After the onset of facial paralysis, the mouth and eyes are often skewed to one side, that is, one side has severe spasm and severe symptoms, but the other side is lighter. The focus of treatment should be on the side with severe symptoms, and acupuncture should adopt deep needling and twisting.
Acupoints: Hegu, Taichong, Buche, Cang Di, Xiang Ying, Fengchi, Chengjiang, Bai Yang, Yaozhu, Tang Yin and Sibai.
Among them, Hegu and Taichong are the methods of traveling far along the meridian, and the two points are the most effective for head and face diseases. "Fu on All Diseases" says well: "Too much rushing to wash the crooked lips will soon heal."
Wind pool and hurricane belong to shaoyang, which has the effect of dispelling wind and relieving pain; Bai Yang, zhu cun, Sibai, Cang Di, Tang Yin, Xiang Ying, and Li Sheng all have the function of regulating managers' spirit.
The method of acupoint penetration can also strengthen the regulation of menstruation, such as storing bamboo to wear fish waist and penetrating cheeks in the basement. "Jade Dragon Song" clearly says: "The mouth and eyes are the most clumsy, and the underground warehouse is wonderful."
Depending on the situation, sometimes it is better to choose some Ashi points to cooperate with the treatment. The symptoms of lateral face are mild, and the treatment method is: select several necessary corresponding acupoints, insert acupuncture shallowly, and twist gently with a light needle. Generally speaking, it is advisable to leave the needle for half an hour. After the needle is pulled out, warm moxibustion must be ignited with moxa sticks, and then local massage is performed to relax local muscles, so as to achieve the purpose of dredging meridians. Acupuncture once a day, 10 days as a course of treatment.
Generally speaking, acupuncture treatment according to the above steps can be gradually cured after about one course of treatment.
Surgical treatment is mainly aimed at advanced facial paralysis. Surgical treatment can be divided into static treatment and dynamic treatment. Static treatment is mainly to transplant fascia lata to face. After treatment, bilateral facial expressions are symmetrical under static conditions, and the affected side cannot move with the healthy side under dynamic conditions. Dynamic therapy is generally divided into two stages. In the first stage, the nerve taken from the patient's calf was anastomosed with the contralateral nerve, and the end of the transplanted nerve was placed on the affected side. After 6 months to 1 year, the second stage operation was performed, that is, the muscle with blood vessels and nerves was transplanted. The selected muscle can be rectus femoris, gracilis, latissimus dorsi, etc. After 3 months to 1 year of treatment, both static and dynamic expressions can be used.
We put forward the theory of designing the donor site of the transplanted muscle according to the distribution of nerves, blood vessels and tendons in skeletal muscle. It was observed that the anatomy of the nerves and blood vessels of rectus femoris was constant, its caliber was suitable for facial blood vessels and nerves, and its muscle tendons were conducive to maintaining the normal muscle tension of the transplanted muscle flap and the reduction and fixation of facial spat. It was convenient to take out the muscle flap surgically, and there was no vascular nerve injury and donor site dysfunction. At present, 2/kloc-0 patients with facial paralysis have received free straight thigh dynamic therapy. After the above surgical methods were adopted, the facial swelling of all patients subsided within 0 ~ 3 months after operation, and the bilateral alveolar ridges were symmetrical under static conditions. Two patients recovered their autonomic movement 8 months after operation, and the rest patients developed autonomic expression movement 10 ~ 12 months after operation.
Generally speaking, the treatment of facial paralysis: the first is to remove the cause. The second is symptomatic treatment, improving circulation and eliminating facial edema. The third is to nourish the nerves. Once acute facial neuritis is diagnosed, it should be treated as soon as possible, with hormone and symptomatic treatment. If the best treatment opportunity is delayed, it is easy to cause sequelae of facial paralysis.
In the past, the traditional treatments for facial paralysis, sequelae of facial paralysis, hemifacial spasm and trigeminal neuralgia included acupuncture, sticking medicine, cupping, cutting, fire needle, electroacupuncture, physiotherapy, nasal congestion medicine, interventional therapy, facial injection medicine and some folk methods such as rubbing eel blood. These traditional methods have made great contributions to the development and prosperity of the Chinese nation and the elimination of diseases, and are the pinnacle of Chinese medicine libraries.
However, the treatment of facial paralysis, sequelae of facial paralysis, hemifacial spasm, trigeminal neuralgia and other facial diseases has serious or even insurmountable sequelae, which is the source of great pain for a large number of patients throughout their lives.
Facial muscles include flat, flat thin skin muscle and strip flat muscle. These muscles come from different parts of the skull and are distributed around the eye fissure, mouth fissure and nostrils. The flat annular muscle and the flat radial muscle are connected with the surrounding muscle tissue. When these muscles contract and relax, they can enlarge and narrow the eyes, mouth and nostrils. At the same time, it affects facial skin activities, showing various expressions such as joy, anger, sadness and joy. There are about 26 facial muscles. They overlap each other and each has its own function. For example, acupuncture, cupping, sticking medicine, electroacupuncture, fire needle, nerve nourishing medicine, etc. are injected into the face for intervention treatment. These treatments will definitely cause injury, bleeding, fibrosis and inflammatory reaction of these muscles.
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Treatment of facial paralysis with folk prescription
Slaughter live eels, take blood and apply it to paralyzed skin. After 24 hours, or at least 12 hours, it will take effect in about a week.
