Hu Yan-Mei, Zhu Bo-Chang
Department of Acupuncture and Moxibustion, Shanghai Xuhui District Central Hospital, Shanghai 200031, China.
Department of Acupuncture and Moxibustion, Shanghai Municipal Hospital of TCM Affiliated to Shanghai University of TCM.
Zhongguo Zhen Jiu. 2020 Aug 12;40(8):865-7. doi: 10.13703/j.0255-2930.20190615-k0002.
To introduce professor s experience that different stages of refractory facial paralysis should be treated with different acupuncture methods.In early stage of facial paralysis,identifcation is important. Electroacupuncture is applied to connect Qianzheng (Extra) with Cuanzhu (BL 2), Sibai (ST 2) and Jiachengjiang (Extra), by observing the twitches of facial muscles, it is determined whether it is easy to develop into refractory facial paralysis, in order to actively take preventive treatment. In the recovery stage of refractory facial paralysis, comprehensive therapy including acupuncture, acupoint injection, quick cupping and auricular point pressure are adopted, and penetration needling is applied at three points of mouth, three points of cheek and three points of forehead.In the sequelae stage of refractory facial paralysis，on the basis of comprehensive therapy, targeted treatment is adopted according to different sequelae.
介绍教授关于难治性面瘫不同阶段应采用不同针灸方法的经验。在面瘫早期，辨明情况很重要。采用电针连接牵正（奇穴）与攒竹（BL 2）、四白（ST 2）和夹承浆（奇穴），通过观察面部肌肉的抽动，判断是否容易发展为难治性面瘫，以便积极采取预防性治疗。在难治性面瘫恢复期，采用包括针刺、穴位注射、闪罐和耳穴压豆在内的综合疗法，并在口三点、颊三点和额三点采用透刺法。在难治性面瘫后遗症期，在综合治疗的基础上，根据不同后遗症采取针对性治疗。
