[针刺治疗面瘫63例观察]

[Observation on 63 cases of facial paralysis treated with acupuncture].

作者信息

Liu J, Jiang D, Yu M, Yang J

机构信息

Institute of Acupuncture and Moxibustion, China Academy of Traditional Chinese Medicine, Beijing.

出版信息

Zhen Ci Yan Jiu. 1992;17(2):85-6, 89.

PMID:1288929

Abstract

Sixty-Three cases with facial paralysis were treated mainly by acupuncture combining with point injection. The main points selected were Yangbai (GB14), Wai Jingming (BL1), Sibai (ST2), Yingxiang (LI20), Dicang (ST4), Jiache (ST6), Quanliao (ST18) and Qianzheng. The points were used alternatively. Auxiliary points: for type of deficiency of both qi and blood, Zusanli (ST36), and Sanyinjiao (SP6) were added: for type of disharmony between Ying and Wei, Fengchi (GB20) and Hegu (LI4) were added; for type of stagnancy of qi and blood, Weiguan (TE5) and Taichong (LR3) were added; for type of wind-heat stagnating collaterals, Yifeng (TH17) and Yanglingquan (GB34) were added. 10 out of 60 cases, which showed no remarkable effectiveness after two courses, injection of vitamin B1 and vitamin B12 to facial points combined with Hegu (LI4) point on opposite side was performed. Therapeutic results: 31 cases (49.2%) were cured, 15 cases (23.8%) markedly effective, 16 cases (25.4%) effective and 1 case (1.6%) ineffective.

摘要

63例面瘫患者主要采用针刺结合穴位注射治疗。选取的主穴为阳白（GB14）、外睛明（BL1）、四白（ST2）、迎香（LI20）、地仓（ST4）、颊车（ST6）、颧髎（ST18）和牵正。穴位交替使用。配穴：气血两虚型加足三里（ST36）、三阴交（SP6）；营卫不和型加风池（GB20）、合谷（LI4）；气滞血瘀型加外关（TE5）、太冲（LR3）；风热痹阻型加翳风（TH17）、阳陵泉（GB34）。60例中经两个疗程治疗效果不显著者10例，采用维生素B1及维生素B12面部穴位注射并配合对侧合谷（LI4）穴治疗。治疗结果：治愈31例（49.2%），显效15例（23.8%），有效16例（25.4%），无效1例（1.6%）。