摘要
Peripheral facial paralysis is a common disease with manifestation of facial paralysis.The author's clinical observation on 50 cases of facial paralysis treated mainly with acupuncture showed an effective rate of 98%,and the remarkable effectiveness was reported as follows.50 cases of outpatients which consisted of 14 males and 36 females were observed.The oldest was 61 years and the youngest 24 years,with an average age of 36 years.33 cases had facial paralysis on the right side and other 17 cases on the left side.The shortest duration was one day and the longest 19 months.Treatment was done once every other day and a course comprised of ten treatments.Main acupoints:Chengqi(ST 1),Sibai(ST 2),Juliao(ST 3),Dicang(ST 4),Jiache(ST 6),Xiaguan (ST 7),Sizhukong (TE 23),and Hegu(LI 4),etc.were all adopted in every treatement.Complementary acupoints were Yingxiang (Li 20),Cuanzhou (BL 2),Yangbai(GB 14),and Chengjiang(CV 24).Methods:Gauge 28 filiform needles(1 cun at length) were used.In the needling process,manipulations of even reinforcing and reducing in combination with lifting-thrusting and twirling-rotating were abopted.The needling sensation was made to increase only within the patient's bearable threshold and the needles were withdrawn immediately following manipulating the needles for a while (about 3 min).Shallow insertion of acupuncture needles was carried out throughout the whole treatment process.Criteria of the therapeutic effect:Cure:The clinical synptoms disappeared ompletely after treatment (facial muscle was normal).Effective:Some symptoms were improved but facial expression was still slay.No effect:Symptoms remained the same after the therapy.Results:80% of the 50 cases,namely 27 cases with left facial paralysis and 13 cases with right side facial paralysis,were cured.7 cases(14%) showed significant improvement,2cases(4%) effectiveness,and 1 case(2%) no effect,thus the total effective rate was 98%.Conclusion:Patients with shorter duration of disease (within a month) had higher recovering rate than those of the longer duration.Partial nerve injured patient had higher curative rate than the fully injured.Hence early discovery and treatment are the key of curing.
