温针灸加背部留罐治疗面瘫40例疗效观察

目的：观察温针灸加背部留罐治疗面瘫的临床疗效。方法：40例周围性面瘫的患者,先给予温针灸治疗,取穴为攒竹、阳白、丝竹空、四白、听会、翳风、地仓、颊车、迎香、合谷,听会穴予以温针灸,每次留针30 min,每日1次;然后再给予背部拔罐,部位选取足太阳膀胱经上双侧肺俞、脾俞、肾俞,留罐10 min,前5 d每日1次,以后隔日1次。10 d为一疗程,疗程间休息1 d,治疗2个疗程后观察疗效。结果：痊愈26例,显效10例,有效3例,无效1例,总有效率为97.5%（39/40）。结论：从寒论治面瘫,予以温针灸和足太阳膀胱经的火罐治疗,疗效显著。

Efficacy observation on warm needing plus cupping at back for 40 cases of facial paralysis

Objective To observe clinical effect of warm needing plus cupping at back on facial paralysis. Methods Forty cases of peripheral facial paralysis were firstly treated with warm needling. Cuánzhú （攒竹 BL 2）, Yángbái （阳白 GB 14）, Sīzhúkōng （丝竹空 TE 23）, Sìbái （四白 ST 2）, Tīnghuì （听会 GB 2）, Yìfēng （翳 风 TE 17）, Dìcāng （地仓 ST 4）, Jiáchē （颊车 ST 6）, Yíngxiāng （迎香 LI 20） and Hég （合谷 LI 4） were selected and warm needling was applied at Tīnghuì （听 会 GB 2）. Needles were retained for 30 min, once a day. Cupping at back was then applied at bilateral Fèishū （肺俞 BL 13）, Píshū （脾俞 BL 20）, Shènshū （肾 俞 BL 23） in the Bladder Meridian of Foot-Taiyang for 10 min, once a day for first five days and then once every other day. Ten days of treatment were taken as a treatment course with one day interval between courses. The efficacy was observed after two treatment courses. Results Twenty-six cases were cured, ten cases were markedly effective, three cases were effective and one case was failed. The total effective rate was 97.5% （39/40）. Conclusion From theory of coldness to treat facial paralysis, efficacy is significant with warm needling and cupping at the Bladder Meridian of Foot-Taiyang.