Clinical Study Of Acupuncture Combined With Thunder-fire Moxibustion On Shenque Point (RN 8) In The Treatment Of Intractable Facial Paralysis With Anxiety

Objectives:By observing the score changes of acupuncture combined with thunder-fire moxibustion at Shenque point(RN 8)on the facial nerve function and anxiety symptoms of patients with intractable facial paralysis with anxiety,to explore the effect of acupuncture combined with thunder-fire moxibustion at Shenque point(RN 8)on the clinical efficacy and anxiety of patients with refractory facial paralysis.Provide a better treatment plan for clinical treatment of refractory facial paralysis with anxiety.Methods:101 patients with intractable facial paralysis and anxiety state who met the inclusion criteria were divided into observation group and control group according to the random number table method.Observation group acupuncture points:the affected side of Yangbai(GB 14),Taiyang(EX-HN5).Sibai(ST 2),Quanliao(SI 18),Jiache(ST 6),Dicang(ST 4),Yifeng(SJ 17),Qianzheng(EX-HN16);Qihai(RN 6);Hegu(LI 4),Zusanli(ST 36)on both sides.Baihui(DU 20),Yingtang(DU 29),Neiguan(PC 6),Taichong(LR 3)on both sides.All acupuncture points adopt the technique of flattening,replenishing,reducing,and keeping the needle for 30 minutes in order to obtain qi.After the needle was lifted,thunder and fire moxibustion was performed.Light a thunder-fire moxibustion with the burning side facing down and place it on the wire net in the moxibustion box to fix the cover.Place the moxibustion box on Shenque point(RN 8).Depending on the degree of warmth,add gauze to the skin at Shenque point(RN 8)as appropriate.The moxibustion time is about 30 minutes.Both acupuncture and thunder-fire moxibustion were treated every other day,3 times a week,for 4 consecutive weeks.The control group received only acupuncture treatment,and the acupuncture plan and course of treatment were the same as those in the observation group.The control group received only acupuncture treatment,and the acupuncture plan and course of treatment were the same as those in the observation group.The House-Brackmann(H-B)Facial Nerve Function Grading Scale,Facial Nerve Function Scoring System,and Hamilton Anxiety Scale(Hamilton Anxiety Scale,HAMA)score,and evaluate its efficacy.Results:1.Comparing the general data of the two groups before treatment with the scores of various scales,it was found that there was no statistical difference(P>0.05).2.The comparison of the scores of the scales before and after treatment between the two groups,and the comparison of scores between the two groups after treatment were statistically different(P<0.05)The adverse reaction in the observation group was 0.52%,and the adverse reaction in the control group was 0.35%.The incidence was low and no serious adverse reactions occurred.P>0.05,no statistical difference.3.After treatment,the effective rate of facial nerve function in the observation group was 87.5%,and the effective rate in the control group was 77.08%;the effective rate of anxiety in the4.observation group was 87.5%,and the effective rate in the control group was 75%.5.The incidence of adverse reactions in the observation group was 0.52%,and the incidence of adverse reactions in the control group was 0.35%.The incidence of the two groups was low and no serious adverse reactions occurred,and there was no statistical difference(P>0.05).Conclusion:1.Ordinary acupuncture combined with mental-regulating acupoints can improve facial nerve function and anxiety in patients with intractable facial paralysis,but adding thunder-fire moxibustion to Shenque point(RN 8)has better curative effect.2.Thunder-fire moxibustion combined with acupuncture at Shenque point(RN 8)is safe and effective to treat patients with intractable facial paralysis and anxiety,and it is worthy of clinical promotion.