Volume 23 Issue 5
May  2025
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(5): 848-852
YE Yaxian, XU Lin, CHEN Xi, SONG Ziyu. Clinical study of acupuncture combined with TCM fumigation in the treatment of patients with peripheral facial paralysis[J]. Chinese Journal of General Practice, 2025, 23(5): 848-852. doi: 10.16766/j.cnki.issn.1674-4152.004016
Citation: YE Yaxian, XU Lin, CHEN Xi, SONG Ziyu. Clinical study of acupuncture combined with TCM fumigation in the treatment of patients with peripheral facial paralysis[J]. Chinese Journal of General Practice, 2025, 23(5): 848-852. doi: 10.16766/j.cnki.issn.1674-4152.004016
shu

Clinical study of acupuncture combined with TCM fumigation in the treatment of patients with peripheral facial paralysis

doi: 10.16766/j.cnki.issn.1674-4152.004016
  • 1.

    Department of Acupuncture and Massage, the First People ' s Hospital of Jiande, Jiande, Zhejiang 311600, China

Funds:

 2021RC197

  • Received Date: 2024-08-20
    Available Online: 2025-08-14
    Abstract
  •   Objective  To compare the curative effect of acupuncture combined with traditional Chinese medicine (TCM) fumigation and traditional Western medicine in patients with peripheral facial paralysis so as to provide more reference for clinical treatment.  Methods  A total of 104 patients with peripheral facial paralysis admitted to the First People ' s Hospital of Jiande were enrolled between January 2022 and February 2024. According to the random number table method, they were divided into a control group (western medicine) and an observation group (acupuncture combined with TCM fumigation), with 52 cases in each group. The clinical curative effect, scores of TCM syndromes, facial disability index (FDI) and facial nerve function [House-Brackmann (H-B)], trophic nerve indexes [glial cell line-derived neurotrophic factor (GDNF), nerve growth factor (NGF)], serum immunoglobulins (IgA, IgG, IgM) and quality of life [the MOS item shot form health survey (SF-36)] were compared between the two groups.  Results  The total response rate of the observation group was higher than that of the control group [94.23% (49/52) vs. 80.77% (42/52), P < 0.05]. Compared with the control group after 6 courses of treatment, scores of TCM symptoms and FDI social function, levels of NGF, IgA, IgG, and IgM were lower in the observation group (P < 0.05), and the score of FDI physical function, GDNF and scores of SF-36 (physiological limitation, vitality, overall health) were higher (P < 0.05). After 6 courses of treatment, H-B grading was better in the observation group than that in the control group (P < 0.05).  Conclusion  The curative effect of acupuncture combined with TCM fumigation is significant in patients with peripheral facial paralysis, as it can improve symptoms, FDI scores, facial nerve function, and immunoglobulins, promote the repair of damaged nerves, and enhance quality of life.

     

    • FullText(HTML)
  • loading
    • References(19)
  • [1]
    HALANI S H, SANCHEZ C V, HEMBD A S, et al. Depressor anguli oris myectomy versus transfer to depressor labii inferioris for facial symmetry in synkinetic facial paralysis[J]. J Reconstr Microsurg, 2022, 38(4): 328-334.
    [2]
    严娅岚, 贾海滨, 李培玉, 等. 基于面部神经功能及中医症状评分探究温针灸对周围性面瘫患者预后的影响[J]. 天津中医药, 2023, 40(8): 1023-1028.

    YAN Y L, JIA H B, LI P Y, et al. Effects of needle warming moxibustion on the prognosis of patients with peripheral facial paralysis based on facial nerve function and traditional Chinese medicine symptoms scores[J]. Tianjin Journal of Traditional Chinese Medicine, 2023, 40(8): 1023-1028.
    [3]
    于莹, 张功, 韩涛, 等. 针灸治疗周围性面瘫有效性的系统评价及网状Meta分析[J]. 中国中医基础医学杂志, 2020, 26(8): 1138-1142, 1179.

    YU Y, ZHANG G, HAN T, et al. Systematic Review and Network Meta-analysis on Clinical Efficacy of Acupunture-moxibustion in Treatment of Peripheral Facial Paralysis[J]. Journal of Basic Chinese Medicine, 2020, 26(8): 1138-1142, 1179.
    [4]
    KARA M, BITIK O, VSTVN G G, et al. A supportive donor nerve for long-term facial paralysis: anatomical analysis of the posterior auricular nerve and micro-anatomical comparison with zygomatic nerve[J]. J Plast Reconstr Aesthet Surg, 2022, 75(2): 773-781.
    [5]
    李为成, 王天磊, 潘能毅, 等. 三线针法联合祛风愈瘫丸治疗周围性面瘫的临床研究[J]. 世界中医药, 2024, 19(5): 696-700.

    LI W C, WANG T L, PAN N Y, et al. Clinical Effect of Sanxian Facial Acupuncture Combined with Qufengyutan Pills on Peripheral Facial Paralysis[J]. World Chinese Medicine, 2024, 19(5): 696-700.
    [6]
    王迅, 刘森森. 调背振阳针刺治疗周围性面瘫的临床观察[J]. 中国中医急症, 2022, 31(8): 1226-1230.

