Facial Paralysis Treatment: Should You Choose Traditional Chinese Medicine or Western Medicine?

Facial paralysis, or Bell's palsy, is best treated with a combination of both Traditional Chinese Medicine (TCM) and Western medicine. This condition typically develops acutely and is often linked to local facial nerve ischemia caused by exposure to cold or wind. In some cases, it may also be triggered by a herpes zoster virus infection. A comprehensive treatment plan incorporating both medical systems offers the most effective path to recovery.

Western Medical Approaches to Facial Paralysis

In Western medicine, the primary treatment during the acute phase involves short-term oral corticosteroids to reduce nerve inflammation and swelling. These medications help minimize nerve damage and accelerate the healing process. Additionally, neurotrophic drugs such as methylcobalamin are commonly prescribed to support nerve function and regeneration.

If the patient presents with symptoms like ear rash or is diagnosed with a viral infection, antiviral medications may also be included in the treatment regimen. These drugs work to suppress the virus and prevent further complications. Eye care is also emphasized in Western treatment protocols, as many patients experience difficulty closing their eyes, which can lead to corneal damage.

Traditional Chinese Medicine (TCM) Strategies

Traditional Chinese Medicine plays a vital role throughout all stages of facial paralysis — from the acute phase to recovery and even in managing long-term symptoms. In the early stage, TCM focuses on clearing heat and detoxifying the body, while also promoting blood circulation and calming wind symptoms.

Mid-Stage Treatment with TCM

During the second to fourth week after onset, treatment shifts toward improving circulation and unblocking meridians. Herbal formulas and acupuncture are often used together to enhance blood flow to the affected nerves and muscles. This stage is crucial for laying the foundation for full facial function recovery.

Recovery Phase and Beyond

In the recovery phase, therapy emphasizes strengthening the body's vital energy (Qi) while continuing to promote blood circulation. Acupuncture remains a key treatment method throughout all stages, especially in the early days of symptom onset. It has been shown to significantly improve outcomes when applied promptly and consistently.

Many patients find that combining both TCM and Western approaches results in faster and more complete recovery. The integration of these two systems allows for both immediate symptom management and long-term body balance restoration, making it a preferred approach for treating facial paralysis.