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Bell's facial paralysis is one of the commonest peripheral
facial paralyses which occurs suddenly and mostly after exposure
to cold wind. 85¡ª90% of the patients get recovered
spontaneously. If falls into the category of "zhen zhong feng"
(true wind-stroke) in TCM.
Main
Points of Diagnosis
1. It often occurs in autumn and winter or
between spring and summer, mostly in the middle-aged. The
disease usually attacks one side of the face.
2. The attack comes all of a sudden. At the beginning the
patient feels numb at one side of the face, pain around the ear
and tenderness in the mastoidale region. The mouth becomes wry,
the nasolabial groove no longer seen and the facio-buccal region
relaxed and strengthless. It is impossible to have the cheeks
blown up. The eyeballs are still exposed when the eyes are shut.
It is difficult to frown and speak. Salivation comes down from
the corners of the mouth. The sense of taste is lost but the
sense of hearing is hypersensitive.
Differentiation and Treatment of Common Syndromes
1. Internal Treatment.
1) The Early Stage
Main Symptoms and Signs: The onset is sudden and the duration is
short. The mouth and eyes become wry. The eyeballs can balls can
always be seen as the eyes can not be closed entirely. There is
difficulty in frowning. The accompanying symptoms and signs are
headache, discomfort or low fever, red tongue with thin and
white fur, and taut and thready pulse.
Therapeutic Principle: Dispelling pathogenic wind and removing
obstruction from the channels.
Recipe: Yang-Clearing Decoction with additional ingredients
(yang here means the upper regions of the human body, especially
the face)
astragalus root
Chinese angelica root
tribulus fruit
cimicifuga rhizome
safflower
bark of Chinese corktree
cinnamon twig
sappan wood
ledebouriella root
cicada slough
pueraria root
licorice root
All the above ingredients are to be decocted in water for oral
administration.
2) Late Stage.
Main Symptoms and Signs: The course of the disease is
protracted. The mouth and the eyes become wry. No wrinkles can
be seen on the forehead. The patient has reddish tongue with
petechiae on it, thin and white fur, and thready and feeble
pulse.
Therapeutic Principle: Promoting qi flow and blood circulation,
removing phlegm and clearing away obstruction from the channels.
Recipe: Powder for Treating Wry-mouth, compounded with Decoction
Invigorating Yang for Recuperation
giant typhonium tuber
scorpion
batryticated silkworm
peach kernel
safflower
earthworm
astragalus root
tip of Chinese angelica root
ligusticum root
red peony root
All the above ingredients are to be decocted in water for oral
administration.
For those running low fever, add 30 grams of isatis root and 30
grams of honeysuckle flower. For those with restlessness (due to
deficiency) and palpitation, add 18 grams of prepared rehmannia
root and 18 grams of prepared fleece-flower root. for those who
feel fullness and suffocation in the chest and stomach and who
are fat and have much sputum, add 6 grams of arisaema with bile
and 9 grams of pinellia tuber.
2. External Treatment
1) Apply adhesive plaster on the acupoints: Dust 0.5-1 grams of
nux-vomica seed powder onto a plaster and then apply the plaster
on the acupoints of Taiyang (Extra 2), Xiaguan (St 7) and Jiache
(St 6) of the affected side (more applicable to the regions with
tenderness). Change the plaster every 3 days. If blisters appear
on the administered part, extract its fluid after disinfection.
Then the blisters will get cured spontaneously.
2) Smear the blood of eel onto the affected region: Smear fresh
blood of eel onto the buccal skin of the affected side, and hold
the mouth angle of the affected side with a metal hook so as to
help cure the facial paralysis. This is to be done once a day.
3) Do local massage on the affected region, several times a day.
4) Acupuncture therapy for this trouble can get a better result.
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