基于“一气周流”理论指导针灸治疗周围性面瘫恢复期患者的临床观察*

作者：刘洪吉，艾孜扎·艾克拜，林奇清，陈 婕

单位：广州中医药大学东莞医院，广东 东莞 523000

引用：引用：刘洪吉，艾孜扎·艾克拜，林奇清，陈婕.基于“一气周流”理论指导针灸治疗周围性面瘫恢复期患者的临床观察[J].中医药导报,2026,32(1):98-102,118.

DOI：10.13862/j.cn43-1446/r.2026.01.016

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摘要：

目的：观察基于“一气周流”理论指导下针灸治疗周围性面瘫恢复期患者的临床疗效。方法：将60例周围性面瘫恢复期（病程8 d至3个月）患者随机分为对照组和治疗组，每组30例。对照组患者选取患侧阳白、太阳、四白、颧髎、颊车、地仓、翳风、牵正，双侧合谷。阳白和太阳、四白和颧髎、颊车和地仓分别连接电针，采用疏密波，频率2 Hz/100 Hz。治疗组患者在对照组患侧面部取穴基础上，再选取百会、气海、中脘、关元、双侧天枢，左侧肢体选取阴陵泉、三阴交、太冲，右侧肢体选取合谷、足三里、丰隆，面部不予加电针，并在腹部放置艾灸盒治疗。两组均每天治疗1次，6 d为1个疗程，每个疗程间隔1 d，共治疗3个疗程。观察两组患者治疗前后Sunnybrook面神经评定系统评分，House-Brackmann（H-B）面神经瘫痪分级，患侧面神经支配的额肌、眼轮匝肌、口轮匝肌的肌电信号潜伏期及波幅，血清免疫球蛋白IgA、IgG、IgM水平，并比较临床疗效。结果：治疗后，两组患者Sunnybrook面神经评定系统评分均升高（P<0.05），H-B面神经瘫痪分级评级均改善（P<0.05），患侧面神经支配的额肌、眼轮匝肌、口轮匝肌的肌电信号潜伏期均缩短（P<0.05），波幅均升高（P<0.05），血清IgA、IgG、IgM水平均降低（P<0.05）；且治疗组患者各项指标均优于对照组（均P<0.05）。治疗组的总有效率为96.67%（29/30），明显高于对照组的80.00%（24/30）（P<0.05）。结论：基于“一气周流”理论指导下针灸治疗周围性面瘫恢复期患者疗效显著，可明显改善面神经功能，加快神经传导速度，增强机体免疫功能。

关键词：周围性面瘫；恢复期；一气周流；针灸

Abstract：

Objective: To observe the clinical efficacy of acupuncture treatment for patients with peripheral facial paralysis in the recovery stage under the guidance of the "one qi circulation" theory. Methods: Sixty patients with peripheral facial paralysis in the recovery stage (disease duration: 8 days to 3 months) were randomly divided into a control group and a treatment group, with 30 cases in each group. Patients in the control group were acupunctured at Yangbai (GB14), Taiyang (EX-HN5), Sibai (ST2), Quanliao (SI18), Jiache (ST6), Dicang (ST4), Yifeng (SJ17), and Qianzheng (Extra) on the affected side, and at bilateral Hegu (LI4). Electroacupuncture with dense-disperse waves at a frequency of 2 Hz/100 Hz was applied between Yangbai (GB14) and Taiyang (EX-HN5), Sibai (ST2) and Quanliao (SI18), and Jiache (ST6) and Dicang (ST4). Based on the acupoints selected on the affected side in the control group, patients in the treatment group additionally received acupuncture at Baihui (DU20), Qihai (RN6), Zhongwan (RN12), Guanyuan (RN4), bilateral Tianshu (ST25), left-side Yinlingquan (SP9), Sanyinjiao (SP6), and Taichong (LR3), as well as right-side Hegu (LI4), Zusanli (ST36), and Fenglong (ST40). No electroacupuncture was applied on the face, and a moxibustion box was placed on the abdomen. Both groups were treated once daily. Six days constituted one treatment course, with a 1-day interval between courses, totaling 3 courses. The Sunnybrook Facial Grading System score, House-Brackmann (H-B) facial nerve grading, latency and amplitude of electromyographic (EMG) signals from the frontalis, orbicularis oculi, and orbicularis oris muscles innervated by the affected facial nerve, and serum levels of immunoglobulins IgA, IgG, and IgM were observed before and after treatment. Clinical efficacy was also compared. Results: After treatment, both groups showed increased Sunnybrook scores (P<0.05), improved H-B grades (P<0.05), shortened latency and increased amplitude of EMG signals from the frontalis, orbicularis oculi, and orbicularis oris muscles (P<0.05), and decreased serum levels of IgA, IgG, and IgM (P<0.05). Moreover, all outcome measures in the treatment group were superior to those in the control group. The total effective rate was 96.67% (29/30) in the treatment group, significantly higher than 80.00% (24/30) in the control group (P<0.05). Conclusion: Acupuncture treatment based on the "one qi circulation" theory is significantly effective for patients with peripheral facial paralysis in the recovery stage. It can markedly improve facial nerve function, accelerate nerve conduction velocity, and enhance immune function.

Key words：peripheral facial paralysis; recovery stage; one qi circulation; acupuncture

发布时间：2026-01-30

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