Traditional Chinese Medicine Combined With Acupuncture For Curing Of Peripheral Facial Paralysis

1. Use of Traditional Chinese Medicine combined withAcupuncture treatment of Peripheral Facial Paralysis（PFP）,analysis Chinese Medicine Syndrome type of the patients,taking Dialectical therapy and Observing the effect. Attemptto elucidate the mechanism of TCM combined with ACU treatmentPFP, hoping to find a safe, effective, without the side effectsof treatment.2. This issue takes through the TCM combination of ACU,Western medicine alone, ACU alone treating PFP, to observe andcompare the efficacy of the treatment of PFP, and Analysis theresults. For combination therapy treatment the PFP phase formonotherapy can improve the efficacy, shorten the course oftreatment to provide a reliable reference.Method1. Randomly selected July2012to January2013, from theFirst Hospital of Wuhan treatment met the diagnostic criteriaand treatment can reach more than3courses of90patientsincluded in the study.2. Chinese dialectical refer to the Professor Li Gang"Chinese oral disease study"[6]on the PFP’s dialectical type. 3. Treatment group of30patients treated with TCM and ACU,the first control group of30patients with the western medicinemecobalamin and prednisone, a second control group of30patients with ACU therapy alone.(One) TCM oral: the passageof cold hit the Human meridian use the Qianzheng San and GuizhiTang; the passage of Wind-heat hit the Human meridian use theQianzheng San and Yinqiao San; the passage of Wind phlegm Blockthe Human meridian use the Erchen Tang and Qianzheng san；the passage of Qi deficiency and Blood stasis use Taohong siwuTang and Qianzheng San；(Two)Acupuncture selected acupuncturepoints: the Cuanzhu Acupuncture point,Yifeng Acupuncturepoint,Yangbai Acupuncture point,Dicang Acupuncturepoint,Jiache Acupuncture point,Sibai Acupuncture point,Quanliao Acupuncture point,Xiaguan Acupuncture point, HeguAcupuncture point,Taichong Acupuncture point.Dialecticalpoint selection：the passage of cold hit the Human meridianAdditional use Fengchi Acupuncture point,Lieque Acupuncturepoint；the passage of Wind-heat hit the Human meridianAdditional use Dazhui Acupuncture point, Quchi Acupuncturepoint; the passage of Wind phlegm Block the Human meridianAdditional use Fenglong Acupuncture point,Neiguan Acupuncturepoint,Zusanli Acupuncture point;the passage of Qi deficiencyand Blood stasis Additional use Zusanli Acupuncture point,Xuehai Acupuncture point, Sanyinjiao Acupuncture point.Selected acupuncture points with the symptom of PFP: For theNasolabial fold flat can be added with Kouheliao Acupuncturepoint, Yingxiang Acupuncture point; For The chin lip ditchskewed can be added with Chengjiang Acupuncture point; Tearscan be added with Jingming Acupuncture point, Cuanzhu Acupuncture point; The eyes can not close all can be added withCuanzhu Acupuncture point,Sizhukong Acupuncture point.（Three）Western medicine:Methylcobalamin Injection500ug,intravenous injection Once a day for three courses, Prednisonetablets first course of each oral5mg three times a day, thesecond course of treatment for each oral5mg,twice a day thethird course of each oral5mg, once a day, seven days a courseof treatment, once a day, a total of three courses. Observedthe PFP patients with the signs of change, the research seminarsin accordance with the Fifth International facial nerve surgeryrecommended HB Facial Nerve Function rating system[1]and facialnerve function observed indicators and criteria for evaluationcan range the score.4. Statistical analysis: measurement data with the miningt-test, multiple analysis of variance was used to compare thecount data using the chi-square test, where P<0.05wasstatistically significant.Result1. Treatment group, male16, female14cases;1controlgroup,17males and13females;2control group,15males and15females.The average age of the treatment group compared withthe control group by statistical analysis, P＞0.05it wascomparable.2. After treatment, the treatment group of30patients,clinical cure in21cases (70%),5cases (16.67%),2cases(6.67%),2cases (6.67%), overall response rate (93.33%)facialnerve function recovery score of68points;1control groupclinical cure5(16.67%), effective in5(16.67%), effective7(23.33%), invalid13cases (43.33%), total there are efficiency (56.67%), facial nerve function recovery rating of193points; The second control group clinical cure16cases(53.33%), effective in6(20%), effective4cases (13.33%),ineffective in4(13.33%)total there are efficiency (86.67%),facial nerve function recovery rating for the118points.Statistical analysis indicated that TCM combination the ACUtherapy PFP in improving the signs and symptoms, efficacy whichcompare with simple ACU, the only western medicine group weresignificantly different(P＜0.05). TCM combination the ACUtherapy PFP treatment which compares with simple ACU and theonly western medicine group were significantly different(P＜0.05).Conclusion1.Through the experimental studies have shown that the useof TCM combined with ACU treatment of PFP, improve and restorefacial nerve function, efficacy significantly better thanWestern medicine alone, simple acupuncture treatment of PFP.2.The treatment which use TCM combined with ACU therapy ofPFP was significantly shorter than that use western medicinealone, acupuncture treatment alone therapy of PFP.3.During the test, the patient did not appear significantadverse reactions and accidents.it illustrated that TCMcombined ACU treatment of PFP were safety.