Pay attention to distinguish between central facial paralysis and peripheral facial paralysis in clinical diagnosis and treatment.
NO. 1 understanding of etiology and pathogenesis
It is mentioned in Lingshu Pathogenic Diseases Syndrome that "the meeting of all yang lies in the face. When people take deficiency as benefit, when people take novelty as strength, eating and sweating, it is caused by evil. On the face, it is Yangming, on the neck, it is the sun, and on the cheeks, it is Shaoyang. "
The theory of pathogenic factors points out that "the wind is biased?" It is weak and windy, and the wind enters the muscle. "This not only discusses the etiology of the invasion of exogenous pathogens (wind pathogens), but also discusses the pathogenesis of deficiency in essence and excess in exterior. It also shows that the disease location is Yangming and Shaoyang, and it is in meridians and tendons.
No.2 acupuncture scheme
In terms of treatment, when acupuncture and other external treatments are used to treat the syndrome, ointment ironing, external application, moxibustion (purulent moxibustion, mild moxibustion, reed tube moxibustion, wheat grain moxibustion), needle diarrhea, acupuncture and other methods are often used.
This shows that the treatment methods involved in ancient literature are very rich.
Selection of point 3
There are also detailed literature records on the selection of acupuncture points for the treatment of this disease:
According to the research, the core acupuncture points for treating facial paralysis in ancient times were Shuigou, Cang Di, Cheek Car, Hegu, Fengchi, Zusanli, Neiting, Hearing, Cementing and Shangguan.
Generally speaking, the head and face and Yangming meridian points are mainly selected. Yangming Meridian (especially Foot Yangming Stomach Meridian) has more acupoints on cheek, which is closely related to facial nerve. For example, the base is near the buccal branch of the facial nerve, and the buccal car is near the trunk of the facial nerve, so choose more. (Follow-up will summarize the relevant contents of facial paralysis point selection and facial nerve stimulation points, so stay tuned! )
Fourth stimulus reinforcing and reducing
In the aspect of acupuncture stimulating reinforcing and reducing, moxibustion, hot ironing and warming are often used for the treatment of this disease, which belongs to warm stimulation and can speed up the circulation of qi and blood in meridians; From the perspective of western medicine, moxibustion can promote blood circulation, accelerate the absorption of edema and improve the immunity of the body.
In addition, it has been pointed out in Elbow Urgent Prescription that "everything should be done", which shows that the ancients paid attention to the amount of stimulation during the treatment, and it can be seen that the amount of stimulation should not be too large when treating this disease.
Acupuncture also has a penetrating needling method, such as "The Source of Acupuncture" records: "The needle on the cheek turns to the cellar, and the needle on the cellar turns to the cheek".