Acupuncture treated Bell’s palsy case report
Dr. Ling Cheng
Patient: Male, 53 years old.
During morning shower, suddenly fells mouth movement abnormalities, the angle of mouth toward to left. Philtrurm at 5 clock position. The tongue is in the middle. Following day the right eye couldn’t completely closed. Left side of face swollen and Right forehead wrinkle disappear. Right side eye pain and tear at the third day. Hard to drink water and speak unclear at fourth day.
Patient is treated by Chinese acupuncture only start at second day, twice a day, morning and night.
Spontaneous idiopathic facial nerve (Bell's) palsy leaves residual hemifacial
weakness in 29% which is severe and disfiguring in over half of these cases.
Acute medical management remains the best way to improve outcomes. Reconstructive surgery can improve long term disfigurement. However, acute and surgical options are time-dependent.  When given early, high dose corticosteroids can improve outcomes.
Neither antiviral therapy nor other adjuvant therapies are supported by evidence. As the facial muscles remain viable re-innervation targets for up to 2 years,
late referrals require more complex reconstructions. Early recognition, steroid
therapy and early referral for facial reanimation (when the diagnosis is secure)
are important features of good management when encountering these complex cases.
Acupuncture treatment as one of the method have been application, but when it be used and how often times be gave is unclean. Usually acupuncture be using at after western medical treatment, at patient recover stage but not at acute stage. This case be using at acute stage, and acupuncture only. The patient is 99% face muscle function recover in one month.
The results shown that:
Acupuncture can be using at acute stage of Bell’s palsy
Acupuncture is special patient with pregnancy, and patient couldn’t use corticosteroids.
Acupuncture is significant help Bell’s palsy recover and did not have side effect.
1,2. Fam Pract. 2014 Sep 10. pii: cmu058. [Epub ahead of print]
Bell's palsy: a summary of current evidence and referral algorithm.
Glass GE(1), Tzafetta K(2).
(1)Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences,
(2)St. Andrews Centre for Plastic Surgery Broomfield Hospital, Chelmsford, UK.
4. Case Rep Obstet Gynecol. 2014;2014:626871. doi: 10.1155/2014/626871. Epub 2014 Mar 17.
LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia-Report and Review.
Type-4/13, BRD Medical College, Gorakhpur, Uttar Pradesh 273013, India.