Duan Wenwen, Chen Dan, Huang Zubo, Zeng Yue, Liu Shanshan, Wang Chao, Zhou Hao
School of Acupuncture-Moxibustion and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
Sichuan Clinical Research Center for Sub-Health, Sichuan Integrative Medicine Hospital, Chengdu, China.
Front Neurol. 2025 Apr 24;16:1516904. doi: 10.3389/fneur.2025.1516904. eCollection 2025.
Peripheral facial paralysis is the dominant treatment disease of acupuncture. A large number of studies have proved the effectiveness of acupuncture in the treatment of peripheral facial paralysis. However, the underlying biological effect remains in an exploratory phase. This article will sort out and summarize the existing research mechanisms from the following aspects: inflammatory response, immune regulation, neurotransmitters, immune response, facial microcirculation, oxidative stress, changes in nerve structure and function, specificity of acupoints, acupuncture intervention time, and other potential mechanisms aiming to provide a scientific foundation for the role of acupuncture in the treatment of peripheral facial paralysis. Furthermore, the review discusses future directions for mechanistic research based on existing findings.
周围性面瘫是针灸的主要治疗疾病。大量研究已证实针灸治疗周围性面瘫的有效性。然而,其潜在的生物学效应仍处于探索阶段。本文将从炎症反应、免疫调节、神经递质、免疫应答、面部微循环、氧化应激、神经结构和功能变化、穴位特异性、针灸干预时机以及其他潜在机制等方面梳理和总结现有的研究机制,旨在为针灸治疗周围性面瘫的作用提供科学依据。此外,本综述还基于现有研究结果探讨了机制研究的未来方向。