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A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis

Received: 17 January 2021    Accepted: 26 January 2021    Published: 9 February 2021
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Abstract

Introduction: Idiopathic facial palsy, also known as Bell's palsy (BP) or facial neuritis, is an acute onset of peripheral facial neuropathy. The onset of this disease is rapid, and there is a history of cold, mostly on one side of the face. Objective: to introduce and analyze the method and curative effect of functional acupuncture on one case of senile left persistent facial paralysis. Methods: focus on the functional parts of the affected area that need to be improved, select the acupuncture areas with improved trigger function, and select the stimulation dose of electroacupuncture. In other words, functional acupuncture is the main acupuncture method in the treatment process, that is, to take a functional position before acupuncture on the paralyzed side of the cheek, that is, to lift the patient's left corner of the mouth outward to above the functional position with a surgical small retractor (the largest lifting mouth angle is tilted to the left side), to determine the left cheek muscle functional area (needle entry area), and to make corresponding adjustment on the left cheek Acupoints selected in functional areas: Xiaguan, zygomatic Luo, buccal Che, Yingxiang, Renzhong, Taiyang, sizhukong, Chengzhi, yangbai. The needle of 0.35 mm × 40 mm was selected, and 0.3-1 inch flat needling was used with electroacupuncture. The waveform was density wave. Five times a week, 10 times for a course of treatment. Results: after two courses of functional acupuncture treatment, the patient's left eyelid was basically closed, and the air leakage during the left cheek bulging was significantly improved. After eating, the food left in the left cheek disappeared, the left nasolabial groove appeared, the left frontal lines appeared, and the symptoms of the left mouth angle slanting to the right were significantly improved (see the figure below). Conclusion: the essence of functional acupuncture improvement is to re form a strong neuromuscular effect in muscles, destroy the paralysis and weakness of target muscles, and reconstruct the normal neuromuscular coupling mode. The aim of this balance mechanism is to destroy the reflex pattern of abnormal muscle paralysis and muscle weakness and reconstruct an orderly and normal neuromuscular reflex.

Published in International Journal of Chinese Medicine (Volume 5, Issue 1)
DOI 10.11648/j.ijcm.20210501.11
Page(s) 1-5
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Elderly, Functional Acupuncture, Facial Paralysis

References
[1] Neurology Society of Chinese Medical Association, Neuromuscular Group of Neurology Society of Chinese Medical Association, Electromyography and Clinical Neurophysiology Group of Neurology Society of Chinese Medical Association. Clinical Guidelines for Diagnosis and Treatment of Idiopathic Facial Palsy in China [J]. Chinese Journal of Neurology, 2016, (2). 84-86.
[2] De Almeida J R, Guyatt G H, Sud S, et al. Management of Bell palsy: clinical practice guideline [J]. CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne, 2014, 186 (12): 917-922.
[3] KONG Yan, XU Zhuo, HAO Yanan, et al. Evaluation of facial nerve function scale in idiopathic facial palsy [J]. Gao ZQ. Development of methods for evaluating facial nerve function [J]. Chinese Journal of Ocular Science, 2019, 17 (4). 445-451.
[4] Wang J, Ling L. Research progress on etiology and pathogenesis of Bell's palsy [J]. Chinese Journal of Neuroimmunology and Neurology, 2013, (2). 138-140.
[5] Macgregor F C. Facial disfigurement: problems and management of social interaction and implications for mental health [J]. Aesthetic plastic surgery, 1990, 14 (4): 249-257.
[6] Evans RA, Harries NL, Bagulry DM, et a1. ReliabilityoftheHouseand Brackmann gradingsystem forfacialpalsy. JLaryngolOto1. 1989; 103: lO45-1046.
[7] Smith IN, Murray JAN, Cull RE, et a1. A compari~ offacialgrading systems. Clin Otolaryngo1. 1992: 17: 303-307.
[8] Yen TL; Driscoll CL; Lalwani AK. Significance of House-Brackmann facial nerve grading global sccren in the setting of diferential facial nerve function. Otol Neuroto 1. 2003; 24: 1l8—122.
[9] Croxson G. Mayl, Mester SJ. Grading facial nerve function: House-Brackman versus Burres-Fisch methods. Am J Oto1. 1990; 11: 240-246.
[10] Ross BG. Fradet G. Nedzelski JM. Development of asensitiveclinical facialgrading system.
[11] Otolaryngol Head Neck surg. 1996; l14: 380-386.
[12] Baugh R F, Basura G J, Ishii L E, et al. Clinical practice guideline: Bell's palsy [J]. Otolaryngology-head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2013, 149 (3 Suppl): S1-27.
[13] Lee D H. Clinical Efficacy of Electroneurography in Acute Facial Paralysis [J]. J Audiol Otol, 2016, 20 (1): 8-12.
[14] Ozgur A, Semai B, Hidir U U, et al. Which electrophysiological measure is appropriate in predicting prognosis of facial paralysis? [J]. Clinical neurology and neurosurgery, 2010, 112 (10): 844-848.
[15] Mannarelli G, Griffin G R, Kileny P, et al. Electrophysiological measures in facial paresis and paralysis [J]. Operative Techniques in Otolaryngology-Head and Neck Surgery, 2012, 23 (4): 236-247. Azuma T, Nakamura K, Takahashi M, et al. Electroneurography in the acute stage of facial palsy as a predictive factor for the development of facial synkinesis sequela [J]. Auris Nasus Larynx, 2018, 45 (4): 728-731.
[16] Arslan H H, Satar B, Yildizoglu U, et al. Validity of late-term electroneurography in Bell's palsy [J]. Otology & neurotology: official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 2014, 35 (4): 656-661.
[17] Li M K, Niles N, Gore S, et al. Social perception of morbidity in facial nerve paralysis [J]. Head Neck, 2016, 38 (8): 1158-1163.
[18] Ho A L, Scott A M, Klassen A F, et al. Measuring quality of life and patient satisfaction in facial paralysis patients: a systematic review of patient-reported outcome measures [J]. Plast Reconstr Surg, 2012, 130 (1): 91-99.
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  • APA Style

