Auricular (ear) acupuncture point selection: the cheek area, liver, eye, mouth, cortex, adrenal gland, pillow etc.

Facial palsy acupressure - massage DIY

Warning: if the palsy is cause by physical injuries, do not massage on the affected area to avoid causing further injury to the nerves.

1. he gu pointLI4

   Part of the body: hand acupoint：on the Large intestine channel of hand yangming

Medical function: it is the main point for relieving pain, and is antipyretic.

Indications: diseases of the head, face, eyes, mouth, nose, mental weakness, paralysis, all kinds of pain.

Method to find the acupoint : It is on the back of the hand,  between the 1st and 2nd metacarpal (the palm bones of the thumb and first finger) midpoint of the first two metacarpal radial side, the highest point formed when the thumb is brought to rest against the index finger.
The simple method to locate the  acupoint: stretch and open the thumb and the index finger of one hand, place the crease of thumb joint of the other hand on the edge of the web  between the thumb and the index finger, the point where the tip of the thumb touches is he gu point  LI4.

 

Massage: pinch method.

Rhythmic pressing:: to work on  the left ,use the right hand holding the left hand,  use the fingertips of the right thumb, pinch and press the acupoint.

Pinch for 10 seconds, rest for 5 seconds.

Repeated: 5 minutes on each side. Do this daily morning and night, twice.
 

2. zu san liS36

Part of the body:: leg acupoint. Stomach channel of foot yangming.

Method to find the acupoint : on the left leg use your right hand, on the right leg with your left hand. Use the second joint of your index finger to slide along the tibial moving toward to the protruding bone Where the fingertip is pointing is the zu san li acupoint.

Medical function: for correcting  spleen deficient (improving  digestion), improves circulation, being used as tonic. It is an important acupoint for health improvement..

Indications: gastritis, enteritis, constipation.



Massage: rubbing up and down using push method.

Force and rhythm: sit up straight, place left foot flat on the chair, use left hand gently make a fist with the index finger first knuckle joint, rub the acupuncture points by push up and down for 10 seconds, rest for 5 seconds. Then do the right side. Do this daily morning and evening.

[Facial nerve palsy,  facial massage]

First use a massage cream or glycerin in the morning and in the evening, to massage daily the following points,   Then use hot towel to massage the face for another 10 minutes to promote facial blood circulation.

I. Forehead: use the palm side of the middle finger massage upward from bottom massaging up to the edge of the hairline.

II. Eyes: using the palm side  of the 3rd finger, massage outward from jing ming point BL1 around the eyes along the edge of the eye sockets once.
III. Cheek:
(1) under the chin at use the palm side  of 3rd, 4th finger, massage from under the chin, in circular motion the ting hui point G2 (Anterior to the intertragic notch and posterior to the joint of the lower jaw. The point is located in the indentation when the mouth is open.).

(2)  Use the palm side of the 3rd and 4th fingers massage from di cang point S4 (on outside the corners of mouth, away about 0.4 cun) going up, drawing a small circles. Massage toward ting gong SI 19 (when the mouth is opened slightly; it is in the depression between the anterior border of tragus and the posterior border of the joint of lower jaw bone.)

(3) from yin xiang LI 20 point, use the palm side  of the 3rd and 4th fingers, from the bottom up, massage in small circles to tai yang point

IV.  the lips:

 use the palm side of the index finger of both hands massage in circular motion around the lips.

[Daily health precautions]

   Avoid directly facing electric fans or air-conditioning. Wear a hat, use scarf to keep warm. Wash the face with warm water, instead of cold water.

 Wear glasses to protect the eyes. Use eye drops  before going to bed and put on eye cover.

 Exercise the face by raising the eyebrows and opening and closing eyes and blinking the eyes..

Grimmacing, making balloon blowing, sucking moving,  chewing gum, to activate the facial muscles.

[Conclusion]

The main cause of peripheral facial palsy is virus infection. According to traditional Chinese medicine concept,  it is triggered by wind cold or wind heat. In early onset. Immediately use  acupuncture treatment. The most effective treatment period is during the first three months period. If after more than six months without improvement, often sequelae of eye and mouth drooping will happen. If the patient has tear reduction, tinnitus, taste disappearing, diabetes, hypertension,  or over 60 years old , the prognosis is poor and the course of treatment will be longer.

Other causes include accidental injuries during surgeries, physical injuries, drug injuries. tumors, strokes, Lyme disease etc.

