Talking about treatment myths Facial palsy is simply categorized into “central facial palsy” and “peripheral facial palsy”. The so-called central facial paralysis refers to intracranial lesions that affect the facial nerve and cause facial muscle movement disorders. The most common cause is vascular lesions in the brain, such as cerebral infarction. This type of facial paralysis is common in the clinic. This type of facial paralysis is often accompanied by paralysis of the tongue muscles, and it can be seen that the patient has both facial and tongue paralysis at the same time. The focus here is on peripheral facial paralysis. Peripheral facial paralysis is common in the clinic, and sometimes several cases can be seen in a day’s outpatient clinic, with most of them being young and middle-aged. The youngest patient was as young as 3 years old. Peripheral facial paralysis is also known as “facial nerve paralysis”, “Bell’s palsy”, “facial neuritis”, etc.; it is also known as “hanging tilt wind”. “. The cause of the disease, Western medicine is considered to be a viral infection of the facial nerve and the onset of Chinese medicine is considered to be by the virtual evil thief wind invasion of collaterals, qi and blood occlusion, the meridians and channels and paralysis of the facial muscles, clinical history of the inquiry, the patient more than the face of the history of exposure to cold and blowing cold winds, but there is also an unknown cause of the cause of the disease, sleep and wake up to feel the corners of the mouth salivation and the clinic. This disease is mostly acute, more than half of the 24 to 48 hours to facial nerve severe paralysis. Patients show that the affected side of the frontal lines disappeared, eye fissure enlargement, eyelids can not be closed or closed incomplete, can not do frowning, the affected side of the nasolabial folds become shallow, the corner of the mouth ptosis to the healthy side, can not puff cheeks or the affected side of the puffing cheeks leakage and so on, and part of the patients may be accompanied by auditory changes, may also be accompanied by the tongue anterior 2/3 of the sense of taste obstruction, and ear pain, auditory hypersensitivity, and other symptoms. With modern medical point of view for its etiology and pathology, early should reduce facial nerve edema, prevent its demyelination pathological changes, anti-viral treatment; at the same time, improve the blood circulation of the affected side of the face, and promote muscle movement, so that it can recover as soon as possible. Traditional Chinese medicine is to drive the wind out, blood circulation treatment as the principle. Clinical treatment of this disease is a lot of chaos, the lack of standardized operation, but also the community for the “sick”, advertising and profit-making, so that many patients lose a good opportunity for treatment, leaving sequelae, resulting in lifelong regrets. Chaos 1: plaster for facial paralysis About one-tenth of patients come to the clinic before looking for a wild doctor pasted plaster, which shows that there are a lot of people who blindly follow the treatment of facial paralysis. Many patients come to the clinic with redness and swelling of the face or even with large skin lesions, but they still can’t get rid of the plasters. The reason for this is that the plasters are estimated to contain stimulants similar to “mustard seeds”, such as the commonly used white mustard seeds, yellow mustard seeds and so on. I have also encountered a military clinic to the oral cavity on the affected side of the mucous membrane cut, mustard to stimulate the patient’s pain is abnormal, and the probability of sequelae increased, but also checked the literature, but ultimately do not know that the doctor based on what the theory of the patient so treatment? Ointment treatment is one of the external treatment method of traditional Chinese medicine, the rational application of the effect as pat drums; there is also a kind of skin stimulation drugs to make the patient’s skin foam, also known as moxibustion, for many chronic diseases can sometimes be good results. But the human face need to face the world at all times, people can not wait to organize their own face “very face”, if the facial medication to make its foam pigmentation or scarring, it is a taboo, not only the disease is not cured, but also cause disfigurement of the patient, the crime is not small! So in the face with a strong irritation of the external self-governing “ointment”, not only theoretically impermissible, does not make sense, these wild doctors if practicing medicine without a license that is a violation of the criminal law. Regrettably, if there are ten people paste ointment, a fluke self-healing, then this one person everywhere to publicize, became the doctor’s trust, that nine people, although ineffective and even stay disfigured patients sequelae, but also recognize their own bad luck, quietly “let him go”, this is the country’s woe! Chaos two: the sooner the better acupuncture, and acupuncture plus electrical stimulation. Acupuncture and moxibustion is actually two concepts, that is, needles and moxibustion. Now the folk mostly use the needle method, that is, the “dry needles”. Acupuncture is indeed effective for some diseases, such as some pain, because the body can secrete a substance called endorphin after acupuncture, has a very good role in raising the pain domain, so the effect of analgesia is better, but the effect on some diseases caused by nerve defects is not satisfactory. Or let’s talk about facial paralysis. Facial paralysis is inflammatory changes in the facial nerve, due to the facial nerve conduction disorders caused by the pathological changes in the early stage of the “facial nerve tissue edema,” the late stage of the so-called demyelination may occur, leaving sequelae are also caused by the facial nerve defects in facial nerve innervation of muscles can not be moved, so there is an incomplete closure of eyelids, mouth crooked, and even facial muscle spasms, and so on. So there is incomplete eyelid closure, crooked mouth and so on, and even facial muscle spasm. If strong stimulation is given to the distribution area of the facial nerve in the early stage of the disease, it is very likely to aggravate the edema of the nerve and accelerate its demyelination pathology, so that the chance of sequelae may increase, which is often seen in clinical practice. Therefore, in the early stage of facial neuritis should not be given strong stimulation, such as acupuncture in the face, especially with electrical stimulation is not appropriate. As for the kind of needle bleeding and fire cupping is even more undesirable. Unfortunately, some quacks now not only do not do in-depth study of this wild medicine, but also to show off, the country also lacks such laws, resulting in the interests of patients damaged. In the early stage of the disease, the principle of treatment is: minimize facial nerve edema, eliminate edema; appropriate application of nerve calming drugs, because the disease has a self-healing, if the treatment is appropriate, three to four weeks can be cured. Early on, acupressure methods can be used to avoid secondary damage to the facial nerve, but also to accelerate the recovery of nerve function. In my clinical practice, I found a new acupuncture point for paralysis, “Jianzheng point”, which has been published in the Chinese Journal of Acupuncture and Moxibustion, so it is worth a try. Of course, the early stage of the disease is not prohibited acupuncture treatment, one of the principles of acupuncture treatment is to take points according to the meridian, avoiding the facial points, looking for patients with distal points such as “Hegu”, “Jiejie”, “Kunlun”, etc., to give acupuncture. “and so on, give acupuncture, not only can avoid causing damage to the facial nerve endings, but also to achieve the purpose of acupuncture treatment, why not?