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面神经麻痹是造成表情肌群瘫痪(facial paralysis)的直接原因。1990～1998年以来作者采用中西医结合治疗方案治疗180例取得了满意效果,现总结如下。1 资料与方法1.1 临床资料 本组180例均为门诊病人,男80例,女100例,年龄8～69岁。发病最短1天,最长3个月。1.2 治疗方法 理疗:超短波红外线;血管扩张药:肌肉注射菸酸50～100mg,隔日1次;维生素B_1:口服200g,儿童减量;针刺治疗:主穴:颊车、下关、地仓、牵正、合谷。配穴:太阳、四白、阳白、翳风、迎香、大迎每日1次每次4～5穴。每次30分钟,10次为1个疗程,间隔休3～5天。治疗期间禁用冷水洗脸、漱口,冬天出门需带口罩或包围巾;中医中药:祛风通经活血为剂:当归10g,芝芍9g,桃仁9g,川芎6g,全虫9g,蜈蚣9g,钩藤12g,薄荷6g,早期加防风9g,桑叶9g,阵挛性面肌抽搐可服僵蛹制
Facial paralysis is the direct cause of facial paralysis. Since 1990 to 1998, the authors have achieved satisfactory results in the treatment of 180 cases with integrated traditional Chinese and western medicine treatment, are summarized as follows. 1 Materials and Methods 1.1 Clinical data The group of 180 patients were outpatients, 80 males and 100 females, aged 8 to 69 years. The shortest onset of 1 day, up to 3 months. 1.2 Treatment of physical therapy: ultrashort wave infrared; vasodilators: intramuscular injection of nicotinic acid 50 ~ 100mg, every other day 1; vitamin B_1: oral 200g, reduction of children; acupuncture treatment: main points: buccal car, Pull positive, Hegu. Distribution points: the sun, four white, Yang white, wind, Ying Xiang, Daying Day 1 time each time 4 to 5 points. Each time 30 minutes, 10 times for a course of treatment, interval break 3 to 5 days. Chinese medicine: Qufeng Tongjing Huoxue Agent: Angelica 10g, Chishao 9g, peach kernel 9g, Chuanxiong 6g, all insects 9g, centipede 9g, the hook Rattan 12g, peppermint 6g, early plus wind 9g, mulberry leaves 9g, clonic sequelae facial muscle can take rigid pupae