面瘫汤联合针刺治疗原发性面肌痉挛随机平行对照研究

Facial Paralysis Soup Combined Acupuncture Treatment of Facial Spasm Random Parallel Control Study

[目的]观察面瘫汤联合针刺治疗原发性面肌痉挛疗效。[方法]使用随机平行对照方法，将70例门诊患者按随机数字表方法随机分为两组。对照组35例针刺（取阿是穴、百会、患侧翳风、健侧合谷、太冲，眼周抽搐为主取患侧攒竹、阳白、太阳、承泣，口周抽搐为主取患侧地仓、颊车、迎香、承浆），1寸毫针斜刺0．8～1寸，不施手法，留针20min，1次／d。治疗组35例面瘫汤（防风、羌活各15g，全蝎10g，桔梗15g，制白附子、僵蚕各10g，蜈蚣1条，地龙15g，络石藤、川芎各20g，鸡血藤15g，甘草10g），1剂／d，水煎300mL，早中晚口服；针灸治法同对照组。连续治疗10d为1疗程。观测临床症状、不艮反应。连续治疗2疗程，判定疗效。[结果]治疗组痊愈16例，有效15例，无效4例，总有效率88．57％。对照组痊愈10例，有效15例，无效10例，总有效率71．43％。治疗组疗效优于对照瓢P〈0．05）。[结论]面瘫汤联合针刺治疗原发性面肌痉挛，疗效满意，无副作用，值得推广。

[ Objective ]To observe the facial paralysis soup combined acupuncture treatment of facial spasm curative effect. [ Methods ] Using random parallel control method, 70 cases of clinic patients were randomly divided into two groups according to random number table method, the control group 35 cases acupuncture method （ acupuncture point is take the hole, the will, the same yifeng, the contralateral valley, lr 3, eye twitching is given priority to take the side assemble bamboo, Yang white, the sun, st 1, week mouth twitching give priority to take the side in a storehouse, buccal car, yingxiang, pulp ） .Adopt 1 inch needle, needle depth of 0.8 - 1 inch, oblique thrust is given priority to, the technique is not applied. Every time retaining needle 20 min, 1 / d. Treatment group of 35 cases of facial paralysis soup （ wind, notopterygium each 15 g, 10 g scorpion, platycodon grandiflorum 15 g, rhizoma typhonii, batryticated silkworm 10 g each, the centipede article 1, 15 g earthworm, Chinese starjasmine, rhizoma ligustici wallichii each 20 g, 15 g suberect spatholobus stem, licorice root, 10 g ）, 1 / d, boiling water 300 ml, middle-late oral, early acupuncture treatment with the control group. Continuous treatment of 10 d to 1 course of treatment. Observation of clinical symptoms and adverse reactions. Continuous treatment 2 period of treatment, judge curative effect. [ Result ] The treatment group cure 16 cases, 15 cases were effective, 4 had no effect, the total effective rate was 88.57%. The control group, 10 cases were cured, 15 cases, 10 cases of invalid, total effective rate was 71.43%. The treatment group curative effect is better than that of control group （P〈0.05） . Facial paralysis. [ Conclusion ] Soup combined acupuncture treatment for primary facial spasm and satisfactory curative effect, no side effect, is worth promoting.