Contents 1 Pinyin 2 English reference 3 Overview 4 Disease name·Facial paralysis 4.1 Symptoms 4.2 Causes and pathogenesis of facial paralysis 4.3 Treatment of facial paralysis 4.3.1 Syndrome differentiation treatment 4.3.1.1 External attack of wind and cold 4.3.1.1.1 Symptoms 4.3. 1.1.2 Treatment 4.3.1.1.2.1 Acupuncture 4.3.1.1.2.2 Electroacupuncture 4.3.1.1.2.3 Acupoint injection 4.3.1.1.2.4 Acupoint application 4.3.1.1.2.5 Skin acupuncture 4.3.1.1.2.6 Moxibustion Moxibustion therapy 4.3.1.1.2.7 Massage therapy 4.3.1.2 Wind and heat blocking meridians 4.3.1.2.1 Symptoms 4.3.1.2.2 Moxibustion therapy 4.3.1.3 Qi deficiency and blood stasis 4.3.1.3.1 Symptoms 4.3.1.3.2 Moxibustion therapy 4.3.1.4 Internal obstruction of phlegm 4.3.1.4.1 Symptoms 4.3.1.4.2 Moxibustion treatment 4.3.2 Symptomatic treatment 4.3.3 Medical records 4.3.4 Precautions 4.4 Daily health care for patients with facial paralysis 5 Symptom name·Facial paralysis 6 References attached : 1 Acupoints for treating facial paralysis 2 Prescriptions for treating facial paralysis 3 Chinese patent medicines for treating facial paralysis 4 Drugs related to facial paralysis 5 Facial paralysis in ancient books 1 Pinyin

miàn tān 2 English reference

facial paralysis [ 21st Century Bilingual Science and Technology Dictionary]

Bell's palsy

facial paralysis

facioplegia

mimetic paralysesprosopoplegia [lang Dao Chinese-English Dictionary] 3 Overview

Facial paralysis is commonly known as mouth and eye squint. 1． Disease name; 2. Symptom name. [1] 4 Disease name·Facial paralysis

Facial paralysis is the name of the disease [1]. Commonly known as mouth and eye?slant[1]. It refers to a simple paralysis of facial muscles on one side [1], with the mouth and eyes tilted to one side as the main symptom. Facial paralysis is caused by the evils of wind-cold and wind-heat taking advantage of deficiency to attack the facial muscles and meridians, causing qi stagnation and slowing down of the muscles [1]. Facial paralysis can occur at any age and has no obvious seasonality.

Facial paralysis is divided into peripheral facial paralysis and central facial paralysis. The onset of the disease is sudden, the face is tilted to the healthy side, the muscles on the affected side are relaxed, the forehead lines disappear, the eyes are incompletely closed, the nasolabial groove becomes shallow or disappears, the corners of the mouth droop, and actions such as frowning, teething, and cheek puffing cannot be performed. Some patients have pain behind the ear at the beginning, and may also experience loss or loss of taste in front of the tongue on the affected side.

Facial paralysis is similar to peripheral facial palsy [1] (facial nerve palsy) and facial neuritis [1] in modern medicine. 4.1 Symptoms

Facial paralysis has a sudden onset, the face is tilted to the healthy side, the muscles on the affected side are relaxed, forehead lines disappear, eyes are incompletely closed, the nasolabial groove becomes shallow or disappears, the corners of the mouth droop, and you cannot frown or show your teeth. , cheek puffing and other actions. Some patients initially experience pain behind the ears, and may also experience loss or loss of taste in front of the tongue on the affected side. [2]

Facial paralysis usually attacks acutely, with sudden paralysis of the facial expression muscles on one side, disappearance of forehead lines, enlarged eye fissures with tearing eyes, shallow nasolabial grooves, drooping of the corners of the mouth to the healthy side, and inability to function on the affected side. Make actions such as frowning, frowning, closing eyes, showing teeth, puffing cheeks, and pouting;

Some patients may have pain behind the ears or under the ears at the beginning, and may also experience taste sensation in the front 2/3 of the tongue on the affected side. Reduction or disappearance, hyperacusis and other symptoms. If the course of the disease is prolonged, the paralyzed muscles may contract and the corners of the mouth may be pulled toward the affected side, resulting in a "perversion" phenomenon. 4.2 The etiology and pathogenesis of facial paralysis

Facial paralysis is mostly caused by insufficient righteousness, empty veins, and weak external defense. Wind evil takes advantage of the deficiency and enters the middle meridians, resulting in obstruction of Qi and blood, and loss of facial Shaoyang veins and Yangming meridian tendons. Due to moisturizing, the muscles become slow and unyielding.

