Facial neuritis is an acute non-suppurative inflammation of the facial nerve located in the facial nerve canal, causing acute facial nerve dysfunction, manifested as paralysis of the facial expression muscles on the face of the patient. This disease belongs to the category of “facial paralysis” in Chinese medicine. Although about 70~80% of patients with facial neuritis can gradually recover in 1~2 weeks after treatment, and be completely or basically cured in 1~3 months, about 10~25% of patients will be left with different degrees of facial nerve dysfunction [1], and symptoms such as facial muscle spasm, facial crosstalk, or crocodile tears syndrome will appear, which will cause facial defects to the patients, and will also bring psychological and social barriers, so how to promote facial neuritis as soon as possible, and how to promote the development of facial neuritis? Therefore, how to promote the recovery of patients with facial neuritis as soon as possible, shorten the course of the disease, and reduce the sequelae is an important research topic. The coarse needle Shendao point we used along the dushi meridian flat stabbing method, achieved satisfactory results, is summarized as follows. 1, Clinical data 1.1, Case selection 126 patients of outpatient and inpatient facial neuritis of acupuncture and neurology department of our hospital who met the inclusion criteria, including 17 cases of Hunt syndrome, were randomly divided into 3 groups according to the random table, i.e., coarse needle flat puncture group, traditional acupuncture group and western medicine control group, and all of them did not have history of diabetes mellitus. There were 42 cases in the coarse acupuncture group, including 6 cases of Hunt syndrome, 22 males and 20 females, with an average age of 47 years, and an onset-to-treatment time of (4.37±2.82) days; 42 cases in the traditional acupuncture group, including 5 cases of Hunt syndrome, 20 males and 22 females, with an average age of 48 years, and an onset-to-treatment time of (4.15±2.65) days; and 42 cases in the western medicine control group, including Hunt syndrome 6 cases, 21 men, 21 women, average age 46.5 years, onset to treatment time (4.28 ± 2.79) days. After statistical treatment, the difference between the three groups was not significant and was comparable. 1.2 Diagnostic criteria (1) Sudden onset of disease. (2) The affected side has a large eye fissure, the eyelid can not be closed, tearing, the frontal line disappears, and can not frown. (3) The nasolabial groove on the affected side becomes shallow or flat, and the angle of the mouth is low and pulls toward the healthy side. (4) According to the different parts of the damage, it is divided into: (1) when the mastoid foramen above the stem affects the tympanic cord branch, there is taste disorder in the anterior 2/3 of the tongue; (2) when the damage is at the stapedial nerve, there is hearing disorder; (3) when the damage is at the geniculate ganglion, there is pain in the mastoid area, and there is sensory disorder of the external auditory canal and auricle, or there is herpes; (4) when the damage is at the geniculate ganglion above the stapedial nerve, there is tearing, and there is a reduction of saliva. 1.3 Criteria for inclusion of cases (1) Meet the above diagnostic criteria, within one month of the disease. (2) Age 15~65 years old. (3) Exclude: ① peripheral facial paralysis complicated by otitis media, mastoiditis, mumps, etc.; ② peripheral facial paralysis caused by lesions in the posterior cranial fossa, such as acoustic neuroma, meningitis at the base of the skull, intracranial metastasis of carcinoma, multiple sclerosis, etc.; ③ central facial paralysis. (4) Those who are treated according to the design of the subject. 1.4 Criteria for excluded cases: (1) Those who do not meet the above criteria for inclusion of cases. (2) Those who do not adhere to the treatment. 2.1 Coarse needle and flat stabbing group: Acupuncture point: Shendao point. Needle: 1.0mm diameter, 100mm length stainless steel special needle. Acupuncture points and hands sterilized with both hands holding the needle quickly break the skin and then into about 10 degrees into the needle, along the ducal meridian downward flat prick until the root of the needle, the doctor does not use lifting and inserting twisting and other techniques, the patient does not have soreness and pain, stay in the needle for 4 hours, 5 times a week, 10 times for a course of treatment. The oral medication was the same as that of the western medicine control group. 