Application of cooperation of board odd acupoints and acupuncture in facial paralysis catgut embedding intervention

Abstract

The invention discloses an application of cooperation of a chairsi acupoint and acupuncture in facial paralysis catgut embedding intervention, relates to the technical field of traditional Chinese medicine acupuncture treatment, and aims at solving the problems that in existing facial paralysis treatment, the acupuncture stimulation time is short, catgut embedding is mostly suitable for the late stage, hormone dependence is caused, and the sequelae risk is high. According to the application, early-stage facial paralysis patients are screened, facial local acupoint acupuncture is firstly carried out to quickly relieve symptoms, then far-end acupoints of the board Qi acupoints are selected, medical catgut is adopted for acupoint catgut embedding, and the synergistic effect of short-term acupuncture intervention and long-acting catgut embedding stimulation is achieved. Clinical tests prove that the synergistic application can significantly prolong the acupoint stimulation duration, regulate channel qi, stimulate healthy qi, effectively improve the facial nerve function and body and social life functions (facial disability index score) of a patient, shorten the treatment course, reduce the hormone use amount and use time, and reduce the occurrence probability of intractable facial paralysis. The catgut is free of toxic and side effects, convenient to operate and high in patient compliance, a novel traditional Chinese medicine suitable technology is provided for early intervention of facial paralysis, social and economic benefits are remarkable, and the catgut is suitable for clinical popularization.

Description

Technical Field

[0001] This invention relates to the field of traditional Chinese medicine acupuncture treatment technology, specifically to the application of Dong's Extraordinary Points and acupuncture in the intervention of facial paralysis with thread embedding, which is particularly suitable for the clinical treatment of early-stage facial paralysis. Background Technology

[0002] Facial paralysis (peripheral facial nerve palsy) is a common neurological disease in clinical practice. Typical symptoms include facial muscle paralysis, drooping of the mouth, and inability to close the eyes. If early intervention is not appropriate, irreversible sequelae such as facial muscle spasm and synkinesis can easily remain, seriously affecting the patient's appearance and quality of life.

[0003] Current mainstream clinical treatment options have significant limitations: simple acupuncture treatment requires frequent visits, with needles retained for only 20-30 minutes, resulting in short-term stimulation of acupoints and difficulty in achieving long-term regulation; although hormone therapy can quickly control symptoms, long-term use can easily cause side effects such as gastrointestinal damage and endocrine disorders, and patients have poor tolerance; ordinary acupoint embedding therapy is mostly used in the late stage of refractory facial paralysis, with a lack of early intervention cases, and it mainly focuses on local acupoints, failing to fully utilize the synergistic regulatory effect of distal acupoints, resulting in limited treatment effects.

[0004] As an extension of acupuncture therapy, acupoint embedding has the advantages of simple operation, long stimulation duration and good patient compliance. However, the existing technology lacks a synergistic treatment plan of "acupuncture and distal acupoint embedding of Dong's Extraordinary Points", which fails to achieve an organic combination of early intervention and long-term regulation, and cannot take into account both short-term efficacy and long-term prognosis.

[0005] Therefore, there is an urgent need to develop a safe, efficient, and standardized intervention program that combines Dong's Extraordinary Points with acupuncture and thread embedding to fill the technical gap in the early treatment of facial paralysis using traditional Chinese medicine. Summary of the Invention

[0006] To address the shortcomings of existing technologies, this invention provides the application of Dong's Extraordinary Acupoints combined with acupuncture in the intervention of facial paralysis using thread embedding, achieving the following objectives:

[0007] Construct a synergistic treatment system combining acupuncture and Dong's Extraordinary Points embedding to prolong the duration of acupoint stimulation and improve the targeted nature of early treatment for facial paralysis;

[0008] Rapidly improves facial nerve function, while simultaneously optimizing physical and social life functions;

[0009] Shorten the treatment course, reduce hormone dependence, and lower the incidence of sequelae;

[0010] Using biocompatible implantation materials improves treatment safety and patient acceptance.

[0011] To achieve the above objectives, the present invention provides the following technical solution:

[0012] The application of Dong's Extraordinary Points combined with acupuncture in the intervention of facial paralysis by thread embedding includes the following steps:

[0013] (1) Patient screening: Select patients with facial paralysis within 7 days of onset, excluding contraindicated individuals;

[0014] (2) Acupuncture intervention: Select local acupoints on the face, perform acupuncture after routine disinfection, retain the needles for 30 minutes, perform acupuncture 1-2 times during the period, once a day, 10 days is one course of treatment, and rest for 2 days between courses of treatment;

[0015] (3) Dong's Extraordinary Points Embedding Intervention: Select the distal acupoints in Dong's Extraordinary Points, use sterile medical catgut to embed the acupoints, embed the acupoints to a depth of 1-1.5 inches, embed the acupoints once every 10 days, and 3 times constitute one course of treatment.

