Integrative Medicine 62 cases of facial paralysis Bell Efficacy


Efficacy of the Red River border armed police detachment WANG Run sister hospital, Yunnan a I61000 Abstract: Objective: 62 cases of patients with facial paralysis Bell integrative medicine treatment, observation, analysis and discussion. Methods: e staging treatment for the cause. Results: cured 59 cases, effective in 3 cases, 0 cases, the total efficiency of 100%. Conclusion: e combination therapy of facial paralysis Bell a significant effect. Key words: facial paralysis Bell; the combination of two doctors; efficacy [CLC] R745.1 +2 [Document code] A [article number] 1007-8517 (2009) 2l-Oll5 an O1 (Bel1 ) facial paralysis is an acute facial paralysis of unknown cause, meaning, said idiopathic facial paralysis is a common clinical disease, the incidence of the season to spring and autumn as much. e vast majority were unilateral, the cause is not clear, at present there are viral infections, microcirculation, allergy three kinds of theories, in addition, diabetes, pregnancy, genetic factors such as Bell incidence of Bell palsy have a certain relationship, to 2O-4O-year-old common. Our hospital since 2000,moncler paris, September 1 2O09 August Integrative Medicine treatment of 62 cases of facial paralysis in patients with Bell, and achieved satisfactory results, are as follows. 1 Clinical data of the 62 patients were outpatients and inpatients, 42 males and 20 females, which left 30 cases, the right side of 32 cases; 1 a lO-day course of 48 cases, 8 cases 11_20 days ; 21-3O days in 6 patients. Clinical manifestations: ipsilateral facial muscle paralysis, the amount of grain lost or shallow, shallow nasolabial fold, mouth twisted to the healthy side, brow lift, eyes closed, teeth, drum gills obstacles, some patients may have early ear , the ear pain, also have Anterior 2 / 3 taste diminish or disappear, but no hemiplegia and consciousness is not the situation. 2.1 2 treatment early (onset 1_7 days). Dexamethasone injection lOmg diluted intravenous infusion or oral corticosteroids, 3 days; citicoline, adenosine triphosphate and coenzyme A, vitamin B6 group intravenous infusion for 7 days. At the same time the use of traditional Chinese medicine led subtraction are scattered, white tuber 20g; silkworm 15g; Scorpio 6g; centipede 3; Uncaria 20g; wind 15g; safflower 10g; loofah 15g; bile Southern Star 15g; licorice 10g. Day one, open water simmer in water, an Et three times. 10 days for a course of treatment. Early unsuitable for acupuncture, microwave diathermy can be used twice a day; and massage the affected side of their face, do brow lift, eye blinking, showing teeth, drum gills movements, several times a day. 2.2 stable period (7 days after onset) preferable to one hundred affected points Yang, Yifeng, Shimonoseki, the wind pool, buccal car, warehouse, Ying Hong, bearing slurry, big welcome, save bamboo, with bilateral Hegu the full three years, Taichong. Reinforcing-reducing techniques. Needle for 30 minutes, three times the needle line, 1O-day course of treatment. 2.3 Recovery (incidence of 20 days later) to Huoxuetongluo main recipe can be added with Salvia, Chuanxiong and so on. Supplemented by acupuncture therapy, microwave diathermy, facial muscle training. 3 Notes 3.1 should be avoided by the cold stimulation, if necessary, wear protective masks. 3.2 Protection of the cornea, the available anti-infective eye drops three times a day. 4 Evaluation of the standard cure: a good facial nerve function recovery, Fisch score of 98 points or more. Effective: the facial nerve function was abnormal. Fisch score higher than the admission. Invalid: no improvement of symptoms. 5 were cured 59 cases, effective in 3 cases, 0 cases, the total efficiency of 100%. 6 understand this disease is a country medicine . Wind in the white tuber Xinsan, dispels wind, wind and good governance with the head, face the wind; silkworm, scorpion, centipede can Qufeng Zhijing; bile Southern Star phlegm; safflower, red sage, loofah, JII Gung Huoxuetongluo. At the same time for the three causes of facial paralysis Bell theory, glucocorticoids, citicoline, B vitamins can inhibit a variety of inflammation and promote recovery of neurological function, improve circulation and so on. Supplemented by acupuncture, massage, facial muscle training, integrative medicine, it is a significant effect, it is worth promoting.