Skip to main content
SpringerLink
Log in

Clinical study on tube moxibustion plus point-toward-point needling method in treating refractory facial paralysis

管灸联合透刺法治疗难治性面瘫的临床研究

  • Clinical Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To evaluate the clinical efficacy of tube moxibustion plus point-toward-point needling method for refractory facial paralysis.

Methods

A total of 100 patients with refractory facial paralysis who met the inclusion criteria were randomized into an observation group and a control group, with 50 cases in each group. Both groups were treated with acupuncture by point-toward-point needling method, mainly in the affected eye, cheek and mouth areas. The observation group was given additional tube moxibustion after receiving the point-toward-point needling method, which inserted a tube moxibustion device into the external acoustic meatus 1 cm on the affected side for 20 min. Both groups were treated once a day, 6 times a week, for 4 consecutive weeks. The House-Brackmann scale was scored before and after treatment, and the facial nerve electromyogram data were collected.

Results

The total effective rate of the observation group was 93.6%, which was higher than 64.6% of the control group, and the difference between the two groups was statistically significant (P<0.05). The proportion of new-onset facial paralysis complications (facial synkinesis, facial spasm, facial paralysis perversion, and crocodile tears) in the observation group was 6.4%, which was lower than 35.4% in the control group. The difference between the two groups was statistically significant (P<0.05). In the observation group, the numbers of cases after treatment with the ratio of action potential amplitude between the affected side and the healthy side increased by 10%–30% and over 30% were more than those in the control group. And the difference between the two groups was statistically significant (P<0.05).

Conclusion

Tube moxibustion plus point-toward-point needling method has a better effect in improving symptoms of refractory facial paralysis, decreasing the incidence of sequelae, and increasing clinical efficacy than the point-toward-point needling method alone.

摘要

目的

评价管灸联合透刺法治疗难治性面瘫的临床疗效.

方法

将符合纳入标准的100例难治性面瘫患者随机分为观察组和对照组, 每组50例. 两组均予透刺法, 以患侧眼、 颊、 口三部透刺为主. 观察组在透刺法后加用管灸, 即将管灸器插入患侧外耳道1 cm处施灸20 min. 两组均每日治疗1次, 每周治疗6次, 连续治疗4周. 治疗前后分别进行House-Brackmann量表评分, 采集面神经肌电图数据.

结果

观察组总有效率93.6%, 高于对照组的64.6%, 组间差异具有统计学意义(P<0.05). 观察组新发面瘫合并症(面肌联动、 面肌痉挛、 面肌倒错、 鳄鱼泪)比例为6.4%, 低于对照组的35.4%, 组间差异具有统计学意义(P<0.05). 观察组治疗后患侧与健侧的动作电位波幅比值增加幅度在10%–30% 和大于30%的两个区间的例数均多于对照组, 组间差异具有统计学意义(P<0.05).

结论

管灸联合透刺法在改善难治性面瘫症状, 降低后遗症发生率, 提高临床疗效方面优于单独透刺法.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. LI Y, LIANG F R, FU G, ZHU M J. Evaluation of clinical common acupuncture-moxibustion therapies and techniques for facial paralysis. Shanghai Zhenjiu Zazhi, 2002, 21(3): 43–45.

    Google Scholar 

  2. BULSTRODE N W, HARRISON D H. The phenomenon of the late recovered Bell’s palsy: treatment options to improve facial symmetry. Plast Reconstr Surg, 2005, 115(6): 1466–1471.

    Article  CAS  Google Scholar 

  3. TIAN F W, YANG J R, WANG Z X, LU Y, GOU C Y, LI N, WANG H. The study of clinic effect factors on Guan-moxibustion for treatment of herpes simplex virus facial neuritis. Zhenjiu Linchuang Zazhi, 2006, 22(1): 5–7.

    Google Scholar 

  4. YANG J R, SONG J, TIAN F W, TANG L, ZHANG Q S. Effect of Guan-moxibustion on the expression of NGF mRNA and NT-3 mRNA in mimetic muscle of rabbits with facial nerve injuries. Sichuan Zhongyi, 2008, 26(8): 15–17.

    Google Scholar 

  5. WANG W Z. Neurology. Beijing: People’s Medical Publishing House, 2005: 90.

    Google Scholar 

  6. HOUSE J W, BRACKMANN D E. Facial nerve grading system. Otolaryngol Head Neck Surg, 1985, 93(2): 146–147.

    Article  CAS  Google Scholar 

  7. TANG X F. Clinical Electromyography. Beijing: Chinese Academy of Medical Sciences & Peking Union Medical College Press, 1995: 202–211.

    Google Scholar 

  8. SUN C X. Clinical Diagnostic Basis and Criteria for Cure and Improvement of Disease. Beijing: People’s Military Medical Press, 1998: 198.

    Google Scholar 

  9. XIA J, QIN L H. Recent clinical studies on acupuncture treatment of intractable facial paralysis. Zhongyi Waizhi Zazhi, 2013, 22(5): 47–48.

    Google Scholar 

  10. YANG W Z. Diagnosis, evaluation, and stage and grade-based treatment for peripheral facial paralysis. Zhongxiyi Jiehe Xinnaoxueguanbing Zazhi, 2017, 15(3): 257–263.

