The author believes that for intractable facial paralysis, the patient’s psychological guidance and the adjustment of the use of acupuncture should not be neglected. Because of the sudden onset of facial paralysis, the patient’s facial image is affected, coupled with the lack of understanding of the disease, feeling embarrassed, confused, and then due to the loss of treatment, mis-treatment and the development of intractable facial paralysis, then feel bored, or even depression, self-esteem is damaged, so as to give up on themselves, and loss of confidence in the treatment. Therefore, it is very important to regain the patients’ confidence in overcoming the disease and achieving satisfactory results. The author in many years of acupuncture clinical work, find out a set of effective method, that is, psychological guidance with every other day giant prick method. First of all, follow all people-oriented, focusing on the psychological adjustment of the patient as the principle. Each patient’s first consultation, must be warmly received, and communication, carefully asked about the history of the disease and diagnosis and treatment, and informed of the disease’s approximate cause, course, treatment and prognosis, etc., after identification and analysis, to formulate a corresponding treatment plan, while giving up all the previous treatments, to maintain a relaxed and happy mood, and actively cooperate with the new treatment plan. Conditional hospitals, can be played in the treatment of some both relaxed, but also pleasant music, will receive twice the result with half the effort. For the legacy of the disappearance of forehead lines, can not frown, in the psychological guidance at the same time, a single day on the affected side of the use of plum blossom needle along the save bamboo – Yangbai – head-dimension – sun line percussion, gently percussion to the skin flushing or slight bleeding; two days on the healthy side of the line of Yangbai parallel 3 needles, that is, Yangbai 1 needle, from the top and bottom of the 0.5 inches from each of the 1 needle, a hanging needle, can seem to be lagging needle, along the forehead line towards the needle; identification of the matching Baishui, distal to take the Hedong, foot Sanli. Make the local qi and blood smooth, and can stimulate the excitement in the dysfunctional state of the nerve endings, accelerate the blood circulation of the nerve endings, as soon as possible to make it restore function, forehead lines see again. For those who have facial stagnation, crooked corners of the mouth, can’t do facial muscle movement such as shrugging the nose, puffing the cheeks, showing the teeth, and those who have embedded rice in the mouth and cheeks, in the meantime of psychological guidance, after hot compresses and light massages on the face of the affected side on a single day, the needle is used to percuss and puncture the needle along the middle groove of the man – nasolabial groove – zygomatic s – Xia Guan – Dicang – Cheek Che – chin-lip groove with the use of the Plum Blossom Needle and can pull out 3 or 4 small canisters; on both days, take the gutter in the healthy side, welcome the fragrance, pinch the Cheng Pulp, the zygomatic s through the Xia Guan, and the ground through the cheek cheek Che. Running acupuncture, if necessary, can be on the electroacupuncture, the use of sparse and dense wave appropriate with Baihui, foot Sanli, Hegu, Neiting in order to strengthen the spleen and qi, enhance the body’s resistance. It must be emphasized that “gas to the place of disease” in order to achieve satisfactory results, as the “Spiritual Pivot” cloud “stabbing to be, gas to the effective, the effect of the letter if the wind blowing clouds, clear as if to see the sky”. Therefore, the operation should pay attention to the guardian of God, the heart is not two, concentrate, and patients are often asked to chew gum, to achieve the elimination of the remaining symptoms, facial muscle movement back to normal. For the remaining eyes, eyelids can not be completely closed, in the psychological guidance at the same time, a single day on the affected side of the use of plum blossom needle percussion on the upper and lower eyelids 10 to 20 times, the upper eyelid heavy percussion, the lower eyelid light percussion; two days on the healthy side of the eye take the eye point, needle gently pushed the eyeball to the outer side of the fixation, and then along the orbital wall of the slow stabbing people, do not lift the insertion of the twisting, the needle should be pressed for 3-5 minutes after the release of the periorbital blood vessels to prevent bleeding. At the same time, the identification and matching of Baihui, Ashigaru, Shenwei