The Diagnosis and

Characteristic therapy of
Deviation of Eye and Mout

Department of Acupuncture and Moxibustion

Zhu Pengyan
Definitions

Deviation of Eye and Mouth is derived from invasion of the meridians and collaterals
and muscle meridians in the facial region by exogeneous pathogenic wind and cold.

It is referred to
the facial paralysis in
modern medicine.
 It can occur in patients of any age,bu mostly at
the age of 20 to 40,and more frequently in males.
Etiology and Pathogenesis

Deviation of Eye and Mouth is due to paralysis of the facial

muscles caused by the attack of pathogenic wind and cold on
Yangming and Shaoyang Meridians,which leads to malnutrition
of the muscle regions of the meridians.
 The paralytic muscles are caused by
stagnation of qi in the meridians and
malnutrition of the regions of the muscle
merdians after the invasion of pathogenic
wind and cold.
 Pathological mechanism

The facial nerve canal is

able to accommodate facial
nerve, once there is
ischemia, edema, so that the
facial nerve is compressed,
lack of nerve nutrition, and
even cause neural
degeneration.
 Clinical manifestation

1. Static view ： sudden onset,usually right after waking up,incomplete

closure of the eye in the affected side,drooping of the angle of the mouth.
2. Dynamic view ： salivation and inability to frown,raise the eyebrow,close
the eye,blow out the cheek,show the teeth or whistle
3. Concomitant symptoms ： in some cases pain in the mastoid region or
headche, tinnitus, taste decline
Syndrome Differentiation

Wind-cold
In the early stage of the disease with invasion of cold history. Deviation of
eye and mouth, headache, stuffy nose, tight facial muscle. thin white
tongue coating, superficile tight pulse.

Wind-heat
In the early stage of the disease after common cold. headache,heat
face,pain in the mastoid region.red tongue,thin yellow
coating,superficile fast pulse.

Deficiency of qi and blood

In the recovery stage of the disease .Weak limbs , pale face,

dizziness, etc.. Pale tongue, thin white coating, thin pulse.
 Treatment
According to the different Disease stage, based on acupuncture,
combined with various methods of TCM treatment

1. Acute stage （ Within 7 days ）

superficial acupuncture, acupoint application, Chinese
Medicine ， moxibustion ， blood-letting by pricking

2. Recovery stage （ 7 days ~2 months ）

acupuncture, Chinese medicine , electroacupuncture, warming needle

3. Sequelae stage （ 2 months or more ）

acupuncture , massage, acupoint injection

The total effective rate was 96% after the treatment of TCM.
 Medthod

1.Acupuncture-whole stage
(1)Prescription:
Yifeng(TE17),Yangbai(GB14),Taiyang(extra),Quanliao(SI18),Xiaguan(S
T7),Dicang(ST4),Jiache(ST6),Hegu(LI4),Taichong(LR3).
(2)Supplementary points:
Wind-cold:Fengchi(GB20)
Wind-heat:Quchi(LI11)
Deficiency of qi and blood:Zusanli(ST36)
Headache:Fengchi(GB20)
Difficulty in frowning and raising the eyebrow: Cuanzhu(Bl2), Sizhukong(TE23)
Incomplete closing of the eye:Cuanzhu(Bl2),Jingming
(BL1),Tongziliao(GB1),Yuyao(Extra), Sizhukong(TE23).
Difficulty in sniffing:Yingxiang(LI20)
Tinnitus and deafness:Tinghui(GB2)
Tenderness at the mastoid region:Wangu(GB12),Waiguan(TE5)
Deviation of the philtrum:Renzhong(GV26)
 2.Chinese medicine

(1)Wind-cold: expelling wind

Mahuangfuzixixingtang(Zhigancao 9g Shufuzi 10g Xixing 3g Guizhi 9g Fangfeng 12g Baizhi 10g Baishao 15g
Chuanxiong 9g Qinjiao 18g Gancao 6g)

(2)Wind-heat: expelling heat

Daqinjiaotang(Qinjiao 18g Chuanxiong 9g Danggui9g Chishao 12g Shigao 30g Huangqin 12g Shengdi 18g Qianghuo 9g
Fangfeng 9g Xixing 1.5g Jiangcan 6g Quanxie 6g Gancao 6g )

(3)Deficiency of qi and blood: nourishing Qi and blood Buyanghuanwutang (Huangqi 45g

Dangshen 30g Dangguiwei 12g Chuanxiong 9g Taoren 12g Honghua 9g Baishao 15g Dilong 10g Quanxie 9g
Jiangcan 10g)

acute and recovery stage

 3.Acupoint application

Prescription:
Yifeng(TE17),Taiyang(extra),Dicang(ST4),Jiache(ST6)
3~5days one time.
Ingredients of Chinese medicne :Maqianzi

acute stage
 4. Moxibustion

Prescription:
Yifeng(TE17),Dicang(ST4),Jiache(ST6),Zusanli(ST36)

20~30mins a time,every day.

wind-cold type in acute stage

recovery stage
 5. Blood-letting by pricking

Prescription:
Yifeng(TE17),Dicang(ST4),Jiache(ST6)

wind-heat type in acute stage

(Pain in the mastoid region)
 6.Electroacupuncture

Select 4 ~ 6 acupoints every time , connect to the electric

acupuncture apparatus with intermittent wave stimulation for 20 to 30
minutes, the intensity is that the patient's facial muscles beat slightly
and the patient can bear.
Once a day.

recovery stage
 7.Flash Cupping

Cupping may be used as an adjuvant method to acupunctue.The

affected side may be treated with small cups once every three to five
days.
 8. warming needle

In long-standing cases,the warming needle may be used to the

pointsTaiyang(Extra),Jiache(ST6),Quanliao(ST3), Xiaguan(ST7)and
Zusanli(ST36).
A small card is placed to prevent burning the skin between the skin
and the moxa stick.
20min one time,once a day.

recovery stage
 9.Massage

Patients take supine position,the doctor uses

cleaning,pushing,kneading,and one finger zen method on the face.
One time a day.

sequelae stage
 10.Acupoint injection

Inject the acupoints Yifeng and Zusanli with vitamin B1 injection 100mg or
vitamin B12 injection 100ug.
Once every other day.

sequelae stage
 Male,37, deviation of eye and mouth for 6 days.He felt
uncomfortable on the face due to blowing fan after a shower ,then
occurred the manifestation of headache, stuffy nose, tight facial
muscle,wih thin white tongue coating, superficile tight pulse.
Treatment: acupuncture, acupoint application, Chinese Medicine
， moxibustion.
15 times in all
Contrast
 Remark

 WHO lists as the primary method of acupuncture therapy in the treatment

of facial paralysis

 Acupuncture can enhance muscle contraction, recover conduction of

nerve; improve the local blood circulation; improve the body immunity

 the best time for the treatment is within 2 months

 Early intervention of acupuncture treatment is necessary

 Note

• During the treatment,patients can press the local region with hot
towels,once of 10 min.

• Patients who can not close eyes completely can use eye drops
before sleep to prevent infection.

• Patients can not watch TV and use computer for a long time during
the treatment.

• Wear the mask to avoid wind and cold.

• Have functional exercise properly.

 Thank
you!

烟台市中医医院针灸推拿科
2016.8.5