TREATMENT OF 150 CASES OF FACIAL PALSY WITH ACUPUNCTURE PLUS TDP IRRIDIATION

In the present paper,the author summarizes the results of treatment of 150 cases of facial palsy with acupuncture plus TDP irradiation.Main acupoints used are Bihui(GV 20),Yintang(EX-HN 3),Sibai(ST 2),Dicang (ST 4)and Hegu(LI 4),After insertion,the needles are retained but not manipulated,and the acupoints,are irradiated with TDP for 20-60 min every time.The treatment is conducted once daily,with 10 sessions being a therapeutic course.Following 6-28sessions of treatment,of the 150 cases,145 are cured,2 experience remarkable improvement and 3 have improvement,with the total effective rate being 100%.The fact indicates that acupuncture plus TDP irradiation is rather effective in the treatment of facial palsy.     

EFFECT OF NEEDLING STIMULATION QUANTITY ON THE THERAPEUTIC EFFECT OF ACU-MOXIBUSTION IN THE TREATMENT OF PERIPHERAL FACIAL PALSY IN THE EARLY STAGE

Objective: To observe the correlation between needling stimulation quantity and the therapeutic effect of acupuncture in the treatment of early stage of peripheral facial palsy. Methods: Sixty-three peripheral facial palsy patients were randomized into treatment group (n=33) and control group (n=30). In treatment group, Taiyang (EX-PIN 5), Jingrning (BL 1) and Hegu (LI 4) were punctured with gauge-36 acupuncture needles and stimulated with light twirling-reinforcing method (about 200 times/min), the acupuncture needles were retained for 20 min. In addition, moxibustion was also applied to Fengchi (GB 20) and Qianzheng (EX-HN 17) following puncturing them with gauge-30 filiform needles. In control group, conventional twirling-reducing method (about 60 times/min) was applied to Yangbai (GB 14), Cuanzhu (BL 2), Sizhukong (TE 23), etc., following puncturing them with gauge-28 filiform needles. Additionally, thermal needle was applied to Fengchi (GB 20),tained for 40 min. Results: Following 10 days‘‘ treatment,Yifeng (TE 17) and Jiache (ST 6), with the needles retained for 40 min,Results:Following 10 days‘‘ treatment,of the 33 and 30 cases in treatment and control groups, 21 (63.0%) and 12 (40.0%) were cured, 7(21.1% ) and 5 (16.7%) had remarkable improvement, 4 (12.1%) and 9 (30.0%) were effective, and 1 (3.0%) and 4 ( 13.3% ) failed in the treatment, with the cure plus markedly effective rates being 84.8% and 56.7% respectively. Statistical analysis shews that in acupuncture treatment of early stage of facial palsy, light stimulation is superior to that of heavy stimulation in the therapeutic effect.     

针刺配合高压氧治疗儿童周围性面神经瘫痪

目的：观察针刺、高压氧联合治疗儿童面瘫的临床疗效.方法：72例儿童周围性面神经瘫痪患者随机分为治疗组与对照组,对照组仅采用西药治疗,治疗组在此基础上予针刺配合高压氧治疗,比较两组治疗儿童面瘫的效果.结果：治疗组愈显率为75%.对照组愈显效率为22%（P〈0.05）.结论：针刺、高压氧联合治疗儿童面瘫疗效显著,值得进一步推广.     

针刺加TDP照射治疗面神经炎150例

目的 :了解针刺加TDP照射治疗周围性面神经炎的疗效。方法 :取百会、印堂、四白、地仓、合谷为主穴 ,配合TDP照射疗法 ,每天 1次 ,每次 2 0～ 60min。结果 :治愈 1 4 5例 ,显效 2例 ,好转 3例 ,治愈率为 96.7%。结论 :针刺加TDP照射是治疗周围性面神经炎的有效途径之一     

针灸治疗面瘫的临床研究进展

面瘫是临床常见多、发疾病,近年来其发病率有增高趋势,引起广泛关注。针灸在治疗面瘫方面颇具特色与优势。本文针对近年来针灸治疗面瘫的临床报道和文献研究进行整理和综述,并尝试探讨其未来可能的研究和发展方向。     

针灸配合药物治疗周围性面瘫合并无症状性脑梗塞33例

目的 对33例周围性面瘫合并无症状性脑梗塞患者，观察针灸配合药物治疗的临床效果。方法 采用针刺加艾灸配合脉络宁静脉滴注等治疗。结果 5个疗程后，痊愈18例，显效11例，有效4例。总有效率为100％，愈显率为87．88％。结论 针灸配合药物治疗周围性面瘫合并无症状性脑梗塞效果显著。建议临床诊治周围性面瘫时，须防同时合并无症状性脑梗塞，以免漏诊而漏治。     

