General Information
4 na babae, edad ay 31, 56, 60, 73 taon. 2 na lalaki, edad ay 34 at 61 taon. 2 na babae ay may right facial paralysis, ang iba ay left facial paralysis.
Primary symptoms:
Malabo ang bibig, ang nasolabial groove ay nababawasan, ang mata ay hindi maaaring isara, hindi makapag-angat ng kilay, hindi makapag-blow, hindi makapag-angat ng kilay, hindi makapag-angat ng labia, ang labia ay bumababa kapag binubuka, ang mukha ay nabibilang sa healthy side, ang dila ay mapula, ang balat ay mabigat o maliwanag, ang pulso ay mabigat o mabigat.
Treatment method:
Ginamit ang acupuncture at massage, gamit ang manipulative techniques, walang gamot o electro-acupuncture. Principle: Remove wind, open the channels.
Preskripsyon: Hegu (LI4), Taichong (LR3), Qianzheng, Jia Che through Dicang, Dicang through Jia Che, Fengchi (GB20), Xia Guan (ST7), Yingxiang (LI20), Chengjiang (CV24) or Jia Chengjiang. Pumili ng 3 o 4 puntos bawat sesyon.
Additions: Kung ang mata ay hindi maaaring isara, lumuluha, idagdag ang Zanzhu (BL2), Yuyao (EX-HN4), Sizhukong (GB1), Yangbai (GB1) through Yuyao. Kung may pananakit sa likod ng tainga, idagdag ang Yifeng (SJ17). Kung may nawawala na taste, idagdag ang Lian Quan (CV23). Technique: Balanced supplementation and drainage, pulling needle method.
Procedure: Hegu, Taichong, Fengchi - use draining method. Xia Guan, Qianzheng, Yingxiang - use horizontal insertion with balanced supplementation and drainage. Yangbai - insert horizontally downward through Yuyao. Dicang - insert horizontally toward Jia Che. Jia Che - insert obliquely toward Dicang. Use the pulling needle method to make the facial muscles contract backward. Leave the needles for 20 minutes. The rest of the points use balanced supplementation and drainage.
Effectiveness: All 6 cases were clinically cured after one course (10 sessions).
Differential Diagnosis:
Based on onset and clinical features, diagnosis is not difficult. This condition should be differentiated from central facial paralysis, facial nerve paralysis caused by acute infectious polyradiculoneuritis, and facial nerve paralysis caused by posterior cranial fossa inflammation or tumor.
Reflection:
This condition is usually due to weakened vital energy, empty channels, poor defense, allowing wind pathogen to invade the channels, causing blockage of qi and blood, leading to lack of nourishment of the face and yangming channel, resulting in flaccid muscles that cannot contract. Modern medicine has not yet clarified the exact cause, but it is generally believed to be due to local inflammation, such as rheumatic facial nerve inflammation, periosteal inflammation in the stylomastoid foramen, or mumps. In the early stage (within 1 week), inflammation is still developing, so acupuncture should use fewer points and light stimulation, or wait for 1 week before starting treatment. If the condition persists for a long time and treatment is inappropriate, the condition shifts from excess to deficiency, qi and blood cannot nourish the yangming channel, leading to atrophy and wasting of facial muscles, numbness, and even muscle twitching, or the inability to recover from facial drooping. Acupuncture treatment for this condition is feasible and effective, and can be widely promoted to benefit patients.
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