and Zhaohai can improve the blood circulation of the eyes and strengthen the nutritional supply, together with the application of Shenwei and Zhaohai of the stilt vein, which is responsible for the opening and closing of the eyelids, thus the disease is cured in a matter of days. The so-called intractable facial paralysis mainly refers to high level (damage plane in the facial nerve canal and above) facial nerve damage, and severe facial nerve damage (the same facial ganglion segment, facial nerve damage is also different in severity). Judging from the clinical symptoms, patients with complete paralysis of the facial nerve, accompanied by severe pain behind the ear, loss of taste in the anterior 2/3 of the tongue, dryness of the affected eyes, hearing abnormalities and vertigo, may have intractable facial paralysis, and the more symptoms accompanying the above, the more difficult it is to cure. Judging from Chinese medicine diagnosis, wind-cold type facial paralysis is easy to treat, followed by wind-heat type facial paralysis, and more difficult to treat with damp-heat of liver and gallbladder, deficiency of liver and kidney, deficiency of qi and blood, and blockage of blood stasis. In addition, untreated facial paralysis in the early stage of facial paralysis, mis-treatment and improper conditioning can also cause persistent facial paralysis. Patients with facial paralysis who are older, frail and sickly with severe hypertension and diabetes will be more difficult to treat and have a longer course of treatment. For refractory facial paralysis, in addition to traditional Chinese medicine and acupuncture, the following methods are often used: 1. Acupuncture point injection, mixed with vitamin B1 and vitamin B12, or for those who are afraid of pain, only vitamin B12 injection can be used for acupuncture point injection, and it is even better to use Microphenoxine. Combined use of local and distal points, the distal points are often used foot Sanli, Yanglingquan, the rotation of the use of various points, the weekly treatment of 3 times, less than 2 times this method is suitable for busy work in the middle and young people. 2, the affected part of the shallow needle more prick, all the points on the face alternately, each time with 2 acupuncture points warm acupuncture, this method is suitable for partial deficiency, partial cold patients, weekly treatment 3 to 5 times. 3, fire needle treatment, with a fine fire needle widely puncture the affected acupoints, and then use shallow needles more stabbing method, this method Prof. He Puren used, suitable for the treatment of intractable facial paralysis, treatment 3 times a week. 4.Appropriate needling of carpal points on the healthy side to mobilize the meridian qi on the healthy side to promote the recovery of the affected side The above methods can be used in a comprehensive manner. For patients with large eyelid fissures and difficulties in opening and closing the eyelids, warm acupuncture at the Sanyinjiao is used. This method is derived from the “ophthalmology brochure”, which says: “ptosis, mild cases of moxibustion Sanyinjiao”. For those with shallow nasolabial folds, either needles or warm needles can be used to moxibrate Houxi. In addition, patients should be instructed to carry out functional exercises for paralyzed facial muscles. For patients with hypertension, diabetes and other disorders, to actively control the primary disease. After the above treatment, as long as the treatment is adhered to, most of the patients with intractable facial paralysis who come for treatment within half a year of the onset of the disease can gradually return to normal. For intractable facial paralysis, we should be realistic and explain to the patients that the course of treatment may be very long, and we must be prepared to fight a protracted battle, and not to treat all over the place, otherwise, we cannot get there quickly enough. By consulting a large number of classical medical books, from the “Ling Shu・Cold and Heat Disease”, “Su Wen・Bone Empty Theory”, “The Examination of the Eight Channels of the Qi Jing”, “Difficult Ching・Twenty-eight Difficulties”, “Acupuncture and Moxibustion Complete Book・Eight Channels and Eight Points of Cure Symptoms Song”, we found that the circulation of the Yin-Yang Stilts and Ren-Du Chakra are all up to the head and face, and that they meet with the Sun, Yang-Ming, and other meridians of the hand and foot in the inner canthus of the eye, the acute canthus of the eye, the cheeks, and the lips. “Where the meridians pass, the main treatment reaches.” Therefore, the meeting points of Yin-Yang Stilt and Ren-Du meridians in the eight meridians are chosen to treat head and face disorders. When