针刺面瘫穴加马钱子外敷治疗周围性面瘫临床研究

目的:探讨针刺面瘫穴加马钱子外敷治疗周围性面瘫的疗效。方法:将216例周围性面瘫患者分为治疗组和对照组,治疗组采用针刺加马钱子外敷治疗;对照组采用西医常规疗法。结果:治疗组有效率98.25%,对照组有效率73.53%,两组有效率经χ2检验,差异有统计学意义(P<0.01)。结论:针刺面瘫穴加马钱子外敷治疗周围性面瘫疗效较好。

微刺面瘫穴组配合TDP照射治疗面瘫后遗症32例

目的 :观察微刺面瘫穴组配合特定电磁波治疗仪(TDP)照射治疗面瘫后遗症的临床疗效。方法 :32例面瘫后遗症患者采用微刺面瘫穴组配合TDP照射治疗。7 d为1疗程,6疗程后统计疗效。结果:32例治愈15例,显效16例,无效1例,总有效率96.86%。结论:微刺面瘫穴组配合TDP照射治疗面瘫后遗症疗效显著。

针刺面瘫穴加马钱子外敷治疗周围性面瘫114例

目的:观察针刺面瘫穴加马钱子外敷治疗周围性面瘫的临床疗效。方法:114例周围性面瘫患者采用针刺面瘫穴配合马钱子外敷治疗,4周后观察疗效。结果:治愈99例,好转13例,无效2例,总有效率为98.25%。结论:针刺面瘫穴加马钱子外敷治疗周围性面瘫可操作性强,疗效显著,值得临床推广应用。

针刺面瘫穴加马钱子外敷治疗周围性面瘫疗效观察

[目的]观察针刺面瘫穴加马钱子外敷治疗周围性面瘫的疗效。[方法]治疗组114例,对照组102例。治疗组取患侧面瘫穴,留针30min,外敷马钱子粉0.5g,加蛋清调糊状敷于患侧面部,每晚1次,1周为1个疗程。对照组常规疗法,地塞米松10mg/d,连用7～10天,配合维生素B_1等。[结果]治疗组治愈99例,好转13例,无效2例;对照组44例,好转31例,无效27例。[结论]针刺面瘫穴加马钱子外敷治疗周围性面瘫,有利于面神经功能及早恢复。

针刺透穴合电针二联治疗周围性面瘫临床观察

目的:探讨针刺透穴合电针治疗周围性面瘫的效果。方法:将70例患者随机分组,治疗组40例采用针刺透穴合电针治疗,对照组30例单用毫针刺治疗。结果:2组均在治疗3个疗程后统计:治疗组治愈28例,显效7例,好转4例,总有效率为97.50%。对照组治愈14例,显效9例,好转4例,总有效率为90.00%。两组治疗效果有显著性差异(P<0.05)。并且在同样治愈的病例中,组间差异非常显著(P<0.01),治疗组施治天数明显少于对照组。结论:针刺透穴合电针二联疗法治疗周围性面瘫有较好疗效。

针刺面瘫奇穴及配合拔罐疗法治疗面神经麻痹78例疗效观察

目的总结针刺面瘫奇穴及拔罐疗法治疗面神经麻痹的临床经验。方法分析治疗78例面瘫患者,观察针罐合用治疗的临床效果。结果 78例面瘫患者中,经针罐合用,其中4次治愈18例,占23%;6次治愈12例,占15.3%;8次治愈20例,占25.6%;10～12次治愈25例,占32%;无效或效果不明显3例,占3.8%;总有效率为96.2%。结论针刺奇穴配合拔罐疗法,相得益彰,互为补充,临床疗效满意。

孙其斌教授采用“火三针”治疗周围性面瘫46例

目的:观察孙其斌教授采用"火三针"治疗周围性面瘫46例的临床疗效。方法:46例周围性面瘫患者均给予火针围刺"面瘫三穴",隔日1次,5次为1疗程,治疗2个疗程后判定疗效。结果:痊愈29例,显效11例,好转4例,无效2例,有效率为95.65%。结论:"火三针"治疗周围性面瘫疗效确切。

腹诊配合经穴按摩治疗面瘫的体会

目的:目的:探讨腹诊配合经穴按摩提高面瘫治疗的更有效方法。方法:选取2019年1月至2019年6月期间在本院收治95例患者,将其随机分为两组;这种面瘫的治疗方法,主要以腹部手法为主,配以相关经穴按摩,治疗过程中不加用药物或电针。结果:在医院的治疗过程中,经研究对比,有75例患者在两个疗程(20次)后达到临床治愈,还有11例患者在三个疗程后达到临床治愈,还有8例患者在四个疗程临床治愈,在医院的治疗过程中,只有2例患者效果不明显。我们认定为无效患者。结论:经医院对患者腹诊配合经穴按摩治疗面瘫的治疗证实,对于腹诊为主治疗面瘫既能辅本,还能使患者气血不能上灌于阳明,因此腹诊配合经穴按摩是有效的治疗方法,应积极推广。

