A Method of Selecting Acupoints for Acupuncture Treatment of Peripheral Facial Paralysis by Thermography
Department of Biomedical Engineering, Institute of Acupuncture and Moxibustion, China Academy of Chinese Medical Sciences, Beijing 100700, China. The American Journal of Chinese Medicine
(Impact Factor: 2.76).
01/2007; 35(6):967-75. DOI: 10.1142/S0192415X07005430
The purpose of this study is to select acupoints for acupuncture treatment of peripheral facial paralysis according to the temperature on the face of the patient detected by thermogram, to determine an objective acupoint selection method for acupuncture treatment. In the test group of 60 cases of facial paralysis, the infrared thermogram on the face was detected at the first visit, and then acupuncture was given at the acupoints on the affected side with a temperature difference of over 0.5 degrees C from the healthy side for one therapeutic course, and in each successive course the acupoints were re-determined according to the results of thermogram examination and were administrated till the end of the total therapeutic course, and 120 cases of the control group were treated with acupuncture at conventionally selected acupoints. The results showed that the cured and basically cured rate was 90.0% (54 cases) in the test group and 77.5% (93 cases) in the control group with a significant difference between the two groups (p < 0.05); and the total sessions of acupuncture were less and the course of treatment was shorter in the test group than those in the control group (both p < 0.001). The utilization rate of the acupoints selected by facial thermogram in the test group was in order of Dicang (ST 4, 92.3%), Yingxiang (LI 20, 90.6%), Taiyang (EX-HN 5, 85.5%), Yangbai (GB 14, 76.6%), Quanliao (SI 18, 72.3%), and so on. In conclusion, acupuncture at the acupoints selected by thermogram for treatment of facial paralysis in the cured rate, the therapeutic course and sessions of acupuncture is significantly superior to acupuncture at the conventionally selected acupoints, and the thermogram-aided acupoint selection method is beneficial to objectivity and modernization of acupoint selection for acupuncture and moxibustion treatments.
Available from: ayubmed.edu.pk
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ABSTRACT: Bell's palsy is an idiopathic, acute peripheral-nerve palsy involving the facial nerve which supplies all the muscles of facial expression. This study was conducted to evaluate the effects of electro-A=acupuncture on patients with facial palsy.
This study was conducted on patients with facial palsy at a private clinic at Peshawar during 1999-2009, and 49 cases were included in the study. All those cases that were within first two weeks of illness or who had related history of stroke or they had upper motor neuron lesion were not included in the study. Electroacupuncture was used as the main therapeutic technique to treat these cases. Patients were subjected to acupuncture treatment at four major points on the face for 20-25 minutes everyday for 10 days. Specific points were used for nasolabial fold and watering of the eye. After rest for a week patients were again evaluated and another course of treatment comprising of 5-10 days was sufficient in most cases. Frequency of electro-acupuncture is kept at 60-80 cycles per minute.
Total number of patients studied was 49 with duration of illness as early as 3 weeks to a year and above. Cases with duration of illness from 3 weeks onward showed rapid recovery of palsy symptoms with electro-acupuncture. All cases showed recovery. Palsy of the angle of the mouth did not recover completely.
Electro-acupuncture is effective in treating facial palsy cases.
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ABSTRACT: Acupuncture and moxibustion are important com- ponents in traditional Chinese medicine. It is efficient in dealing with some diseases, esp. Bell's palsy. In this paper, we mined the data set of literature downloaded from SinoMed on Bell's palsy by executing the data slicing algorithm. For the first time, we calculated them in two dimensions. On one-dimension, we calculated the frequencies of acupuncture points existed in literature. On two-dimension, we calculated the networks of acupoint pairs co-existed in literature. By examining the mining results, we found the sets of acupuncture points in clinical practices. By examining these results, not only regular acupoints in the textbook of acupuncturology are mined out, but also some other acupoints widely used in the clinical practises of acupuncture.
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ABSTRACT: Bell's palsy is a kind of facial nerve diseases with a high incidence, and the patients who get the disease the first time predominate in the patients who suffer mildly or moderately. The aim of the present study is to explore a novel assessment for Bell's palsy objectively and noninvasively based on infrared thermal image. As the acupoints on the face are approximately bilateral symmetric, the acupoints on the affected side were chosen as the experimental group, while the same ones on the other side as the control group. Their infrared thermal radiations were researched separately and the results were as follows: on acute stage, the differences of infrared thermal radiation intensity of the same points were significant between the healthy and affected sides, indicating significant temperature difference (over 0.3 degrees C). The acupoints on the affected side with its surrounding tissue formed an irregular abnormal region on the infrared thermal image. Its pseudocolor was obviously different from that of the healthy side. At the same time, the more serious the Bell's palsy, the more evident the temperature differences of the same acupoints on bilateral sides. It was positive correlation (r=0.676, r=0.498, r=0.506, r=0.545, r=0.518, all P<0.05) between the bilateral temperature differences of acupoints (Quanliao, Dicang, Jiache, Yuyao, Yangbai) and the lesions degree of Bell' palsy, which was statistically significant. Thus, infrared thermal image could be used to objectively assess the severity of Bell' palsy.
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