This article introduces Professor LIU Xing's clinical experience in treatment of peripheral facial paralysis at the recovery and sequelae stages with the combination of acupotomy, cupping and herbal medication. Based on the analysis of etiology and pathogenesis of peripheral facial paralysis, Professor LIU believes that "invasion of pathogenic wind to collaterals and obstruction of qi and blood" is crucial. Therefore, the treatment focuses on "dispelling wind and harmonizing blood". The compound therapeutic mode is proposed, with acupotomy, cupping and herbal decoction involved, in which, "three-step sequential method of acupotomy" is predominated. Firstly, in the prone position, five "feng" (wind) points are stimulated in patient, Fengfu (GV16), Fengchi (GB20), Yifeng (TE17), Bingfeng (SI12) and Fengmen (BL12). Secondly, in the lateral position, three-facial points are stimulated (FaceⅠneedle: Yangbai [GB14]-Yuyao [EX-HN4]; Face Ⅱ needle: Sibai [ST2]-Quanliao [SI18]; Face Ⅲ needle: Jiache [ST6]-Dicang [ST4]) to restore the deviated facial muscles. Finally, in the supine, two Dantian points are stimulated on the forehead and chest, respectively (upper Dantian: Yintang [GV24⁺], middle Dantian: Danzhong [CV17]), to regulate qi and blood. As the adjunctive therapies, cupping is used to remove stasis, and herbal decoction is to harmonize the body interior. In view of holistic regulation, the treatment is administered in accordance with the affected meridians, so as to expel wind, remove obstruction in collaterals and regulate qi and blood.
Humans ; Facial Paralysis/drug therapy* ; Drugs, Chinese Herbal/administration & dosage* ; Acupuncture Therapy ; Male ; Female ; Middle Aged ; Adult ; Combined Modality Therapy ; Acupuncture Points ; Cupping Therapy ; Aged ; Young Adult

The paper introduces Professor LIU Xing's clinical experience and characteristics of integrative acupuncture and medication in treatment of primary trigeminal neuralgia (PTN). It is believed that the essential pathogenesis of PTN is pathogenic wind, and qi and blood obstruction results from invasion of pathogenic wind. Hence, dispelling wind is the key principle of treatment. Palpation is done at first in the neck, face and buccal mucosal region to detect the masses in treatment. Acupotomy is operated at the masses distributed at Shangguan (GB3), Xiaguan (ST7) and the white line of buccal mucosa, so as to release masses. Additionally, five-wind points (Fengfu [GV16], bilateral Fengchi [GB20], Yifeng [TE17], Bingfeng [SI12] and Fengmen [BL12]), three-nape points (bilateral Naokong [GB19], Tianzhu [BL10] and Jianjing [GB21]) and three-governor-vessel points (Baihui [GV20], Zhiyang [GV9] and Yintang [GV24⁺]) are selected to dispel wind and stop pain. Besides, herbal decoction (wu feng tang) and blood-letting at ear apex are administered in combination. The integration of acupuncture and medication obtains a holistic effect on PTN by dispelling wind pathogen, and promoting qi and blood circulation.
Humans ; Trigeminal Neuralgia/drug therapy* ; Acupuncture Therapy ; Acupuncture Points ; Female ; Male ; Middle Aged ; Drugs, Chinese Herbal/administration & dosage* ; Combined Modality Therapy ; Adult ; Aged

Objective To explore the effect of intraoperative mild hyperventilation on postoperative shoulder pain(PLSP)in patients undergoing gynecological laparoscopic surgery.Methods Eighty-two pa-tients,aged 18-64 years,BMI 18.5-32.0 kg/m2,ASA physical status Ⅰ or Ⅱ,who underwent gyneco-logical laparoscopic surgery from January to September 2023 were selected.According to the random number table method,the patients were divided into two groups:observation group and control group,41 patients in each group.The observation group was given mild hyperventilation during the operation to maintain PETCO230-33 mmHg,and the control group was treated with conventional mechanical ventilation to maintain PETCO2 35-40 mmHg.The incidence of PLSP and VAS pain score of PLSP were recorded 12,24,48,72 hours,and 1 week after operation.The results of arterial blood gas analysis were recorded before anesthesia induction,15 minutes after pneumoperitoneum,at the end of operation,and 24 hours after operation.The intraoperative consumption of propofol and remifentanil,extubation time,bradycardia(HR＜50 beats/mi-nute),and intraoperative hypotension(SBP＜90 mmHg)were recorded.The occurrence of adverse reac-tions such as nausea and vomiting within 72 hours after operation and the requirement for rescue analgesia within 1 week after operation were recorded.Results Compared with the control group,the incidence of PLSP and VAS pain scores 12,24,48,72 hours,and 1 week after operation in the observation group were significantly reduced(P＜0.05),and PaCO2 15 minutes after pneumoperitoneum and at the end of opera-tion were significantly reduced(P＜0.05).There were no significant differences between the two groups in intraoperative consumption of propofol and remifentanil,extubation time,incidence of intraoperative brady-cardia and hypotension,incidence of nausea and vomiting within 72 hours after surgery,and requirement for rescue analgesia within 1 week after surgery.Conclusion Mild hyperventilation in gynecological laparo-scopic surgery can effectively reduce the incidence of PLSP and the degree of pain within 1 week after sur-gery,and does not increase the related adverse reactions within 72 hours after surgery.