| Peripheral facial paralysis is mainly an acute nonsuppurative inflammation of the facial nerve in the stylomastoid foramen. It causes peripheral facial palsy (Bell's palsy). Generally it may be related to viral infection, cold and the instability of autonomic nerve, which lead to spasm of the local blood vessels that nourish the nerve. As a result, the nerve has ischemia, edema, demyelination, or even axonal degeneration. Facial paralysis is not a severe disease, but it may damage the patient's external appearance image seriously, bring great psychological pressure to the patient, and affect their routine work and daily life. Both traditional Chinese and west medicine can be used to treat this disease and bring with good curative effect. However, according to considerable clinical practices, using traditional Chinese medicine and acupuncture to treat this disease has distinct ascendance. Combined with the progress of the modern study and research, from the clinical aspect, this article will systemically and scientifically study the curative effect of using acupuncture and traditional Chinese medicine to treat peripheral facial paralysis in the early stage.Part 1: Literature review1 Comprehension to this disease based on traditional Chinese medicineThis part mainly illuminates the comprehension of the ancient times' doctors to etiopathogenisis, pathogenesis and differentiation of symptoms and signs of peripheral facial paralysis. They think that, the external etiopathogenisis is the wind pathogen entering collaterals. The inter etiopathogenisis is insufficiency of vital energy and blood or disorder of vital energy and blood. The pathogenesis is the wind pathogen strokes the face, stays in meridians, hindrances the circulation of Qi-blood, and causes the symptom of numbness in the local area.2 The clinical researching progress of treating peripheral facial paralysis with traditional Chinese medicine and acupuncture This part enumerates generally situation of the clinical and mechanical researches in treating peripheral facial paralysis with traditional Chinese medicine and acupuncture, done in recent years and discusses the research direction of traditional Chinese medicine and acupuncture. It is divided into seven aspects as follows: 1)differentiation of symptoms and signs for classification of syndrome; 2)Treatment by stages;3) treating methods; 4)other treatment; 5) acupuncture manipulation; 6)time for acupuncture; 7)mechanical research.Part 2: Thinking and basis of the topic' s establishmentAt present, as there are some problems in clinical research of treating peripheral facial paralysis with traditional Chinese medicine and acupuncture, based on strict designs, this article uses generally acknowledged advanced methods and indexes, so that we can do clinical research on curative effects and intervention time when treating peripheral facial paralysis, and show the feasibility and advances of treating peripheral facial paralysis with traditional Chinese medicine and acupuncture.Under the teacher' s guidance, based on the distinctness of traditional Chinese medicine, we use acupuncture, acupuncture combined with traditional Chinese medicine to treat peripheral facial paralysis. We choose patients in the early stage as objects. The treating group uses acupuncture combined with traditional Chinese medicine to treat the patients after preliminary diagnosis. The control group only uses traditional Chinese medicine in the acute stage and uses acupuncture combined with traditional Chinese medicine from the 8th day. Doing the clinical control study is mainly to observe whether the influence of using acupuncture to treat facial paralysis be worth of practical application or not, and to offer scientific clinical foundation for treating facial paralysis with traditional Chinese medicine regularlly.Part 3: Clinic1 basic information comparison between two groupThe treating group uses acupuncture combined with traditional Chinese medicine to treat the patients after preliminary diagnosis. The control group only uses traditional Chinese medicine in the acute stage and uses acupuncture combined with traditional Chinese medicine from the 8th day. Totally, 83 patients are fit to the standard and finish the course of treatment. The difference between the patients' sexuality, invaded portion, Pathogenetic condition, average age, average course of disease, pattern of syndrome, classification and score for the preliminary diagnosis is without statistic significance. (P>0.05)2 Comparison between two groups' clinical curative effect1) In the treating group, the curative effect difference between sexuality, age, Pathogenetic condition, pattern of syndrome is without statistic significance (P>0. 05). In the control group, the curative effect difference between sexuality, pattern of syndrome is without statistic significance (P >0.05)., but the curative effect difference between age, Pathogenetic condition, is with statistic significance (P <0. 05). The curative effect is worse for the patients that are in old age and under severe Pathogenetic condition.2) In the 8th day of the course of disease, the curative effect is without statistic significance (P>0.05). After finishing the course of treatment, the difference between the total effective rate, the healing rate and the treating times for the fully recovered patients is with statistic significance (P<0.05). The treating group is better than the control group.3 Comparison between two groups for H-B classification before and after treatment, and the measuring scale score according to the protocol for Peripheral facial paralysis' s integrative medicine evaluation and curative effect standard1) In each group, the classification difference among the preliminary diagnosis, the 8th day of the course of treatment and the end of the course of treatment is with statistic significance (P<0.01). What' s more, the preliminary diagnosis, the 8th day of the course of treatment and the end of the course of treatment between each other are different. Between two groups, the classification difference among the preliminary diagnosis, the 8th day of the course of treatment is without statistic significance (P>0.05), but the end of the course of treatment is with statistic significance (P<0.01).2) In each group, the classification difference among the preliminary diagnosis, the 8th day of the course of treatment and the end of the course of treatment is with statistic significance (P<0.01). What' s more, the preliminary diagnosis, the 8th day of the course of treatment and the end of the course of treatment between each other are different. Between two groups, the classification difference in the preliminary diagnosis is without statistic significance (P>0.05), but the 8th day of the course of treatment the end of the course of treatment is with statistic significance (P<0. 01).Part 4 Discussion 1 Diagnosis and the use of measuring scale for peripheral facial paralysis.2 Correlation factor analysis on diagnosis and curative effect for facial paralysis.3 Curative effect evaluation on treating Peripheral facial paralysis between two groups, and discuss the meaning of treating Peripheral facial paralysis in the early stage with acupuncture and traditional Chinese medicine.4 The effect and evaluation between two groups on classification before and after treatment and score.5 Differentiation of symptoms and signs for classification of syndrome of peripheral facial paralysis and the meaning of stagnation of liver-QI in the onset of this disease.Part 5 PerorationThrough literature research and clinical observation on peripheral facial paralysis, based on analysis and summaries the research achievement done by predecessors, combined with professor Lan Xinsheng' s experience, we propose homologus therapeutic principles and treating methods. We presume that, using acupuncture to treat facial paralysis in the acute stage according to differentiation of symptoms and signs, not only will not make the clinic symptom more serious, but also can raise the clinical curative effect and shorten the course of treatment. The aim of using H-B systemic measuring scale to score and evaluate the facial paralysis, is to classify the patients synthetically. The miss of explanation for classifying the special details of the local area' s function makes the evaluation results done by each researcher quite different. This part is indiscriminant and should be improved. The measuring scale for scoring, made by Yang Wanzhang, can reflect the changes of the patients' facial nerve' s recovery quite well and is worth of a further research to be more consummate. |
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