[Overview]

Pseudo-bulbar palsy, also known as pseudobulbar palsy, bulbar beam line two cortex damage produced. The clinical manifestations of dysphagia, hoarseness, unclear speech, salivation, and even laugh so strong cry strong, serious often life-threatening.
Pseudo-bulbar palsy acupuncture treatment, or past few years. Although not a long time, but has accumulated a considerable number of cases, either the application or electro-acupuncture and body acupuncture, selected by the Extraordinary points or meridians, have achieved good results, the average efficiency of 95% or more. Shows that acupuncture for this disease, it is a quite promising therapy. In the specific treatment, due to pseudo-bulbar palsy is often a serious complication of acute cerebrovascular disease, some patients need treatment with other Chinese and Western medicine. In addition, people with scalp acupuncture combined with body acupuncture bulbar palsy, and achieved initial results [4].

[Therapy]

Body acupuncture
(1) acupoints
The main point: the wind pool, spring clean, dumb door, Yifeng, complete bone, days of the conflict.
Points: ditch, the customs, Hong Leong, Pak will, too River, according to the sea, Geshu, Kim Jin, Yu Ye, Sanyinjiao, Shenmen.
(B) Governing Law
Generally the main points, with points for the treatment of acute cerebrovascular disease arising from other symptoms such as coma, plus the ditch, the customs, phlegm dampness plus Leong, hyperactivity Gabriel will, Taichong, strong tongue dark purple plus Kim Jin, Yu Ye, mental disorders (such as the strong cry strong laugh) with the customs, Shenmen, Sanyinjiao so. Fengchi, the direction of the needle toward the Adam’s apple, 1 ~ 1.5 inch deep; also stabbing the contralateral eyes, piercing the 0.5 to 1.0 inches. To twisting tactics, not to mention plug, substantial and sustained needle 2 minutes. Spring clean hole, the direction of the base of the tongue 0.8 ~ 1.2 inch deep stab to get gas, with a combined lift and thrust twisting tactics, reinforcing-reducing needle 1 to 2 minutes, so acupuncture radiation to the tongue; also be used. ” Hegu thorn “to apply to the affected side obliquely, and then exit the shallow, back to the middle of tongue piercing, and then exit the shallow, and then to the contralateral piercing, do not leave the needle. Yamen point, should be aimed at the level of the mouth and ear lobe into the needle, piercing, send the needle slowly to get gas (patients seem to have electric shock-like feeling) that the needles, not to mention the plug, not twisting. Among the line of heavy bird pecking technique, the ball moist or tears for the degree. Kim Jin, Yu Ye, with a small edged needle puncture, bleeding 2 ~ 5ml. Combined with the insertion point to mention twisting of the reinforcing-reducing method. The above points, in addition to dummy gate hole, the disease situation in the stable needle 15 to 20 minutes (not all acute phase of the needle). Needle every 5 to 10 minutes during the needle 1. Acute phase of the needle 2 times a day, can be stable on needle 1.
(C) Evaluation
Clinical criteria: basic recovery: swallowing function was normal; markedly: glossopharyngeal function returned to normal, but sometimes hair choke; effective: swallowing function has been restored but can not eat normally.
Treatment of 576 cases, which in some cases according to the above criteria to judge the efficacy of the basic recovery 334 cases, effective in 123 cases, 94 cases of effective and ineffective in 25 cases. Total efficiency of 95.7%. [1,2,6 9]. Clinical findings, plus contact with the assassination of Kim Jin, Yu Ye better than a simple needle puncture [7].

EA
(1) acupoints
The main point: the ear pillow tangent, Ya Xue.
Points: on the spring clean, day capacity.
Yaxue Location: Wind Ikegami 0.4 points.
(B) Governing Law:
Choose one of two main points, ear acupuncture pillow tangent: use 26 1.5-inch needle, the first after the external occipital protuberance at the middle of a needle puncture, and then in the occipital protuberance at the barbed connection with 2 ears needle tip from the cutting down, the needle body and the scalp was 15 degree angle, piercing the subgaleal. Yaxue acupuncture: the 28 1.5-inch needle, selecting the right point to 45-degree angle into the needle, on both sides of the stab, stab caution, should slow the needle, get gas for the degree, depth can not exceed 1 inch; Points are advised to stabbing the tongue base. With G6805 electro-acupuncture device, the output cable needle handle, and select power density wave, continuous wave can also be used, frequency of 180 beats / min or so, can tolerate the degree of intensity, power to stimulate the 20 minutes, day 1 , 10 to 14 days for treatment.
(C) Evaluation
Clinical criteria: markedly effective: Clinical symptoms improved; effective: Clinical symptoms were relieved; invalid: no improvement of symptoms.
Observation of 86 patients (both caused by recurrent thrombosis), effective in 48 cases (50.0%), effective in 31 cases (43.75%), 7 cases, total effective rate 91.86% [3,4].

