Nursing Experience of Warm-Meridian Bloodletting Puncture and Moxibustion Combined with Facial Massage in Treating a Patient with Facial Paralysis

LIU Chunhong; WANG Jingjing; ZHANG Jingjing; WANG Shanyan

doi:10.12209/CAIM202506240006

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Nursing Experience of Warm-Meridian Bloodletting Puncture and Moxibustion Combined with Facial Massage in Treating a Patient with Facial Paralysis

更新时间：2025-09-02

- Nursing Experience of Warm-Meridian Bloodletting Puncture and Moxibustion Combined with Facial Massage in Treating a Patient with Facial Paralysis
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  天津市滨海新区中医医院针灸脑病科，天津， 300480
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202506240006
  CLC：
- Received：24 June 2025，
  
  Accepted：17 July 2025，
  
  Published Online：02 September 2025，
- 稿件说明：
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LIU Chunhong, WANG Jingjing, ZHANG Jingjing, et al. Nursing Experience of Warm-Meridian Bloodletting Puncture and Moxibustion Combined with Facial Massage in Treating a Patient with Facial Paralysis[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

LIU Chunhong, WANG Jingjing, ZHANG Jingjing, et al. Nursing Experience of Warm-Meridian Bloodletting Puncture and Moxibustion Combined with Facial Massage in Treating a Patient with Facial Paralysis[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202506240006.

摘要

目的

探讨温经泻血刺灸法联合面部推拿术治疗风寒袭络型面瘫的中医特色护理方案及临床效果。

方法

对1例风寒袭络型面瘫患者采用温经泻血刺灸法联合面部推拿术治疗，同步实施辨证施护、操作配合、情志调护、饮食管理及康复指导等中医特色护理措施。

结果

经2周干预，患者House-Brackmann面神经功能分级从Ⅳ级提升至Ⅱ级，面部残疾指数（FDI）评分由68分增至92分，额纹深度、鼻唇沟深度恢复至健侧的90%及85%，口角偏移距离由8 mm缩短至1 mm，中医证候评分从8分降至1分，SAS评分由60分降至32分，右侧牙痛、左耳内疼痛情况改善，NRS评分由1分降至0分。

结论

中西医结合特色护理可协同提升温经泻血刺灸法联合面部推拿术的疗效，促进面瘫患者神经功能恢复，为临床提供标准化护理路径参考。

Abstract

Objective

To explore the traditional Chinese medicine （TCM） nursing protocol and clinical efficacy of warm-meridian bloodletting puncture and moxibustion combined with facial massage in treating facial paralysis due to wind-cold invasion of collaterals.

Methods

A patient with wind-cold invasion-type facial paralysis was treated with warm-meridian bloodletting puncture and moxibustion combined with facial massage， alongside TCM nursing interventions including syndrome-differentiated care， procedural coordination， emotional regulation， dietary management， and rehabilitation guidance.

Results

After two weeks of intervention， the patient's House-Brackmann facial nerve function grading improved from grade IV to grade II； the Facial Disability Index （FDI） score increased from 68 to 92； forehead wrinkle depth and nasolabial fold depth recovered to 90% and 85% of the healthy side， respectively； the oral commissure deviation distance decreased from 8 mm to 1 mm； the TCM symptom score reduced from 8 to 1； the Self-Rating Anxiety Scale （SAS） score decreased from 60 to 32； and right-sided toothache and left ear pain improved， with the Numeric Rating Scale （NRS） score dropping from 1 to 0.

Conclusion

Integrated TCM and Western nursing can synergistically enhance the therapeutic effects of warm-meridian bloodletting puncture and moxibustion combined with facial massage， promoting nerve function recovery in facial paralysis patients and providing a standardized clinical nursing reference.

关键词

Keywords

references

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