What is facial paralysis? Dual interpretation of traditional Chinese medicine and Western medicine

What is facial paralysis? This article explains the concept of facial paralysis from the perspectives of

Western medicine calls facial palsy facial neuritis (facial nerve palsy), which refers to peripheral facial palsy caused by acute non-purulent inflammation in the stem-mastoid foramen, which is divided into primary facial palsy and secondary facial palsy

Primary facial palsy is a sterile inflammatory state

Secondary facial paralysis refers to facial paralysis caused by other diseases of the body, head tumors, otitis media, mumps, stroke, diabetes, facial neuroma, trauma, etc.

Western medicine treatment is generally suitable for the acute stage, if the patient has herpes or shingles in the external ear canal, which is a special facial paralysis caused by infection with the herpes virus or herpes zoster virus, prone to sequelae, it is best to use hormonal or antiviral therapy

【Traditional Chinese Medicine】

From the perspective of Chinese medicine, facial paralysis is caused by the wind and evil in the meridians, and the qi and blood do not run well

Traditional Chinese medicine should treat acute facial paralysis on the principle

【Clinical manifestations of facial paralysis】

1 The onset of the disease is sudden, usually peaks in a few hours, and gradually worsens to the peak within 3 days, and begins to recover

2 There is a history of facial blowing and cold, and about 20%-30% have a history of

3 After the onset of the disease, there is face discomfort, some patients are accompanied by pain behind the ear, inconvenient speech, stiff face, when washing the face, rinsing the mouth found that the corners of the mouth are crooked, forehead lines disappear, etc

4 The nasolabial folds on the affected side become flat, the corners of the mouth are low, the forehead lines disappear, the air leaks, the eye cleft widens, tears, the eyelids are closed incompletely, and the white sclera

5 Patients with severe pressure on the facial nerve have 2/3 of the taste loss before the tongue, or tinnitus, posterior ear root tenderness, external ear canal pain, or tympanic herpes

6 The recovery process varies from person to person

examine

1.

(1) Shamoprotid Check whether the stalk mastoid is painful or whether one side of the temporal and facial is painful

(2) Frontal examination of whether the wrinkles of the frontal skin are the same, shallow or disappearing, and whether the outside of the eyebrows are symmetrical and droopy
.

(3) Check the size of the eye fissure, whether the two sides are symmetrical, smaller or larger, whether the upper eyelid is droopy, whether the lower eyelid is turned outward, whether the eyelid is twitching and swelling, whether the conjunctiva of the eye is congested, and whether there are symptoms
of tears, dryness, acidity and swelling.

(4) Ear Check for tinnitus, ear tightness, hearing loss or allergies
.

(5) Cheek Check whether the nasolabial folds have become lighter, disappeared or deepened
.
Whether the cheeks are symmetrical, flat, thickened, or twitching
.
Whether the face feels tight, stiff, numb, or atrophied
.

(6) Mouth Check whether the corners of the mouth are symmetrical, drooping, lifting or twitching; Whether the lips are swollen and whether the person is skewed
.

(7) Tongue Check whether the sense of taste is affected
.

2.
Exercise check

(1) Eyebrow raising exercise Check the motor function
of the frontal occipital muscle.
In severe cases, the forehead is flat, wrinkles are generally absent or significantly shallow, and the outside of the eyebrows are significantly droopy
.

(2) Frown Check whether the frown muscle can move and whether the amplitude of eyebrow movement on both sides is consistent
.

(3) Close the eyes When closing the eyes, attention should be paid to whether the corners of the mouth on the affected side have the movement of the corners of the mouth, whether the affected side can be closed strictly, and the degree
of closure.

(4) Shrug to observe whether the pressure nasal muscles have wrinkles and whether the upper lip movement amplitude on both sides is the same
.

(5) Indicate the teeth Pay attention to observe the amplitude of the mouth corner movement on both sides, whether the mouth crack is deformed, and the number and height
of the upper and lower teeth exposed.

(6) Nu mouth Pay attention to observe whether the distance between the two sides of the mouth corner to the person is the same, and whether the shape of the mouth is symmetrical
.

(7) Bulging cheeks mainly check the motor function
of the orbicularis orbiculus muscle.

treat

1.
Non-surgical treatment

Principles: Promote the early resolution of local inflammation, edema, and promote the recovery
of nerve function.

(1) For peripheral facial nerve paralysis caused by facial neuritis, antiviral, vegetative nerve, glucocorticoids, B vitamins and other drugs
can be used for viral infections.

(2) To protect the exposed cornea and prevent conjunctivitis, eye masks, eye drops, eye ointments, etc.
can be used;

(3) Massage, the patient himself on the mirror by hand massage the facial paralysis muscles, several times a day, each time for 5 to 10 minutes
.

(4) Physical therapy, commonly used in ultra-short wave, low and medium frequency electrotherapy, laser, drug introduction, etc
.

(5) Acupuncture treatment
.

2.
Surgical treatment

Patients who have not recovered from nerve palsy after 3 months of conservative treatment, and who have not responded to the measurement of facial nerve conduction velocity and facial myoelectrography, that is, potential activity, can be treated
with surgery.