Acupuncture Treatment for 87 Cases of Facial Paralysis

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JTCM September 2004 77/62
Yu Xiaoyang et al

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Acupuncture Treatment for 87 Cases of Facial Paralysis

by Yu Xiaoyang et al

This study cover the treatment of 46 males and 41 females aged from 16-78 years and with a disease duration of between 1 day and 5 months. The authors point out that the patients with a disease duration of more than 10 days (14 cases) had usually been receiving acupuncture elsewhere, without success, before enrolling in this study. The points selected were Yangbai GB-14, Zanzhu BL-2, Sizhukong SJ-23, Dicang ST-4, Jiache ST-6, Xiaguan ST-7, Yifeng SJ-17, Hegu L.I.-4. and an empirical point located at one third of the line connecting Dicang ST- 4 to Xiaguan ST-7. If indicated by the patient's condition, Zusanli ST-36, Taichong LIV-3, Sibai ST-2 and Juliao ST-3 can be added. For a deviated philtrum add Renzhong DU-26; for deviation of the mentolabial groove, add Chengqiang REN-24; for duration of illness over 2 months, Houxi SI-3 is penetrated with a 3 cun needle through to Laogong P-8. At the initial stages, superficial needling is adopted, and where pathogenic wind is still present, Fengchi GB-20 should be used. In the middle and late stages of facial paralysis, point penetration is used as follows: a No. 30 1.5–2 cun filiform needle was inserted obliquely into Zangzhu BL-2 through to Yuyao (M-HN-6), followed by twirling manipulation to obtain deqi, with needles retained for 30 minutes. Similarly, needles were applied to Sizhukong SJ-23 penetrating through to Yuyao (M-HN-6). Two 3 cun No. 30 filiform needles were inserted into Jiache ST-6 and Dicang ST–4, followed by subcutaneous penetrating needling between these two points. The empirical point was used with the needle penetrating through to Xiaguan ST-7 or Yingxiang L.I.-20. All other points had 1 cun filiform needles inserted perpendicularly with twirling manipulation. Needles were retained for 30 minutes with manipulation applied at 10 minute intervals. Ten days of treatment constituted a course. Some of the patients were cured with 1-2 courses of treatment; most were cured within 2-4 courses of treatment, and the remainder continued to have treatment for up to 6 courses. 65 patients were cured, 19 had good improvement, 3 had some improvement. No patient failed to improve. The total effective rate was therefore 100%.

JTCM September 2004

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