2.2 Traditional Acupuncture Group: Acupuncture points: Hegu, Dicang, Xiaguan, Cheek Che, Yangbai, Yingxiang, Zanzhu. Needles: stainless steel needles with a diameter of 0.25mm and a length of 40m. After the points and hands are sterilized, the needle is inserted, qi is obtained, and the needle is left in place for 30 minutes, 5 times a week, 10 times for a course of treatment. The oral administration of drugs was the same as that of the western medicine control group. 2.3, Western medicine control group: Oral prednisone tablets 30-60mg/d in the acute stage for 5 days, then gradually reduced to 5mg per day for the next 10 days, and stopped after 5 days. Vitamin B12 injection 0.5J, intramuscular injection, once a day, 10 consecutive days of treatment; vitamin B110 mg orally, 3 times a day. 2.4, Observation indexes 2.4.1, Facial nerve function grading [3]: assess and record once before and after treatment. 2.4.2: Modified Portmann Clinical Simple Scoring Method (RPA): Calculate the points, assess and record once before and after treatment. 2.4.3 Facial nerve electrogram (ENOG): Using a Japanese-made electromyography machine, facial nerve electrograms were examined before and after treatment and the relevant data were recorded. 2.4.4. Safety evaluation (1) Check blood pressure, heart rate, heart rhythm and respiration before and after each treatment. (2) Safety of clinical operation: record adverse reactions such as needle fainting, needle breakage, hematoma and infection during implementation. 2.5 Observation cycle 2 courses of treatment is one observation cycle. 2.6 Statistical methods Clinical data were expressed and examined by t-test. 3.Results 3.1 Efficacy standard 3.1.1 House-Brackmann facial nerve function grading standard[3]: according to the House-Brackmann facial nerve function grading evaluation standard established by American Otolaryngology Head and Neck Surgery (referred to as H-B grading). 3.1.2 Facial symptoms in accordance with the modified Portmann Clinical Simple Scoring (RPA) to calculate the points, the observation of frowning, eyes closed, moving the nose, smiling, whistling and puffing the cheeks of the six voluntary movement, the affected side and the healthy side is basically the same as 3 points, the movement of the movement is weakened for 2 points, the tip of the movement for 1 point, can not be independent movement for 0 points, six items, plus the impression of the quiet time score of 2 points. The higher the score, the lighter the degree of lesion, 20~17 points for complete clinical recovery, 16 points and below for partial recovery. 3.1.3 Facial nerve electrogram (ENOG) examination, calculate the ratio of latency and wave amplitude on the affected and healthy sides, the closer the ratio is to 1, the lighter the degree of lesion. The above observations were performed once before and after treatment. 3.2, Comparison of H-B grading before and after treatment: see Table 1, from which it can be seen that, at the level of P < 0.05, H-B grading was significantly improved after treatment in all groups, but the coarse needle and flat stabbing group was superior to the traditional acupuncture group and the western medicine control group. 3.3 Comparison of RPA scores before and after treatment of facial symptoms: The RPA scores of facial symptoms of patients in each group improved after treatment, and Table 2 shows that the within-group comparison of the scores of the coarse needle and flat prick group, the traditional acupuncture group, and the western medicine control group before and after treatment was better than that of the traditional acupuncture group and the western medicine control group at the P < 0.05 level. 3.4 Comparison of electroneurography (ENOG) Comparison of ENOG latency ratio and wave amplitude ratio before and after treatment is shown in Table 3, from which it can be seen that the latency ratio and wave amplitude ratio of ENOG before and after treatment in the three groups were significantly improved, but it was better in the coarse acupuncture and flat puncture group; in the comparison between the groups, when the P＜0.05 level, the ENOG latency ratio of the coarse acupuncture and flat puncture group was significantly better than that of the western medicine control group, and there was no significant difference in the traditional acupuncture and puncture group, while the western medicine control group had no significant differences in the comparison. traditional acupuncture group was not significantly different; however, there was also no significant difference between the traditional acupuncture group and the western medicine control group. When P < 0.05, there was a significant difference between the ENOG wave amplitude ratio coarse needle flat puncture group compared with both the traditional acupuncture group and the western medicine control group, while there was also a difference between the traditional acupuncture group and the western medicine control group, indicating that the curative effect of the coarse needle flat puncture group was better than that of the traditional acupuncture group and the western medicine control group. 