Modern medicine believes that facial paralysis can be caused by wind and cold, which can lead to facial nerve vasospasm, ischemia, and edema, causing nerve compression, neurotrophic deficiency, and even neurodegeneration. It can also be caused by viral infection. Caused by sexual inflammation.

Although the pathology of central facial paralysis caused by stroke is different from that of this disease, it can be treated with reference to this treatment method. 4.3 Treatment of facial paralysis 4.3.1 Syndrome differentiation treatment

Facial paralysis is generally divided into two types: external attack of wind and cold and internal obstruction of phlegm.

4.3.1.1 External attack of wind and cold 4.3.1.1.1 Symptoms

The onset is sudden, usually after getting up in the morning, one side of the mouth is crooked and drooling is found, which cannot be stopped by oneself, the eyelids cannot be completely closed, and it is easy to drool after eating. It causes food residue and makes you unable to puff your cheeks or whistle. It may be accompanied by aversion to cold, fever, and neck discomfort. It often occurs after blowing the wind or air conditioning. The tongue is light red, the coating is thin and white, and the pulse is floating and tight. [2] 4.3.1.1.2 Treatment

4.3.1.1.2.1 Acupuncture and moxibustion

Treatment principles: dispel wind and cold, unblock meridians and activate meridians

Prescription : Tai Yang Bai Di Cang Tong Jia Che Yin Feng He Gu

Fang Yi: Wind in the meridians, Qi and blood obstruction, meridians malnutrition, longitudinal slowness and failure to contract, take Tai Yang, Yang Bai, Di Cang, Jie Che relaxes and regulates local menstrual qi, warms the meridians and dispels cold, moistens muscles and muscles, relieves wind and relieves wind and cold; Hegu is taken far along the meridians, which also means "the face and mouth are closed together to collect the grains".

According to the syndrome, acupoints are allocated: if the renzhong ditch is skewed, add the dicang permeable ditch; if you are weak, add enough three miles. If you can't frown, add Zhuanzhu; if the nasolabial groove is flat, add Yingxiang; if the philtrum is skewed, add water groove; if the chin-labial groove is skewed, add pulp; if you have mastoid pain, add bone; if the tongue is numb and tasteless, add Lianquan and Haiquan [1 ]. For central ones, add Taichong and Fengfu [1].

Operation: Filiform acupuncture, for tonic and diarrhea, or warm moxibustion, once a day, leaving the needle for 30 minutes each time, the Hegu point can be selected on the healthy side, 10 times is a course of treatment. Note that the amount of acupuncture should not be too strong at the beginning.

4.3.1.1.2.2 Electroacupuncture

Point selection: Taiyang, Yangbai, Dicangtou Jiaoche, Yifeng, Hegu.

Method: After acupuncture on the facial acupoints, apply electricity for 10 to 15 minutes. The amount of electricity should be enough for the patient to feel comfortable and for slight contraction of the facial muscles [1]. Every 2 acupoints are a group, and 1 to 2 groups are selected each time. After the Qi is obtained, the electrodes are connected respectively and energized for 15 to 20 minutes; once a day, 10 times is a course of treatment. *** The dosage should be based on the patient’s tolerance. Electroacupuncture is not suitable for early-stage patients.

4.3.1.1.2.3 Acupoint injection method

Selection of acupoints: Taiyang, Yangbai, Dicangtoujiache, Yifeng, Hegu.

Method: Inject 0.5ml of vitamin B1 or vitamin B12 or galantamine or citicoline into each hole, 3 to 4 holes each time, once a day or every other day.

4.3.1.1.2.4 Acupoint application method

Select acupoints: Taiyang, Yangbai, Dicangtoujiache, Yifeng, and Hegu.

Method: File Nux vomica into powder of 0.3~0.5g, sprinkle it on the tape, stick it on the acupuncture points, and change the dressing once every 5 to 7 days. Or pound castor seeds and add a little musk, take a big ball of mung beans and apply it on the acupoints, changing it every 3 to 5 days. Or grind aconite into fine powder, add a little borneol to make dough, apply it on acupoints, once a day. 4.3.1.1.2.5 Skin acupuncture

Tap Yangbai, Taiyang, Sibai, Qianzheng and other points until there is slight bleeding, and then add small cupping. It is suitable for the sequelae of facial paralysis such as the early stage of the disease or facial stiffness. [1].