[0016] (4) Collaborative implementation and postoperative care: Acupuncture intervention and thread embedding intervention are carried out simultaneously. Postoperative care includes cleaning, diet, and warmth guidance. The total treatment course is 4-8 weeks.

[0017] Furthermore, the contraindications mentioned in step (1) include individuals with severe cardiovascular and cerebrovascular diseases, liver and kidney dysfunction, coagulation disorders, skin allergies, and pregnant or lactating women.

[0018] Furthermore, the facial acupoints mentioned in step (2) include at least 8 acupoints from Zanzhu, Yangbai, Taiyang, Yingxiang, Dicang, Jiache, Yifeng, Sibai, Hegu, Qianzheng, and Sanyinjiao. Acupuncture is performed using 0.30mm×40mm filiform needles at a depth of 0.5-1 cun, and the needling technique is a balanced tonifying and reducing method.

[0019] Furthermore, the distal acupoints of the Dong's Extraordinary Acupoints mentioned in step (3) include at least 6 acupoints from Zhenghui, Cesanli, Cexiasanli, Shangquan, Zhongquan, Xiaquan, Yichongxue, Erchongxue, and Sanchongxue.

[0020] Furthermore, the medical catgut suture mentioned in step (3) is 3-0 bright purple suture with a length of 1cm-1.5cm.

[0021] Furthermore, the thread embedding operation described in step (3) uses a thread embedding needle, and the embedding site is between the subcutaneous tissue and muscle layer of the acupoint. After embedding the thread, press the needle hole for 3-5 minutes and cover it with a medical thread embedding patch.

[0022] Furthermore, the specific method of collaborative implementation in step (4) is as follows: the first thread embedding is performed on the first day after the start of the first acupuncture treatment course, and subsequent treatments are carried out synchronously.

[0023] Furthermore, the application is suitable for the early clinical treatment of facial paralysis, and is used to improve facial nerve function, physical function and social life function, shorten the course of treatment and reduce the amount of hormones used.

[0024] Compared with the prior art, the present invention has the following advantages:

[0025] (1) This invention is the first to realize the synergistic intervention of Dong's Extraordinary Points and acupuncture by embedding thread. The catgut can continuously stimulate the acupoints for about 10 days, which is far more effective than the retention time of acupuncture needles alone. It forms a synergistic effect of short-term acupuncture for rapid relief and long-term embedding for long-term regulation. Clinical trials show that the total effective rate of the observation group (95.0%) is significantly higher than that of the control group (80.0%) (P<0.05).

[0026] (2) The distal acupoints of Dong's Extraordinary Points complement the target points of facial acupuncture. By regulating the meridian qi and stimulating the body's vital energy, facial nerve function is significantly improved. After treatment, the House-Brackmann classification and facial disability index (FDI) scores of the observation group were better than those of the control group (P<0.05), which comprehensively improved the quality of life of patients.

[0027] (3) It does not require reliance on high doses of hormones, reducing the amount and duration of hormone use and lowering the risk of related side effects; catgut has good biocompatibility, no toxic side effects, and no serious adverse reactions have been observed in clinical practice, making it highly safe;

[0028] (4) The operation is standardized and convenient, the treatment course is reasonably arranged, the number of visits to patients is small, and it does not affect work and life. It is suitable for patients of all ages, while improving the cure rate of facial paralysis and reducing the incidence of refractory facial paralysis. It provides suitable TCM techniques that can be promoted for primary medical institutions.

[0029] (5) This application not only improves clinical treatment effects, but also enhances the economic benefits and reputation of the department, increases patient satisfaction, and has significant social value and promotion prospects. Detailed Implementation

[0030] The present invention will now be described in more detail and in a more complete manner.

[0031] The application of Dong's Extraordinary Acupoints and acupuncture in the intervention of facial paralysis by thread embedding provided by this invention is characterized by the following steps:

[0032] Patient screening:

[0033] Patients with facial paralysis within 7 days of onset were selected, meeting the diagnostic criteria for facial paralysis in the "Standards for Diagnosis and Efficacy of Traditional Chinese Medicine Diseases". Patients with severe cardiovascular and cerebrovascular diseases, liver and kidney dysfunction, coagulation disorders, skin allergies, and those who are pregnant or breastfeeding were excluded.