针灸加推拿综合治疗面瘫临床观察

目的：观察针灸结合推拿综合治疗面瘫的疗效。方法：将128例面瘫病人随机分为两组,观察组80例（针灸加推拿治疗）,对照组48例（针灸治疗）。结果：两组疗效有显著差异（P〈0．05）,观察组疗效优于对照组。结论：针灸加推拿综合治疗面瘫能产生协同作用,缩短病程并减少后遗症的发生,有较好的疗效。     

高压氧合并针刺治疗面瘫疗效观察及护理

目的：观察高压氧合并针刺治疗面瘫临床疗效;方法：面瘫患者58例随机分为两组,观察组29例采用高压氧合并针刺治疗,对照组29例单纯采用针刺治疗,结果：观察组愈显率98．5％,对照组愈显率72．45％（P〈0．05）有显著性统计学意义。结论：采用高压氧合并针刺治疗面瘫优于单纯针刺治疗。提示：治疗中应加强护理,以达到顺利完成治疗的目的。     

按摩针刺联合中药治疗面神经麻痹疗效比较

目的：观察按摩联合中药内服与针刺联合中药内服治疗面神经麻痹疗效比较.方法：将确诊的120例面神经麻痹患者,随机分为按摩联合中药内服组与针刺联合中药内服组,每组各60例.结果：按摩联合中药组总有效率96.6%,针刺联合中药组总有效率86.6%.按摩联合中药组疗效优于针刺联合中药组（P＜0.05）,具有统计学意义.结论：按摩联合中药内服较针刺联合中药内服疗效显著,特别是远期疗效更为明显,且具有操作方便,患者易于接受等优点.     

周围性面神经麻痹从"经筋"论治

目的　对比从“经筋”论治与常规针灸治疗周围性面神经麻痹的效果。方法　以经筋理论为指导 ,主取患部经筋及周边经穴针刺 ,配合拔罐 ,治疗面瘫 4 0例 ,并与常规针灸治疗 4 0例对照。结果　治疗组愈显率 97.5 % ,对照组愈显率 75 % ,两组疗效差异有非常显著性意义 (P<0 .0 1)。结论　运用经筋理论治疗面瘫效果优于常规针灸治疗。     

荥合配穴加常规取穴治疗面神经炎疗效观察

目的:观察荥合配穴加常规取穴对急性面神经炎的疗效。方法:将门诊60例病例,随机分为2组。治疗组30例,采用荥合配穴(内庭与足三里)加常规取穴治疗;对照组30例,采用常规取穴法。结果:治疗组治愈率有显著提高(P0.05);而无效率则明显低于对照组。结论:面神经炎早期治疗采用荥合配穴加常规取穴法能达到更满意的疗效。     

针罐结合治疗小儿周围性面神经麻痹31例

目的：观察针罐结合治疗小儿周围性面神经麻痹的临床疗效。方法：将61例患儿随机分为两组,治疗组31例以针罐结合方法治疗,对照组30例单用西药治疗,治疗15d后观察两组疗效。结果：治疗组痊愈率77.4%,总有效率93.5%,对照组痊愈率43.3%,总有效率80.0%,治疗组疗效明显优于对照组（P〈0.05）。结论：针罐结合治疗小儿周围性面神经麻痹疗效更优。     

针刺配合热砭锥疗法治疗恢复期周围性面瘫的临床观察

目的：观察针刺配合热砭锥疗法治疗恢复期周围性面瘫的临床疗效。方法：将60例恢复期周围性面瘫患者按就诊顺序随机分为治疗组和对照组,每组各30例。对照组采用常规针刺治疗,治疗组在常规针刺基础上,加用热砭锥手法治疗,10天1个疗程,共观察2个疗程。使用House-Brackmann量表及日本神经研究会提议的“40分法”对患者治疗前后面神经麻痹程度进行判定评分。结果：2个疗程后,对照组愈显率为86．7％,治疗组愈显率为93．3％,两者差异无统计学意义（P＞0．05）。两组患者“40分法”的各项评分均较治疗前增高（ P＜0．05）;第1疗程结束后,治疗组在吹哨、蹙额、示齿、口呈一字等4个项目分值差高于对照组（P＜0．05）,余各项目差异无统计学意义（P＞0．05）。结论：与常规针刺治疗比较,针刺配合热砭锥疗法对恢复期周围性面瘫的症状治愈率更高,对临床症状特别是吹哨、蹙额、示齿、口呈一字等,改善更为明显。     

ACUPUNCTURE THERAPY AND POINT-INJECTION OF MEDICINE FOR TREATMENT OF 32 CASES OF INFANTILE CEREBRAL PALSY

In the present study, 32 cases of infantile cerebral palsy were treated with acupunc-ture and point-injection therapies. Among them, 15 cases were cured basicaly, 7 markedly efec-tive, 9 improved and 2 failed, with a total effective rate being 93. 8%. The results showed thatthe therapies both could improve the microcirculation of the brain tissues in favour of recovery ofcerebral functions.     

