1 GENERAL OBJECTIVE
- Peripheral cranial nerve palsy is loss or reduction of hemifacial movement of the facial muscles attached to the VII nerve, with positive Charles-Bell sign.
According to Traditional Chinese Medicine, the disease belongs to the "whole eye disease" syndrome caused by wind, cold, and heat that invades the coherence of the three yang meridians in the face, causing poor blood qi and blood to regulate the balance, lack of nutrition, or due to blood loss. stasis obstructs the yang meridians in the face. Patients often have a distorted mouth, eyes on the paralyzed side are not closed
2 SMALL INDICATIONS
- VII nerve paralysis due to cold, bacterial infection, viral infection, trauma.
3 CONTRAINDICATIONS
- VII nerve palsy in other severe conditions coma, brain tumor, brain abscess, respiratory failure, cerebrovascular accident in the brain stem, psychiatric patients.
4 PREPARATION
4.1. Practitioners Doctors and medical practitioners trained in the specialty of traditional medicine shall be granted practice certificates in accordance with the law on medical examination and treatment. .
4.2. Vehicle
- Standard operating room.
– Dissolved catgut thread, non-area lumbar puncture needle.
– Enamel tray, clip with clip, sterile cotton gauze, iodine alcohol, adhesive tape, sterile gloves.
- Anti-shock medicine box.
4.3. Patient
– be consulted, explained before entering treatment
- To be examined and make medical records according to regulations.
- Posture exposes the area of the point where the thread is implanted.
5 PROCESSING STEPS
5.1. Diagram of acupoints on the side of paralysis
– Thai Duong – Dong Tu Lieu – Duong Bach
– Lover – Toan Truc – Love
– Quyen Lieu – Nghinh Huong – Land Trade
– Long range armor – Loyalty – Enthusiasm
– Thua Thuong – Hoc Coc (opposite side)
5.2. Tips
- Wash your hands, put on gloves.
– Cut Catgut thread into pieces about 1cm. Thread the thread into the barrel of the needle.
- Determine the exact acupoint for thread implantation. Close to the acupoint
– Insert the needle quickly through the skin and slowly bring it to the point.
– Use the needle barrel to stay in the acupoint.
– Gently pull out the needle.
– Place sterile gauze on the point just implanted.
- Secure gauze with adhesive tape.
5.3. Treatment course
– Each transplant of Catgut only works for about 20-25 days.
– After 20-25 days of implantation, only come back for a follow-up examination for further indications.
6 TRACKING AND TREATMENT OF HAZARDS
6.1. Monitor Patient's Condition during each procedure
6.2. Handling accidents
– Bleeding: Use dry cotton gauze to press on the area, do not rub.
– Pain and swelling at the place of implantation: hot compress, anti-edema medicine or oral antibiotics if infection is suspected
