Self-acupuncture for facial palsy!

Facial palsy is a common clinical problem, of which idiopathic facial neuritis, also called Bell’s palsy, is the most common. As an important therapy in traditional Chinese medicine, acupuncture has very great advantages in dealing with facial palsy, and is a common treatment condition belonging to the acupuncture department. Moxibustion therapy has the effect of opening meridians and eliminating external evil, which is very advantageous for the recovery of facial nerve function. As an acupuncturist, we often use moxibustion in the clinical management of facial palsy patients, so in addition to the use of moxibustion in hospitals, patients can also perform moxibustion at home, which is good for clinical efficacy. In today’s chapter, we will introduce the self moxibustion therapy for facial palsy. Why do we advocate moxibustion at home for patients with facial palsy symptoms? First of all, let’s look at how facial palsy is contracted. Most patients with facial palsy have symptoms in a hurry, and a significant number of them have been exposed to cold or fatigue before they develop facial palsy. One of the most common types of facial palsy in Chinese medicine is wind-cold obstruction. Wind and cold are two types of external evil, when the body is weak, that is, resistance is low, wind and cold will enter the body’s meridians and acupuncture points, so that the meridians and channels are blocked, so that the problem of facial nerve dysfunction, which is clinically known as facial palsy. On the other hand, what kind of therapeutic effect does moxibustion have? Moxibustion uses a herb called mugwort. The moxa leaves are dried and tanned to make moxa wool, which is then wrapped in cotton paper and made into a long cigar-shaped moxa stick. This is the most common type of moxibustion appliance in clinical practice. Mugwort is a warming medicine, which can warm up the meridians and dispel external evil, especially cold evil, so moxibustion is very suitable for facial paralysis caused by cold evil. After moxibustion treatment, it can promote local circulation, eliminate edema of nerves, dispel wind and cold evils, and speed up the recovery of facial palsy. Based on this theory, we as doctors often use moxibustion to treat facial palsy in clinical practice. However, because doctors do not have time to give moxibustion to each patient one by one, the clinical method of moxibustion is based on warm acupuncture, i.e., after acupuncture, a small moxibustion column is placed on the end of the acupuncture needle for moxibustion. This moxibustion method is relatively short in duration. In order to enhance the effectiveness of clinical treatment, we advocate patients to perform moxibustion at home, in order to maximize the therapeutic effect of moxibustion. In addition, moxibustion can promote the local qi and blood flow of acupuncture points, so that the acupuncture points can be “activated”, and self-moxibustion and doctor’s acupuncture treatment together can largely improve the effect of acupuncture treatment. For example, if a patient goes to the hospital for acupuncture treatment in the morning, it is better to perform moxibustion at home before going there, so that we can activate the acupoints to be treated with acupuncture in advance, and exercise the local qi and blood to run first, which can achieve twice the effect with half the effort. Below, we introduce the method of self-acupuncture for patients. First of all, we recommend that patients use moxibustion at home, or use the method of gentle moxibustion with moxa strips. The moxa stick moxibustion is easy and safe to use, and the moxa area and time can be flexibly controlled, so we recommend that patients use this method for their own moxibustion. Next, we introduce a few commonly used acupuncture points for facial palsy self-moxibustion. The first point is the Yangbai point. The Yangbai point belongs to the Foot Sun Bladder meridian and is located one finger above the midpoint of the eyebrows, one on each side. This one horizontal finger is the width of the patient’s own thumb. By placing the thumb horizontally, with the lower edge close to the eyebrow, the position of the upper edge of the thumb is the Yangbai point, just at the midpoint of the frontal lines, which can treat the lightening of the frontal lines or the disappearance of the frontal lines caused by facial palsy. The second acupoint, Shimonoseki point. It is located on the face, in front of the ear, and has a depression at the lower edge of the midpoint of the zygomatic arch. When we open our mouth, this area appears as a bulge, and when we close our mouth, this area becomes flat. The third point, the zygomaticus point. The zygomaticus point belongs to the foot sun and small intestine meridian. It is located at the outer canthus of our eyes, directly below the outer corner of the eye, at the lower edge of the cheekbone. The fourth acupoint, Di Cang. The Di Cang point belongs to the Foot Yang Ming Stomach meridian. It is located at 0.1 inch from the corner of our mouth, which is about the distance of a leek leaf. The fifth acupoint, the Chengjiao point. The Chengjiao point is at the midpoint of the lower jaw, directly below the midpoint of the lower lip. For these five points, we use the moxibustion method described earlier, so that the moxa stick is suspended above the point, about 3 to 5 centimeters away. The degree is such that the patient feels a certain burning sensation, but not too hot. The acupuncture points are centered on a circular moxibustion, five minutes for each point, and 25 minutes to half an hour for each moxibustion treatment, which is not very long.