2 Overview of facial paralysis, the abbreviation of facial paralysis, the scientific name of facial paralysis, also known as facial neuritis, Bell's palsy, Hunter's syndrome. Facial paralysis refers to the peripheral paralysis of facial nerve caused by acute non-suppurative inflammation of facial nerve at mastoid foramen, also known as Bell's palsy, which is a common disease characterized by motor dysfunction of facial expression muscles. The general symptom is mouth-eye deviation. Regardless of age and gender, patients' faces often can't even perform the most basic movements such as raising eyebrows, closing their eyes, bulging cheeks and making lips.
The cause can be herpes zoster virus infection, nasopharyngeal inflammation, rheumatic facial neuritis or periostitis of mastoid foramen, which paralyzes the facial nerve. Suppurative otitis media and mastoiditis may also be accompanied by facial neuritis.
4 symptoms before facial paralysis, there is often pain confined to the ear, which can radiate to the cheek or pillow and disappear within a few days. In some cases, there is nerve paralysis first, and then pain. Sudden onset, often found when looking in the mirror or gargling after getting up in the morning, generally unilateral, the affected side is expressionless, the forehead wrinkles disappear, you can't frown, your eyes can't close, you can't drum your cheeks, blow air or whistle. The muscle tension of the lower eyelid muscles decreases and droops, so that tears are exposed, and tears cannot be discharged normally, but there is food accumulation between cheeks, cheeks and teeth. The lesion is located above the mastoid process, affecting the chordae tympani, and the first 2/3 of the tongue has taste disorder. When the lesion is above the stapedial muscle branch, there may be auditory allergy; Patients with herpes zoster involving knee ganglion may have herpes of external auditory canal, severe pain in auricle and reduced tears.
5 Treatment methods Facial paralysis usually recovers within several weeks or months. If there is no degenerative reaction, it can recover completely within two weeks after illness. If the prognosis of neurodegeneration is poor, a few patients cannot fully recover. Acute treatment is mainly to improve facial blood circulation, reduce inflammation and edema, and can paralyze muscles by hot compress and infrared radiation near mastoid foramen.
5. 1 Acupuncture addition and subtraction: If the eyelids can't be closed, the eyes will show tears, add bamboo, fish waist and silk bamboo, and the yang will be white and penetrate the fish waist. For those with pain behind the ear, add wind. For those with decreased taste, Jialian Spring. Manipulation: flat step Xie Ping, acupuncture.
Operation: Acupuncture at Hegu Point, Taichong Point and Fengchi Point, with purging method, downward-opening method, straight-through method, incense welcoming method and flat purging method, piercing the waist of fish with yang white, stabbing the buccal cart with the buccal cart, obliquely stabbing the buccal cart with the buccal cart, making facial muscles twitch backwards with needle drawing method, and keeping the needle for 20 minutes. Other acupoints were treated by reinforcing and reducing method.
5.2 Dietotherapy Chinese medicine believes that facial paralysis is mostly caused by pulse deficiency, wind-cold invasion, or wind-heat, wind-phlegm, blood stasis blocking meridians, qi and blood disharmony, causing muscle relaxation. If you pay attention to Chinese medicine and acupuncture in the early stage, the effect will be good. Western medicine advocates early application of glucocorticoid and drugs such as improving blood circulation, nourishing nerves and antivirus. However, if the hormone is used too much, it will produce many adverse reactions and side effects, making people fat and swollen, water and sodium retention, decreased immunity and slow recovery. Under the treatment plan determined by doctors, combined with scientific diet, facial paralysis can be effectively assisted.
5.3 Gypsum treatment