针刺联合中药治疗面神经炎研究进展

Research Progress of Acupuncture Combined with Chinese Medicinals in the Treatment of Facial Neuritis

针刺联合中药治疗面神经炎的方法有:针刺联合中药内服、针刺联合中药外敷、针刺联合穴位贴敷、针刺联合中药熏蒸、子午流注针法联合中药熏蒸、皮内针联合中药复方、梅花针联合中药熏蒸等。针刺联合中药治疗方式多样,针刺的疗效与手法的轻重、补泻方式的运用息息相关,中药治疗讲究整体观念、合理的组方原则,因此,在选择合适的针刺方式与中药辨证施治对于面神经炎急性期、缓解期的治疗具有重要的指导作用,甚至可直接影响面神经炎的预后,故如何将两者更好地运用于临床是今后治疗的重点、难点。今后可根据同一种证型选择合理的针刺与中药治疗方式进行多种组合方式间的对比性研究,优化现有的治疗方案。另外,从微观的角度出发,针刺及中药的治疗方式均可作用经络而达到减轻神经炎症、保护神经损伤的作用,故可尝试寻找其联合治疗的有效靶点,为临床治疗面神经炎提供最佳方案。

Methods of acupuncture combined with Chinese medicinals in the treatment of facial neuritis include:acupuncture combined with Chinese medicinals for oral administration,acupuncture combined with Chinese medicinals for external application,acupuncture combined with acupoint application,acupuncture combined with Chinese medicinals for fumigation,midnight-midday ebb flow acupuncture combined with Chinese medicinals for fumigation,intradermal needle therapy combined with Chinese medicinal compound formulas,plum-blossom needle therapy combined with Chinese medicinals for fumigation,etc.Acupuncture combined with Chinese medicinals has a variety of treatment methods.The curative effect of acupuncture is closely related to the severity of manipulation and the use of reinforcing and reducing methods.Traditional Chinese medicine pays attention to the concept of holism and reasonable formula-formation principles.Therefore,the selection of appropriate acupuncture methods and Chinese medicinal treatment based on syndrome differentiation plays an important guiding role in the treatment of facial neuritis in acute and remission stages,and even directly affects the prognosis of facial neuritis,Therefore,how to better use the two in clinical practice is the focus and difficulty of treatment in the future.In the future,we can choose reasonable acupuncture and Chinese medicinal treatment methods according to the same syndrome type,and carry out a comparative study of various combinations,so as to optimize the existing treatment scheme.In addition,from the micro point of view,acupuncture and Chinese medicinal treatment methods can act on the meridians to reduce facial neuritis symptoms and protect nerve injury,so we can try to find an effective target for the combined treatment,and provide the best scheme for the clinical treatment of facial neuritis.