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Internal Medicine

Peripheral facial paralysis includes two types: central and peripheral. This report focuses on the treatment method and effect observation of the treatment of peripheral type. The writer learns from famous  Dr. Cong Huo Tian for the treatment of peripheral facial paralysis using three methods including acupuncture, ginger moxibustion, bloodletting cupping, and obtained satisfying effect, summarizing the result in the following.
There are 22 outpatients whose disease history are between 1 month and 5 months.

Treatment method:
(1) Acupuncture: main points consist of Yangbai (GB14), Sizhukong (TE23), Tai Yang, Sibai (ST2), Dicang (ST4), Shangguan (GB3), Xiaguan (ST7), SI 18, Yifeng (TE17), Fengchi (GB20), Hegu (LI4) Yuan-Source Point, Zusanli (ST36) He-Sea Point, and Dazhui (GV14) in affected side. Shallow puncture during acute period, penetrating puncture after long disease history, using reinforcing method for ST36, applying mild reinforcing-reducing method for other points, adding Yingxiang (LI20) and Tongtian (BL7) if there is nasal obstruction, adding Chengqi (ST1) if there is tears, adding Tinggong (SI19) and Tinghui (GB2) if there is tinnitus; adding Chengjiang (CV24) and Lianquan (CV23) if there is Ageusia, numbness tongue. 
(2) Ginger moxibustion: using this method when needling retaining. Specific method: cutting the ginger to thin slices (3mm thick), sticking the ginger slices on the affected face, conducting moxibustion on the acupuncture points above the ginger, half minute for each point until the patients feel hot.
(3) Pricking and cupping: after acupuncture, pricking needling on the GV14 through injection needles (sterile hypodermic needle for single-use), then applying cupping and retaining the cup for 5 minutes until the blood reaches 5ml volume. All the three methods are employed together, 1 time per day followed by 1 day interval, 10 times are one course.

Result: total effective rate is 95.45%.

Key words: Peripheral Facial Paralysis, acupuncture, Ginger moxibustion, pricking and cupping

Writer: Sha Tao     Instructor: Cong Huo Tian
Acupuncture department, Guang An Men hospital, China Academy of Traditional Chinese medicine (100053)

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