Facial paralysis is a relatively serious neurological problem and also a disease that affects personal image. After facial paralysis occurs, it will cause the patient's mouth to be crooked and eyes to be squinting, and may even cause frequent pain. In severe cases, it will cause pain in the ears and head, and may even cause facial edema. It is crucial to find the cause and then treat it. How to treat facial paralysis, headache and ear pain 1. Treatment principles Improve local blood circulation, reduce facial nerve edema, and promote functional recovery. In general, the treatment of facial paralysis is: first, to eliminate the cause. The second is symptomatic treatment to improve circulation and eliminate facial nerve edema. The third is nerve nutrition. Once the acute phase of facial paralysis is diagnosed, antiviral, hormone and symptomatic treatment should be given as soon as possible. 2. Acute treatment ① Use corticosteroids as soon as possible, intravenous injection of dexamethasone 10-15 mg/day for 7-10 days; or take prednisone, the initial dose is 1 mg/day per kilogram of body weight, taken orally at one time or in 2 doses for 5 consecutive days, and then gradually reduce the dose within 7 days. ② For those caused by herpes zoster, take the antiviral drug acyclovir (5 mg/kg body weight, 3 times a day) orally for 7-10 days. ③Physical therapy: infrared irradiation near the stylomastoid foramen or ultrashort wave diathermy therapy can be used. ④ If the palpebral fissure cannot be closed, use eye ointment, eye patch, or suture to protect the cornea according to the situation. 3. Traditional Chinese Medicine Treatment Traditional Chinese medicine believes that facial nerve paralysis is mostly caused by wind and cold invasion, vascular spasm, ischemia, edema and adhesion of facial nerve tissue. The specific analysis of traditional Chinese medicine treatment of facial nerve paralysis is as follows: (1) The formula uses Astragalus to strengthen the exterior and improve the body’s immunity; while cinnamon twig and Evodia rutaecarpa warm the meridians and dilate the facial blood vessels. (2) Salvia miltiorrhiza, red peony root, Chuanxiong, Pueraria root, Curcuma zedoaria, and turmeric can promote blood circulation and improve microcirculation. (3) Turmeric and Curcuma zedoaria can fight inflammation and reduce edema; burdock can prevent nerve fiber degeneration. (4) Scorpions can promote the release of acetylcholine and increase muscle strength and tension. Double flower, forsythia and scutellaria baicalensis can clear away heat, detoxify and resist bacteria and viruses. |
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