Facial neuritis is commonly known as facial nerve palsy (ie, facial nerve paralysis), "crooked mouth", and "sling wind". It is a disease characterized by motor dysfunction of facial expression muscles. It is a common disease, frequently-occurring disease, and is not restricted by age. The general symptom is a crooked mouth and eyes, and patients often cannot complete the most basic movements such as raising eyebrows, closing their eyes, and bulging mouths.
There are many causes of facial neuritis. Clinically, it can be divided into central facial neuritis and peripheral facial neuritis according to the location of the damage. Central facial neuritis is located in the cortical medulla oblongata between the facial nerve nucleus and the cerebral cortex. It is usually caused by cerebrovascular disease, intracranial tumours, brain trauma, inflammation and so on. Peripheral facial neuritis lesions occurred in the facial nerve nucleus and facial nerve.
Mostly manifested as paralysis of facial expression muscles on the side of the disease, the disappearance of forehead wrinkles, enlarged eye clefts, flat nasolabial folds, and drooping mouth corners. When smiling or showing teeth, the corners of the mouth fall and the facial skew is more obvious. The sick side cannot make movements such as frowning, frowning, closing eyes, inflating, and pursuing the mouth. When bulging and whistling, air leaks due to the inability to close the affected lip. When eating, food residues often stay in the tooth and cheek space on the sick side, and saliva often drips from this side. Because the punctum erupts with the lower eyelid, the tears cannot be drained normally and overflow.
Principle: Promote the early resolution of local inflammation and oedema, and promote the recovery of nerve function.
(1) For peripheral facial nerve palsy, antiviral, neurotrophic, glucocorticoid, B vitamins and other drugs can be used for viral infection.
(2) To protect the exposed cornea and prevent conjunctivitis, goggles, eye drops, eye ointments, etc. can be used;
(3) Massage, massage the facial muscles of facial paralysis with hands, several times a day, each time for 5-10 minutes.
(4) Physical therapy, commonly used is an ultrashort wave, low-medium frequency electrotherapy, laser, drug introduction, etc.
(5) Acupuncture treatment: Acupuncture and Chinese herbal therapy can regulate qi, activate blood circulation, dispel wind and remove obstruction in the channels and collaterals. This increases local nerve irritability, improves local nutritional metabolism and accelerates recovery of function to the nerve and facial muscles.
Nerve palsy has not recovered after 3 months of conservative treatment, and there is no response to facial nerve conduction velocity and facial electromyography, that is, no potential activity, surgical treatment can be used.
Huang Hong. Observation on the efficacy of penetration needling and magic lamp in the treatment of peripheral facial nerve palsy. "CNKI; WanFang", 2003
Yu Jindong, Zhang Jing, Cao Shiqiang, etc. A review of the treatment of idiopathic facial nerve palsy with traditional Chinese medicine in the past ten years. "Journal of Integrated Traditional Chinese and Western Medicine Cardio-Cerebrovascular Diseases", 2008
Wang Min, Wang Shu. Treatment of 50 cases of peripheral facial nerve palsy with the "Jingjin Needling Method" and observation
of facial microcirculation blood flow. "Shanghai Journal of Acupuncture and Moxibustion", 2005
Zhang Wei, Fu Yong, Chen Mingren, etc. Clinical observation on the treatment of peripheral facial paralysis by heat-sensitive moxibustion. "Journal of Jiangxi University of Traditional Chinese Medicine", 2011
Zhang Jie. Clinical observation of 50 cases of peripheral facial paralysis treated by Jin Jin puncture. "New Chinese Medicine", 2007