Treatment Strategy of Fire Acupuncture by Repeated Shallow Needling Method for Refractory Facial Paralysis Based on the Pathogenesis of "Channel Sinews Deficiency and Stasis"

HONG Bing; YANG Chao; WANG Zijing; LIU Jing; DU Shuo; WANG Wenhui; ZHAO Jiping

doi:10.13288/j.11-2166/r.2025.07.014

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Treatment Strategy of Fire Acupuncture by Repeated Shallow Needling Method for Refractory Facial Paralysis Based on the Pathogenesis of "Channel Sinews Deficiency and Stasis"

更新时间：2025-03-27

- Treatment Strategy of Fire Acupuncture by Repeated Shallow Needling Method for Refractory Facial Paralysis Based on the Pathogenesis of "Channel Sinews Deficiency and Stasis"
- Journal of Traditional Chinese Medicine Vol. 66, Issue 7, Pages: 741-745(2025)
- 作者机构：
  
  北京中医药大学东直门医院，北京市东城区海运仓5号，100700
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2025.07.014
  CLC：
- Received：15 October 2024，
  
  Revised：2024-12-12，
  
  Published：02 April 2025
- 稿件说明：
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洪冰,杨超,王子敬等.基于经筋虚瘀夹杂病机特点探析火针赞刺法治疗难治性面瘫的思路[J].中医杂志,2025,66(07):741-745.

HONG Bing,YANG Chao,WANG Zijing,et al.Treatment Strategy of Fire Acupuncture by Repeated Shallow Needling Method for Refractory Facial Paralysis Based on the Pathogenesis of "Channel Sinews Deficiency and Stasis"[J].Journal of Traditional Chinese Medicine,2025,66(07):741-745.
洪冰,杨超,王子敬等.基于经筋虚瘀夹杂病机特点探析火针赞刺法治疗难治性面瘫的思路[J].中医杂志,2025,66(07):741-745. DOI： 10.13288/j.11-2166/r.2025.07.014.

HONG Bing,YANG Chao,WANG Zijing,et al.Treatment Strategy of Fire Acupuncture by Repeated Shallow Needling Method for Refractory Facial Paralysis Based on the Pathogenesis of "Channel Sinews Deficiency and Stasis"[J].Journal of Traditional Chinese Medicine,2025,66(07):741-745. DOI： 10.13288/j.11-2166/r.2025.07.014.

摘要

认为难治性面瘫的直接病位是面部经筋，其主要病机为经筋虚瘀夹杂。临证将赞刺法与火针相结合一可通经筋之瘀滞，二可借火力温热助阳、激发经气、濡养经筋，有泻有补，契合本病经筋虚瘀夹杂的病机特点。临床施治过程中，灵活运用诊察手段辨明具体病变经筋，根据面部症状轻重、瘫痪面肌大小和活动度，以及切诊时获得反应点的大小深浅等判断病变程度，选择适宜刺激量，施火针赞刺法能够有效改善面肌形态及功能、促进面瘫恢复。

Abstract

It is regarded that the disease location of refractory facial paralysis is in the channel sinews of the face， with its primary pathogenesis characterized by a combination of deficiency and stasis of the channel sinews. The integration of repeated shallow needling method and fire acupuncture can first remove stagnation within the channel sinews， and second utilize the warming effect of fire to reinforce yang， stimulate meridian

， and nourish the channel sinews. This approach balances both supplementation and drainage manipulation， aligning with the underlying pathogenesis of deficiency and stasis combination. In clinical practice， diagnostic methods should be applied flexibly to accurately

identify the affected channel sinews. The severity of facial symptoms， the size and mobility of the paralyzed facial muscles， as well as the depth and size of the reactive points identified through palpation， should be considered when determining the extent of the condition. By adjusting the appropriate level of stimulation， the fire acupuncture with repeated shallow needling method could effectively improve facial muscle morphology and function， promoting recovery from the disease.

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