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TREATMENT_6

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TREATMENT_6

    TREATMENT

    WorldJ.Acu~Mox.Vo1.11,No.1,March,2001?43? ;ClinicalReport(AcupointInjection) ;TREATMENToF82CASESoFWIND.CoLDPATTERNFACIAL ;PARALYSISWITHACUPoINTINJECTIoNTHERAPY ;WuXurong(吴绪荣)

    ;AliatedHospitalofHubeiCollegeofTCM,Hubei430061,China

    ;Facialparalysisisacommonlyencountered ;diseaseintheclinic.ItisknowninWestern ;medicineasBeU’sparalysisandintraditional

    ;Chinesemedicine(TCM)asdeviationoftheeye ;andmouth.Currently,thereareavarietyof ;therapiesfortreatingfacialparalysisbothin ;TCMandWesternmedicine.eachtherapyhas ;itsadvantages.Inrecenttwoyearstheauthor ;hastriedacupointinjectiontherapyfortreatment ;of82casesofperipheryfacialparalysis(attribut

    ;edtowindcoldpattern)andachievedagood ;therapeuticeffect.HereisthereDort. ;1CLINICALINFoRMATIoN

    ;AIlthe112casesmetwiththediagnostic ;criteriaofwindcoldpatternofperipheralfacial ;paralysisLandwererandomlydividedinto2 ;groups,i.e.treatmentgrouprn=82cases) ;andcontrolgroup(n:30cases).0fthe82 ;casesinthetreatmentgroup(acupointinjection ;group),50weremaleand32female.Theeldest ;was72yearsandtheyoungest2years,andthe ;majoritywereyoungstersandmiddleaged ;adults.Theshortestdurationofdiseasebefore ;treatmentwas1day,andthelongest10days, ;withoneweekbeinginmostcases.Incontrol ;group,ofthe30cases,17weremale,13fe

    ;male,theeldestwas71years,theyoungest4 ;years,andmostofthemwereyoungandmiddle ;agedcases.Theshortestdurationofdiseasewas ;2days,thelongest8days,andmostofthem ;werewithinaweek.Therewasnoremarkable ;differencebetweenthetwogroups(P>0.05). ;2THERAPEUTICMETHoD

    ;2.1Treatmentgroup

    ;2.1.1AcupointsselectedwereYifeng(TE17)

;andQianzheng(EX,HN17)

    ;2.1.2Medicine:Dexamethasone5mg/ampule, ;VitaminB12500/~g/ampule.

    ;2.1.3Procedure:?Afterconventionaldisin

    ;fectioninthelocalarea.thena5mldisposal ;sterilizedsyringewith7#injectionneedlewas ;usedtotakeintheabovemedicinalliquid.?

    ;PuncturedYifeng(TE17)perpendicularly0.8 ;

    ;1.2CUT/deepwithneedletipbeingtowards ;thetipofthenoseandwiththeneedlesensations ;spreadingtotheface,thenwithdrewsomewhat ;thesyringetoconfirmnobloodrefluxinthe ;tube.Afterwards.injeeted2/3ofthemedicinal ;liquidslowlyintotheacupoint.Thenpunctured ;Qianzheng(Ex-HN17)0.51CUT/deepto

    ;wardsDicang(ST4)toinducesorenessanddis

    ;tensioninthelocalarea.theniniectedtherest ;1/3liquidslowlyintotheacupointifnobloodre

    ;fluxwasfound.?UsedTDPheatertowarm

    ;theaffectedareafor30rain.orappliedmoxa. ;stickmoxibustionfor30mininordertofacilitate

    ;theabsorptionoftheiniectionliquid. ;Thetreatmentwasgivenonceevery5days, ;3sessionsconstitutedonecourseoftreatment. ;Afteronecourseoftreatmentone—week’srest

    ;wastaken.f0llowedbygivingthenextcourse. ;2.1.4Supplementarytreatment:Thepatients ;wereadvisedtoapplywarmcompressiononceor ;twiceperdayontheaffectedsideoftheface, ;about3060mineachtime.

    ;2.2Controlgroup(intra-muscularinjection) ;Themixtureofoneampuleof5mgDexametha

    ;soneandoneampuleof500gVitaminB12was ;injectedintothebuttock(thebilateralbuttocks ;wereusedalternatively).Othermanagement ;wasthesameasthoseofacupointinjection ;grouP.

    ;3THERAPEUTICRESULTS

    ;3.1Evaluationcriteria

    ;Cured:Aftertreatment,symptomsand ;

    ;?

    ;44?Wor/dJ.Acup-Mox.Vo1.11,No.1,March,2001

    ;signsdisappeared,andthefacialappearancegot ;norma1.

     ;Improved:Symptomsandsignswereallevi

    ;ated,somefacialfunctionshadnocompletere

    ;covery?

    ;Ineffective:Noanyalleviationofsymptoms ;andsignsincludingfacialappearancewasfound. ;3.2Resultsoftreatment

    ;FtomTable1wecanseethatthecuredrate ;ofacupointinjectiongroupisobviouslyhigher ;thanthatofintra-muscularinjectiongroup(P< ;0.05).