TWO HUNDRED CASES OF FACIAL PARALYSIS TREATED BY ACUPUNCTURING DIAOXIAN POINT

The present paper is about the treatment of facial paralysis by acupuncturingDiaoxian point dominantly.Two hundred cases of facial paralysis were treated by this method,the totaleffective rate was 100％,and the cure rate 93％.This therapy is simple,easy and economical,without side-effects.It should be chosen first for treatment of facial paralysis in clinic.     

THE STUDY ON THE RELATION BETWEEN THE LOCATION OF NERVE LESION IN PERIPHERAL FACIAL PARALYSIS AND THE THERAPEUTICAL EFFECT OF ACUPUNCTURE

Due to the difference of the plane of facial nerve lesion,facial paralysis can be classifiedinto nudear paralysis,paralysis of cerebellopontine angle,Hunt’s palsy,Bell’s palsy and simple facialneuritis.The authors treated 78 cases of the of the latter 3 types,compared the therapeutical effect after 2courses of treatment,and meanwhile made dynamic electromyographic observation between the tragusand the quadrate musde of upper lip for those with Bell’s palsy and Hunt’s palsy.The result showsthat acupuncture has a fair effect in treating peripheral facial paralysis and simple facial neuritis andthe myoelectric recovery in Bell’s palsy is quicker than that in Hunt’s palsy.It is suggested that thehfeher the pane of the facial nerve lesion is,the more unsatisfactory the effect is,and the effect ismore favorable otherwise.     

OBSERVATION ON CLINICAL THERAPEUTIC EFFECTS OF SCALP ACUPUNCTURE FOR FACIAL SPASM

Facialspasmorblepharospasmisanintractable disease,characterizedbyparoxysmal,irregular,in voluntaryconvulsionoffacialmusclesononeside,whichusuallystartsfromtheeyeorbicularmuscleof thelowereyelidandgraduallyextendsdownwardto thelowermusclesoftheface.Forseverepatients,vi olentmuscularspasmappearsinthewholeface.However,modernmedicinelackseffectivetherapyfor thisdiseaseatpresent.Theauthorsofthepresentpa peradoptedscalpacupuncturetotreat34casesofthis diseasefromSeptember2003toJuly2004,and achieveda…     

张安莉教授治疗顽固性面瘫经验

张安莉教授根据自己多年的临床经验,总结出浅刺上眼睑、针刺背俞穴和平衡取穴等方法,再配以改良烧山火及火针等治疗手段治疗顽固性面瘫,临床疗效显著。     

针刺颈项部腧穴为主治疗吞咽障碍的临床研究

目的：观察针刺颈项部腧穴为主治疗假性球麻痹所致吞咽障碍的临床疗效并探讨其作用机理。方法：将86例明确诊断的病人随机分为治疗组（针刺＋西药）44例,穴取风府、风池、供血、翳明、治呛、吞咽、发音、廉泉等,药物选用疏血通6～10mL,0．9％NaCl 250mL静脉注射,对照组（西药）42例,药物选用疏血通6～10mL,0.9％NaCl 250乩静脉注射。结果：治疗组总有效率为97．73％,对照组总有效率为80．95％。两组间差异有非常显著意义（P〈0．01）。结论：颈项部腧穴为主治疗假性球麻痹所致吞咽障碍有较好的疗效,优于单纯西药治疗,值得推广;其机理可能是提高了病人脑神经细胞的兴奋性,使可逆神经细胞复活或被抑制的神经细胞觉醒。     

刺络放血结合拔罐治疗贝尔面瘫临床观察

目的观察刺络放血拔罐疗法治疗贝尔面瘫的临床疗效。方法将70例贝尔面瘫患者随机分为两组,治疗组35例采用刺络放血结合拔罐治疗,对照组35例采用针刺,治疗后评价其疗效及痊愈时间。结果治疗组疗效明显且疗程缩短,与对照组比较差异有统计学意义(P<0.05)。结论与针刺比较,刺络放血疗法结合拔罐治疗贝尔面瘫疗效更好,疗程缩短,提高了痊愈率。