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Facial Palsy



Facial Palsy is a very common disease, and Many patients are choosing Acupuncture Treatment for Facial Palsy. 


Most common Facial palsy is Bell's Palsy. It was considered that the cause is unknown or idiopathic, but according to recent study, it is thought that it is viral infection on the facial nerve.


70% of patients are recoverd fully within 1 month, and 15 % of patients take longer treatment to be fully recovered, and 10% would have some side effects, and 5% have permanant side effect like weakness or facial asymmetry.


It is nothing to do with stroke and not a sign of stroke as well.


Next is Ramsay Hunt Syndrome. This is a Herpes Zoster viral infection of facial nerve. 
 On the onset, Painful blisters are presented on the ear or ear canal, or out of ear. The prognosis is much worse than Bell's Palsy.
50% patients are suffering permanant weakness and numbness of the affected side.


In Far East Asia, Acupuncture is very common treatment for Facial Palsy.
 
Below is part of Evidence Based Korean Medicine Clinical Practice Guideline Development Committee for Facial Palsy (Korea Institute of Oriental Medicine,The Korean Acupuncture and Moxibustion Society), Korean Medicine Clinical Practice Guideline for Facial Palsy(KMCPG_Facial Palsy), Daejeon, Korea, 2014.

(1) Acupuncture


● It is better to perform acupuncture treatment for facial palsy than to not do so (Grade A).


● Acupuncture treatment(independent or combined with steroids) for facial palsy patients is effective compared to independent treatment with steroids;

therefore, acupuncture treatment with steroids is recommended
for facial palsy patients (Grade A).


● It is recommended to start acupuncture treatment on facial palsy patients in the acute phase and stationaryphase(within 1-3 weeks)

(Grade A).


● It is recommended to induce qi(得氣) in case of acupuncture treatment for facial palsy patients (Grade A).


● In the acupuncture treatment of facial palsy patients, it is recommended to use Jichang(ST4), Hyeopgeo(ST6), Yangbaek(GB14), Yepung(TE17), and Hagwan(ST7) on the affected side and Hapgok(LI4) on the unaffected side as the basic acupuncture points (Grade A).
In the acupuncture treatment of facial palsy patients, the use of Sugu(GV26), Sabaek(ST2), Gwallyo(SI18),Georyo(ST3), Yeolgyeol(LU7), Hwaryo(LI19), Cheonghoe(GB2), etc. should be considered in addition to the basic acupuncture points (Grade B).