【顏面神 經麻痺針灸療法】

針刺取穴：

1. 攢竹B2，

2. 陽白GB14，

3. 四白S2，

4. 顴顟 SI18，

5. 下關S7，

6. 地倉S4，

7. 頰車S6，

8. 風 池 G20，

9. 翳風 SJ17，

10. 聽宮SI19，

11. 耳門 SJ21，

12. 合谷LI4，

13. 足三里S36等 。

 透 刺法：

• 頰車S6 透 地倉S4，

• 地倉S4  透 迎香 LI 20，

• 迎香LI 20 透 四白S2，

• 四白S2 透 顴顟 SI18，

• 顴顟 SI18 透 地倉S4，

• 陽白GB14 透 魚腰Ex-Hn4等 。

耳針取穴：面頰區，肝 ，眼，口，皮質下，腎上腺，枕等 。

【顏面神經麻痺穴道-按摩】

1. 合谷LI4

身體部位：手部穴道。 十二經脈：手陽明大腸經。 治療效果 ：疏風解表，解熱鎮痛功效，為止痛要穴。

主治：五官疾病（頭，面 ，眼，口，鼻部位），精神衰弱，偏 癱，各種疼痛。

穴位找法：以手掌側放，拇指，食指併攏，虎口紋路盡頭處取之 （稍偏食指)，肌肉突出最高點處。

《穴道按摩》

按摩手法：掐按法。

力道節奏：左手側放，右手掌握住左手背，以右大拇指指尖，掐 按穴道。

掐按10秒鐘，休息5秒鐘。

反覆進行時間：左，右手各5分鐘，每日早，晚2次。

2. 足三里S36

身體部位：足部穴道。 十二經脈：足陽明胃經。

治療效果：改善脾 虛症狀/理脾胃，調氣 血，補虛弱有功效，為強壯要穴。

主治：胃炎，腸炎，便秘。

穴位找法：外膝眼（膝蓋下面外邊那個凹窩）直下三寸（約四橫 指），距離脛骨約一橫指的地方，就是本穴。

《穴道按摩》

按摩手法：按揉，上下推法。

力道節奏：正坐，左腳平放置椅上，左手輕輕握拳以食指第2指 節關節，按揉穴道，並上下推之，10秒鐘，休息5秒鐘。右腳同上。

反覆進行時間：左，右腳各約5分鐘，每日早，晚各1次。

【顏面神經麻痺臉部按摩法】

先用按摩霜或甘油按摩臉部，以下各部位按摩10次，每日早， 晚按摩1次。再用熱毛巾熱敷臉部10分鐘以促進臉部血液循環。

一， 額頭：用大拇指指腹，由眉毛處由下往上髮際方向按摩。

二， 眼睛：用第3指指腹，從精 明穴BL1 （內眼角向外一分，再向 上一分，靠近眼眶骨內緣），沿上眼眶經由下眼眶環繞一圈。

三， 臉頰：

(1) 由下頦處，用第3，4指指腹，由下而上，畫小圈按摩 至聽會穴G2（小耳朵耳屏前下方，張開嘴凹窩處）。

(2) 由地地 倉S4（ 由嘴角外開4分處），用第3，4指指腹，由下而上，畫小圈按摩至聽 宮SI 19（小耳朵耳屏前正中，張開嘴凹窩處）。

(3) 由迎香 LI 20（鼻翼外側與，鼻唇溝就是鼻翼兩旁各有一道溝紋，的中點），用第3，4指指腹，由下而上，畫小圈按摩至太 陽穴（從眉毛和外眼角的中 間，向後約一橫指的地方就是本穴）。

四， 嘴唇：

(1) 以雙手第2指指腹，繞嘴唇做環形按摩。

(2) 以第1第2指指節，由嘴唇向外拉扯。

【日常保健注意事項】

1. 頭面部避免直接吹電扇或冷氣，可戴帽子，圍巾保暖，用溫 水洗臉。

2. 平時帶眼鏡保護眼睛，睡前點眼藥並戴上眼罩。

3. 作提眉毛及皺眉毛動作。

4. 作緊閉雙眼睛及眨眼睛動作。

5. 作鬼臉，吹氣球，吸吮動作，嚼口香糖，活動臉部肌肉。

【結論】

周圍性顏面神經麻痺，其主要病因為病毒感染所致，中醫認為本 病多由於風寒風熱侵襲所致，初發病就可以立刻做針灸治療，其黃金治療期是3個月內，若超過6個 月沒有改善，往往留有口眼歪斜後遺症。若病患有淚液減少，耳 鳴，味覺消失，糖尿病，高血壓，高齡60歲以上，則預後較差，療程較長。

其他致病原因：做手術時意外弄傷，跌打損傷，藥物中毒，癌腫，癌腫，中風，萊姆病等。