针刺治疗面瘫63例疗效观察

OBSERVATION ON 63 CASES OF FACIAL PARALYSIS TREATED WITH ACUPUNCTURE

周围性面神经麻痹是基乳突孔内急性非化脓性的面神经炎症所致一侧面部表情肌的瘫痪,亦称Bell’s麻痹。是因面部感受风邪。

Sixty-Three cases with facial paralysis were treated mainly by acupuncture combining with point injection. The main points selected were Yangbai (GB14), Wai Jingming (BL1), Sibai (ST2),Yingxiang (LI20), Dicang (ST4), Jiache (ST6), Quanliao(ST18) and Qianzheng. The points were used alternatively. Auxiliary points: for type of deficiency of both qi and blood, Zusanli (ST36), and Sanyinjiao (SP6) were added; for type of disharmony between Ying and Wei, Fengchi (GB20) and Hegu (LI4) were added; for type of stagnancy of qi and blood, Weiguan (TE5) and Taichong (LR3) were added; for type of wind-heat stagnating collaterals, Yifeng (TH17) and Yanglingquan (GB34) were added. 10 out of 60 cases, which showed no remarkable effectiveness after two courses, injection of vitamin B_1 and vitamin B_(12) to facial points combined with Hegu (LI4) point on opposite side was performed. Therapeutic results: 31 cases(49.2%) were cured, 15 cases (23.8%) markedly effective, 16 cases(25.4%) effective and 1 case (1.6%) ineffective.