The Clinical Curative Effect Of Acupuncture Treatment Combined With Qianzhengsan In Treating Facial Nerves Palsies

ObjectivePeripheral facial palsy also called facial paralysis, in TCM called "Mianjing", "Kouwai" and "Koupi", "Kouguo", "Kouyanwaixie", etc. The local nutrition vessels and nerves suffer wind-chill then causes neural tissue ischemia and edema, or inflammation that cause the facial nerve swelling and under pressuring, neural function obstacles, thus lead to facial paralysis. Peripheral facial paralysis is a common clinical frequently-occurring disease, acupuncture is one of the most commonly used methods in treating facial nerves palsies, its curative effect has been widely recognized. However, when in combination with drugs, different doctors show different opinions, clinical conclusions are different, too. Therefore, this study used quantifiable, randomized method to observ the clinical curative effect of acupuncture treatment combined with Qianzhengsan in treating facial nerves palsiesMethodsWith the random number table,62 cases of facial nerves palsies patients according to the order that first diagnosed were randomly divided into the acupuncture with medicine group (31 cases) and acupuncture group(31 cases) acupuncture with medicine group selected Taiyang, Yangbai, Dicang towards Jiache, Yifeng, Hegu (healthy side). People with nasolabial sulcus skewed added Shui Gou, the infirm with Zusanli. Took Qianzhengsan (including Baifuzi, JiangCan, Quanxie)at the same time, 1g at a time, three times a day, with warm water. Acupuncture group Chose pionts same as acupuncture with medicine group. The treatment course (every other day,3 times a day as a course,4 course)were the same, too. After therapy, observed House-Brachmann classification standard of facial nerve function, depression self-rating scale (SDS) and clinical curative effect.ResultsThe House-Brachmann classification standard of facial nerve function and depression self rating scale (SDS) showed that acupuncture combined with Qianzhengsan in treating facial nerves palsies could evidently improve HB classification, improve the clinical symptoms and alleviate depression, improve the clinical effect.1.Before the treatment, there were no statistic difference for cases between the two groups in every scale (P>0.05); after the treatment, there was statistic difference in I scale (P<0.05) and no statistic difference in the scales between the two groups.2. Before the treatment, compared within the two groups, P=0.856, suggest the two groups are comparable;test group compared before treatment and after treatment P=0.190, suggest that there was no great difference before and after treatment; control group compared before treatment and after treatment P=0.014, suggest that there was great difference before and after treatment;and we get the conlusion that test group can reduce patients'SDS score effectively.3.There were no great statistic difference between the two groups in total effective rate, effective rate, ineffeciency, suggest that the effect equals between the two groups;test group is better than control group in cure rate (P<0.05), control group is better than test group in effective rate (P <0.05)ConclusionAcupuncture combined with Qianzhengsan in treating facial nerves palsies could obviously improve HB classification, improve the clinical symptoms, compared with ordinary acupuncture group, there was a statistically significant difference, which mean that the treatment group had a more remarkable curative effect. In the clinical curative effect, the cure rate of treatment group was higher than acupuncture group, which was corresponding to HB classification result.The depression self rating scale (SDS) assessment showed that some patients with mental depression, their average ratings were reaching the depression diagnosis standard, it showed that they had psychological pressure for facial palsies, especially those young patients who worried treatment and sequela, etc. After treatment by acupuncture with Chinese medicine, worry reduced followed by the rapid improvement of clinical symptoms, this was consistent with SDS scoreResultsThe efficacy of acupuncture combined with Qianzhengsan in treating facial nerves palsies is obvious better than control group.