Hou Shu-Wei, Zhang Chang-Yun, Wang Chang-Chun
Department of Acupuncture and Moxibustion, The Affiliated Hospital of Shandong University of TCM, Jinan 250011, China.
Zhongguo Zhen Jiu. 2012 Jul;32(7):607-10.
To explore the control principles of treatment amount of acupuncture and moxibustion for peripheral facial paralysis. (1) Early stage: in this period, the selected acupoints should be few, therapy should be easy and simple, and the treatment amount should be small and basically constant, which is called constant acupoints and amount. (2) Middle stage: the treatment of this stage should be given with more acupoints and various therapies, the treatment amount should be gradually increasing and reach the peak within a certain time and keep it for an appropriate time, which is called increasing acuponts and amount. (3) Late stage: the treatment at this stage should be given with more acupoints, lesser therapies, and the treatment amount should be gradually decreasding and get the valley point within a certain time, which is called more acupoints and less amount. (4) Sequelae stage: the selection of acupoints at this stage should be focus on areas which there are the obvious symptoms, and solo type of therapy and little treatment amount is required, which is called changing acupoints and little amount. In a word, the best therapeutic effect could be achieved on condition that the control principles of treatment amount for peripheral facial paralysis are followed during the clinical practice.
探讨针灸治疗周围性面瘫的治疗量控制原则。(1)急性期:此期选穴宜少,治法宜简便,治疗量宜小且基本恒定,称为定穴定量。(2)恢复期:此期治疗应增加穴位,采用多种治法,治疗量应逐渐增加,在一定时间内达到高峰并维持适当时间,称为增穴增量。(3)后遗症期:此期治疗应增加穴位,减少治法,治疗量应逐渐减少,在一定时间内达到低谷,称为多穴少量。(4)后遗症期:此期选穴应针对症状明显的部位,采用单一治法,治疗量少,称为变穴少量。总之,临床实践中遵循周围性面瘫治疗量控制原则,才能取得最佳治疗效果。