对影响针灸治疗面瘫疗效若干环节问题的分析

Analysis on the Aspects of Acupuncture Treatmennt for Facial Paralysis

目前业内对针灸治疗面瘫的诊断、治疗方法、疗效评价等问题存在较多的争议和分歧。本研究综述了针刺介入的时机、穴位的选择、针刺方法、针灸治面瘫是否需要辨证及如何辨证、是否需要配合类固醇类激素及抗病毒药、辅助面部肌肉训练方面的进展,并提出针刺应该在急性期介入;穴位的选择、针刺补泻等具体术式、刺激量意义重大且尚待进一步研究;面瘫病的辨证尚需规范;类固醇类激素而不是抗病毒药对于中度以上患者意义重大;针灸应该配合面部肌肉训练等观点。

At present,there are many disputes and divergences in the diagnosis,treatment and evaluation for facial paralysis by acupuncture and moxibustion. This article reviews several points on following aspects： the time when acupuncture should be involved; which acupuncture points and methods should be chosen,including enhancing and reducing manipulation; whether steroids or antiviral medicine should be given; whether auxiliary facial muscle training is needed. The paper proposes that acupuncture should be involved in the acute stage;the choice of acupuncture points,the method of manipulation and the amount of stimulation should be confirmed; syndrome classification needs to be standardized; steroids but not antiviral medicine should be given;auxiliary facial muscle training should be taken as well as acupuncture.