中醫藥研究論叢

252.10 貝爾氏麻痹(Bell’s palsy)的針灸治療病例報告
TJ TCM.25(2) : 123-134, 2022
貝爾氏麻痹(Bell’s palsy)的針灸治療病例報告
A Case Report of Acupuncture Treatment of Bell’s Palsy
傅朝麟1 沈炫樞1 何宗融1 林崇舜1*
1 花蓮慈濟醫院中醫部,花蓮,台灣
【摘要】
一位66 歲女性病患,出遊感冒後出現面癱-貝爾氏麻痹,發病後第4天以西醫口服類固醇一周治療效果不顯著,於發病後第12 天至花蓮慈濟醫院中醫部就診,就診時顏面神經麻痹分級為House-Brackman Grade IV,但於中醫初診後再次出遊,複診與初診已間隔兩周,距發病時間已有25 天,處於恢復期(發病後 21-70 天),至此才規律接受針灸治療,經過近2 個月治療後,顏面神經麻痹分級改善為House-Brackman Grade II,此個案在錯失急性期(發病後 1-7 天)的針灸治療時間,於恢復期才接受規律的針灸治療,仍可見相當程度的改善。
【關鍵詞】顏面神經麻痹、面癱、貝爾氏麻痺、針灸
Chao-Lin Fu1Hsuan-Shu Shen1Tsung-Jung Ho1Chung-Shuen Lin1*
1Department of Chinese Medicine, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, Hualien, Taiwan
【Summary】
A 66-year-old female patient developed facial paralysis-Bell’s palsy after traveling with a cold. 4 days after the onset, oral steroid treatment by western medicine was not effective. 12 days after the onset, she went to the out-patient department of Traditional Chinese Medicine of Hualien Tzu Chi Hospital. It is graded as House-Brackman Grade IV, but her traveled again after the first visit of Chinese medicine. There have been two weeks between the return visit and the first visit. It has been 25 days since the onset of the disease. It is in the recovery stage (21-70 days after the onset). After nearly 2 months of treatment, the facial nerve palsy grade improved to House-Brackman Grade II. This case missed the acupuncture treatment in the acute stage (1-7 days after the onset), and received regular acupuncture treatment during the recovery stage. A considerable degree of improvement can still be seen.
【Keywords】facial paralysis; Bell’s palsy; House-Brackman Grade; Acupuncture