1.How to know if you have facial paralysis? You may find that your face is out of control when you are not aware of it, or you may find that one side of your cheek does not move properly when you get up early in the morning to wash your face or rinse your mouth, and your mouth is crooked. At this time, you may be suffering from facial paralysis, observe in the mirror: forehead wrinkles disappeared, eye fissure enlargement, nasolabial folds flat, the corner of the mouth drooped, the corner of the mouth to the healthy side of the crooked teeth, they can not be wrinkled forehead, frown, close the eyes, puffing and pouting, puffing and whistling, due to the side of the mouth and lips can not be closed and leakage of air, eating, food debris is often retained in the diseased side of the teeth and cheeks in the gap; and often drooling from the side of the trickle, and the side of the mouth, the side of the mouth, the side of the mouth. Due to the inversion of the lower eyelid, often the tears can not be drained according to the normal drainage and spillage. Of course, maybe you are an early patient, the symptoms are mild, the above situation you may not be obvious or only part of the symptoms, it is recommended that you need to go to the hospital for medical treatment. Of course, the above is only one of the most common phenomenon of facial paralysis, mainly because of fatigue and face, cold behind the ears, wind and cold, etc.; In addition, there are also some facial paralysis is due to certain diseases and infections (such as herpes zoster, mumps, auricular diseases, metabolic disorders such as diabetes mellitus, vitamin deficiencies) caused by trauma, tumors, congenital facial nerve nucleus developmental insufficiency and so on can also lead to the occurrence of facial paralysis. 2.What are the types of facial paralysis? What is central facial paralysis? What is peripheral facial paralysis? Facial paralysis is a disease mainly characterized by motor dysfunction of facial expression muscles, also known as facial nerve paralysis, commonly known as “crooked mouth”, “hanging line wind”, “hanging oblique wind”, “crooked mouth wind “Facial neuritis” and so on. It can also be categorized into central facial paralysis and peripheral facial paralysis depending on the location of the damage. Central facial paralysis refers to facial paralysis caused when the lesion is located above the nucleus of the facial nerve to the center of the cerebral cortex, i.e., when one side of the cortical brainstem bundle is damaged. Since the cells in the upper part of the nucleus accumbens receive fibers from the cortical brainstem tracts on both sides, and their axons make up the motor fibers of the facial nerve, which innervate the expression muscles above the ipsilateral ophthalmic fissure, while the cells in the lower part of the nucleus accumbens receive fibers from the cortical brainstem tracts on the opposite side, and their axons make up the motor fibers of the facial nerve, which innervate the expression muscles below the ophthalmic fissure of the ipsilateral side. The central facial paralysis is accompanied by paralysis of the limbs on the same side of the facial paralysis, which is usually referred to as cerebrovascular disease (cerebral stroke), in addition to the symptoms of facial paralysis, but also accompanied by limb dysfunction; no sense of taste and salivary secretion disorders and other clinical features. Peripheral facial nerve palsy: facial paralysis caused by lesions in the motor fibers of the facial nerve. The lesion may be located below the nucleus of the facial nerve, such as the lower part of the pons, the middle ear or the parotid gland. It is characterized by paralysis of all the expression muscles on the side of the lesion, manifested by inability to close the eyelids, inability to frown, puffing cheeks and leakage of air, slanting of the mouth, and tearing of the eyes; it may be accompanied by changes in the sense of hearing, hyposmia in the anterior two-thirds of the tongue, and impaired secretion of saliva, etc. The most common form of facial paralysis is facial neuritis. The most common form of facial neuritis is Bell’s palsy, which accounts for about 49% of all facial palsies, and Hunter’s palsy is also common. Unlike central facial paralysis, peripheral facial paralysis has no limb dysfunction. 3. What is the difference between central facial palsy and peripheral facial palsy? Peripheral and central facial palsy can be easily differentiated in patients with obvious paralysis by the above definition, but it is difficult to differentiate them in early stage patients or those with very mild paralysis. The following aspects can be distinguished: (1) Expressive movements, peripheral paralysis is more obvious, whereas central paralysis does not show paralysis when crying or laughing. Palm-chin reflex is absent or diminished in peripheral facial paralysis and present or hyperactive in central facial paralysis, but this method is not very reliable. The other signs should be linked together to make a comprehensive diagnosis. 