OBJECTIVETo improve the manipulations of traditional heat-producing needling, and observe its therapeutic effect on peripheral facial paralysis.

METHODSAcupuncture was adopted for all the 50 patients with peripheral facial paralysis. Acupoints such as Dicang (ST 4), Jiache (ST 6), Qianzheng (Extra), Fengchi(GB 20), Yifeng (TE 17) of the affected side, Hegu (LI 4) of the healthy side, Shousanli (LI 10), Zusanli (ST 36) and Taichong (LR 3) of both sides were adopted. And an adapted heat-producing needling was applied. With the left thumb of the doctor press at the point, the needle was rotated slowly with the right thumb moving forward and index finger moving backward to maintain the needling sensation. Then, heavier pressure was given with the left thumb, and a 9-time lifting and thrusting manipulation with small amplitude, low and even frequency by the right thumb and the index finger. Heavy pressure was maintained by the left thumb, and the needle was inserted by the right thumb and index finger to promote the needling sensation. Thus, the tip of the needle was always kept at the level where the needling sensation appeared. Therefore, a heat sensation can be felt by the patient under the needle or at the distal area. The treatment should be given once a day. And therapeutic effect was observed after 15 times continue treatment.

RESULTSAll the 50 patients were cured without any sequela.

CONCLUSIONAdapted heat-producing needling can promote the recovery of the function of facial muscle, and the effect of treatment of peripheral facial paralysis with the manipulation is confirmed.