Facial Paralysis Flashcards
Which nerve is affected?
7th cranial nerve (innervated 2/3 tongue= motor function/taste/speech)
Symptoms
quick onset, worse in the morning (stiffness, unilateral) unable to wrinkle forehead upward rolling eyes unable to close eyes unable to puff out cheeks asymmetrical smile loss of taste lacrimation, drooling
prognosis
good, most recover in 3 months tx
etiology
yangming and shaoyang meridians wei qi is weak allowing EPF to invade
Patterns:
1) W-C
2) W-H
3) PH/blood stg
sudden onset, wry mouth and eye, incomplete closure of eye on affected side, bitter taste in the mouth, dry/sore throat, burning pain in mastoid/ear, facial muscle weakness, fever, mild chills
W-H
W-H T/P:
T-red tip, thin yellow coat
P- superficial, rapid, wiry
W-H points
SJ-5, LI-11, ST-44
prolonged wry mouth and eye, stiffness and numbness of face, facial contractions, dull/dark face, heavy head
PH/blood stg
PH/blood stg T/P:
T-dark, purple, white sticky coat
P- slippery, wiry, choppy
PH/blood stg points
ST-40, SJ-10 (moxa)
sudden onset, wry mouth and eye, incomplete closure of eye on affected side, aversion to wind-cold, mild fever, facial muscle tightness, alleviated by warmth
W-C
W-C T/P:
T- thin white coat
P- superficial, tight, moderate
W-C points
GB-20, LI-4, SJ-17 (moxa)
differentiate: bells palsy VS central paralysis
bells palsy VS Central
-cranial 7 nerve -injury of cerebral
compressed at hemisphere or
temporal bone brainstem by
by edema (unknown tumors, head injuries
cause/virus)
-inability to wrinkle/frown -normal
-inability to close eyelid -normal
-diminished corneal relfex -normal
-normal -hemiplagia
-normal -other cranial nerve paralysis
complications:
facial muscle contraction
differentiate yangming VS shaoyang
yangming= loss of taste shaoyang= painful.tender mastoid/ear, sensitive hearing, hearing disorders
Chronic case pattern/sx:
LIV blood xu fails to nourish tendons
throbbing tight muscle, mouth deviated to disease side (opposite to normal)
LIV-3, SP-6, LIV-8
POT:
disperse wind, circ. collaterals
early stage VS late stage TX:
early (1st week)= shallow, gentle stim., less local points
*notify patient that disease is still progressing and may not get
better after the first TX
late (7-10 days after)= more local points, strong stim., deep
ALT remedies:
1) moxa (cold)
2) bleed (heat)
3) electro= low freq (2-4 HZ) St-4/6/7
4) flash cupping (pull muscle up/back)
5) auricular (cheek, mouth, eyes, LIV)
6) warming needle SJ-17 (chronic case)
extra point
qian zheng (1 cun anterior to SJ-17)
EDU:
1) avoid EPF
2) heat compress/self-massage several times a day (upward motion)
3) prevent eye infection (drops, wear sunglasses)
**
cortisone/steroid patients dont respond as well to acupuncture