[0034] Acupuncture intervention:

[0035] (1) Acupoint selection: Select local acupoints on the face, including Zanzhu, Yangbai, Taiyang, Yingxiang, Dicang, Jiache, Yifeng, Sibai, Hegu, Qianzheng, and Sanyinjiao. The combination of acupoints can be flexibly adjusted according to the patient's symptoms.

[0036] (2) Procedure: After routine disinfection of acupoints, use 0.30mm×40mm filiform needles for acupuncture at a depth of 0.5-1 inch, retain the needles for 30 minutes, and manipulate the needles 1-2 times during the period, using the even tonifying and reducing technique;

[0037] (3) Frequency: Once a day, for 10 consecutive days as one course of treatment, with a 2-day rest between courses of treatment;

[0038] Dong's Extraordinary Acupoint Embedding Intervention:

[0039] (1) Principle of acupoint selection: Following the theory of distal acupoint selection of Dong's Extraordinary Acupoints, select acupoints such as Zhenghui, Cesanli, Cexiasanli, Shangquan, Zhongquan, Xiaquan, Yichongxue, Erchongxue, and Sanchongxue, which are the core distal acupoints for facial paralysis, to ensure that the acupoints accurately correspond to the nerve regulation target points.

[0040] (2) Embedded thread material: medical sterile catgut thread, specification 3-0 bright purple thread, length 1cm-1.5cm.

[0041] (3) Operation method: After local disinfection of the acupoint, use a suture needle to embed the catgut between the subcutaneous tissue and muscle layer of the acupoint to a depth of 1-1.5 inches. After embedding the suture, press the needle hole for 3-5 minutes and cover it with a medical suture patch.

[0042] (4) Frequency: Thread embedding once every 10 days, 3 times as one course of treatment;

[0043] Collaborative implementation and postoperative care: Acupuncture and thread embedding treatments are carried out simultaneously, with the first thread embedding performed on the first day of the first acupuncture treatment; postoperatively, patients are instructed to keep the thread embedding site clean and dry, avoid scratching and getting cold, and avoid spicy and irritating foods; the treatment plan is dynamically adjusted according to the patient's recovery, with a total treatment course of 4-8 weeks. Specific implementation examples:

[0045] 1. Test subjects

[0046] Eighty patients with early-stage facial paralysis (within 7 days of onset) admitted to Meixian Traditional Chinese Medicine Hospital from January 2022 to February 2024 were selected and randomly divided into an observation group (intervention involving Dong's Extraordinary Points and acupuncture with thread embedding) and a control group (treatment with acupuncture alone), with 40 patients in each group. The observation group consisted of 18 males and 22 females, aged 20-65 years, with a mean age of (42.5±8.3) years; the control group consisted of 16 males and 24 females, aged 19-66 years, with a mean age of (43.2±7.9) years. There were no statistically significant differences in gender, age, or other general characteristics between the two groups (P>0.05), indicating comparability.

[0047] 2. Treatment Plan

[0048] (1) Control group

[0049] Simple acupuncture treatment was used: the acupoints selected were Zanzhu, Yangbai, Taiyang, Yingxiang, Dicang, Jiache, Yifeng, Sibai, Hegu, Qianzheng, and Sanyinjiao. The acupuncture operation, frequency, and course of treatment were the same as the acupuncture intervention steps of this invention, without the use of thread embedding.

[0050] (2) Observation group

[0051] The intervention involved a combination of Tung's Extraordinary Points and acupuncture with thread embedding: the acupuncture intervention was the same as the control group, and Tung's Extraordinary Points thread embedding intervention was performed simultaneously (the selection of points, operation, frequency and course of treatment were the same as the technical solution of this invention).

[0052] 3. Evaluation of therapeutic effect

[0053] (1) Clinical efficacy criteria

[0054] Cured: Facial muscle function fully recovered, no mouth drooping, normal eye closure, and no discomfort symptoms; Significantly Effective: Facial muscle function basically recovered, slight mouth drooping, mostly normal eye closure, occasional facial numbness; Effective: Facial muscle function partially recovered, mouth drooping improved, incomplete eye closure, and reduced facial numbness; Ineffective: Symptoms did not improve or worsened. Total effective rate = (Number of cured + Significantly effective + Effective cases) / Total number of cases × 100%.

[0055] (2) Functional evaluation indicators

[0056] The House-Brackmann (HB) grading system was used to evaluate facial nerve function (lower grades indicate better function), and the Facial Disability Index (FDI) score was used to evaluate physical and social function (higher scores indicate better function).

[0057] (3) Safety evaluation

[0058] Observe the occurrence of adverse reactions such as skin allergies, infections, and bleeding during the treatment period.

