Facial Muscle Spasm

Question 1

clinical feature

Answer 1

• usually developed from facial paralysis (delayed/wrong tx)
• unilateral
• start small, spread to whole face
• worse with stress/tiredness
• contraction stops at sleep
• no pain

Question 2

prognosis

Answer 2

not good, not easy to cure, can last a lifetime

Question 3

patterns:

Answer 3

1) obstruction of W-C
2) Xu SP/ST
3) upraising of LIV-yang due to yin xu

Question 4

W-C points

Answer 4

GB-20, DU-14

Question 5

XU SP/ST points:

Answer 5

UB-20/21, RN-12

Question 6

upraising of LIV-yang due to yin xu points

Answer 6

KID-3/7
GB-20
LIV-8
SP-6

Question 7

Basic points

Answer 7

DU-14, GB-20, ST-36, SJ-17, ST-2, LI-4, ashi

Question 8

ALT remedies

Answer 8

1) embedded needle therapy

2) hanging needle technique (very shallow)

Question 9

EDU

Answer 9

(same as facial paralysis)

1) Avoid EPF
2) heat compress/self-massage
3) prevent eye infection (drops, wear sunglasses)

Question 10

organs involved

Answer 10

LIV
SP
ST
KID

Question 11

Etiology

Answer 11

1) W-C in shaoyang, yangming
2) W from blood xu
3) hyperactivity of yang due to yin xu