Overview】 Facial muscle spasm, also known as facial muscle twitching. It is a condition of involuntary twitching of the half side of the face. The twitching is paroxysmal and irregular, with varying degrees, and can be aggravated by fatigue, mental stress and voluntary movements. The onset of the twitching usually starts from the orbicularis oculi muscle and then involves the whole face. The disease occurs mostly after middle age and is commonly seen in women. The cause of this disease is unknown, and modern Western medicine lacks a specific treatment for it. At present, symptomatic treatment is generally used, but the effect is not satisfactory. The modern treatment of facial spasm with acupuncture has been reported no later than the mid-1960s. In 1965, someone tried the intradermal acupuncture method and got results. 70s, further exploration was made, such as the use of deep stabbing long stay acupuncture method, only needling the healthy side and not the affected side of the mu-acupuncture method, etc. We use acupuncture point injection in the most obvious place of twitching, also has some effect. Since the 1980s, the treatment of facial muscle spasm has received more attention from the acupuncture community, not only because of the large increase in the number of cases observed, but also because of the exploration of various aspects of the acupuncture method, which has led to the emergence of some unique acupuncture methods, such as the clump acupuncture method, the stimulation of the facial nerve trunk method, the superficial acupuncture method of the skin and the Xingqi method, etc. When the application of traditional acupuncture method is difficult to achieve results, the use of the above-mentioned acupuncture method can often be effective. At present, the efficiency of various acupuncture methods in treating this disease is generally around 80%. Some people have compared the acupuncture method and general acupuncture method or other Chinese and Western medicine therapy, and found that regardless of the near and long-term efficacy, the method of acupuncture is superior. Of course, it should be pointed out that facial spasm is a stubborn and easily recurring disease, requiring patient treatment, and the practitioner should also switch to another acupuncture point stimulation method in a timely manner when one method is not effective. [Treatment] Nerve Stem Stimulation (a) Acupuncture points Main acupuncture point: A-Yi point. Supporting points: hegu, orbicularis oculi spasm plus fish waist, sibai, facial muscle spasm plus yingxiang, pinch Chengjiao. Location of the A-Yi point: the midpoint of the line between the tangent of the ear wheel and the root of the earlobe in front of the affected earlobe, or 5 mm below the anterior edge of the mastoid tip. Below it is the nearest point of the facial nerve junction, about 0.5 cm after the posterior edge of the mandibular branch. (B) Treatment Only the main point and the Hegu point are taken at each time, and the remaining points are selected according to the symptoms. After sterilization and local anesthesia with 2% procaine at the A-Ye point, two 28-gauge 2.5-4 cm long milli-needles (1-1.5 inch) are used to pierce the A-Ye point and the Hegu point, respectively. The A-Ye point requires the facial nerve stem to be pierced. When the prick is hit, the patient has a strong electrical sensation or deep ear pain, and the operator has a breech feeling in his hand. At this point, the A-Ye point and the Hegu point are connected to the electroacupuncture instrument, and the current should not be too high at the beginning, the frequency is not limited, and it is appropriate to have regular twitching of the index and thumb. When the use of lifting and inserting techniques or electroacupuncture stimulation so that facial nerve damage, the expression muscle can appear relaxed (facial paralysis). The rest of the matching points should make the needle under the soreness or numbness inductance. Each needle 20-30 minutes, every 5-7 days needling 1 time. Generally needles 2 to 3 times. If the superficial blood vessels are damaged, swelling may occur after the needle, which will subside in a few days. After the needle, such as vertigo, vomiting and other complications, rest 1 to 2 hours that recovery. (C) Efficacy evaluation Efficacy criteria: apparent effect: mild weakness of the affected lateral muscles and cessation of convulsions; ineffective: slight improvement or no change in the number or degree of convulsions. A total of 110 cases were treated, 107 cases (97.3%) were effective, 3 cases (2.7%) were ineffective, and the total effective rate was 97.3%. Through follow-up, it was found that the average effective time was about 10 months, with the longest being 28 months. Acupuncture point embedding (I) Acupuncture points Main acupuncture point: A-Yi acupuncture point Location of A-Yi acupuncture point: the point of the board machine for facial muscle spasm. (B) Treatment The affected side is first routinely disinfected, then the side is gently tapped with a skin needle, from top to bottom and from left to right, repeatedly and carefully popping. After 3 days, remove the buried needles and use the previous method to find the A-Yi point and then bury the needles again. 