3.5 Safety evaluation 3.5.1 Comparison of blood pressure, heart rate, heart rhythm and respiration before and after treatment: there was no obvious abnormality before and after treatment and between groups, and the difference was not significant. 3.5.2 Safety of clinical operation: no adverse reactions such as needle fainting, needle breakage, hematoma, infection, etc. occurred during the implementation of the whole project. 4, Discussion Chinese medicine believes that this disease is mostly caused by the deficiency of positive qi, the emptiness of the veins, wind-cold or wind-heat evils take advantage of the weakness to invade, so that the meridian qi of the yangming and sun veins is blocked, the qi and blood do not run smoothly, and the meridian tendons are affected by the disease, resulting in the mouth and eyes skewed. Or factor body Yang Sheng, or because of the gallbladder, stomach two meridian accumulation of heat, wind and heat of the evil invasion, easily depressed and heat, heat and evil invasion and affect the operation of qi and blood, resulting in the tendons and muscles ChiZhongZhong do not collect and lead to distortion of the eyes and mouth, facial meridian qi stagnation, tendons and flesh is the main mechanism of the onset of the disease. Chinese and western medicine and acupuncture have accumulated rich experience in the treatment of this disease, but there are still a few patients who have difficulty in recovering and curing, so it is very necessary to explore more effective treatment methods. Coarse needle therapy is a new technique of acupuncture developed on the basis of tradition, clinically it can make patients with facial neuritis eliminate edema as soon as possible, and promote the recovery of facial muscle function, its mechanism of action needs to be further researched, according to the preliminary observation it has the effect of improving the blood circulation of the human body, and promoting the recovery of the damaged nerve function and so on. Acupuncture points in the Shendao point of the Directing Vessel, according to the motherland medicine meridian theory, "the Directing Vessel, the sea of yang veins, the Governor of a body of yang qi", the Directing Vessel for the "sea of yang veins", line in the middle of the back, and the veins of its many times with the hands and feet of three yang meridian and Yang Wei veins intersecting the whole body of yang meridian qi and blood plays a regulating role. It regulates the qi and blood of the yang meridians of the whole body. Shendao: God, the gas of heaven; Road, channel, Shendao name means that the ducal chakra yang qi in the inherent channel and upward, its function is to strengthen the yang and benefit the qi through the collateral. We clinically use coarse needle Shendao point flat stabbing and long stay needle, give full play to the role of Shendao point and the ducal meridian, invigorate the body's yang qi, so as to adjust, dredge the meridian, then the evil is not to survive, the disease can be healed, the line of qi activation and pulling the positive, we apply this method of treatment of facial neuritis patients with facial muscle function to recover faster, the course of the disease is shortened, the method of the fewer acupuncture points, and whether the acute stage or the recovery stage of facial neuritis can be applied, the law The method has achieved satisfactory therapeutic effects, and for some cases, it can often receive unexpected results. According to clinical observation, it is more effective to treat patients with insufficient yang qi or suppressed yang qi with thick needles. Although the needle is thick and long, the needling site is superficial, and by leaving the needle in for a long time, the patient can get a small dose and a long period of needling effect, so as to achieve the amount of stimulation needed for the treatment of the disease. Coarse needle due to the thicker needle, leave the needle for a longer period of time, into the needle when the doctor into the needle speed should be fast, finger force needs to be strong, in order to make the patient to achieve painless, most patients do not bleed after the needle, but still need to pay attention to observation of the site of the needle, if there is bleeding, timely compression. Coarse needle therapy is easy to master, economical and simple, high efficacy, and no side effects, it is worth promoting. Practice has proved that coarse acupuncture Shendao point flat stabbing can promote facial neuritis patients facial muscle function to recover as soon as possible, it is an effective treatment of facial neuritis of a new method.