    Google Scholar 

  11. LIU P, SHOU Y, ZHANG B M, ZHANG K Y, JIANG H R. Clinical research progress of acupuncture in the treatment of refractory facial paralysis. Zhonghua Zhenjiu Dianzi Zazhi, 2018, 7(2): 58–60.

    Google Scholar 

  12. XIAO X, DING Y Q, QI J G. Chronic denervation after peripheral nerve injury and its effect on nerve regeneration. Shenjing Jiepouxue Zazhi, 2016, 32(3): 412–416.

    Google Scholar 

  13. WU B, GAO B Q, HE J, LI C H, LIU Y. Effect of acupuncture on facial nerve regeneration retrograde transport axis-cylinder neurotrophic factor. Zhongguo Linchuang Kangfu, 2003, 7(13): 1902–1903.

    Google Scholar 

  14. REN Z, SHI Y, HUI L. Ultrastructural observation of facial nerve and facial muscle with different degrees of denervation. Zhongguo Yike Daxue Xuebao, 1999, 28(6): 437–438.

    Google Scholar 

  15. LI L, CHEN Q Q. WEI Qing-lin’s experience on intractable facial paralysis treated with acupuncture-moxibustion and massage. Zhongguo Zhen Jiu, 2013, 33(1): 46–48.

    Google Scholar 

  16. YANG L X, WU J, ZHOU X G, ZHONG Q, YANG C. Study on the traditional Chinese medicine pathogenesis and syndrome differentiation of refractory facial paralysis by cluster analysis. Sichuan Zhongyi, 2014, 32(10): 77–79.

    Google Scholar 

  17. WANG B, TAN C F, XU Q, HUANG J F, WANG T L. Clinical study of puncturing Taiyang (EX-HN5) towards Dicang (ST4) and Jiache (ST6) for peripheral facial paralysis and its effect on facial nerve conduction function. Shanghai Zhenjiu Zazhi, 2020, 39(11): 1385–1390.

    Google Scholar 

  18. CHEN N, MIN J. Combining acupuncture and copper-tube moxibustion for 39 cases of recurrent peripheral facial paralysis. J Acupunct Tuina Sci, 2015, 13(5): 285–289.

    Article  Google Scholar 

  19. ZHOU X, TIAN F W, MAO X, YUAN Y. Clinical study on treating acute facial neuritis with tube moxibustion therapy combined with routine acupuncture treatment. Zhongguo Zhongyiyao Xinxi Zazhi, 2018, 25(3): 38–41.

    Google Scholar 

  20. TIAN F W, WANG Z X, LU Y, GOU C Y, LI N, WANG H. Clinic study on Guan-moxibustion for treatment of herpes simplex virus facial neuritis. Proceedings of the 6th Folk Medicine Academic Annual Meeting of the Chinese Association of Traditional Chinese Medicine and the First Batch of Folk Characteristic Diagnosis and Treatment Project Exchanges. Beijing: China Association of Chinese Medicine, 2013: 16–19.

    Google Scholar 

  21. HUANG Y T, YANG J R. Clinical research and application of tube moxibustion in the treatment of facial paralysis. Ya Tai Chuantong Yiyao, 2016, 12(8): 61.

    Google Scholar 

  22. CHEN J. Effects of Tube-moxibustion on PI3K/Akt and PLC/PKC Signal Pathways in Rabbits with Facial Nerve Injury. Chengdu: Master Thesis of Chengdu University of Traditional Chinese Medicine, 2020.

    Google Scholar 

  23. ZHAO J F, HAN J L, YANG J R. The clinical application and research progress of tube moxibustion. Zhongguo Zhongyi Jichu Yixue Zazhi, 2017, 23(5): 740–742.

    Google Scholar 

  24. LI Y. A Clinical Multi-center Large-sample Randomized Controlled Study of Acupuncture and Moxibustion in the Treatment of Bell’s Palsy. Chengdu: Master Thesis of Chengdu University of Traditional Chinese Medicine, 2004.

    Google Scholar 

Download references

Acknowledgments

This work was supported by Chongqing Science and Health Joint-project of Chinese Medicine Science and Technology (重庆市科卫联合中医药科技项目, No. ZY201802029); Chongqing Science and Health Joint-project of Chinese Medicine Technology Innovation and Development (重庆市科卫联合中医药技术创新与技术 发展项目, No. 2021ZY3571).

Author information

Authors and Affiliations

  1. Chongqing Traditional Chinese Medicine Hospital, Chongqing, 400021, China

    Zhonghao Xiong  (熊中豪), Xi Zhou  (周熙), Na Song  (宋娜) & Fengwei Tian  (田丰玮)

Authors
  1. Zhonghao Xiong  (熊中豪)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Xi Zhou  (周熙)
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Na Song  (宋娜)
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Fengwei Tian  (田丰玮)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Xi Zhou  (周熙).

Ethics declarations

The authors declare that there is no potential conflict of interest in this article.

Additional information

Statement of Informed Consent

Informed consent was obtained from all individual participants.

First Author: XIONG Zhonghao, M.M., attending physician

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Xiong, Z., Zhou, X., Song, N. et al. Clinical study on tube moxibustion plus point-toward-point needling method in treating refractory facial paralysis. J. Acupunct. Tuina. Sci. 20, 399–405 (2022). https://doi.org/10.1007/s11726-022-1339-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11726-022-1339-z

Keywords

关键词

中图分类号

文献标志码

Search

Navigation