论面瘫针灸治疗量的控制

Discussion on the control of treatment amount of acupuncture and moxibustion for peripheral facial paralysis

探讨周围性面瘫(以下简称面瘫)针灸治疗量控制规律:①面瘫早期:穴定量恒,治疗取穴宜少、疗法宜简、针灸治疗量宜小且基本恒定;②面瘫中期:穴增量增,治疗取穴渐增、疗法渐增、针灸治疗量渐增并在一定时间段内达到峰值且维持峰值时间恰当;③面瘫后期:穴增量减,治疗取穴继增、疗法渐减、针灸治疗量渐减并在一定时间段内达到"谷点";④面瘫后遗症期:穴变量微,治疗取穴以症显局部为主、疗法宜单一、针灸治疗量宜微小。认为遵循面瘫临证治疗量控制规律方可获得最佳疗效。

To explore the control principles of treatment amount of acupuncture and moxibustion for peripheral facial paralysis. ①Early 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. ②Middle 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 appro priate time, which is called increasing aeuponts and amount. ③Late 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 aeupoints and less amount. ④Sequelae 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.