Facial palsy is a condition in which the mouth and eyes are tilted to one side, also known as orofacial obliquity. The disease can occur at any age and has no obvious seasonality. When the pathogenic evil obstructs the facial meridians, especially the dysfunction of the hand sun and foot yangming meridians, facial palsy can occur. This disease is equivalent to peripheral facial nerve palsy in Western medicine, and is most common in Bell’s palsy. The cause and mechanism of the disease are: overwork, lack of vital energy in the organism, deficiency of the veins and collaterals, lack of solidity of the external guard, wind-cold or wind-heat taking advantage of the deficiency to enter the facial meridians, resulting in paralysis of qi and blood, dysfunction of the meridians and tendons, loss of restraint of the tendons and flesh, and seclusion. As the Ling Shu. The symptoms of peripheral facial palsy include eye and cheek tendons, because the tendons of the Sun meridian of the foot are the “upper gland of the eye” and the tendons of the Yang Ming meridian of the foot are the “lower gland of the eye”, so the eyelids cannot close because of the dysfunction of the tendons of the Sun and Yang Ming meridians. Therefore, the mouth distortion is mainly caused by the dysfunction of these three meridians. When waking up from sleep, one side of the face is often found to have muscle stagnation, numbness, paralysis, loss of frontal lines, enlarged eye fissures, tearing of the eyes, shallow nasolabial folds, drooping corners of the mouth to the healthy side, inability to frown, wrinkle the forehead, close the eyes, show the teeth, and bulge the cheeks; some patients have pain behind the ear at the beginning, and the affected side of the front 2/3 of the tongue may also have reduced or absent taste, and auditory hypersensitivity. In some patients, if the disease is prolonged, contracture of the paralyzed muscles may occur, and the corners of the mouth may recoil to the affected side, or even facial muscle spasm may occur, forming the phenomenon of “inverted error”. If the face has a history of cold, the tongue is light and the coating is thin and white, it is wind-cold; if it is followed by a cold and fever, the tongue is red and the coating is yellow and greasy, it is wind-heat. Treatment] 1. Basic treatment Treatment: dispel wind and open the ligaments, dredge and regulate the meridians. Treatment is based on the Yangming and Sun meridians of the hands and feet. Main points: Zanzhu, fish waist, Yangbai, Sibai, zygomaticus, cheek car, Di Cang, Hegu, Kunlun, supporting points: wind-cold evidence plus Fengchi; wind-heat evidence plus Quchi; recovery period plus Foot Sanli; human mid-groove distortion plus Shuigou; nasolabial groove shallow plus Yingxiang. Operation: facial acupuncture points are used in a flat tonic and flat diarrhea method, and moxibustion can be added during the recovery period. In the acute period, the facial acupuncture points should not be overly heavy, and the acupuncture points at the distal end of the limbs should be performed with laxative methods and heavy techniques; in the recovery period, the distal end of the limbs should be performed with the foot sanli method, and the hegu and kunlun should be performed with the flat tonic and flat laxative methods. The facial acupuncture points can be used to regulate local tendons and blood, and activate blood circulation. Hegu and Kunlun are selected points at the distal end of the meridians. In the acute stage, the diarrheal method can dispel the evil qi of Yangming and Sun tendons and collaterals, dispel the wind and open the collaterals. In the recovery period, adding the foot three li with the tonic method can replenish the qi and blood, moisten the meridians and tendons. 2, other treatments (1) skin acupuncture: use plum blossom needle to tap Yangbai, zygomaticus, DiCang, cheek car, to the extent of local flushing, once a day or every other day, applicable to the recovery period. (2) Acupuncture and cupping method: using trigeminal needles to puncture Yangbai, zygomaticus, diacang and cheek car, and cupping, twice a week, applicable to the recovery period. (3) Electro-acupuncture method: select the sun, Yangbai, DiCang and Cheek Cheeks, turn on the electro-acupuncture instrument, and energize for 10-20 minutes, the intensity of the patient’s facial muscles are slightly throbbing and can be tolerated. If you see the teeth chewing after the electricity is turned on, the needle is too deep, due to the bite muscle, the depth of the needle should be adjusted. Adapted to the recovery period. (4) Acupuncture point patching method: select sun, yangbai, zygomaticus, dicang, cheek car, file strychnine into powder about 1 to 2 points, sprinkle on adhesive tape, then paste at the acupuncture point, change the medicine once in 5 to 7 days. Or use castor bean pounded with a little musk, take a large clump of mung bean grains, paste on the acupuncture point, every 3 to 5 days to change 1 time. Or use white pepper finely ground, add a little ice chips as a cake, paste the acupuncture points, once a day. Warm tips: 1. Acupuncture has excellent effect in treating facial palsy, and is currently the safe and effective method of choice for this disease. 2.The face should avoid wind and cold, and wear a mask and eye patch if necessary; because the eyelids are not fully closed, dust can easily invade, and eye drops should be ordered 2 to 3 times a day to prevent infection. The prognosis of peripheral facial palsy is closely related to the degree of damage to the facial nerve. Generally speaking, facial palsy caused by aseptic inflammation has a better prognosis, while facial palsy caused by viruses (such as Hunter’s facial palsy) has a poorer prognosis. If recovery is not achieved within three months to six months, most of them have sequelae.