Zou Yang-Yang, Zhang Han-Yi, Ye Jing-Jing, Lu Bin, Li Han-Jun
Department of Acupuncture and Moxibustion, Qinhuai District Hospital of TCM, Nanjing 210006, Jiangsu Province, China.
Department of Rehabilitation, Jiangsu Province Official Hospital.
Zhongguo Zhen Jiu. 2022 Apr 12;42(4):425-8. doi: 10.13703/j.0255-2930.20210201-0003.
The paper introduces professor 's experience of sequential therapy for peripheral facial paralysis. The sequential therapy refers to a staging treatment, but not rigidly adheres to it. With this therapy, the acupuncture- moxibustion regimen is modified flexibly in line with the specific symptoms of illness. At the acute phase of peripheral facial paralysis, warm acupuncture at Wangu (GB 12) is predominated and electroacupuncture is not recommended at the acupoints on the face. At the recovery phase, warm acupuncture at Zusanli (ST 36) is the main therapy and electroacupuncture is applied to the acupoints on the face appropriately. Besides, for the intractable case, the tapping technique with plum-blossom needle or skin needle should be combined and exerted in the local affected region. At the sequelae phase, in order to shorten the duration of illness, depending on the different types of facial paralysis, i.e. stiffness type, spasmodic type and flaccid type, the corresponding needling techniques are provided, i.e. bloodletting and moxibustion, strong stimulation with contralateral acupuncture and the technique for promoting the governor vessel and warming up .
本文介绍了教授运用分期疗法治疗周围性面瘫的经验。分期疗法是一种分阶段治疗方法，但并非严格遵循。运用该疗法时，会根据疾病的具体症状灵活调整针灸方案。在周围性面瘫急性期，以完骨（GB 12）温针灸为主，面部穴位不建议采用电针。在恢复期，以足三里（ST 36）温针灸为主，并适当对面部穴位采用电针。此外，对于难治性病例，应在患部局部配合梅花针或皮肤针叩刺疗法。在后遗症期，为缩短病程，根据面瘫的不同类型，即僵硬型、痉挛型和松弛型，分别采用相应的针刺手法，即放血艾灸、对侧针刺强刺激以及通督温阳手法。
