[Professor ZHENG Liang's experience and understanding of postoperative facial paralysis treated with acupotomy]

Zhongguo Zhen Jiu. 2021 Jul 12;41(7):789-91. doi: 10.13703/j.0255-2930.20200730-0001.
[Article in Chinese]

Abstract

Professor ZHENG Liang believes that the main pathogenesis of postoperative facial paralysis is related to the retarded circulation of qi and blood and malnutrition of tendons and vessels in local area because of local retention of "stasis" after surgical trauma. In treatment of postoperative facial paralysis with acupotomy, the abnormal facial structure after operation should be considered specially. The region where acupotomy is exerted is determined by taking surgical scar as the center so that the local adhesion can be released and separated. In treatment, the knife needle should be as fine as possible and the attention be paid to the direction of needle insertion and the release amplitude. The frequency of acupotomy should be once per week.

郑谅教授认为手术创伤致“瘀”停滞局部,使局部气血不畅、筋脉失养是术后面瘫的主要病机。采用小针刀治疗术后面瘫应注重审查术后面部的异常结构,以瘢痕为中心,选取针刀操作部位,剥离松解局部粘连。治疗时尽量选取细微的针刀,注意进针方向、松解幅度,频率以每周1次为宜。.

Keywords: ZHENG Liang; acupotomy; famous doctor's experience; postoperative facial paralysis.

MeSH terms

  • Acupuncture Therapy*
  • Facial Paralysis* / etiology
  • Facial Paralysis* / therapy
  • Humans
  • Mind-Body Therapies
  • Postoperative Period
  • Tendons