4.3.1.1.2.6 Moxibustion therapy

[2]

Point selection: Fengchi, Yifeng, Jieche, Taiyang, Hegu.

Moxibustion method: Mild moxibustion with moxa sticks, 15 minutes per acupoint, until the local area is flushed and warm, once a day, 10 times as a course of treatment, moxibustion until facial paralysis is cured, consolidate for 1~ 2 courses of treatment. 4.3.1.1.2.7 Massage therapy

[3]

Point selection: Yintang, Yangbai, Taiyang, Sibai, Jingming, Yingxiang, Dicang, Zhongliao, Xiaguan , Jiache, Tinggong, Chengjiang, Yifeng, Fengchi, and Hegu.

Operation method: The patient lies in the supine position. The doctor uses one-finger Zen push method starting from Yintang point, passing through Yangbai, Taiyang, Sibai, Jingming, Yingxiang, Dicang, Zhongliao, Xiaguan and Jieche, going back and forth 5 to 6 times. Use the thumbs of both hands to wipe upward from the Yintang point to the Shenting point alternately, from the Yintang point to the left and right to the temples on both sides, from the Yintang point to the left and right to the upper and lower eye sockets, from the Jingming point along the cheekbones on both sides to the Tinggong point in front of the ears. Apply from the Yingxiang point along the cheekbones on both sides to the Tinggong point in front of the ears, and treat for about 6 minutes. Use your fingers to massage Chengjiang and Yifeng for about 1 minute on each point. Use thenar to rub your forehead and cheeks for about 3 minutes. Use rubbing method on the affected side of the face toward the eye, using diathermy as the degree. The patient takes a sitting position and holds Fengchi and Hegu for 1 minute each.

Notes: During massage treatment, the technique should be gentle to prevent skin abrasion; pay attention to keeping the face warm and avoid cold *** to speed up recovery. 4.3.1.2 Wind-heat obstruction of collaterals 4.3.1.2.1 Symptoms

Most common in the early onset of the disease, mostly secondary to wind-heat cold, otitis media, gum swelling and pain, the corner of the mouth is crooked on one side, and drooling cannot occur spontaneously. Stop, unable to close eyes completely, unable to puff cheeks, whistle, etc., may be accompanied by bad wind, headache, cough, red tongue, thin yellow coating, and floating pulse. [2] 4.3.1.2.2 Moxibustion treatment

[2]

Point selection: Yangbai, Xiaguan, Dicang, Quchi, and Hegu.

Moxibustion method: Moxibustion with moxa sticks and pecking at each acupuncture point for 10 minutes. Moxibustion until the local area is red and warm. Once a day, 10 times is a course of treatment. After the facial paralysis is cured, consolidate 1 ~2 courses of treatment. 4.3.1.3 Qi deficiency and blood stasis 4.3.1.3.1 Symptoms

It is more common in the recovery period and in patients with a long course of disease or long-lasting trauma. Symptoms include crooked corners of the mouth, closed eyes, and drowsiness of the limbs. Fatigue, pale or dark complexion, dizziness and headache, pale tongue with petechiae, black sublingual veins and stringy pulse. [2] 4.3.1.3.2 Moxibustion treatment

[2]

Point selection: Tinghui, Yangbai, Jieche, Zusanli, Xuehai

< p>Moxibustion: Mild moxibustion with moxa sticks, 15 minutes per acupoint, until the local area is flushed and warm, once a day, 10 times is a course of treatment, until facial paralysis is cured, then consolidate for 1 to 2 courses. 4.3.1.4 Internal obstruction of phlegm 4.3.1.4.1 Symptoms

The face is tilted toward the healthy side, the muscles on the affected side are relaxed, the forehead lines on the affected side disappear, the eyes are incompletely closed, and the nasolabial groove becomes shallow or disappears. Drooping corners of the mouth, inability to frown, show teeth, puff out cheeks, etc., may be accompanied by symptoms such as difficulty speaking, a stiff tongue, a crooked tongue, a pale and fat tongue, thick white or greasy coating, and a stringy and slippery pulse. [2] 4.3.1.4.2 Moxibustion treatment

[2]

Point selection: Yifeng, Yangbai, Jieche, Fenglong, Yinlingquan.

