Facial palsy how to massage the face Facial palsy massage techniques chart

April 22, 2023
The treatment of facial palsy is mostly based on Chinese medicine, among which massage therapy is used more often, through the massage of muscles and specific acupuncture points to promote the smooth circulation of facial blood and promote the recovery of facial palsy, then how to massage the face of facial palsy?

Facial palsy massage treatment principles

If it is wind-cold, it should dissipate wind-cold; if it is wind-heat, it should dissipate wind-heat; if it is insufficient in qi-blood, it is advisable to replenish qi-blood and moisten the tendons.

Treatment of facial palsy with evidence

Peripheral facial palsy

The main symptoms are: rapid onset, pain in the mastoid behind the ear, inner ear and face, abnormal sensation, followed by asymmetry of facial expression muscles on both sides of the face, loss of frontal lines on the affected side, inability to frown, close eyes, show teeth, puff cheeks, blow, etc., shallow nasolabial furrow, oblique angle of mouth to the opposite side, often tearing, salivation, etc., food is often embedded between the affected cheek and teeth when eating, loss of taste in the front 2/3 of the tongue on both sides, auditory hypersensitivity, reduced reflexes of the affected side The reflex of the orbicularis oculi muscle on the affected side is weakened or disappeared. Treatment principle: dispel wind and dispel cold, activate blood circulation. Massage techniques: massage, kneading, pressing, one-finger meditation pushing, holding. Acupuncture points and areas: Sun, Chengjue, Yangbai, Zanzhu, Sibai, Dicang, Cheek, Yingxiang, Hegu, Shoulder Well, Fengchi, Cataract, Tai Chong and head and face. Massage steps. 1. the patient to take a sitting position, massage standing on his side, one hand to fix his head, the other hand with the finger palm rubbing method to knead the face, repeated 1-3 times, and then the palm surface of the thumb and the interphalangeal muscle from the frontal midline, outward to the double solar plexus, and then forward down to the cheek, palm rubbing to the jaw, light, relaxation and ear, press and knead for 2 minutes, and then the middle finger finger point to press the sun, Yangbai, Zanzhu, Sibai, Yingxiang, Chee Che, Hegu, shoulder well, Fengchi, cataract, Taichong, about the head and face. Then press the Sun, Yangbai, Zanzhu, Sibai, Yingxiang, Buccal car, Dicang and Chengjiao points with the fingers of the middle finger for about 3 minutes. 2. Push Fengchi, Cataract, and Xiang with one finger for about 3 minutes, to the extent of localized soreness, swelling, numbness, and pain, and then take the shoulder well point for 1 minute. 3. Apply the Hegu point on the healthy side for about 1 minute, then press and knead the thumb on the Taichong point on the healthy side for about 1 minute.

Central facial palsy

The paralysis is limited to the muscles of the lower part of the face, and the paralysis is of a tense type, with no obstruction to forehead wrinkling and eyebrow frowning. Treatment principle: relaxing the tendons and channels, moving Qi and invigorating Blood. Massage techniques: massage, kneading, pressing, one-finger pushing, holding, wiping, sweeping. Acupuncture points and areas: Sun, Chengjiao, Yangbai, Zanzhu, Dicang, Chee Che, Yingxiang, Hegu, Shoulder well, Fengchi, Cataract and head and face. Massage steps. 1. Head and face, neck operation is the same as the operation method of peripheral facial palsy. 2. Patients take the supine position, the massager with the method of wiping, from the Hall of Yin to the Sun, sweeping the head side of the bile meridian circulation parts, press and knead the above points, time about 4 minutes.

Special acupuncture points for facial palsy

Wenyao acupoint

This point is the Qie point of hand Yangming large intestine meridian, often massage and stabbing blood, has the effect of clearing heat, and is one of the key points for treating facial paralysis. Location of the acupoint: On the forearm, 5 inches above the transverse stripe of the distal dorsal wrist, on the line connecting Yangxi and Quchi. Indications: facial paralysis, headache, sore throat, epistaxis, swelling of the face, abdominal pain, sore shoulders and back, hemorrhoids. Massage method: bend the thumb and pinch the point with the fingertips with moderate force, so as to have a soreness, for 3 minutes each time.

Bi-Li point

This point is the hand Yangming large intestine meridian points, often massage this point, has bright eyes and ears, clearing heat and diuretic, meridian function. Location of the acupoint: On the forearm, 3 inches above the transverse stripe on the distal dorsal side of the wrist, on the line connecting Yangxi and Quchi. Symptoms: facial paralysis, toothache, deafness, tinnitus, epistaxis, sore throat, sore arms, edema, etc. Massage method: pinch the acupuncture point with the tip of the thumb for 2 minutes each time, from light to heavy, so as to have a soreness and pain.

Cheek Car Point

This point is an acupoint of the foot Yangming Stomach meridian, which has the effect of clearing heat and dispelling wind and enlightening the teeth, and is often used to treat facial paralysis and toothache. Acupoint positioning: on the face, 1 horizontal finger (middle finger) above the front of the jaw angle. Symptoms: crooked mouth, salivation, facial palsy, toothache. Massage method: use the index finger to press and knead both sides of the acupuncture point, moderate strength, to have a sore feeling for 3 minutes each time, with the Dicang point, Hegu point effect is better.

Precautions for facial palsy treatment

1. During the period of illness, patients should be instructed to avoid wind and cold attacks, and do hot compresses appropriately. 2. After the disease has lasted for more than 7 days, the patient should strengthen the functional exercise of facial muscle. 3. If the disease develops in winter, patients should wear a mask when they go out to avoid the wind and cold on the face. 4. Patients can massage the paralyzed facial muscles by themselves with their hands for 5-10 minutes each time, 3-5 times a day.
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