主癥 臨床發(fā)病突然,一側(cè)面部板滯、麻木,繼之面部表情肌癱瘓,而出現(xiàn)額紋消失,眼閉合不緊,露睛流淚,鼻唇溝變淺,口角歪向健側(cè),食物常嵌在齒頰間,患側(cè)不能作蹙額,皺眉,示齒、鼓腮等動(dòng)作,部分病人初起時(shí)有耳后、耳下及面部疼痛,還可出現(xiàn)患側(cè)舌前2/3味覺(jué)減退或消失,聽覺(jué)過(guò)敏等癥。病程延久,可因癱瘓肌攣縮,口角歪向病側(cè),稱"倒錯(cuò)"現(xiàn)象。
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Main Manifestations Sudden onset, one side face numbness even the muscles paralysis, inability to frown, the eye can not be closed, salivation, shallow of mouth groove, deviate of angle of the mouth, inability to swallow, in the affected side, inability to frown, raise the eyebrow, show the teeth or blow on the cheek, and in some cases, pain in the mastoid region or headache, poor sense of taste, sensitive hearing. Chronic case may have contracture of the atrophied muscles, mouth can be pulled to the affected side. It is named paradoxical wrying of face. |
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治法 取手、足陽(yáng)明經(jīng)穴為主,輔以少陽(yáng)經(jīng)穴,面部穴位可采取透刺。
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Treatment The point both of Large Intestine and Stomach Meridians are mainly selected, and also the points of Triple Energizer and Gallbladder Meridians.The penetrating method can be use for the points on the face. 醫(yī)學(xué)全在線www.med126.com | |||
處方 陽(yáng)白 四白 攢竹 下關(guān) 顴髎 巨髎 地倉(cāng)透頰車 合谷 足三里
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Prescription Yangbai(GB 14), Sibai(ST 2), Cuanzhu (BL 2), Xiaguan(ST 7), Quanliao (SI 18), Juliao (ST 3), Dicang(ST 4) to Jiaoche(ST 6), Hegu (LI 4), Zusanli(ST 36). | |||
隨證配穴 鼻唇溝平坦加迎香;
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Additional Points Level of groove of nose: Yingxiang(LI 20), |