Acupuncture Techniques for Facial Paralysis Treatment

Facial paralysis is one of the most commonly treated conditions in acupuncture clinics, where it is considered a disorder that responds particularly well to acupuncture therapy. During the acute phase of facial paralysis, practitioners often focus on distal point selection, meaning points away from the face. Commonly used distal points include Hegu (LI4), Zusanli (ST36), Taichong (LR3), and Fengchi (GB20). Local needle insertion on the face should be minimized during this stage, and if used, should involve shallow punctures with few needles. Moxibustion therapy, such as gentle warming moxa treatment on the Qianzheng or Yifeng points near the earlobe area, can also be beneficial.

Recovery Phase and Facial Point Selection

During the recovery phase, treatment shifts to local facial points. According to traditional principles, "for facial paralysis, always consider the Yangming channels," meaning that the Yangming meridians are especially important in treating facial disorders. Frequently used facial points include Dicang (ST4), Jiache (ST6), Yangbai (GB14), Sibai (ST2), Yintang (EX-HN3), and Xiaguan (ST7). In addition to local points, distal limb points like Hegu (LI4) and Taichong (LR3), which open the "Four Gates," can be included. Zusanli (ST36) is also frequently used to strengthen the spleen and stomach functions, promoting better energy and nutrient absorption.

Treatment for the Sequelae Phase

In the sequelae phase—when symptoms persist beyond the acute and recovery stages—treatment continues with facial points while incorporating tonifying points to address underlying deficiencies. As facial paralysis often leads to depletion of qi and blood in later stages, acupuncturists may add points like Qihai (CV6) and Guanyuan (CV4) to replenish vital energy. Back shu points such as Feishu (BL13), Pishu (BL20), and Ganshu (BL18 may also be used to support internal organ function. Additionally, the distal point Yanglingquan (GB34), known as the "meeting point of the sinews," can be included to support muscle function and movement.

Adjunctive Therapies in Facial Paralysis Management

Throughout the entire treatment process, acupuncture can be combined with vitamin B12 (mecobalamin) or other neurotrophic drugs administered through point injection techniques. This integrative approach enhances nerve regeneration and improves overall treatment outcomes.