針刺治療貝爾氏麻痺之病例報告

A case report of Bell's palsy treated by acupuncture

楊晨苹(Chen-Ping Yang)；楊登凱(Deng-Kai Yang)

貝爾氏麻痹 ； 面癱 ； 合谷穴 ； 董氏奇穴 ； 電針 ； Bell's palsy ； facial paralysis ； Hegu acupoint ； Tung's Acupuncture ； electroacupuncture ； TCM

北台灣中醫醫學雜誌

15卷2期（2023 / 09 / 30）

17 - 27

繁體中文;英文

貝爾氏麻痺是造成周邊顏面神經麻痺最常見的疾病，一般來說預後良好，但是仍有15%的患者無法完全康復而有後遺症，除了影響日常生活以外，也會影響患者的心理，增加憂鬱與焦慮的風險。本病例為55歲的女性病患，感冒後出現貝爾氏麻痺，服用類固醇、抗病毒藥物一週後顏面神經麻痺仍然未改善，發病第八天至恩主公醫院中醫門診就診尋求進一步的治療。就診時House-Brackmann scale為grade IV，針灸治療選用合谷穴搭配面部局部穴位，局部穴位使用最低電流強度電針，中醫針灸治療後，顏面神經麻痺症狀明顯改善，治療三週後已完全恢復正常。

Bell's palsy is the most common cause of peripheral facial paralysis. The prognosis of Bell's palsy is good, but there are still 15% of patients have an incomplete recovery with a long-term sequela. Chronic facial weakness not only affects the patient's physiology but also patient's psychology, and it will increase the risk of depression and anxiety. This case is a 55-year-old female patient who suffered from Bell's palsy after a common cold. Her facial paralysis did not improve after taking steroids and antiviral drugs. Eight days after the onset, she went to the Chinese Medicine Department of En Chu Kong Hospital for further treatment. The House-Brackmann scale was IV at the time of the visit, and she was treated with acupuncture. Hegu (LI4) acupoints and facial local acupoints were selected, and some facial local acupoints were combined with minimal intensity electroacupuncture. After acupuncture treatment, her symptoms of facial paralysis improved obviously. After three weeks of acupuncture treatment, the patient completely recovered.