    Han Bingxue, Shao Ming, Liu Jing, Sun Yu, Cong Bei, et al. (2021). A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis. International Journal of Chinese Medicine, 5(1), 1-5. https://doi.org/10.11648/j.ijcm.20210501.11

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    ACS Style

    Han Bingxue; Shao Ming; Liu Jing; Sun Yu; Cong Bei, et al. A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis. Int. J. Chin. Med. 2021, 5(1), 1-5. doi: 10.11648/j.ijcm.20210501.11

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    AMA Style

    Han Bingxue, Shao Ming, Liu Jing, Sun Yu, Cong Bei, et al. A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis. Int J Chin Med. 2021;5(1):1-5. doi: 10.11648/j.ijcm.20210501.11

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  • @article{10.11648/j.ijcm.20210501.11,
      author = {Han Bingxue and Shao Ming and Liu Jing and Sun Yu and Cong Bei and Du Fei and Li Tong and Yang Dan and Yan Zhi},
      title = {A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis},
      journal = {International Journal of Chinese Medicine},
      volume = {5},
      number = {1},
      pages = {1-5},
      doi = {10.11648/j.ijcm.20210501.11},
      url = {https://doi.org/10.11648/j.ijcm.20210501.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcm.20210501.11},
      abstract = {Introduction: Idiopathic facial palsy, also known as Bell's palsy (BP) or facial neuritis, is an acute onset of peripheral facial neuropathy. The onset of this disease is rapid, and there is a history of cold, mostly on one side of the face. Objective: to introduce and analyze the method and curative effect of functional acupuncture on one case of senile left persistent facial paralysis. Methods: focus on the functional parts of the affected area that need to be improved, select the acupuncture areas with improved trigger function, and select the stimulation dose of electroacupuncture. In other words, functional acupuncture is the main acupuncture method in the treatment process, that is, to take a functional position before acupuncture on the paralyzed side of the cheek, that is, to lift the patient's left corner of the mouth outward to above the functional position with a surgical small retractor (the largest lifting mouth angle is tilted to the left side), to determine the left cheek muscle functional area (needle entry area), and to make corresponding adjustment on the left cheek Acupoints selected in functional areas: Xiaguan, zygomatic Luo, buccal Che, Yingxiang, Renzhong, Taiyang, sizhukong, Chengzhi, yangbai. The needle of 0.35 mm × 40 mm was selected, and 0.3-1 inch flat needling was used with electroacupuncture. The waveform was density wave. Five times a week, 10 times for a course of treatment. Results: after two courses of functional acupuncture treatment, the patient's left eyelid was basically closed, and the air leakage during the left cheek bulging was significantly improved. After eating, the food left in the left cheek disappeared, the left nasolabial groove appeared, the left frontal lines appeared, and the symptoms of the left mouth angle slanting to the right were significantly improved (see the figure below). Conclusion: the essence of functional acupuncture improvement is to re form a strong neuromuscular effect in muscles, destroy the paralysis and weakness of target muscles, and reconstruct the normal neuromuscular coupling mode. The aim of this balance mechanism is to destroy the reflex pattern of abnormal muscle paralysis and muscle weakness and reconstruct an orderly and normal neuromuscular reflex.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - A Case Report of Functional Acupuncture in the Treatment of Senile Left Persistent Facial Paralysis
    AU  - Han Bingxue