Moxibustion method: Mild moxibustion with moxa sticks, 15 minutes per acupoint, using local redness and warmth as a measure, once a day, 10 times as a course of treatment, until the facial paralysis is cured, and then consolidate for 1 to 2 days A course of treatment. 4.3.2 Symptomatic treatment

Facial paralysis is often accompanied by cold symptoms, and the following methods can be added clinically [2]:

Point selection: Dazhui, Feishu.

Moxibustion method: moxibustion with moxa sticks at each point for 10 minutes, until the local area is flushed and warm, once a day until the disease is cured. 4.3.3 Medical records

Luo, female, 18 years old, student. Mainly complaining of discomfort on the left side of the face, deviation of the mouth and eyes for 1 week, accompanied by pain on the left side of the face and headache on the left side. Physical examination: left forehead wrinkles disappeared, unable to frown or close eyes, bulging cheeks and leaking air, facial flushing and edema, strong positive tenderness at the mastoid process behind the ear, and low blood count. After acupuncture in an outside hospital, the facial pain worsened. It was considered to be a reaction caused by excessive injection, and the neck and head of the affected side were injected. The pain disappeared after 2 times. Mild acupuncture was applied to the face and combined with massage, 1 Recovered after weeks. [3]

Niu, male, 56 years old. On the night of June 3, 1998, I felt stuffy and sweaty after strenuous exercise, so I used the air conditioner to cool me down while sleeping. When I woke up the next day, I felt a throbbing pain behind my right ear, numbness in the right corner of my mouth, drooling after gargling, and eyes closed on the right side. His eyes were exposed, his forehead lines and nasolabial folds disappeared on the right side, his cheeks were bulging and he was leaking air, so he went to our rehabilitation department for treatment. It was considered that wind and cold took advantage of the deficiency and entered the facial meridians, causing Qi and blood to be blocked, resulting in dysfunction of the meridians and tendon function, loss of muscle restraint, and eccentricity. Therefore, the method was used to activate blood circulation and dredge meridians, soothe and regulate the menstrual tendons, and use acupuncture and moxibustion together to provide tonic and diarrhea. After a few days of treatment at Tinghui, Jieche, Taiyang, Xiaguan and other points, the patient's condition improved and he was discharged from the hospital after 1 week. [2] 4.3.4 Precautions

(1) Patients undergoing moxibustion treatment should cooperate with acupuncture treatment within 1 week for better results. If no treatment is performed for more than 1 month, it is very likely to be delayed. Not healed[2].

(2) If patients with facial paralysis are also accompanied by decreased language function, decreased mobility of one or both limbs, and slower movement than before, they should be sent to the hospital for diagnosis and treatment in time to avoid cerebral hemorrhage or cerebral infarction. Encephalopathy cannot be treated in time [2].

(3) Avoid exposure to wind and cold on the face during treatment [1].

(4) People with incomplete eyelid closure must apply eye drops 2 to 3 times a day to prevent infection [1]. 4.4 Daily health care for patients with facial paralysis

(1) Patients should try to avoid eating seafood and non-toxic foods [2].

(2) Pay attention to protecting the face to avoid feeling wind and cold, which may aggravate the condition [2].

(3) To prevent eye infection, you can use eye drops or eye ointment [3].

(4) When the nerve function begins to recover, the patient can practice voluntary movements of the paralyzed facial muscles in front of the mirror [3]. 5 Symptom name: Facial paralysis

Facial paralysis is the name of the disease. Refers to the facial muscle paralysis associated with other diseases. Similar to central facial paralysis in modern medicine. The clinical manifestations of the former include incomplete eyelid closure on the affected side, tearing, skewing of the corners of the mouth to the healthy side, salivation, inability to frown, frown, bulge cheeks, or show teeth, etc., forehead lines disappear, and nasolabial grooves become shallower. Some patients have symptoms such as loss of taste in the front 2/3 of the tongue on the affected side and hyperacusis. As the disease progresses, the corners of the mouth may tilt toward the affected side due to muscle contracture on the affected side, which is called a "perversion" phenomenon. The latter mostly have no eye symptoms and are often accompanied by ipsilateral hemiplegia or upper limb paralysis.

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