PROF.ZHANG ANLI'S EXPERIENCE OF TREATING STUBBORN CASES OF FACIAL PALSY

Based on her own experience of many years＇ clinical practice, Prof. Zhang Anli summarized and created the method in which the shallow insertion at the upper eyelid, acupuncture at the Back-shu points and balanced selection of points together with the modified Setting Mountain on Fire and application of Fire Needle were applied for the treatment of stubborn cases of facial palsy. The therapeutic effect is good.

CLINICAL OBSERVATION ON TREATMENT OF 120 CASES OF PERIPHERY FACIAL PARALYSIS WITH PENETRATION NEEDLING

In the present study, the therapeutic effect of penetration needling was observed in 120 cases facial paralysis patients and compared with that of the routine needling in another 105 cases. Results showed that though no significant difference was found between these two groups in the therapeutic effect, the acupoints used were fewer in penetration needling group and its effect on tear and posterior auricular pain was superior to that of routine needling.

略谈“透穴针法”的临床运用

运用透穴针法治疗疾病,在我国已有悠久的历史,历代医学文献有记载。早在晋代葛洪著《肘后备急要方》记载有:"救卒死尸厥方,爪切人中良久,又针人中至齿立起"。

Treatment of 30 patients with intractable facial paralysis by warming-needle moxibustion at B?ihuì(百会 GV 20)combined with penetration needling

Objective To observe the clinical efficacy of moxibustion at B ihuì（百会 GV 20） combined with penetration needling in treatment of intractable facial paralysis. Methods Sixty patients with intractable facial paralysis included in the study were divided into two groups according to the random number table, with 30 patients in observation group（group A）, and 30 patients in control group（group B）. Moxibustion at GV 20 combined with penetration needling were adopted in group A, and simple penetration needling was applied in group B. Once daily, thirty days of treatment were required. The House Brackmann（H-B） facial nerve function grading and improvement of clinical symptoms were observed. Results The H-B function grading and improvement of clinical symptoms in group A were superior to group B, and the difference was statistically significant（P〈0.05）. Conclusion The clinical efficacy of moxibustion at GV 20 combined with penetration needling in treatment of intractable facial paralysis is definite, and the treatment method is deserving of clinical promotion.

Treatment of peripheral facial paralysis with acupuncture at Rényíng (人迎 ST 9) combined with stellate ganglion block:a randomized controlled trial

Objective To explore the best therapeutic method in the treatment of peripheral facial paralysis. Methods One hundred and twenty cases were randomized into a conventional acupuncture group [Yangbai （阳白 GB 24）, Sibai （四白 ST 2）, Yingxiang （迎香 LI 20）, etc.], a Renying （人迎ST 9） acupuncture group and an operation ＋ acupuncture group [acupuncture at ST 9 as the main acupoint and the stellate ganglion block （SGB）], 40 cases in each one. The treatment was given once a day, 7 treatments made one session. After 3 sessions of treatment, the latency and the amplitude of the direct stimulation evoked potential of the facial nerve （ENoG） were compared before and after treatment in three groups, as well as R2 and R2 values of blink reflex （BR）. The total clinical efficacy was assessed. Results The latency of ENoG was shortened and the amplitude was increased significantly in three groups. After treatment, ENoG latency was lower significantly in the operation ＋ acupuncture group as compared with that in the conventional acupuncture group （P〈0.05）. In the Renying （人迎 ST 9） acupuncture group, the amplitude of ENoG was increased as compared with P〈0.05）. After treatment in three groups, those in the other two groups （all R2 and R2 values were decreased significantly. The differences in R1 and R2 values in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group before and after treatment were bigger than those in the conventional acupuncture group （all P〈0.05）, and the difference in R2 value in the operation ＋ acupuncture group was bigger than that in the Renying （人迎 ST 9） acupuncture group （P〈O.05）. The clinical markedly effective and curative rate was 87.5% （35/40） in the operation ＋ acupuncture group, which was superior to 77.5% （32/40） in the Renying （）人迎 ST 9）acupuncture group and higher significantly than 65.0% （26/40） in the conventional acupuncture group （P〈0.05）. Conclusion Compared with the conventional acupuncture, the efficacy on peripheral facial paralysis is much better in the Renying （人迎 ST 9） acupuncture group and the operation ＋ acupuncture group. Moreover, the early reflex function of the damaged facial nerve is much better recovered in the operation ＋ acupuncture group as compared with that in the Renying （人迎 ST 9） acupuncture group.