• Journal of Acupuncture Research
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• 제25권5호
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• pp.205-211
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• 2008

Objectives : This study is designed in order to evaluate oriental medical treatment of facial diplegia with continued facial palsy. Methods : The authors observed patients by Yanagihara's unweighted grading system for operated acupuncture treatment, herbal medicine treatment and physiotherapy. Results & Conclusions : 1. Both facial grade had different scores in Yanagihara's unweighted grading system for 2 cases when the facial palsy occured. 2. Both cases were diagnosed in wind-cold(feng-han) type. 3. The left and right side of face took different amount of time to recover. 4. Facial diplegia was significantly improved.

• 한방안이비인후피부과학회지
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• 제7권1호
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• pp.157-167
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• 1994

• 대한한의학회지
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• 제29권1호
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• pp.146-155
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• 2008

Objectives : This study was to assess the effectiveness of oriental medical therapy (OM) on acute Bell's palsy, comparing its outcome with that of oriental-western medical therapy (OWM). Methods : Subjects were enrolled atKyung Hee Medical Center from March 2007 to December 2007. We prescribed Igigeopung-san and acupuncture therapy to both the OM and OWM groups, and prednisolone only to the OWM group. Effectiveness was assessed by the House-Brackmann facial nerve grading system (HBGS) and Yanagihara's unweighted grading system (YUGS) every week. Results : There were 31 patients in the OM group and 34 in the OWM group. About grading system scores and weekly score gaps, no significant differences were revealed between the two groups, but statistical significant difference was detected at recovery time. After 2 weeks of treatment, the OM group's HBGS score showed significant difference from baseline score, but the OWM group showed it after 1 week. After 3 weeks of medication, pain was reduced in 22% of OM group patients, but 50% in the OWM group (p=0.028). We made the same comparison study for patients treated within 4 days from onset, but there was no significant difference between the two groups. 3 cases of adverse effect of hyperglycemia were found in the OWM group, which could be due to hyperglycemic side-effect of prednisolone. Conclusion : This work could help us to understand the effectiveness of OM compared to OWM on acute Bell's palsy.

• 대한한방소아과학회지
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• 제28권4호
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• pp.45-63
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• 2014

Objectives The purpose of this study is to investigate the clinical characteristics in children and adolescents with peripheral facial palsy that was treated with Korean medicine. Methods The study was conducted based on 284 cases that consisted of 261 children (less than 19 years old) who visited the hospital of Korean medicine from August 2010 to August 2014. Then, this study was analyzed by reviewing the patients' charts. Results The incidence of facial palsy in pediatric patients was more common in boys than in girls and the mean age was 11.2 years. The prevalence of facial palsy was more common in winter and most were diagnosed with Bell's palsy. Recurrence was identified in 12.6% of the patients. The average age of the first attack was 9.5 years. It took about 3.2 years for recurrence to occur from the first onset. It took about 5 days to visit the hospital of Korean medicine from the onset. 81% of the patients came within 1 week from the onset. 50.7% of the cases did not receive any treatment before and 49.3% were previously treated at other hospitals. More than half of the patients (65.1%) received Korean medicine first. 54.6% of the patients were hospitalized and 45.4% received outpatient treatments in the hospital of Korean medicine. Outpatient treatments were administered about 11.5 times while hospitalized patients were treated for an average of 16.6 days. In general, hospitalized patients were treated more often than the outpatient group. An overall average duration of treatment was 70.6 days from the onset of facial palsy until the last day of treatment, and 53.0 days from the first day of treatment until the last day of treatment. 41.5% of the cases were treated only with Korean medicine and 49.0% were treated with a combination of Korean and Western medicine. The types of Korean medicine treatment used for facial palsy in descending order of frequency were acupuncture, Infra red, herbal medicine, SSP therapy, electro-acupuncture, carbone, hot pack, cupping, and moxibustion. The treatments that were most frequently used from Western medicines were steroid as monotherapy (61.7%) and a combination of steroids and antiviral therapy (37.6%). Conclusions This result showed that the risk of facial palsy recurrence among children is relatively high and that facial palsy requires a long-term treatment. It's helpful to explain about prognosis, treatment duration, and recurrence potential in children. Facial palsy in children is treated in various ways but more studies about the therapeutic effects of Korean medicine, Western medicine, and combination of Korean-Western medicine in children are needed.

• Journal of Acupuncture Research
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• 제32권4호
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• pp.69-76
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• 2015

Objectives : The aim of this study was to observe the effect of Embedding therapy on complete facial palsy after primary treatment. Methods : 11 patients with complete facial palsy were treated with Embedding therapy. It was performed once a day, every two weeks. 15~20 Embedding threads were used in each Embedding therapy treatment. The total number of Embedding therapy treatments was 4 or 8. Frontalis muscles (including the Yangbaek ($GB_{14}$)), Orbicularis oculi muscle, Levator labii superioris muscle, Zygomatic major muscle, Zygomatic minor muscle (including the Georyo ($ST_3$) and Jichang ($ST_4$)), Masseter muscle, Buccinator muscle (including the Hyeopgeo ($ST_6$)) and Orbicularis Oris muscle were selected. Yanagihara's score and House-Brackmann scale were compared for before and after treatment to evaluate the effect of Embedding therapy. Results : Yanagihara's score increased significantly (p=0.003). House-Brackmann Scale decreased significantly (p=0.005). Three patients were extremely satisfied, six patients were satisfied, and two patients responded neutrally in regards to Embedding therapy. Conclusions : Embedding therapy can be effective in improving symptoms of complete facial palsy.

