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[采用温针改良针刺技术治疗周围性面瘫]

[Peripheral facial paralysis treated with the adapted acupuncture technique of heat-producing needling].

作者信息

Zhang Xi, Weli Qing-Lin

机构信息

Acupuncture and Massage Department, Gansu College of TCM, Lanzhou 730020, China.

出版信息

Zhongguo Zhen Jiu. 2011 Sep;31(9):803-5.

PMID:21972629
Abstract

OBJECTIVE

To improve the manipulations of traditional heat-producing needling, and observe its therapeutic effect on peripheral facial paralysis.

METHODS

Acupuncture was adopted for all the 50 patients with peripheral facial paralysis. Acupoints such as Dicang (ST 4), Jiache (ST 6), Qianzheng (Extra), Fengchi(GB 20), Yifeng (TE 17) of the affected side, Hegu (LI 4) of the healthy side, Shousanli (LI 10), Zusanli (ST 36) and Taichong (LR 3) of both sides were adopted. And an adapted heat-producing needling was applied. With the left thumb of the doctor press at the point, the needle was rotated slowly with the right thumb moving forward and index finger moving backward to maintain the needling sensation. Then, heavier pressure was given with the left thumb, and a 9-time lifting and thrusting manipulation with small amplitude, low and even frequency by the right thumb and the index finger. Heavy pressure was maintained by the left thumb, and the needle was inserted by the right thumb and index finger to promote the needling sensation. Thus, the tip of the needle was always kept at the level where the needling sensation appeared. Therefore, a heat sensation can be felt by the patient under the needle or at the distal area. The treatment should be given once a day. And therapeutic effect was observed after 15 times continue treatment.

RESULTS

All the 50 patients were cured without any sequela.

CONCLUSION

Adapted heat-producing needling can promote the recovery of the function of facial muscle, and the effect of treatment of peripheral facial paralysis with the manipulation is confirmed.

摘要

目的

改进传统温针操作方法,观察其治疗周围性面瘫的疗效。

方法

对50例周围性面瘫患者均采用针刺治疗。选取患侧地仓(ST4)、颊车(ST6)、牵正(奇穴)、风池(GB20)、翳风(TE17),健侧合谷(LI4),双侧手三里(LI10)、足三里(ST36)、太冲(LR3)等穴位,采用改良温针。医者左手拇指按压穴位,右手拇指向前、示指向后缓慢捻转针体以维持针感,然后左手拇指加重压力,右手拇指与示指做小幅度、低频率、均匀的提插9次,左手拇指持续重压,右手拇指与示指将针插入以增强针感,使针尖始终保持在有针感出现的层面,使患者针下或远端产生热感。每日治疗1次,连续治疗15次后观察疗效。

结果

50例患者均治愈,无任何后遗症。

结论

改良温针可促进面部肌肉功能恢复,证实了该手法治疗周围性面瘫的疗效。

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