The role of abdominal acupuncture in the treatment of sequelae of facial paralysis

The role of abdominal acupuncture in the treatment of facial paralysis sequelae Peripheral facial paralysis is a common and frequent clinical disease, which can occur at any age, with a higher incidence in spring and autumn, and it starts suddenly, and the common triggers of the disease are cold exposure and history of cold. In the case of facial nerve palsy, it is characterized by the loss of frontal lines on the affected side, widening of the eyelids, tearing, shallow nasolabial folds, and tilting of the corners of the mouth to the healthy side. It is an acute non-suppurative inflammation of the facial nerve located in the facial nerve canal, causing acute facial nerve dysfunction. 71%~90% of this disease can be completely recovered naturally or through active treatment, but there are still 10%~25% of patients will be left with different degrees of facial nerve dysfunction, i.e. facial paralysis sequelae, such as: crocodile tears (obscurantist tear reflex), facial myoclonus, facial stiffness, facial muscle spasm, etc., of which facial muscle spasm is paroxysmal hemifacial muscle involuntary twitching. And the prognosis is also difficult to predict, and give patients in social and psychological great harm. After learning abdominal acupuncture from Mr. Bo Zhiyun, I used this therapy to treat the sequelae of facial paralysis with satisfactory results. I. Overview Sequelae of facial palsy refers to the disease duration of more than six months, and the current treatment mainly includes medication, surgery and acupuncture. Recent therapeutic views are based on anti-inflammatory, anti-viral and nutritive nerves. Chinese medicine treatment, on the basis of identification, is strengthened with drugs that disperse wind and search for wind, and clear the collaterals and disperse knots. Surgical treatment includes facial nerve decompression and muscle and nerve transplantation, but the postoperative efficacy is inconclusive. Acupuncture and moxibustion are effective in treating facial paralysis, especially in the early stage of the disease. For patients with facial paralysis in the late stage of the disease, due to the “chronic disease must be weak”, the use of abdominal acupuncture as the main comprehensive treatment, play a role in replenishing qi and blood, shuji and collaterals pulling the positive, transporting qi and blood upward, the therapeutic effect is remarkable. Acupuncture points: abdominal acupuncture points: the middle epigastric region, the middle epigastric region, the lower epigastric region Local acupuncture points: dicang, daxing, cheek car, Xiaguan, zygomatic, sun, zanzhu, yangbai Three typical cases Ding Moumou, female, 23 years old, first diagnosed April 1, 2007, right side of the mouth and eyes skewed for 6 months. The right side of the mouth and eyes were distorted for more than 6 months. 6 months ago, the right side of the mouth and eyes were distorted due to wind-cold sensation, and was diagnosed as right-sided facial neuritis in a western hospital, and the symptoms were relieved by taking prednisone tablets, micaopao tablets, and vitamin B1 tablets orally for about a month. She continued treatment for half a month, but her facial symptoms did not improve. He went to a hospital in Shanghai to receive acupuncture treatment, but his symptoms improved slowly. In order to seek further treatment, he came to our department. Physical examination: the right frontal line became shallow; the right eyelid could still be completely closed with force, but the strength was poor; the right nasolabial sulcus became shallow; shrugging of the nose was not possible; the corner of the mouth was crooked on the left side of the smile; she couldn’t whistle; there was one tooth exposed. With numbness of tongue. Tongue red at the edges, with teeth marks, thin moss, pulse fine. Abdominal acupuncture treatment, needling the lower epigastric region, the middle epigastric region and the slippery flesh gate (bilaterally). Locally selected points were dicang, dajing, cheek car, Xiaguan, zygomatic s, sun, zanzhu, yangbai. Follow-up after one course of treatment: frontal lines were slightly deeper than before, eyelid closure was OK, two teeth were exposed, and the left crookedness of the corner of the mouth improved when smiling and speaking. After three courses of treatment: both sides of the face are basically symmetrical, the right side of the frontal line is slightly lighter than the left side, five teeth are exposed, and the symptoms are obviously improved. Fourth, the experience of facial neuritis, belongs to the motherland medicine of the “mouth僻”.”facial paralysis”.”mouth and eye skewed” and so on the scope. The record of this disease is found in Nei Jing, Chinese medicine believes that this disease is a deficiency of positive qi in the human body, and the collaterals are empty, and wind and evil take advantage of the deficiency to invade yangming and shaoyang meridians, so that the meridian qi stagnation, the meridian tendon loss of nourishment, and the tendons are slow and uncollected and the onset of the disease. At present, many medical doctors will be divided into wind-cold type, wind-heat type, liver wind internal movement type, qi and blood deficiency type and wind-phlegm obstruction type. In the early stage of the disease, the evil is mainly solid. As “prolonged illness is always characterized by deficiency”, “deficiency” and “stasis” are the keys in the later stages of the disease. The localized points on the face are Dicang, Da Ying, Che Che, Xia Guan, Si Bai, Sun, Zan Zhu and Yang Bai. These points are all Yangming and Shaoyang meridian points and are located near the facial nerve and its main branches. Facial micro Yangming, Shaoyang meridians convergence, Yangming meridian for more gas and blood meridian, Shaoyang meridian and the Department of half surface half li meridian, acupuncture Shaoyang, Yangming meridian points, not only can dredge the meridians, harmonization of qi and blood, to improve the local symptoms, but also to assist the positive qi, to take the “meridian over the main treatment of the meaning of the”. “Face buckle Hegu collection”, so acupuncture Hegu can play the role of dredging the meridians, through the role of regulating qi and blood. Acupuncture foot Sanli to support the positive to drive away the evil, Yanglingquan dredge meridians, Sanyinjiao, Taichong tonifying liver and kidney to drive away the internal wind. When all points are used together, the disease will be cured. This group of prescriptions starts from the overall adjustment of the organism and uses abdominal acupuncture as the main comprehensive treatment for the late stage of peripheral facial paralysis. Abdominal acupuncture therapy is a set of micro-needle system with Shen Que as the core, starting from the embryonic stage, which is the earliest regulation system and meridian mother system of the human body, with the function of infusing qi and blood to the whole body and the function of macroscopic regulation and control of the organism. It connects the five internal organs and six internal organs, and connects the meridians of the whole body externally, and regulates the qi and blood around the body by stimulating the meridian points in the abdomen. Abdominal acupuncture therapy has a multi-level regulation effect, which is very consistent with the principles of “holistic concept” and “supporting the right and dispelling the evil” of Chinese medicine. It is very effective for the treatment of facial paralysis in the late stage.