4. What are the causes of peripheral facial paralysis? The causes of peripheral facial paralysis are summarized as follows: (1) Infectious lesions such as herpes zoster, local infections, multiple cranial neuritis, meningitis, mumps, scarlet fever and malaria. (2) Otogenic diseases such as otitis media, labyrinthitis, mastoiditis, and purulent inflammation of the temporal bone. (3) Tumors such as basilar artery aneurysm, skull base tumor, acoustic neuroma, jugular vein bulb tumor. (4) Trauma such as facial trauma, skull base fracture. (5) Poisoning such as alcohol poisoning, drug poisoning, chemical poisoning, etc. (6) Metabolic disorders such as diabetes mellitus, vitamin deficiency. (7) Others: vascular insufficiency, congenital hypoplasia of facial nerve nucleus, etc. The causes of peripheral facial paralysis in Chinese medicine are summarized as follows: deficiency of positive energy, emptiness of collaterals, wind and cold evils enter into the middle of the body and cause the disease. For example, rain, fan, wind, air-conditioning and so on. 5.What should I do if I have facial paralysis? What about the sequelae of facial paralysis? Acute stage facial paralysis: patients should choose effective treatment as early as possible to avoid aggravating nerve damage and causing sequelae of facial paralysis. For the sequelae of facial paralysis: due to the damage of facial nerve, patients should choose the treatment that can activate the nerve tissue to regenerate and restore the function of the nerve, and should not treat blindly to avoid aggravating the damage of the organism. Facial paralysis patients should also do the following three points: First, to have the courage and confidence to overcome the disease. Patients lack of due knowledge of the disease, patients at the initial stage that will soon be cured, outpatients often ask the doctor a few days can be cured, and even in the acute phase of the treatment process of symptom aggravation and performance of worry and panic, some due to the loss of treatment, mis-treatment and development of intractable facial paralysis, facial paralysis sequelae, etc., after the treatment of the ineffective, resulting in damage to self-esteem, self-confidence plummeted, boredom, and even give up the treatment. Therefore, the patient’s psychological factor is also an important aspect of treatment, and it is very important to actively cooperate with the doctor. At present, there are many treatment methods for facial paralysis, which can be summarized into two categories: Chinese medicine and western medicine. The first choice of Chinese medicine is acupuncture, followed by certain Chinese medicines, and western medicine is also divided into conservative medication and surgical treatment. The time of treatment is a problem that many patients tend to ignore, many patients do not know that the first 2 or 3 months of facial paralysis is the best treatment period, generally simple facial paralysis in this period of time is to grasp the treatment is supposed to be able to recover; therefore, no matter what kind of method is used, the patient should grasp the time to actively treat, do not wait and see, wandering delayed the optimal time of treatment, which is a piece of advice I have for everyone! This is my advice to you! It can be said that the longer the course of the disease, the smaller the possibility of cure, but I hope that due to various reasons missed this period of time patients, do not give up, especially those who are the sequelae of facial paralysis, complications of patients more patience and perseverance to adhere to the treatment, at the same time with the rehabilitation training, self-massage, hot compresses and other measures to be positive and optimistic mindset efforts to treat, can not be too hasty. Third, facial paralysis patients generally in addition to facial paralysis caused by the disease, the heart of the mental pressure is relatively large, so in the active treatment at the same time, must put down the burden of thought, according to the doctor’s diagnosis of the condition, to take the scientific and effective treatment methods active treatment, very important: facial paralysis before 2, 3 months is the best period of treatment, must seize the time to fight for good treatment in this period, missed this time, treatment If you miss this period of time, the treatment will be more difficult and the longer the time, the more difficult it will be to cure or even incurable, this point should be highly attention. 