Internal 2 Flashcards
Bell’s Palsy
cranial nerve 7, facial nerve, is compressed at the temporal bone pathway by edema produced by an unknown cause (virus or immune disorder). Affects eyes, nose and mouth. Inability to frown or wrinkle the forehead. Obvious inability to close the eyelid. Diminished or disappeared corneal reflex. No hemiplegia. No other cranial nerve paralysis. Deviation of mouth, no comas, no increased BP, no aphasia or slurred speech, pain around the mastoid process.
Wind-Cold Syndrome (Bell’s Palsy)
Sudden onset, wry mouth and eye, incomplete close of eye on affected side. Aversion to wind-cold, mild fever, facial muscle tightness which is alleviated by warmth. Thin and white tongue coating. Superficial and tight or superficial and moderate pulse. XIAO XU MING TANG. GB20, LI4, TB17.
Wind Heat Syndrome (Bell’s Palsy)
Sudden onset, wry mouth and eye, incomplete closure of eye on affected side. Bitter taste in the mouth, dry or sore throat, burning pain in the mastoid region or ear, facial muscle weakness or flaccid fever, mild chills. Red tongue tip, thin yellow coating. Superficial and rapid or wiry and rapid pulse. YIN QIAO SAN. TB5, LI11, ST44.
Phlegm/Blood Stasis
Prolonged wry mouth and eye, stiffness and numbness of the face, facial contractures. Dull and dark face, heaviness in the head and muscles are rigid. Dark or purple tongue. White and sticky tongue coating. Slippery or wiry and choppy pulse. TIAO HONG SI WU TANG. ST40, TB10.
Central Paralysis
Injury of cerebral hemisphere or brain stem caused by cerebrovascular diseases, intracranial tumors, head injuries, brain infections (cerebral meningitis, encephalitis). Normal frown and wrinkled forehead. No inability to close the eyelid. Normal corneal reflex. Often have hemiplegia. Often have other cranial nerve paralysis. Deviation of the mouth, maybe coma, maybe BP increased, aphasia or slurred speech, no pain around the mastoid process.
