Xu Li-Wei, Song Chun-Xia, Quan Xing-Miao, Liu Yu-Lan, Wu Song-Bai
Department of Traditional Chinese Medicine, Affiliated Hospital of Chengde Medical College, Chengde 067000, Hebei Province, China.
Zhen Ci Yan Jiu. 2020 Apr 25;45(4):330-3. doi: 10.13702/j.1000-0607.190447.
To observe the clinical effectiveness of Jingjin (muscle region) needling in the treatment of Hunt facial paralysis (HFP).
A total of 80 HFP patients were randomly divided into acupuncture and medication groups (＝40 cases/group). Jingjin needling was applied to Yangbai(GB14) to Shangxing (GV23), Touwei (ST8), Cuanzhu (BL2), Sizhukong (TE23，penetrative needling), Dicang (ST4) to Jiache (ST6, penetrative needling), Yingxiang(LI20) and Xiaguan(ST7), Hegu(LI4), Yifeng (TE17), Yuyao (EX-HN 4), and Shenmai (BL62), with the needles retained for 30 min. The treatment was conducted once daily, with 10 consecutive days being a therapeutic course, and 3 courses altogether. Patients of the medication group received oral administration of Prednisone acetate (12 days), Acyclovir (7 days), intramuscular injection of Vitamin B and Vitamin B(10 days), then, oral administration of Vitamin B successively. The therapeutic effect was assessed by using House-Brackman (H-B) facial function grading system (grade I to VI), traditional Chinese medicine (TCM) sign and symptom score, and facial disability index (FDI) scale including FDI physical function (FDIP, food and water swallowing, speaking-pronouncing, dryness or tearing, and mouth-opening) and FDI social function (FDIS, self-rating anxiety/depression scales), separately.
After the treatment, the TCM symptom and sign scores for depth of nasolabial groove, nose shrugging, lower lip asymmetry, food retention and post-auricular pain were significantly lower in the medication group (<0.05)．After the treatment, the TCM symptom and sign scores for frontal muscle movement, eyelid opening and closing, depth of nasolabial groove, nose shrugging, lower lip asymmetry, cheek blowing, food retention, latissimus cervicalis contraction, taste disorder, hearing hypersensitivity, tears and discomfort and post-auricular pain were significantly lower in the acupuncture group (<0.05)．Comparison between two groups showed that the TCM symptom and sign scores for frontal muscle movement, eyelid opening and closing, depth of nasolabial groove, nose shrugging, lower lip asymmetry, cheek blowing, food retention, latissimus cervicalis contraction, taste disorder, hearing hypersensitivity, tears and discomfort and post-auricular pain were significantly lower in the acupuncture group than in the medication group(<0.05)．The scores of FDIP and FDIS were significantly increased in both groups (<0.01) and notably higher in the acupuncture group than in the medication group (<0.01) after the treatment. The total effective rate of acupuncture group was 97.5% (39/40), and that of medication group was 72.5% (29/40). The therapeutic effect of the acupuncture group was significantly superior to that of the medication group (<0.01)．.
Jingjin needling has a good therapeutic effect in improving facial nerve function, psychosomatic function and clinical signs and symptoms in HFP patients, evidently being better than medication.
观察经筋刺法治疗亨特面瘫（HFP）的临床疗效。
将80例HFP患者随机分为针刺组和药物组（每组40例）。经筋刺法选取阳白（GB14）至上星（GV23）、头维（ST8）、攒竹（BL2）、丝竹空（TE23，透刺）、地仓（ST4）至颊车（ST6，透刺）、迎香（LI20）、下关（ST7）、合谷（LI4）、翳风（TE17）、鱼腰（EX-HN 4）、申脉（BL62），留针30分钟。每日治疗1次，连续10天为1个疗程，共3个疗程。药物组患者口服醋酸泼尼松（12天）、阿昔洛韦（7天），肌肉注射维生素B和维生素B（10天），之后依次口服维生素B。采用House-Brackman（H-B）面部功能分级系统（Ⅰ级至Ⅵ级）、中医症状体征评分、面部残疾指数（FDI）量表（包括FDI身体功能（FDIP，食物和水吞咽、说话发音、干燥或流泪、张口）和FDI社会功能（FDIS，自评焦虑/抑郁量表））分别评估治疗效果。
治疗后，药物组鼻唇沟深度、耸鼻、下唇不对称、食物残留、耳后疼痛的中医症状体征评分显著降低（<0.05）。治疗后，针刺组额肌运动、眼睑开合、鼻唇沟深度、耸鼻、下唇不对称、鼓腮、食物残留、颈阔肌收缩、味觉障碍、听觉过敏、流泪及不适感、耳后疼痛的中医症状体征评分显著降低（<0.05）。两组比较，针刺组额肌运动、眼睑开合、鼻唇沟深度、耸鼻、下唇不对称、鼓腮、食物残留、颈阔肌收缩、味觉障碍、听觉过敏、流泪及不适感、耳后疼痛的中医症状体征评分显著低于药物组（<0.05）。治疗后两组FDIP和FDIS评分均显著升高（<0.01），且针刺组显著高于药物组（<0.01）。针刺组总有效率为97.5%（39/40），药物组为72.5%（29/40）。针刺组治疗效果显著优于药物组（<0.01）。
经筋刺法在改善HFP患者面神经功能、身心功能及临床症状体征方面具有良好疗效，明显优于药物治疗。
