针灸治疗周围性面瘫的研究进展

Research Progress of Acupuncture and Moxibustion in Treatment of Peripheral Facial Paralysis

周围性面瘫是一种常见的疾病,其发病率在所有神经系统疾病中居第六位,在我国年均发病率为26~38/10万,每年约300万患者患有此病。周围性面瘫是任何年龄段都可发生的常见病和多发病,无明显的季节性,起病急,48小时内就会出现症状的峰值。其发生率在女性中稍高于男性。临床上常见的症状为一侧闭眼困难,皱眉、鼓腮、示齿、闭唇等活动受到限制,同时还会出现嘴角向对侧倾斜的情况。该病是一种自限性疾病,应及早治疗,以预防并发症的发生。由于近几年来,人们的物质生活水平越来越高,人们的生存压力也越来越大,外在形象的塑造是一个人的幸福感以及适应社会生活的重要因素,因而,面瘫病人的心理负担也越来越重。祖国医学关于面神经麻痹的研究源远流长,始于《黄帝内经》时期,随着对其发病机制的深入理解,现代医家提出其发病机制为外感实邪、正气亏虚,致颜面气血郁滞,经筋失调。针灸是周围性面瘫的首选疗法,具有经济、有效、无毒、复发率低的优点,是一种有效的治疗手段。本文就其治疗机制及方法进行一一阐述,现综述如下。

Peripheral facial paralysis is a common disease. Its incidence rate ranks sixth among all nervous system diseases. The average annual incidence rate in China is 26 to 38 per 100,000, and about 3 million patients suffer from this disease every year. Peripheral facial paralysis is a common and frequently occurring disease that can occur at any age group. It has no obvious seasonality and has a sudden onset, with symptoms peaking within 48 hours. Its incidence is slightly higher in females than in males. The common symptoms in clinical practice are difficulty in closing one side of the eyes, restricted movement such as frowning, bulging cheeks, showing teeth, and closing lips. At the same time, there may also be a situation where the corner of the mouth tilts to the opposite side. This disease is a self-limiting disease and should be treated early to prevent the occurrence of complications. Due to the increasing material living standards and pressure on people’s survival in recent years, the shaping of external images is an important factor in a person’s happiness and adaptation to social life. Therefore, the psychological burden on patients with facial paralysis is also becoming heavier. The research on facial nerve paralysis in traditional Chinese medicine has a long history, dating back to the period of Huangdi Neijing. With a deeper understanding of its pathogenesis, modern doctors have proposed that its pathogenesis is characterized by external pathogenic factors, deficiency of positive qi, and stagnation of facial qi and blood, as well as dysregulation of meridians and tendons. Acupuncture and moxibustion is the first choice of treatment for peripheral facial paralysis, which is economical, effective, non-toxic, and has a low recurrence rate. It is an effective treatment method. This article elaborates on its treatment mechanism and methods one by one, and the following is a summary.