Facial Paralysis Flashcards Preview

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Flashcards in Facial Paralysis Deck (25):
1

Which nerve is affected?

7th cranial nerve (innervated 2/3 tongue= motor function/taste/speech)

2

Symptoms

quick onset, worse in the morning (stiffness, unilateral)
unable to wrinkle forehead
upward rolling eyes
unable to close eyes
unable to puff out cheeks
asymmetrical smile
loss of taste
lacrimation, drooling

3

prognosis

good, most recover in 3 months tx

4

etiology

yangming and shaoyang meridians wei qi is weak allowing EPF to invade

5

Patterns:

1) W-C
2) W-H
3) PH/blood stg

6

sudden onset, wry mouth and eye, incomplete closure of eye on affected side, bitter taste in the mouth, dry/sore throat, burning pain in mastoid/ear, facial muscle weakness, fever, mild chills

W-H

7

W-H T/P:

T-red tip, thin yellow coat
P- superficial, rapid, wiry

8

W-H points

SJ-5, LI-11, ST-44

9

prolonged wry mouth and eye, stiffness and numbness of face, facial contractions, dull/dark face, heavy head

PH/blood stg

10

PH/blood stg T/P:

T-dark, purple, white sticky coat
P- slippery, wiry, choppy

11

PH/blood stg points

ST-40, SJ-10 (moxa)

12

sudden onset, wry mouth and eye, incomplete closure of eye on affected side, aversion to wind-cold, mild fever, facial muscle tightness, alleviated by warmth

W-C

13

W-C T/P:

T- thin white coat
P- superficial, tight, moderate

14

W-C points

GB-20, LI-4, SJ-17 (moxa)

15

differentiate: bells palsy VS central paralysis

bells palsy VS Central
-cranial 7 nerve -injury of cerebral
compressed at hemisphere or
temporal bone brainstem by
by edema (unknown tumors, head injuries
cause/virus)
-inability to wrinkle/frown -normal
-inability to close eyelid -normal
-diminished corneal relfex -normal
-normal -hemiplagia
-normal -other cranial nerve paralysis

16

complications:

facial muscle contraction

17

differentiate yangming VS shaoyang

yangming= loss of taste
shaoyang= painful.tender mastoid/ear, sensitive hearing, hearing disorders

18

Chronic case pattern/sx:

LIV blood xu fails to nourish tendons
throbbing tight muscle, mouth deviated to disease side (opposite to normal)
LIV-3, SP-6, LIV-8

19

POT:

disperse wind, circ. collaterals

20

early stage VS late stage TX:

early (1st week)= shallow, gentle stim., less local points
*notify patient that disease is still progressing and may not get
better after the first TX
late (7-10 days after)= more local points, strong stim., deep

21

ALT remedies:

1) moxa (cold)
2) bleed (heat)
3) electro= low freq (2-4 HZ) St-4/6/7
4) flash cupping (pull muscle up/back)
5) auricular (cheek, mouth, eyes, LIV)
6) warming needle SJ-17 (chronic case)

22

extra point

qian zheng (1 cun anterior to SJ-17)

23

EDU:

1) avoid EPF
2) heat compress/self-massage several times a day (upward motion)
3) prevent eye infection (drops, wear sunglasses)

24

**

cortisone/steroid patients dont respond as well to acupuncture

25

2 kinds:

1) peripheral (bells palsy)
2) central (stroke/brain damage)