| ObjectiveThis study aims to evaluate the effectiveness of acupuncture-moxibustion therapy when curing Peripheral Facial Paralysis,qi deficiency and blood stasis type,compared to acupuncture-only therapy.Results might further improve and enhance therapeutic effectiveness,assisting patients back to normal life quality.MethodsA.SourcePatients,diagnosed as Peripheral Facial Paralysis,were collected from acupuncture clinic,First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine and outpatient clinic in Hong Kong,November 2019 to January 2021.60 cases in total met the diagnostic criteria,randomly divided into experimental and control group evenly,bringing 30 cases each.No shedding cases.B.Control GroupControl group used Dicang through Xiache,Yangbai and Sibai as near points.Linggu,Dabai,Cesanli and CexiaSanli are selected from Tung’s acupuncture,and spleenstrengthening three needles Zhen·Li·Kun from umbilical acupuncture therapy.The above points achieve Qi-arriving status is sufficient.C.Treatment GroupBased on the above selected points from control group,moxibustion is added.3-yearold moxa is selected and perform mild moxibustion on Dicang and Zusanli points,with 15mins each,bringing 30mins in total.Patients are allowed to perform such act while resting,in order to deepen the influence of Li fire,moxibustion.D.OperationPatients head facing sky,exposing foreheads,cheeks,corners of mouth,hands,calves,and belly button of the surgical site.All routinely disinfect with 75%alcohol.All acupuncture parts are inserted with flying needle technique,and the lifting technique is used to the corresponding depth.Perpendicularly insert into health side Linggu point,with depth in meat,responding to spleen.Vertically insert into health side Dabai point,same depth yet slightly lighter than LInggu point,targeting upper-middle warmer rather than middle-lower warmer.Patients be likely experience great needle-experience.Instruct patients trying to exercise facial muscles,including frowning,raising eyebrows,pouting,showing teeth,etc.,in order to move Qi up to head and face.All movements last for 5 mins in total.Other operations will be performed afterwards.Same inserting technique with 15 degrees into Dicang point,with lifting and inserting skill.Needle pointing towards Xiache point.Same method inserting Yangbai point,with needle pointing towards Sun point etc.facial paralysis affected area.For those with a longer course of disease and weaker needle sensation,the angle of insertion can be slightly increased toward the temporal bone for enhanced stimulation.Same for Sibai point,pointing towards affected area.Apply lift and insert method in Dicang-through-Xiache needle,aiming Qi move upwards from Linggu,Dabai points.Flying needle method applied for Cesanli point,inserting perpendicularly,pointing direction may slightly target upwards.Identical method for CexiaSanli point,yet slightly deeper than Cesanli point,targeting middle-low warmer rather than upper-middle warmer.Umbilical points acupuncture Zhen,Li,Kun direction respectively,with 13cm long needle.No handling or Qi efficiency required,simply inserting with corresponding order is sufficient,so that wood brings fire,brings earthliness.Treatment group implies moxibustion after Qi-sufficienc in acupuncture points.A lighter is used to ignite the moxa stick without excessive burning;the burning surface of the moxa sticks is perpendicular to the Dicang acupoint and is 3-5 cm away from the patient’s skin.The hot flush on the local skin caused by moxibustion is the degree of warmth and no burning sensation.Moxibust slowly in order to not feeling too hot.without excessive burning;the burning surface of the moxa sticks is perpendicular to the dicang acupoint and is 3-5 cm away from the patient’s skin.The hot flush on the local skin caused by moxibustion is the degree of warmth and no burning Burning sensation.If the patient is insensitive to heat,place the upper and lower ends of the acupoint with pointing and middle fingers to feel and simulate the degree of heat received by the patient,adjusting the amount of moxibustion.Zusanli acupoint is operated 15mins after Dicang point,with the identical time and technique.Moxa sticks should be poured out with tap water after treatment to prevent resurgence.Patient can operate in strict accordance with the doctor’s note to avoid accidents,such as burns,in no treatment day.E.Course of TreatmentBoth group patients were treated every other day,with 3 times a week,4 weeks a treatment.Treatment group received both acupuncture and moxibustion every time,while control group receive acupuncture only every time.F.Observation IndexStudy uses the House-Brackmann facial nerve function rating scale and the Protmann score scale as quantification.G.Efficacy evaluation criteriaBefore and after treatment,patients were recorded through the HBGS scale and Protmann scale.The curative effect of HBGS surface nerve restoration was evaluated,and the Protmann scale was used for data analysis.H.Data AnalysisData were input into SPSS 18.0 software for statistical analysis.The measurement data is represented by the mean ± standard error(x±s),count data is represented by the composition ratio(%),and the measurement data is represented by "t test".All statistical data adopt two-sided test,test standard a=0.05,P<0.05.Results1.The significant difference between treatment group and control group is 0.19,which is greater than 0.05,not statistically significant.2.The significant difference in age between the two groups is 0.723,which is greater than 0.05,not statistically significant and comparable.3.Using the HBGS scale as a quantification,the treatment group was rated 20 cases of moderate to severe patients,5 cases of severe patients,and 5 cases of complete paralysis before treatment.In the control group,13 patients had moderate or severe neurological impairment before treatment,and 4 patients were completely paralysis.The significant value is 1.174,which is higher than 0.05,indicating that patients were statistically the same in both groups.4.Using the Protmann scale as a quantification,scores of the treatment group and the control group before-therapy were 3.5±0.78 and 3.7±0.78 respectively,with t=-1.32,P=0.193>0.05.No significant differences were found in statistics.5.Referring HBGS scale as a reference,after treatment,the number of cured patients in the treatment group was 9,the effective number was 11,the improved number was 6,and the invalid number was 4.In the control group,7 cases were cured as effective,17 improved people,and 6 ineffective people.Statistical control test quantity Z=-3.28,P=0.001<0.05,indicating that there is a unlikeness between groups.The medical effect of the treatment group was noticeably higher than control group.6.Taking the Protamnn scale as a reference,the scores of the treatment group and the control group on the Protmann scale after treatment were 16.6±2.71 and 14.07±2.18 respectively.Significant differences in scores existed,t=3.99,P=0.000.The mean value of the treatment group was significantly higher than the mean value of the control group.7.Comparison of HBGS scale in the treatment group before and after treatment,the Z value was-4.28,P=0.000<0.05.There are significant differences in the scores before and after treatment.Comprehensive acupuncture and moxibustion are way more effective in treating peripheral facial paralysis.8.Comparing the HBGS scale before and after treatment in the control group,the Z value was-3.18,P=0.001<0.05.There are differences in the scores before and after treatment.It is effective to treat peripheral facial paralysis simply using comprehensive acupuncture.9.Comparison of the Protmann scale in the treatment group,before and after treatment,the x±s value before and after treatment are 9.97±2.92,and 16.6±2.71 respectively.There is a significant difference between before and after treatment,T=-12,87,P=0.000.The mean value afer treatment was notably higher than the mean value before treatment.10.Comparison of the Protmann scale before and after treatment in the control group,the x±s value was 10.9±2.56 and 14.07±2.18 respectively,with T value=-6.67,P=0.000.There are obvious differences before and after treatment.ConclusionStudy shows that regarding qi deficiency and blood stasis type peripheral facial paralysis,.combined far-near acupuncture and comprehensive acupuncture combined with moxibustion have excellent curative effects;moxibustion therapy is used to consolidate the body and warm the meridians,taking the Qi from sky and ground successively,providing outstanding curative effect.Clinical symptoms are way more effectively improved,course of disease shortened. |
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