• 대한한방내과학회지
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• 제41권2호
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• pp.224-232
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• 2020

Objectives: This case report presents the effects of traditional Korean medicine on a patient with idiopathic bilateral facial nerve palsy. Methods: Two evaluation scales, the House-Brackmann (H-B) scale and the Yanagihara scale, were used to evaluate the symptoms of bilateral facial palsy. Herbal medicine and acupuncture treatment were administered to improve the patient's symptoms in parallel with Western oral medication (Valvirus Tab 500 mg, Solondo 5 mg, Lipitor 20 mg, Almagel 15 ml, Lanston 15 mg). Results: Before treatment, the patient had severe facial paralysis with an H-B scale of 5/5 and a Yanagihara scale of 3/2 on both sides. However, after treatment, the symptoms improved significantly with an H-B scale of 2/3 and a Yanagihara scale of 31/26. Conclusions: This case report shows that traditional Korean medicine in parallel with Western oral medication can be effective in the treatment of idiopathic bilateral facial nerve palsy.

• 대한물리치료과학회지
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• 제13권2호
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• pp.121-127
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• 2006

Consideration for therapy method and oral motor function character of children with cerebral palsy. Therapists who treat for feeding disorder children owing the regression of oral motor function are necessary to gain knowledge about dysfunction of sensing, perception and cognition with baffling to eat and inhibition of primitive reflex, oral anatomy and function, and motor control (trunk, head, positioning of the upper limbs and the lower limbs and muscle tone). Oral motor function program is a comprehensive rehabilitation program which requires systematized enforcement and collaborated attempts to physiotherapists, occupational therapists, speech therapists, psychotherapists. Especially, physical therapists are not accustomed to oral motor program, hoping to provide diffusely and apply new therapy approach method for many areas (bell's palsy, respiratory failure, speech articulation). It will comprise to study owing to holistic approach with clinic.

• 한방안이비인후피부과학회지
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• 제32권3호
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• pp.105-115
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• 2019

Objectives : The purpose of this study is to analyze the trends of phamacopuncture used in facial nerve palsy related articles that have been published in the Korean medicine journal. Methods : 242 papers related to facial nerve palsy were retrieved from Oriental Medicine Advanced Searching Integrated System(OASIS) and Korean Traditional Knowledge Portal(KTKP). We selected 13 research papers treated with pharmacopuncture for facial nerve palsy. We analyzed for type of pharmacopuncture used, treatment point and clinical type. Results : 1. The number of searched articles is thirteen. 2. The most common clinical type of facial nerve palsy is Bell's palsy. Other types are accompanying tympanitis type, herpes zoster oticus, caused by traumatic temporal bone fracture type, Foville syndrome, Foville-Millard-Gubler syndrome and multiple cerebral neuritis. 3. In the case of pharmacopuncture, the most frequently used type is Hominis Placenta Pharmacopunture. The second is Hwangreonhaedok-tang and Hwangreon Pharmacopuncture. Other than that BV, Sinbaro, Jungsongouhyul Pharmacopuncture, Cornu Cervi Pantotrichum Pharmacopuncture and Ginseng pharmacopuncture are used. 4. The most frequently used part as a treatment point is ST4, ST6, TE17.

• 한방안이비인후피부과학회지
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• 제35권1호
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• pp.81-90
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• 2022

Objectives : The purpose of this study is to report a case of bilateral facial palsy in a patient with Guillain-Barre Syndrome after coronavirus disease 2019(COVID-19) vaccination. Methods : The patient diagnosed as Guillain-Barre Syndrome and Bilateral facial palsy after COVID-19 vaccination. We applied Korean medical treatment including acupuncture and herbal medicine for bilateral facial palsy. We used HBGS(House-Brackmann Grading System), VAS(Visual Analog Scale) to estimate the symptoms. Results : After the treatment, both facial palsy showed big improvement. Compared to the onset, HBGS improved by Grade 1/2 and VAS by 2. Conclusions : This case report shows effect of Korean medicine on Bilateral facial palsy and suggests a possibility of Korean medicine to treat adverse events following COVID-19 vaccination.

• 대한한방내과학회지
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• 제34권1호
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• pp.86-99
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• 2013

Objectives : The purpose of this study was to analyze the general features of patients with idiopathic faical paralysis. Methods : We investigated the various features and HBGS (House-Brackmann Grading System) of 505 patients who were diagnosed with idiopathic facial paralysis. Results and Conclusions : 1. The sex distribution was 264 male cases, and 241 female cases, and the majority of them were in their 40s. 2. Overwork was the most frequent contributing factor to their paralysis. 3. The treatment of most patients was completed within 2 months. 4. Their recovery was faster if their first hospital visit was sooner and their paralysis was partial. On average, the patients recovered within 19.5 to 27.8 days and it took much less time than natural recovery. 5. When looking at the BMI of the selected patients for this study, 62.00% were obese while 14.37% were under-weight. Among the obese patients, there were more with Xu mai (虛脈) than Shi mai (實脈). For the under-weight patients, most had Shuo mai (數脈) while none had Chi mai (遲脈).