Acupuncture Treatment for 87 Cases of Facial Paralysis

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JTCM-1270

JTCM September 2004 77/62
Yu Xiaoyang et al

(Archive subscribers please click on 'find out more' to see abstract. The full article is not available online and must be bought as a photocopy delivered by post).

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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