周围性面瘫治疗中的注意事项  

Points of attention in treatment of peripheral facial paralysis

作　　者：张雪艳[1] 卓春萍[1] 

机构地区：[1]北京老年医院康复中心,北京100095

出　　处：《中国针灸》2009年第7期575-576,共2页Chinese Acupuncture & Moxibustion

摘　　要：一般认为面瘫多由络脉空虚,风寒风热之邪乘虚侵袭面部筋脉,以致气血阻滞,经筋失养,肌肉纵缓而发病。笔者认为面瘫的主要病因病机应当是阴血亏虚,阳明、少阳络脉空虚,肝血不足,失于荣养,而又复感风寒之邪,致经气阻滞,经筋失于濡养,肌肉纵缓不收而发病。在治疗上要调节任督阴阳,取穴上要始终针四关,并注意慎用灸法。It is generally believed that peripheral facial paralysis is mainly caused by vacancy of collaterals, invasion of pathogenic wind-cold and wind-heat to facial tendons and meridians, which lead to stagnation of qi and blood, loss of nourishment of tendons, and flaccidity of muscle. The authors belive that the main etiology and pathogenesis of facial paralysis could be deficiency of yin and blood, emptiness of Yangming and Shaoyang collaterals, lack of li- ver blood which all lead to loss of nourishment, which is combined with exogenous pathogenic wind-cold, that causes stagnation of meridian qi, loss of nourishment of tendons, and flaccidity of muscle. Thus, yin and yang of the Governor Vessel and the Conception Vessel should be regulated for treatment, Siguan （LR 3 and LI4） should be always used in points selection, and moxibustion should be applied carefully.

关 键 词：面神经麻痹 针灸疗法 辨证论治 

分 类 号：R246.6[医药卫生—针灸推拿学]