面瘫了怎么办？中医有妙招！How to help with Facial Paralysis
Hi，我是一名中医师，陈佩晶医师——陈医师。
又来分享医学常识+恐吓大家啦！
青壮年最容易面瘫？！
基于现代人的生活节奏、情绪及工作压力等，“中风”案例愈加普遍及年轻化，然而“面瘫”更多出现于青壮年龄人群，即20-40岁为主。
什么是面瘫？
面瘫俗称"歪嘴巴"，医学上叫"面神经麻痹"。最典型的表现就是：早上刷牙时发现水从嘴角漏出来、照镜子发现半边脸不会动、眼睛闭不上、微笑时嘴角歪斜、吃饭时食物总卡在脸颊一侧等。
这种病不分年龄，主要诱因为高强度压力、受凉（尤其冷风直吹）、熬夜及病毒感染等。
想想看，这些诱因是不是很贴近于现代人群？！
小中风=面瘫？
切记！切记！面瘫不是小中风！
面瘫分为 半侧脸面部肌肉瘫痪 和 1/4面部肌肉瘫痪（下半面肌肉瘫痪，额部肌肉正常即可抬眉）。
其中，半侧脸面部肌肉瘫痪（医名为周围性面瘫）较容易恢复正常，积极治疗处理，可在1-3月内康复。
而 1/4面部肌肉瘫痪（医名为中枢性面瘫）与中枢神经受损有关，恢复较差，甚者伴随肢体瘫痪、语言障碍等。
小中风，则是脑血管出现短暂问题，可出现面瘫+肢体乏力表现，过1-2天可缓解。但一定不能掉以轻心！！！因为可能真正的“中风”就要来临了！尤其是当自己或他人发现有面部、眼或嘴歪斜、肢体乏力等，但出现一阵子就恢复正常，进而不予以重视，往往容易进展成“中风”事件。
由此可见，无论是中枢性、周围性面瘫或小中风，第一时间就医，必要时做一个脑部CT。
中医怎么看面瘫？
面瘫的病机主要如冷风吹袭日久，经络受阻，气血运行不畅，面部受凉后经络"堵车"了；或因压力、消耗过度，好比电线过度使用、老化，一不小心短路，使得面部神经得不到滋养。
疗法+康复
针灸+中药
中药用以补充机体能量，使得气血运行顺畅，加强脑部及面神经供血，同时去除体内多余风、寒、热、瘀等问题
针灸直接导引气血涌至头面部，加快修复及加强肌肉活跃性
黄金期
病发后应尽早就医，3-6月内为黄金期！恢复良好者可在3月内完全恢复正常状态。超过1年则恢复渺茫。
自我训练
对着镜子练习：抬眉毛、鼓腮帮、吹口哨、微笑
增加咀嚼动作：嚼口香糖
实际案例
初诊：24Apr2025 末诊照片摄于：3Jul2025
24Apr就诊时，嘴角歪斜明显，眼睛紧闭不完全，伴随部分不适症状。
Actual Case Record of Facial Paralysis
Initial Visit: April 24, 2025 Final Documentation: July 3, 2025 (progress photo)
Clinical Timeline:
- April 12, 2025: Noticed mouth deviation after friend's alert. Sought Western medical treatment and received blood-thinning medication and antihypertensive drugs.
- April 24, 2025 (initial TCM visit):
- Significant mouth deviation
- Incomplete eye closure
- Accompanying discomfort symptoms
- Treatment Protocol:
- Acupuncture + flash cupping + herbal medicine
- Recommended frequency: 1-2 acupuncture sessions/week
- Actual frequency: Reduced to 1 session per 1-2 weeks due to distance constraints
- July 3, 2025:
- Symptoms significantly relieved
- Stable blood pressure
- Slight residual mouth deviation with marked functional improvement
🚨20-40 yrs old ppl are the most prone to Facial Paralysis?!
Modern lifestyles, emotional stress, and work pressure have increased stroke cases among younger people, yet facial paralysis predominantly affects young and middle-aged adults (aged 20–40).
❓ What is Facial Paralysis?
Colloquially called "crooked mouth," it is medically termed facial nerve paralysis. Typical symptoms include:
- *Water leaking from the mouth while brushing teeth
- *One side of the face unable to move when looking in the mirror
- *Inability to close the eye fully
- *Mouth tilting when smiling
- *Food getting stuck in one cheek while eating.
This condition affects all ages, with triggers including high stress, cold exposure (especially direct wind), sleep deprivation, and viral infections— common factors in modern life!
️🚨 CAUTION! Mini-Stroke ≠ Facial Paralysis!
Facial paralysis is categorized into two types:
A.Peripheral facial paralysis: Entire half-face muscle weakness. High recovery rate (1–3 months with active treatment).
B. Central nervous facial paralysis: Only the lower facial muscles weaken (forehead muscles function normally, allowing eyebrow-raising). Linked to central nervous system damage, often with poor recovery, limb paralysis, or speech disorders
Mini-stroke (transient ischemic attack) involves temporary cerebrovascular issues, causing facial paralysis + limb weakness that resolves in 1–2 days. DO NOT ignore this! It may signal an impending stroke.
🔎 Key takeaway: Seek immediate medical care for any facial paralysis or mini-stroke symptoms. A brain CT scan may be necessary.
🌿 TCM Therapy & Rehabilitation
Facial paralysis arises from:
- Acupuncture + Medicine:
- *Herbs replenish energy, promote qi/blood flow, enhance brain/facial nerve perfusion, and eliminate wind, cold, heat, or stasis pathogens.
- *Acupuncture directs qi/blood to the face, accelerating nerve repair and muscle activation.
- Golden treatment window: 3–6 months post-onset. Recovery within 3 months is likely; beyond 1 year, chances diminish.
- *Herbs replenish energy, promote qi/blood flow, enhance brain/facial nerve perfusion, and eliminate wind, cold, heat, or stasis pathogens.
- *Acupuncture directs qi/blood to the face, accelerating nerve repair and muscle activation.
💪 Self-Rehabilitation Exercises
Practice before a mirror-Raise eyebrows, Puff cheeks, Whistle, SmileChew candy-gum to strengthen muscles
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