    ;Table1.ComDm’isonbetweenTwoGroumintheTheraDeuticEfleet

    ;Table2.ComparisonbetweenTwoGroupsinTreatmentSessionsReceivedb

    ytheCuredCase$

    ;FromTable2itisseenthatthecureddu

    ;rationin74casesofacupointinjectiongroupis ;clearlyshorterthanthatofcontrolgroup(P< ;0.05).

    ;4TYPICALCASE

    ;MrLiu,aged31years,flprivatebusiness

    ;man.

    ;Chiefcomplaints:deviationoftheeyeand ;mouthfor3days.3daysagoaftergettingupin ;themorninghenoticedhismouthtodeviateto

    ;wardstherightside.Whenhewasbrushingthe ;teethanddrinkingwater,thewaterflowedout ;fromthemouth.Hefailedtowhistle.Whilehe ;waseating,thefoodretainedbetweentheteeth ;andcheek.Hislefteyecouldnotclosecomplete

    ;lyandhadlacrimation.Examination:Whenhe ;closedthelefteyetherewas1cmwideopening; ;thewrinklesonhisleftsideoftheforeheaddis. ;appeared.Hefailedtofrownandraiseforehead. ;Thenasolabialgroovewasflat.Themouthdevi. ;atedtotherightside.Whenheshowedtheteeth ;andbulgedthemouthcavity,airleakedoutof ;themouth.Therewasfltendernessbutwithout ;rednessandswellinginferiortotheleftmastoid ;prominence,thetonguecoatwasthinwhite, ;andthepulsesupeHicialtense.

    ;Westernmedicinediagnosis:facialparalysis ;oftheleftside(periphery).TCMdiagnosis:de

    ;viationoftheeyeandmouth(windcoldpat

;tern).

    ;Thiscasewastreatedtwicewiththeabove

    ;mentionedmethod.Afterwards,hissymptoms ;andsignsdisappearedandthefacialappearance ;returnedtonormal,sothediseasewascured, ;One-year’sfollowupshowednorelapse.

    ;5COMMENrI’s

    ;1.AccordingtoTCMtheoccurrenceofthisdis

    ;easeisusuallyduetodeficiencyofchannels.Asfl ;resultpathogenicwind.coldorwindheatinvades

    ;YangmingandShaoyangChannels,causingob

    ;structionofqiinthechannels,malnutritionof ;channelsandtheamyosthenia.InWestern ;medicineitisregardedtobecausedbyexternal ;factors,e.g.coolwind,coldstimuli,which ;triggerthespasmofsmallvesselsaroundthe ;mastoidforamen,inducingischemiaandswelling ;toinjurythefacialnerves.

    ;2.Yifeng(TE17),anintersectingpointof ;

    ;WorldJ.Acup-Mox.Vo1.11,No.1,March,2001?45? ;HandShaoyangandFootShaoyangChannels,is

    ;animportantpomttortreatingwindsyndromes. ;Itisfairlyeffectiveintreatmentofdisordersaf

    ;fectingheadandfacecausedbywind.Underthe ;pointthefacialnervetrunkislocated. ;Qianzheng(EXHN17)isaproveneffective

    ;pointforfacialparalysis,underwhichthecheek ;branchoffacialnervepassesthrough.Thesetwo ;pointsusedtogethercanenhancethesynergistic ;actioninsmoothingthecirculationofchanne1.qi ;inthelocalarea,andremovingobstructionfrom ;thechannelsoastoireprovethenourishmentof ;facialmusclesandnervesandresumetheirnor

    ;malfunctionalactivities.VitaminB2hasthe

    ;functionofnourishingnerves.Dexamethasoneis ;antiinflammatoryagent.Injectionofthemixture ;ofthetwokindsofliquidattheaffectedareais ;forthesakeofrelievingthespasmofmusclesand ;vessels,improvingbloodcirculation,alleviating ;edemaofthetissuesandpressureonthenerve, ;removingdistensionsoastorelievetheclinical ;symptoms-

    ;3.Pointinjectionmayenhancetheeffectofthe

;medicinalliquid,amplifygeometricallytheiref

    ;ficacy.

    ;Acupointinjectionbringsintofullplay ;thespecificpropertyofacupoint,theefficacyof ;drug,andthecoordinatingeffectofgeneralreg

    ;ulationoforganismexertedbyacupuncture. ;Theauthorholdsthatacupointinjectiontherapy ;forwind-goldtypeperipheryfacialparalysisisof ;remarkableandrapideffect,shortdurationof ;treatment,fewerpointstaking,simpleinopera

    ;tionandwellacceptedbypatients.

    ;REFERENCES

    ;1国家中医药管理局.中华人民共和国中医管理行业标准

    ;<中医病症诊断疗效标准).南京大学出版社,1994:186

    ;2刘祖舜.腧穴对药物(化学刺激)的反应性.上海针灸杂志,

    ;1996,(5):33

    ;3孟培燕.穴位注射治疗椎动脉型颈椎病6O.湖北中医学

    ;,2000,(2):34

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