Understanding of stage treatment of peripheral facial paralysis by acupuncture and medicine
Peripheral facial paralysis is equivalent to facial neuritis in Western medicine,and is a common disease in the department of neurology.The main clinical manifestations are oblique mouth and eye,incomplete closure of eyelids or inability to close,unable to complete the movements such as bulging gills,showing teeth,blowing and frowning,with or without the disappearance of the wrinkles on the forehead in one side of facial.Some patients may have slight pain in ipsilateral ear and mastoid area a few days before onset.The age of onset was mainly from 20 to 40 years old,and males have a higher prevalence than females,most of them were unilateral,and very few patients had bilateral diseases at the same time.The incidence was higher in winter,spring and summer.As the lesion is mainly in the face,affecting the beauty and daily life of patients,so that the psychological burden of patients is heavy,often accompanied by anxiety.In terms of treatment,hormone drugs are effective,which can reduce inflammatory reaction and facial nerve edema,but at the same time,there are many adverse reactions,which make patients worry a lot in the process of treatment.Acupuncture has a long history in the treatment of facial paralysis.With oral administration of TCM medicine,the prognosis is good,and there is no obvious adverse reaction.The author believes that the treatment of this disease should be combined with prevention and treatment,and the idea of preventive treatment of disease should be carried through all the time,not only to treat the disease,but also to prevent recurrence,which is of great significance to its treatment and prognosis.A comprehensive analysis of the disease should be made during the clinical period.In the acute stage,nerve nutrition drugs,glucocorticoids,B vitamins,vasodilator drugs and so on are used timely to treat the disease,supplemented by TCM medicine and acupuncture.In the recovery period and sequela period,acupuncture and TCM medicine are used to restore vital Qi(气),regulate immunity and promote the recovery of facial muscles.Combined with clinical experience,the author differentiates and treats the disease from acute stage,convalescent stage and sequela stage,and the curative effect is satisfactory.Then,it is summarized as follows for reference.
Peripheral facial paralysisTreatment by stages of acupuncture and TCM medicineUnderstanding