    WANG X, LIU S S. Clinical Efficacy Observation on Tiaobei Zhenyang Acupuncture in Treating Peripheral Facial Paralysis[J]. Journal of Emergency in Traditional Chinese Medicine, 2022, 31(8): 1226-1230.
    [7]
    王照平, 何嘉, 杨亚军, 等. 化瘀理筋针刺法联合中药热奄包对腰椎间盘突出症的治疗效果[J]. 中华全科医学, 2024, 22(5): 733-737. doi: 10.16766/j.cnki.issn.1674-4152.003491

    WANG Z P, HE J, YANG Y J, et al. Therapeutic effect on the treatment of lumbar intervertebral disc herniation with the acupuncture method of Huayu Lijin combined with the traditional Chinese medicine Reyan Bao[J]. Chinese Journal of General Practice, 2024, 22(5): 733-737. doi: 10.16766/j.cnki.issn.1674-4152.003491
    [8]
    陈培峰, 董坚, 孙枚, 等. 中药熏蒸面部联合毫针轻浅刺法对顽固性面瘫患者面部残疾指数及体液免疫功能的影响[J]. 四川中医, 2021, 39(12): 162-165.

    CHEN P F, DONG J, SUN M, et al. Effect of TCM fumigation combined with filiform needle acupuncture on facial disability index and humoral immune function in patients with intractable[J]. Journal of Sichuan of Traditional Chinese Medicine, 2021, 39(12): 162-165.
    [9]
    林启慧, 王梦秋, 苟春雁, 等. "叩齿调气"动留针术治疗恢复期中重度贝尔面瘫的临床观察[J]. 中国中医急症, 2024, 33(6): 1012-1015.

    LIN Q H, WANG M Q, GOU C Y, et al. Clinical Observation of Dynamic Retention of Needles Based on"Knocking Teeth to Vegulate Qi"in the Treatment of Moderate-to-Severe Bell's Palsy During the Recovery Period[J]. Journal of Emergency in Traditional Chinese Medicine, 2024, 33(6): 1012-1015.
    [10]
    吴江. 神经病学[M]. 北京: 人民卫生出版社, 2011: 119.

    WU J. Neurology[M]. Beijing: People's Medical Publishing House, 2011: 119.
    [11]
    俞光岩, 顾晓明, 蔡志刚. 周围性面瘫[M]. 北京: 人民卫生出版社, 2005: 45-48.

    YU G Y, GU X M, CAI Z G. Peripheral facial paralysis[M]. Beijing: People's Medical Publishing House, 2005: 45-48.
    [12]
    李丽, 汪庭娇, 严兴科. 平行对刺法治疗气虚血瘀型周围性面瘫: 随机对照试验[J]. 中国针灸, 2024, 44(3): 271-275.

    LI L, WANG T J, YAN X K. Parallel needling technique for peripheral facial paralysis with qi deficiency and blood stasis: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2024, 44(3): 271-275.
    [13]
    张燕, 陈敏, 张华琳. 地仓透颊车针刺治疗周围性面瘫口角歪斜的临床疗效[J]. 医学临床研究, 2024, 41(3): 393-395.

    ZHANG Y, CHEN M, ZHANG H L. Clinical Efficacy of Dicang Through Jiache Acupuncture Therapy in Treating Peripheral Facial Paralysis with Deviation of the Mouth[J]. Journal of Clinical Research, 2024, 41(3): 393-395.
    [14]
    张顶慰, 林守权, 吴大山. "益气扶正"针刺配合火龙罐治疗周围性面瘫急性期患者的疗效观察[J]. 中国中医急症, 2023, 32(12): 2199-2202.

    ZHANG D W, LIN S Q, WU D S. Curative effect of Yiqi Fuzheng acupuncture combined with Huolong cupping in patients with peripheral facial paralysis during acute stage[J]. Journal of Emergency in Traditional Chinese Medicine, 2023, 32(12): 2199-2202.
    [15]
    张金丽, 潘井云, 聂礼平, 等. 正念减压疗法联合针刺治疗顽固性面瘫临床疗效及对患者焦虑情绪的影响[J]. 河北中医, 2024, 46(4): 633-636, 640.

    ZHANG J L, PAN J Y, NIE L P, et al. Effect of mindfulness-based stress reduction combined with acupuncture on rehabilitation and anxiety in patients with intractable facial paralysis[J]. Hebei Journal of Traditional Chinese Medicine, 2024, 46(4): 633-636, 640.
    [16]
    WVSTER J, KREUTZER K, KOERDT S, et al. Modified mclaughlin's dynamic muscle support in the 21st century? A retrospective study with a prospective follow-up analysis for patients with long standing facial paralysis[J]. J Craniofac Surg, 2022, 33(6): e594-e598.
    [17]
    王仕林, 李莹莹, 赵广然, 等. 孙氏滞提法配合常规针刺治疗顽固性周围性面瘫眼睑闭合不全的临床观察[J]. 中国中医急症, 2023, 32(6): 1079-1082.

    WANG S L, LI Y Y, ZHAO G R, et al. Clinical Study on Sun's Method of Stagnating Lifting in Treating Intractable Peripheral Facial Paralysis with Insufficiency of Eyelid Closure[J]. Journal of Emergency in Traditional Chinese Medicine, 2023, 32(6): 1079-1082.
    [18]
    邓越, 王桂玲, 王世广, 等. 透刺法联合经筋排刺法治疗难治性周围性面瘫疗效观察[J]. 现代中西医结合杂志, 2023, 32(5): 666-670.

    DENG Y, WANG G L, WANG S G, et al. Curative effect of point-through-point acupuncture combined with meridian tendon acupuncture in the treatment of refractory peripheral facial paralysis[J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2023, 32(5): 666-670.
    [19]
    王静, 朱静, 佟蓓蓓, 等. 中药熏蒸结合针刺治疗周围性面瘫的临床效果[J]. 中国医药导报, 2022, 19(6): 147-149, 154.

    WANG J, ZHU J, TONG B B, et al. Clinical effect of Chinese medicine fumigation combined with acupuncture in the treatment of peripheral facial paralysis[J]. China Medical Herald, 2022, 19(6): 147-149, 154.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Tables(7)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (17) PDF downloads(1) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return