Acupuncture and ear acupuncture
(1) acupoints
The main point: days of the conflict, Hong Leong, in Quebec.
Points: Shenmen, sympathetic, cortex, esophagus, cardia (both ear).
Point location in Quebec: the proximal dorsal middle finger knuckle stripes midpoint.
(B) Governing Law
More than two groups with the use point. Days of the conflict points, with 1.5-inch needle piercing the middle of the sternum on the nest after 2 to 3 minutes, along the edge of the trachea after the leading edge of the sternum down 1 inch needle, applied twisting reducing method, the first pin down a sense of the abdomen along the Conception Vessel ; Hong Leong points, with 2-inch needle, piercing the 1.5-inch needle, after the gas lift and thrust Twist strong stimulation, acupuncture up to the lower abdomen; points in Quebec, not only the needle moxibustion with moxa applied bird pecking moxibustion 15 to 2 minutes. Ear hole area with the probe in the search for tender points, and routine disinfection, with 0.5 inch needle, needle, needle for 30 minutes in the middle every 10 minutes Twist 2 minutes. The therapy, the implementation of 1 day, 10 times as a course of treatment.
(C) Evaluation
A total of 23 patients were cured in 16 cases, 69.6%, effective in 4 cases, 17.4%; progress in 2 cases, 8.7%; 1 patient, 4.3%. The total effective rate was 95.7%. Treatment times of at least 5 times, up to 20 times with an average of 8 times [10].

Point injection
(1) acupoints
Main points: spring clean, Tianzhu, dumb door.
Points: phlegm, thick greasy tongue with Hong Leong, the full three years; those with a chest full of stuffy inside the customs; abdominal fullness are the full three years.
(B) Governing Law
Each will take the main points, with points used according to the disease. Use 10ml syringe and needle 5. Drugs for the same amount of vitamin B1 and TMP mixture of phosphoric acid. Spring clean, as if his head to take the seat, supine in the shoulder and back put a flat pillow, the direction of the tip to the base of the tongue piercing, acupuncture to the tongue after the injection. Tianzhu, dumb doors head forward to take the seat, feeling the needle to the neck and head after diffuse injection. The customs, the full three years, Hong Leong, sitting can be, the needle up and down direction of the diffuse sense of the limb after the injection. Per hole into the liquid 1ml, 1 day, 7 times for one course.
(C) Evaluation
A total of 30 patients were cured in 26 cases, accounting for 86.67%; effective in 2 cases, accounting for 6.67%; improved in 2 cases, accounting for 6.66%. The total efficiency of 100% [11].

Ear
(1) acupoints
Main points: Shenmen, sympathetic, cortex, esophagus, cardia.
(B) Governing Law
Area in the hole with a probe to find tender points, and then routine disinfection, nothing needle acupuncture with 5, the needle for 30 minutes, every 10 minutes Twist 2 minutes. Just take the side of each ear, two ears alternately acupuncture. 1 day, 10 times as a course of treatment.
(C) Evaluation
Were treated with 120 cases cured in 76 cases, effective in 24 cases, 12 cases improved, 8 cases. The total effective rate was 93.3%. Treatment times at least seven times, up to 20 times, an average of 9 [12].

[Main references]
[1] Cui this before, and so on. Acupuncture treatment of pseudo-bulbar palsy 48 cases observed. Liaoning Traditional Chinese Medicine 1984; (2): 33.
[2] Huang Ji bucket. Acupuncture treatment of pseudobulbar palsy syndrome in 20 cases. Shaanxi Traditional Chinese Medicine 1986; 7 (2): 75.
[3] Ma Fengyou, et al. Pin pillow harsh treatment of pseudo-bulbar palsy tangent 54 cases. Journal of Acupuncture 1992; 8 (6): 2.
[4] WU Yi-new. Electro-acupuncture treatment of pseudo-bulbar palsy in 32 cases. Chinese Acupuncture 1984; 4 (1): 10.
[5] Lee Wai Fong, et al. Scalp Acupuncture treatment of cerebrovascular disease and 35 cases of bulbar paralysis. Beijing Medical 1980; 2 (6): 379.
[6] Tan Guilan, et al. Acupuncture treatment of pseudobulbar palsy 64 cases of patients. Chinese Acupuncture 1992; 12 (1): 19.
[7] Ren Yan, et al. Match-fixing palsy acupuncture treatment in clinical studies. Shanghai Journal of Acupuncture 1996; 15 (2): 3.
[8] Zheng Yuying, et al. Pseudobulbar palsy acupuncture clinical experience. Shanxi Traditional Chinese Medicine 1996; 12 (1): 40.
[9] Zhang Cun-sheng, et al. Acupuncture treatment of 325 cases of pseudo-bulbar palsy clinical research. Chinese Medical Journal 1995; 10 (2): 18.
[10] the party read Chinese. With ear and body acupuncture treatment of pseudobulbar palsy in 23 cases. Chinese Acupuncture 1995; 15 (5): 22.
[11] Cheng Yaohui, et al. Injection for 30 Cases palsy. Chinese Acupuncture 1996; 16 (2): 3.
[12] party time, et al. Ear acupuncture treatment of pseudobulbar palsy of 120 cases. Zhejiang Traditional Chinese Medicine 1997; 32 (2): 69.

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