面癱針灸治療方法,針灸治療面癱處方

主癥

臨床發(fā)病突然，一側(cè)面部板滯、麻木，繼之面部表情肌癱瘓，而出現(xiàn)額紋消失，眼閉合不緊，露睛流淚，鼻唇溝變淺，口角歪向健側(cè)，食物常嵌在齒頰間，患側(cè)不能作蹙額，皺眉，示齒、鼓腮等動作，部分病人初起時有耳后、耳下及面部疼痛，還可出現(xiàn)患側(cè)舌前2/3味覺減退或消失，聽覺過敏等癥。病程延久，可因癱瘓肌攣縮，口角歪向病側(cè)，稱"倒錯"現(xiàn)象。

Main Manifestations

Sudden onset, one side face numbness even the muscles paralysis, inability to frown, the eye can not be closed, salivation, shallow of mouth groove, deviate of angle of the mouth, inability to swallow, in the affected side, inability to frown, raise the eyebrow, show the teeth or blow on the cheek, and in some cases, pain in the mastoid region or headache, poor sense of taste, sensitive hearing. Chronic case may have contracture of the atrophied muscles, mouth can be pulled to the affected side. It is named paradoxical wrying of face.

治法

取手、足陽明經(jīng)穴為主，輔以少陽經(jīng)穴，面部穴位可采取透刺。

Treatment

The point both of Large Intestine and Stomach Meridians are mainly selected, and also the points of Triple Energizer and Gallbladder Meridians.The penetrating method can be use for the points on the face. 醫(yī)學全在線www.med126.com

處方

陽白 四白 攢竹 下關(guān) 顴髎 巨髎 地倉透頰車 合谷 足三里

Prescription

Yangbai(GB 14), Sibai(ST 2), Cuanzhu (BL 2), Xiaguan(ST 7), Quanliao (SI 18), Juliao (ST 3), Dicang(ST 4) to Jiaoche(ST 6), Hegu (LI 4), Zusanli(ST 36).

隨證配穴

鼻唇溝平坦加迎香；
人中溝平坦加人中；
頦唇溝歪斜加承漿；
乳突部疼痛：加風池、翳風、外關(guān)。

Additional Points

Level of groove of nose: Yingxiang(LI 20),
Level of the philtrum: Renzhong (GV 26),
deviation of the groove of the lip: Chengjiang (CV 24),
Pain of the mastoid region: Fengchi (GB 20), Yifeng (TE 17), Waiguan(TE 5)