[0059] 4. Test Results

[0060] (1) Clinical efficacy

[0061] In the observation group, 22 cases were cured, 10 cases showed significant improvement, 6 cases showed improvement, and 2 cases showed no improvement, with a total effective rate of 95.0%. In the control group, 14 cases were cured, 8 cases showed significant improvement, 10 cases showed improvement, and 8 cases showed no improvement, with a total effective rate of 80.0%. The total effective rate of the observation group was significantly higher than that of the control group (P<0.05).

[0062] (2) Functional indicators

[0063] Before treatment, there were no statistically significant differences in HB grade and FDI score between the two groups (P>0.05); after treatment, HB grade decreased and FDI score increased in both groups, and the improvement in the observation group was significantly better than that in the control group (P<0.05).

[0064] (3) Security

[0065] No serious adverse reactions occurred in either group. One patient in the observation group experienced mild redness and swelling at the thread embedding site, which was relieved after local disinfection. The safety profile was good.

[0066] 5. Conclusion

[0067] This embodiment demonstrates that the combined application of Dong's Extraordinary Points and acupuncture in the intervention of facial paralysis with thread embedding can significantly improve clinical efficacy, enhance facial nerve function and quality of life, and has high safety and efficacy compared to acupuncture alone, fully verifying the practicality and superiority of this application.

[0068] In this invention, the selection of Dong's Extraordinary Acupoints can be flexibly adjusted according to the patient's condition. Other distal acupoints of Dong's Extraordinary Acupoints for facial paralysis can be selected. The specifications of catgut sutures, the needle retention time, the frequency of suture embedding, and the total course of treatment can be dynamically adjusted according to the patient's physical condition and recovery status. All of these are within the scope of protection of this invention.

[0069] The above description is merely a specific embodiment of the present invention, but the scope of protection of the present invention is not limited thereto. Any variations or substitutions that can be easily conceived by those skilled in the art within the technical scope disclosed in the present invention should be included within the scope of protection of the present invention. Therefore, the scope of protection of the present invention should be determined by the scope of the claims.

Claims

1. Dong's strange cave and acupuncture in the application of facial paralysis buried line intervention, characterized by, Comprising the following steps: (1) Patient screening: select patients with facial paralysis within 7 days of onset, exclude contraindicated populations; (2) Acupuncture intervention: select facial local acupoints, sterilize routinely, acupuncture, retain needle for 30 minutes, during which acupuncture 1-2 times, once a day, 10 days for a course, rest for 2 days between courses; (3) Dong's strange buried thread intervention: select the distal acupoints in Dong's strange acupoints, use sterile medical catgut for acupoint embedding, embed 1-1.5 inches deep, embed thread every 10 days, 3 times for a course; (4) Collaborative implementation and postoperative care: acupuncture intervention and buried thread intervention are performed simultaneously, clean nursing and diet, warm guidance are performed after operation, the total course is 4-8 weeks.

2. Use according to claim 1, characterized in that, The contraindicated populations in step (1) include severe cardiovascular and cerebrovascular diseases, liver and kidney dysfunction, coagulation dysfunction, skin allergy, pregnant women and lactating women.

3. Use according to claim 1, characterized in that, The facial local acupoints in step (2) include at least 8 acupoints of Zhu, Yangbai, Taiyang, Yingxiang, Dicang, Jiache, Xifeng, Sibai, Hegu, Qianzheng, Sanyinjiao, acupuncture uses 0.30mm×40mm needle, acupuncture depth is 0.5-1 inch, acupuncture uses flat supplement and flat draining method.

4. Use according to claim 1, characterized in that, The distal acupoints of Dong's strange acupoints in step (3) include at least 6 acupoints of Zhengwei, Ceshili, Xiaduanchili, Shangquan, Zhongquan, Xiashuan, Yizhongacupoint, Erzhongacupoint, Sanzhongacupoint.

5. The use according to claim 1, characterized in that, The medical catgut in step (3) has a specification of 3-0 beautiful purple line, and a length of 1cm—1.5cm.

6. Use according to claim 1, characterized in that, The buried thread operation in step (3) uses a buried thread needle, the embedding site is between the subcutaneous tissue and muscle layer of the acupoint, press the needle hole for 3-5 minutes after embedding, cover the medical buried thread paste.

7. Use according to claim 1, characterized in that, The specific way of collaborative implementation in step (4) is: the first acupuncture course starts on the first day of the first buried thread, and the subsequent progress is synchronized according to the course.

8. Use according to any one of claims 1 to 7, characterized in that, The application is suitable for the clinical treatment of early facial paralysis, for improving facial nerve function, body function and social life function, shortening the course, reducing the amount of hormone use, and reducing the incidence of facial paralysis sequelae.