6.How to treat peripheral facial paralysis, should I see Western medicine or Chinese medicine and acupuncture? Many patients with facial paralysis have been wandering in the choice of traditional Chinese medicine and Western medicine, in fact, as long as the method is appropriate, Chinese medicine, Western medicine can be treated, it is worth mentioning that peripheral facial paralysis just the onset of the early stage of acupuncture treatment is more effective, especially simple Bell’s facial paralysis the onset of the first week of acupuncture treatment is generally a very fast recovery, it is recommended that Bell’s facial paralysis just the onset of a few days of the patient early to take acupuncture treatment is necessary, this point should be remembered. This is something you should keep in mind. In order to serve you better, I would like to summarize my experience in treating facial paralysis with acupuncture here: (1) Cataract point: this point is the key point for treating facial paralysis, and it is important to master the depth to achieve effective stimulation. (2) Other conventional acupoints are the same, the depth of needling should be deep, and the lifting and inserting techniques should be moderate. Especially cheek car, dicang, zygomatic s, Yangbai’s, Xiaguan and other points. (3) Head acupoints: the lower 2/5 of the cortical motor area. (4) Moxibustion: after needling the patient to the key side of the hand-held lit moxa, the distance from the affected part can tolerate for moxibustion, the treatment time to the end of the needling. Traumatic facial paralysis and tumor facial paralysis should be treated with western surgery, and acupuncture can also be used in the later stage of rehabilitation. 7, the patient’s self-exercise to promote facial paralysis recovery methods Promote facial paralysis recovery methods are also more, recommend two practical and simple to everyone: patients according to their own specific situation, you can use simple training methods and more complex massage methods, simple training actions are: raise eyebrows, close the eyes, shrug the nose, show teeth, nuzzle, puffing cheeks. Each action lasts 5-10 seconds, 10 consecutive training, daily exercise 2-3 times can be. The more complex point of the specific operation method is as follows: (1) Preparation Take the bed position pillow; if the sitting position of the head against the wall The patient’s thoughts are concentrated to exclude distractions before the massage to do a hot compress or herbal decoction (Gui Zhi 9 grams of 9 grams of Fenghuang Su Ye 9 grams) soaked towel hot compresses Beware of the liquid into the eyes by mistake (2) Wheel scraping eyelid with the two hands of the index finger and the middle finger of the ribbed surface as the end of the operation from the eye canthus outward equalization of scraping the upper and lower eyelids 50 times, and then gently rubbed (3) Finger rubbing of the nose Take the ribbed surface of the index fingers of both hands as the art end and rub downward from the root of the nose to the Yingxiang points on both sides of the nose for 50 times, then gently press and knead the point for 1-2 minutes (Yingxiang point is 0.5 cm away from the side of the nose). (5) Palm kneading Cheek Che Dicang acupoints Use the big fish muscle of the same side hand to press against the Cheek Che acupoint (masticatory muscle) of the sick side, and knead it while moving it to the Dicang acupoint (0.5 centimeters beside the corner of the mouth), and go back and forth for 50 times. Pay attention to the face warmth during treatment, don’t be exposed to the cold wind, avoid washing the face with cold water, and don’t take stimulating food. Massage the acupoints 1-2 times a day, which is beneficial to the cure of facial paralysis. 8. Precautions for daily life of facial paralysis patients Avoid: cold, greasy and stimulating food, indigestible, hot tonic, hot food, tobacco, alcohol, strong tea, green beans, mutton, dog meat, animal offal. Food: fresh vegetables, coarse grains such as beans, soybean products, corn, lean meat, onions, hawthorn, kelp, jujube, bitter melon, winter melon, cucumber, banana, purple eggplant, squash, pumpkin, melon, mulberry. Move: Appropriate activities, strengthen physical training, often listen to light music, calm and happy mood, adequate sleep. Reduce: Reduce light source stimulation, such as: television, computer, ultraviolet rays. Do not: use cold water to wash your face, in case of wind, rain and cold, pay attention to the head and face to keep warm. Close: When the face is twitching, both eyes should be closed tightly and the mouth should be closed tightly (spasm patients are forbidden to eat acidic food).