Croton wine
[Ingredients] 3-5 crotons
Indications: Warming channels, resolving phlegm and dredging collaterals. Indications: facial paralysis.
【 Usage and dosage 】 External fumigation at Laogong point of palm of facial paralysis 1-2 hours each time, severe cases can be treated for 4 hours, 1 time a day, and 5 times is 1 course of treatment.
[Preparation method] Croton is ground into fine powder, put into aluminum pot or glass bottle, add 500 ml of 75% ethanol (alcohol) or white wine, and stew for external use.
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Nursing methods of facial paralysis
1. Psychological nursing: Most patients have sudden onset, which inevitably leads to nervousness, anxiety, fear and other emotions. Some patients are afraid of changing their faces and are ashamed to meet people, and the treatment effect is not good, leaving sequelae. At this time, patients should be patiently explained and comforted according to their different psychological characteristics, so as to relieve their nervousness, stabilize their emotions, receive treatment and nursing in the best state, and improve the treatment effect.
2. Eye protection: Because the eyelids are not completely closed or cannot be closed, the blinking movement and corneal reflex disappear, and the cornea is exposed for a long time, which is easy to cause intraocular infection and damage the cornea. Therefore, it is very important to protect your eyes, reduce the use of eyes, wear sunglasses to protect you when you go out, and drop some eye drops with lubricating, anti-inflammatory and nutritious effects. You can sleep with an eye mask or gauze piece for protection.
3, local care: hot compress to dispel the wind: local application of ginger powder on the side of facial paralysis, daily 1/2 hours; Apply a warm wet towel to your face 2-3 times a day, and massage the affected side by yourself in the morning and evening, with appropriate strength and accurate position; As long as the affected lateral muscles can move, they can wrinkle their foreheads, close their eyes, whistle and show their teeth. Doing two to four eight beats per movement, 2-3 times a day, is very important to prevent paralysis muscle atrophy and promote rehabilitation. In addition, patients with facial paralysis should be careful not to wash their faces with cold water, avoid direct blowing, pay attention to weather changes, and add clothes in time to prevent colds.
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Facial paralysis self-massage
In addition to radical treatment, the main treatment methods are acupuncture, physical therapy, massage, medicine and so on. Self-massage can improve the curative effect and shorten the course of disease. The specific operation method is as follows:
1. Stand by. Hold the pillow on the bed; If the person sitting leans his head against the wall. The patient's thoughts are concentrated and distractions are eliminated. Do hot compress before massage or use a towel soaked in traditional Chinese medicine decoction (9 grams of cassia twig, 9 grams of radix Saposhnikoviae and 9 grams of perilla leaves). Beware of liquid medicine entering eyes by mistake.
2. The wheels scrape their eyelids. Take the rib surface of the index finger and middle finger of both hands as the operation end, evenly scrape the upper and lower eyelids from the inner canthus outward for 50 times, and then gently rub the eyelids for 20-30 turns.
3. Wipe your nose. Take the rib surface of the index finger of both hands as the surgical end, and rub it 50 times from the nasal roots on both sides of the alar to the Xiang Ying point, and then gently press the friction 1-2 minutes at this point (the Xiang Ying point is 0.5 cm beside the alar). Fingertip pressing from light to heavy can cure the symptoms of crooked corners of the mouth and stuffy nose.
4. Twist four white dots. This point is located in the depression of suborbital foramen, with the pupil straight down. Twist four white spots with the index finger as the surgical end, and gradually apply pressure while twisting. Lasts 1-2 minutes.
5. Rub the cheek car and the cellar point. Stick the muscle of the same-handed big fish on the cheekbone (masticatory muscle) of the affected side and move it to the pit (0. 5cm away from the corners of the mouth) while rubbing, back and forth 50 times.
Pay attention to keep your face warm during treatment, avoid being blown by cold air, avoid washing your face with cold water and avoid eating irritating food. Massage 1-2 times a day is of great benefit to cure facial paralysis.
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Facial Paralysis and Facial Nerve Diseases —— Green Diet Therapy
Supplementing calcium and vitamin B is helpful for facial nerve diseases.
Calcium is not only beneficial to bones and intelligence, but also can promote the normal function of muscles and nerves. Because patients with facial nerve diseases are mainly facial nerve conduction disorders, it is very important to supplement calcium. Pork ribs, dark green vegetables, egg yolks, kelp, sesame seeds, fruits, carrots, watermelons and dairy products are all rich in calcium.
Vitamin B is also helpful for facial nerve diseases, such as B 1, B2, B 12, etc. The following foods are rich in vitamin B: coriander, tomato, wax gourd, cucumber, papaya, apple, pineapple, pear, peach, watermelon, apricot, persimmon and grape. Vitamin B can help the synthesis of nerve conduction substances, so it should be supplemented appropriately.
Today, I want to introduce a kind of stewed pork ribs with pineapple and milk. The method is as follows: first, soak the ribs in fresh milk for one hour, then fry them in a pot, be careful not to overcook them, then add seasoning and soup, and stew them for 30 minutes on medium heat. Pork ribs and milk are used because they are rich in calcium, and pineapple contains a lot of vitamin B. In addition, pork ribs also contain magnesium, which plays an important role in the metabolism of calcium and potassium and the normal operation of the nervous system. Green leafy vegetables, malt, brown sugar, dried dates, cereals, ribs and other foods are rich in magnesium. Add pineapple five minutes before cooking. This is the stewed ribs with pineapple juice prepared for you today.
Please copy by mistake.