5 times is a course of treatment, with an interval of 7 days. (C) efficacy evaluation According to similar to the above criteria, a total of 45 cases were treated, 35 cases were controlled, 5 cases were effective, 3 cases were effective, and 2 cases were invalid. The total effective rate was 95.6%. The clump pricking method (a) Acupuncture points Main acupuncture point: A-Yi point. Supporting points: Sibai, Fish Waist, Zanzhu, Yingxiang, Cheek Car. Location of the A-Yi point: the starting point of facial spasm. (B) Treatment: The main points must be taken one at a time, using the series of stabs. The method is to take 30 to 32 milli needles (0.5 to 1.5 inch long) 15 to 30 pieces. The shallow stabbing into the ayurvedic point, taking intensive rows of needles, or scattered stabs (which are spaced 0.5 to 1 cm wide), should cause the skin at the tip of the needle to protrude, forming a small mound, and leaving the needle body suspended without falling. The matching points are taken near the facial muscle spasm 2 to 3 points, which should also be shallowly pricked. Retained needles 20-30 minutes, once a day, 10 times for a course of treatment. This method of acupuncture, the patient has a slight pain, some patients have a slight feeling of heat at the acupuncture site, or skin congestion and redness, are normal. (C) the efficacy of evaluation to similar to the aforementioned criteria assessment, a total of 30 cases, control for 18 cases (60.0%), apparent effect 5 cases (16.7%), improved 7 cases (23.3%), the efficiency of 100%. This method is simple and easy to implement, and adherence to treatment is the key to achieving results. Acupuncture points (a) Acupuncture points Main points: cataract, cheek car, sun, and dicang. Supporting points: pupil s, zygomatic s, hegu, yanglingquan, fengchi. (II) Treatment Solution: mixed injection (sodium phenobarbital plus 1% procaine hydrochloride injection); 32 chromium phosphate salt (radioactive colloid). Choose 1 or 2 main points and 1 or 2 matching points each time. Any one of the above medicinal solutions was chosen. For the first group of drugs, take 0.1 g of sodium phenobarbital injection plus 1 ml of 1% procaine hydrochloride and mix it for acupoint injection. Group 2 drug, using a scalp needle injection, the needle inserted into the acupuncture point, can be slowly lifted up and down, but not twisted, after the patient gets air, the drug solution will be slowly injected, each point injected 0.1 to 0.2 ml (containing about 10 to 20 microcurie) of sterile colloidal 32 chromium phosphate solution. Group 1 solution daily or every other day, 10 times for a course of treatment; Group 2 solution once a week, two consecutive times for a course of treatment, after 15 days for another course of treatment. (C) efficacy evaluation The acupuncture point injection method treated a total of 134 cases, with similar to the aforementioned criteria assessment, control for 26 cases (19.4%), significant effect 64 cases (47.8%), improved 41 cases (30.6%), ineffective 3 cases (2.2%), the total effective rate of 97.8%. Body acupuncture (a) Acupuncture points Main acupuncture points: pinch Chengjiao through Chengjiao, Chengjiao through Di Cang, Di Cang through Yingxiang, Zygomatic s (or Sun) through Xia Guan, and Si Bai (or Zanzhu) through Miming. Supporting points: wind-cold stagnation: hegu through laogong, taichong through yongquan; yin deficiency and yang hyperactivity: fuyao through tarsus yang and shengqu. (B) Treatment: Main points are taken, and matching points are added according to the symptoms. The needle is twisted for 1 minute after entering the needle, and is retained for 1 to 2 hours, and is performed once every 20 minutes; Shenqu is moxibutated with 3 to 5 strokes of salt. Five times is a course of treatment, and the interval between courses is 5 days. (C) efficacy evaluation 68 cases, the results, healed 26 cases, 25 cases, effective 10 cases, invalid 7 cases, the total effective rate of 88.2%. Warm acupuncture with cupping (a) Acupuncture points Main acupuncture points: Di Cang (or Ayi point), Hou Xi, and Si Bai. Supporting points: Yingxiang, Renzhong, Chengjiao, and Chee Che. Location of the A-Yi point: the starting point of facial muscle twitching (mostly at the corner of the mouth or 2 cm away from the confluence of the upper and lower lips). (b) Treatment: Use a milli-needle to penetrate at an angle of 30 degrees from the main acupuncture point Dicang or AYi point to the Yingxiang point in the direction of the inner corner of the affected eye, 2.5-3.5 inches; penetrate Dicang to the cheek car for 2-3 inches; penetrate Renzhong from Dicang and Chengjue from Dicang. Houxi is pierced straight 1.5 to 2.5 inches, with the lowest oblique piercing through 3/4 of the palm. Retain the needle for 1.5 to 2 hours and apply moxibustion with hygienic incense to the end of the needle. Take a small glass fire pot (or bottle) with a caliber of 0.6 to 1 inch, make a dough with water and roll it into noodles and turn it at the mouth of the pot, then cast the fire method, cupping the fire pot on the four white points, and leave the pot for 20 to 30 minutes. Once every other day, 10 times for a course of treatment. (C) efficacy evaluation A total of 572 cases were treated, 459 cases were cured, 73 cases were effective, 19 cases were effective, and 21 cases were ineffective, with an overall efficiency of 96.3%.