王军针药结合治疗周围性面瘫验案1则
A Case of Needle Combined Treatment of Peripheral Facial Paralysis
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1.北京中医药大学东直门医院针灸科,北京 100010
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陈懿超, 王军. 王军针药结合治疗周围性面瘫验案1则[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394533&Fpath=home&index=0
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
陈懿超, 王军. 王军针药结合治疗周围性面瘫验案1则[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=0 DOI:
病史摘要,2,石某,女,67岁,主因“右侧口眼歪斜5天”就诊。患者于2021年4月11日下午劳累受风后出现右侧口角一过性歪斜,第二日清晨醒后出现右侧口角歪斜、眼睑闭合力弱,伴有一侧肢体无力,否认头晕、发热、视物模糊及重影、饮水呛咳等,查头颅CT、脑血流图、颈部及颅内血管超声未见明显异常,诊断为“面神经炎”,服用泼尼松龙激素、甲钴胺等药物抗炎营养神经治疗,经对症治疗后症状无明显缓解。四诊信息:右侧口眼歪斜,平素自觉乏力气短,少气懒言,急躁易怒,口中黏腻,偶有胸闷心慌及头晕头蒙,夜间梦多而乱,眠浅易醒,醒后难以入睡,食欲不佳,少量进食后即有饱腹感,大便干而不畅,日一次,小便正常。舌尖红,苔薄白,右寸关脉大,左寸关脉弦,双尺脉弱。中医诊断 面瘫 风热外袭伴心肝火旺,气血不足西医诊断 面神经炎干预措施 针灸治疗穴位取阳白、四白、太阳、颧髎、颊车、地仓、承浆、人中、下关、翳风、风池、百会、局部阿是穴、神门、列缺、合谷、太冲、足三里、太溪,针刺得气后予以红光照射20分钟。结合中药之全蝎、炒僵蚕、荆芥、防风、北柴胡、栀子、淡豆豉、川芎、丹参、山药、车前子、炒白术、砂仁、升麻、桔梗、紫苏梗、生地黄、炒酸枣仁、白芍、泽泻。疗效转归 面部表情肌功能基本恢复,无口眼歪斜等症状。
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.
周围性面瘫针药结合
peripheral facial paralysiscombination of acupuncture and medicine
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