| Objective:To investigate the efficacy and safety of “Wenjing Tongluo method combined with acupuncture”for the treatment of peripheral facial paralysis with wind cold in the acute stage and to further explore the efficacy and safety of“Wenjing Tongluo method combined with acupuncture”for the treatment of this disease by comparing with the control group(acupuncture therapy),thereby providing a new protocol for its diagnosis and treatment.Methods:Seventy two patients with acute stage wind cold type peripheral facial paralysis who visited the outpatient clinics of Tuina and acupuncture departments of Yunnan Provincial Traditional Chinese medicine hospital were randomly divided into a test group(Wenjing Tongluo manual combined with acupuncture therapy,n=36)and a control group(traditional acupuncture therapy,n=36),respectively.H-B facial nerve function grading scale as well as orofacial syndrome observation score were used before and within the treatment,between and within the two latter groups,and the data of the study were recorded in detail,and finally,the data were analyzed systematically using spss26.0software.Results:1.Within group comparisons among trial groups(1)The differences were significant between pre-treatment and post-treatment during the second week: H-B grading comparison(P < 0.01),H-B grading quantification comparison(P < 0.01),and TCM syndrome score comparison(P < 0.01).(2)The differences were significant when comparing H-B grading after the second week of treatment with that after the third week of treatment(P < 0.01),when quantifying H-B grading(P < 0.01),and when comparing the scores of Chinese Medical Syndromes of orofacial region(P < 0.01).(3)The differences were significant when comparing H-B grading before treatment with H-B grading after the third week of treatment(P < 0.01),when comparing H-B grading quantification(P < 0.01),and when comparing the scores of withdrawn Chinese medical syndromes(P < 0.01).2.Comparison within control group(1)The differences were significant when comparing H-B grading before treatment with that after the second week of treatment(P < 0.01),when comparing H-B grading quantification(P < 0.01),and when comparing the scores of Chinese Medical Syndromes of orocecal origin(P < 0.01).(2)The differences were significant when comparing H-B grading after the second week of treatment with that after the third week of treatment(P < 0.01),when quantifying H-B grading(P < 0.01),and when comparing the scores of withdrawn Chinese medical syndromes(P < 0.01).(3)The differences were significant when comparing H-B grading before treatment with that after the third week of treatment(P < 0.01),when comparing H-B grading quantification(P < 0.01),and when comparing the scores of Chinese Medical Syndromes isolated from mouth(P < 0.01).3.Comparison between groups(1)Before treatment,no significant differences were found in comparisons of H-B grading(P > 0.05),quanti fi cation of H-B grading(P > 0.05),and syndrome scores of isolated traditional Chinese medicine(TCM)between the two groups(P > 0.05).(2)After the second week of treatment,significant differences were observed in the comparison of H-B grading(P < 0.05),the comparison of quanti fi cation of H-B grading(P < 0.01),and the comparison of the points of withdrawn Chinese syndromes(P < 0.01).(3)After the third week of treatment,significant differences were observed in the comparison of H-B grading(P < 0.01),the comparison of quanti fi cation of H-B grading(P < 0.01),and the comparison of the points of withdrawn Chinese syndromes(P < 0.01).4.After three weeks of treatment: 100% overall response rate,61.1% recovery rate,27.8% dramatic response rate,11.1% complete response rate in the test group;In the control group,the overall response rate was 97.1%,the recovery rate was 38.2%,the dramatic response rate was 17.6%,the response rate was 41.2%,and the non response rate was 2.9%,Z =-2.619,P = 0.009)(P < 0.01)for both comparisons.It indicated that the efficacy of the experimental group was better than that of the control group.Conclusion:1.In the treatment of peripheral facial paralysis of wind cold type in the acute stage,conventional acupuncture therapy combined with warm meridian collaterals combined with acupuncture is an effective treatment.Both resulted in improved facial dysmetria and promoted recovery of facial function;2.In the treatment of peripheral facial paralysis of wind cold type in the acute stage,the clinical efficacy of warm meridian method combined with acupuncture therapy is better than that of conventional acupuncture treatment.3.The combination of Wenjing Tongluo method and acupuncture in the treatment of peripheral facial paralysis with wind and cold in the acute stage has the advantages of high safety and obvious efficacy,and is easily acceptable to patients and is worth promoting in the clinic. |
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