoms might need. If there is a pressed pain at the root of ears or mastoid area, the points Fengchi and Yufeng should be added.
3) Methods: Except Hegu, the points of affected side were generally punctured. At beginning of the treatment, acupuncture and moxibustion should be given once a day, keeping the needles in related points for about 15 minutes. Manipulation of the needles is given 2-3 times in order to strengthen the sensation effected by the needling. One course of treatment lasted 10 days, followed by an interval of 3-5 days. If the patients' symptoms remain unchanged, needling may be repeated every other day.
Standards of efficacy are classified as follows:
(1) Recovered: The symptoms disappeared with normal expression of face and muscle movement.
(2) Excellent: The symptoms disappeared essentially; the patients could speak and laugh with less oblique lips.
(3) Better: The symptoms have taken a change for the better. The expressions of face and the muscle movement show improvement, though the wrinkles of forehead and the groove between the nose and lips appears slight ablique.
(4) Ineffective: After acupuncture and moxibustion the symptoms remain unchanged.
Results of acupuncture treatment: 45 cases (75%) were recovered, 9 cases (15%) excellent, 4 cases (6.7%) better and 2 cases (3.3%) ineffective.
The method of deep-penetrating points is more late used during the acupuncture, but at the beginning of illness stimulation should be comparatively mild. If the patients have the pressed pain at the root of ear or mastoid area, the points "Fengchi" and "Yifeng" which well help recover facial muscle should be first punctured. If the effect of acupuncture is not obvious, the moxibustion should be added to the points "Dicang" and "Jiache" in order to warm the channels, exclude the cold and restore the physiological function.
In the course of treatment the patient is forbidden to wash his face with cold water and it is necessary for the patient to put on big mask in cold days for the purpose of protecting him from the attack of cold, otherwise, the therapeutic effects may be lessened. The patient is also advised to warm his hands by friction every morning and evening, to massage the parts of illness with his hands repeatedly as an auxiliary treatment for earlier recovery.
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