针刺防治面瘫继发痉挛

Prevention and Treatment of Secondary Spasm of Facial Paralysis with the Application of "Preventive Treatment"

"静极生动"是面瘫继发面肌痉挛的主要病机,临证时需先辨明证候真假。面瘫日久,所出现的面肌痉挛,为静极生动的"假动"。因此,在预防治疗中,要用"以动制动"的反治法来治疗。"未病先防"是防治面瘫继发痉挛的关键,为预防继发性面肌痉挛的产生,一则要早期干预面瘫的治疗,避免其向面肌痉挛发展,一则在面瘫的治疗中则加入预防面肌痉挛发生的穴位,来达到"既病防变"的作用。临床治疗以养血柔肝针刺法为主,取穴:风池、支沟、血海、阳陵泉、足三里、阴陵泉、三阴交、太冲。

＂Extreme stillness generating movement＂ is the main pathogenesis of secondary spasm of facial paralysis. Clinically,the syndrome and symptoms should be differentiated. Facial spasm due to prolonged facial paralysis pertains to pseudo-movement.Therefore,in the prevention and treatment,reverse treatment should be conducted to ＂ apply dynamic treatment for dynamic disease＂. ＂ Preventive treatment＂ is the key to the prevention of secondary spasm due to facial paralysis. For preventing the occurrence of secondary spasm,one should intervene the treatment of facial paralysis to avoid its development into facial spasm; besides,acupoints for preventing facial spasm should be added in the treatment of facial paralysis to prevent change. Clinically,needling method of nourishing blood and softening liver is applied with selected acupoints of Fengchi（ GB 20）,Zhigou（ SJ 6）,Xuehai（ SP 10）,Yanglingquan（ GB 34）,Zusanli（ ST 36）,Yinlingquan（ SP 9）,Sanyinjiao（ SP 6） and Taichong（ LV 3）. In acupuncture for preventive treatment,proper needling method,acupoints and dosage of needling should be proper to achieve good preventive effect.