using the “Eight Methods of the Spirit Turtle” to treat intractable facial paralysis, when a certain point in the meeting points of the eight meridians is opened at a specific time, the place where the meridians pass through, such as the inner canthus of the eyes and the cheeks, etc., is precisely the time when the qi and blood are the most vigorous, and the needle is left in wait for qi at this time, so as to make the qi reach the place of illness, and the qi is more effective in dispelling the disease. If the needle is left to wait for the qi, it can make the qi reach the place of illness, expel the evil qi more effectively, dredge and moisten the facial meridians, and obtain better curative effect for the stubborn facial paralysis. Group A: The primary point is Shen Wei, the secondary point is Zhaohai, and the collateral points are Euming, Chengjian, and Dicang (on the affected side). Group B: take Houxi as the primary point, take Waiguan as the secondary point, and take pupil through Chengsu (affected side) and Shuiqiu through Dicang (affected side) as the collateral points. Operation: according to the eight methods of the Lingguo selected good Jun point of the opening and closing time, such as May 20, 2003 13-15 points (Dec. 20, not the time) to open the Shen vein, then the first needle A group of Junchen two acupuncture points, get gas to stay in the needle for 15 minutes, do not needles, and then take A group of acupuncture points to stay in the needle for 45 minutes; the second day of the day, A Wu day, at noon to open the point of the back of the stream, that is, to take the B group of acupuncture points. So the two groups of points alternating acupuncture, 20 times for a course of treatment. Needle facial acupuncture points should be light, do not lift and insert twisting. Add and subtract according to the symptoms: weak spleen deficiency and phlegm, plus foot Sanli, Fenglong; tongue numbness and tongue distortion, plus Lianquan; pain behind the ears, plus cataract wind For more than 20 years, the author has used a variety of methods of treatment of facial paralysis, such as acupuncture, stabbing the blood, warm needles, moxibustion, acupoint injections, electro-acupuncture, He-Ne laser, fire needle, compresses, etc., in comparison, the best results when the number of burning needles. Burning needle for facial paralysis takes fewer acupuncture points, the effect is fast, most patients are cured within 10 days (other methods need about 30 days to cure the disease). Even if other methods of treatment are not effective, that is, the so-called intractable facial paralysis patients, this method can also achieve good results. Specific method is: select the affected side of the Xia Guan, Dicang through the cheek car, with 75mm millimeters of millimetre needle into the gas, with an alcohol lamp burn the end of the needle, in order to the degree that the patient can tolerate, the first take the Xia Guan, then take the Dicang through the cheek car, each acupuncture point to burn the needle for 10 minutes, 1 time a day. Children and those who are afraid of needles only take the lower pass, 10 times for a course of treatment, generally 10 times can be cured, not cured or recovery is not complete, rest for 5 days and then cure 1 course of treatment. Generally take the fastest effect can be cured in 5 days, slow 3 courses. Whether the needle treatment is timely or not is the key to the fast or slow effect of burning needles. Facial paralysis disease course in more than 6 months, the evil long stay, meridians and collaterals loss of nourishment, the treatment is more difficult, can be used with the Lechu, hanging bell, the Shengu have unexpected results. In addition to the use of light stabbing, shallow stabbing, more moxibustion, appropriate use of tonifying qi and blood to strengthen the body’s acupuncture points, such as foot Sanli, Hegu, Liver Yu, Spleen Yu in order to exuberant yangming qi. In addition to the back walking cans to adjust the yin and yang, the ducal meridian and both sides of the foot solar bladder meridian from top to bottom, each meridian 4 minutes for a total of 12 minutes to the extent that the skin flushed. A few cases only left in the middle of the ditch skewed is not easy to correct, can be added to stab Li Tui, this is the foot yangming of the “well” point, often can be effective. For those who have muscle weakness on the affected side, the computerized intermediate-frequency therapeutic instrument can be used to carry out functional electrical stimulation and promote local blood circulation. In short, intractable facial paralysis should be adjusted as a whole, a variety of methods of synergistic use, and patience can be effective.