针灸治疗面神经麻痹的研究进展

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

面神经麻痹又称面神经炎、Bell麻痹,祖国医学称面瘫、口角歪斜、口僻,其主要病机为机体正气虚弱,不能卫外,风寒之邪或风热之邪乘虚而入,致面部经络气血痹阻,经筋功能失调,出现口僻。一旦患病,显著影响患者容貌、社会形象以及个人尊严,给患者精神和肉体带来极大痛苦。尽管西医在面神经麻痹的治疗上有一定疗效,但仍存在副作用等诸多问题。因此,探索和优化治疗方案是面瘫临床治疗的关注点。针灸对于本病的治疗非常有效,其中包括常规针刺,火针,电针,刺络放血及针药结合等方法,具有见效快、副作用小、简便等优势,并取得了诸多疗效。现将近年来针灸治疗面神经麻痹的文献综述如下。Facial nerve paralysis, also known as facial neuritis or Bell’s palsy, is referred to in traditional Chinese medicine as facial paralysis, angular deviation, and mouth deviation. Its main pathogenesis is the weakness of the body’s vital energy, which cannot defend the external environment. The pathogenic factors of wind cold or wind heat take advantage of the deficiency, causing obstruction of the facial meridians and qi and blood, dysfunction of the meridians and tendons, and the appearance of mouth deviation. Once afflicted, it significantly affects the patient’s appearance, social image, and personal dignity, causing great mental and physical pain to the patient. Although Western medicine has shown some effectiveness in treating facial nerve paralysis, there are still many issues such as side effects. Therefore, exploring and optimizing treatment plans is the focus of clinical treatment for facial paralysis. Acupuncture and moxibustion is very effective for the treatment of this disease, including conventional acupuncture, fire needle, electroacupuncture, blood-letting puncture and combination of acupuncture and medicine. It has the advantages of quick effect, small side effects and simplicity, and it has achieved many curative effects. This article reviews the literature on the treatment of facial paralysis by acupuncture and moxibustion in recent years.