A Case of Needle Combined Treatment of Peripheral Facial Paralysis
1.Department of Acupuncture, Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing 100010
DOI:
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CHEN Xichao, WANG Jun. A Case of Needle Combined Treatment of Peripheral Facial Paralysis[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394533&Fpath=home&index=0
DOI:
CHEN Xichao, WANG Jun. A Case of Needle Combined Treatment of Peripheral Facial Paralysis[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394533&Fpath=home&index=0DOI:
A Case of Needle Combined Treatment of Peripheral Facial Paralysis
Summary of medical history, A 67-year-old woman, surnamed Shi, presented to the doctor mainly because of "right eye and mouth skew for 5 days". In the afternoon of April 11, 2021, the patient developed a transient right corner of the mouth after fatigue and wind; after waking up in the morning of the next day, the patient developed a right corner of the mouth, weak closing force of the eyelid, accompanied by weakness of one limb, denied dizziness, fever, blurred and double vision, choking cough after drinking water, etc. No obvious abnormalities were found in head CT, cerebral blood flow diagram, neck and intracranial vascular ultrasound. He was diagnosed with "facial neuritis", and took prednisolone hormone, mecobalamine and other drugs for anti-inflammatory nutritional nerve treatment. After symptomatic treatment, the symptoms did not significantly relieve. Four diagnosis information: right side mouth and eyes crooked, usually feel weak and short of breath, less qi lazy talk, impatient and irritable, sticky mouth, occasionally chest tightness, palpidity and dizziness, many and chaotic night dreams, easy to wake up, difficult to fall asleep after waking up, poor appetite, feeling full after eating a small amount, dry and not smooth stool, once a day, normal urination. The tip of the tongue is red, the moss is thin and white, the right inch is large, the left inch is large, and the double foot pulse is weak.,Traditional Chinese medicine diagnosis, facial paralysis wind heat external attack with heart and liver fire, insufficient qi and blood,Western Medicine diagnosis, facial neuritis,Intervention measures, acupuncture treatment points Yangbai (GB14), Sibai (ST2), Taiyang (EX-HN5), Quanliao (SI18), Jiache (ST6), Dicang (ST4), Chengzhi (ST1), Renzhong (DU26), Xiaguan (ST7), Yifeng (SJ17), Fengchi (GB20), Baihui (DU20), local ashi point, Shenmen (HT7), Lieque (LU7), Hegu (LI4), Taichong (LR3), Zusanli (ST36) and Taixi (KI3), and red light will be irradiated for 20 minutes after acupuncture. Combined with traditional Chinese medicine scorpion, fried silkworm, Schizonepeta, parsnax, bupleurum bupleurum, gardenia, light soy bean, ligusticum ligusticum, Danshen, yam, Psyllium rhizome, stir-fried white art, sand kernel, Shengma, platycodon, Perilla stem, raw rehmannia, fried sour jujube kernel, white peony root, alisma alisma.,Therapeutic outcome, facial expression muscle function basically recovered, no symptoms such as mouth and eye skew.
关键词
周围性面瘫针药结合
Keywords
peripheral facial paralysiscombination of acupuncture and medicine