黎凯教授体针、梅花针、电针“针刺三法”分期治疗面瘫

Professor LI Kai Plum Blossom Needle,Acupuncture,Electroacupuncture "by three Methods of Acupuncture Treatment for Facial Paralysis" Staging

黎凯教授主张面瘫急性期(发病≤15d)尽早应用激素抗炎、消水肿、防止神经变性,并通过针刺治疗疏通经气,调和气血用以驱邪外出。恢复期前期(发病>15d～≤30d)在针刺后进行梅花针叩刺,加强体针刺激程度,延长作用时效,加快恢复进程;每穴叩20～30次/次,1次/2d;10次为1疗程,进行1疗程即可。恢复期中期(发病>30d)电针对面瘫恢复中后期,局部恢复不良针对性较强;眼睑闭合困难选阳白-太阳或太阳-下关,口角歪斜选颊车-地仓或颊车-承浆,每次成对选择;逐渐加大刺激量,以出现面部肌肉跳动且患者可忍受为度,脉冲幅度不超过20V,电流不超过2mA,选择疏密波刺激;15min/次,电针停止后继续留针15min。每1次/2d,10次为1个疗程。黎师选择在口服强的松3d后开始针刺,避过神经水肿的高峰期;治疗中除合理使用激素外,神经营养剂也应积极使用,并注意患者情绪的疏导。

LI Kai argues that the facial paralysis at acute stage（onset≤15d） application as soon as possible hormonal anti-inflammatory,eliminating edema,prevent neuronal degeneration,and the acupuncture treatment of dredging meridians,harmonizing Qi and blood with the evil spirits out.The recovery period（early onset15d≤ 30d） in acupuncture for plum-blossom needle acupuncture stimulation,strengthening degree,extend the role of aging,accelerate the restoration process;each point to 20～30 times / second,1 times of /2d;10 for 1 courses,1 courses can be.The recovery period metaphase（onset 30d） on facial paralysis recovery period,local poor recovery of targeted;eyelid closure difficult choose Yang white-the sun or-Shimonoseki,mouth skewed selected buccal car-warehouse or buccal car-bearing slurry,each pairwise choice;gradually increase the amount of stimulation,to the facial muscles beat and the patient to endure,pulse amplitude is less than 20V,current not exceeding 2mA,choose the dilatational wave stimulation;15min/,electroacupuncture remain after cessation of the 15min.For every 1 /2d,10 times for 1 courses.The choice of division in oral prednisone 3D after the start of acupuncture,to avoid nerve edema peak;in addition to the rational use of hormone therapy,neurotrophic agent should also actively used,and pay attention to the patient emotional communication.