    AU  - Shao Ming
    AU  - Liu Jing
    AU  - Sun Yu
    AU  - Cong Bei
    AU  - Du Fei
    AU  - Li Tong
    AU  - Yang Dan
    AU  - Yan Zhi
    Y1  - 2021/02/09
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ijcm.20210501.11
    DO  - 10.11648/j.ijcm.20210501.11
    T2  - International Journal of Chinese Medicine
    JF  - International Journal of Chinese Medicine
    JO  - International Journal of Chinese Medicine
    SP  - 1
    EP  - 5
    PB  - Science Publishing Group
    SN  - 2578-9473
    UR  - https://doi.org/10.11648/j.ijcm.20210501.11
    AB  - Introduction: Idiopathic facial palsy, also known as Bell's palsy (BP) or facial neuritis, is an acute onset of peripheral facial neuropathy. The onset of this disease is rapid, and there is a history of cold, mostly on one side of the face. Objective: to introduce and analyze the method and curative effect of functional acupuncture on one case of senile left persistent facial paralysis. Methods: focus on the functional parts of the affected area that need to be improved, select the acupuncture areas with improved trigger function, and select the stimulation dose of electroacupuncture. In other words, functional acupuncture is the main acupuncture method in the treatment process, that is, to take a functional position before acupuncture on the paralyzed side of the cheek, that is, to lift the patient's left corner of the mouth outward to above the functional position with a surgical small retractor (the largest lifting mouth angle is tilted to the left side), to determine the left cheek muscle functional area (needle entry area), and to make corresponding adjustment on the left cheek Acupoints selected in functional areas: Xiaguan, zygomatic Luo, buccal Che, Yingxiang, Renzhong, Taiyang, sizhukong, Chengzhi, yangbai. The needle of 0.35 mm × 40 mm was selected, and 0.3-1 inch flat needling was used with electroacupuncture. The waveform was density wave. Five times a week, 10 times for a course of treatment. Results: after two courses of functional acupuncture treatment, the patient's left eyelid was basically closed, and the air leakage during the left cheek bulging was significantly improved. After eating, the food left in the left cheek disappeared, the left nasolabial groove appeared, the left frontal lines appeared, and the symptoms of the left mouth angle slanting to the right were significantly improved (see the figure below). Conclusion: the essence of functional acupuncture improvement is to re form a strong neuromuscular effect in muscles, destroy the paralysis and weakness of target muscles, and reconstruct the normal neuromuscular coupling mode. The aim of this balance mechanism is to destroy the reflex pattern of abnormal muscle paralysis and muscle weakness and reconstruct an orderly and normal neuromuscular reflex.
    VL  - 5
    IS  - 1
    ER  - 

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Author Information
  • Department of Acupuncture and Tuina, Dalian Port Hospital, Dalian, China

  • Department of Neurology, the Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, China

  • Department of Neurology, Sichuan Rehabilitation Hospital, Chengdu, China

  • Department of Acupuncture and Tuina, Dalian Port Hospital, Dalian, China

  • Department of Acupuncture and Tuina, Dalian Port Hospital, Dalian, China

  • Department of Acupuncture and Tuina, Dalian Port Hospital, Dalian, China

  • Department of Acupuncture and Tuina, Dalian Port Hospital, Dalian, China

  • Department of Acupuncture and Tuina, Dalian Port Hospital, Dalian, China

  • Department of Acupuncture and Tuina, Dalian Port Hospital, Dalian, China; Department of Neurology, Sichuan Rehabilitation Hospital, Chengdu, China

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