This article reports a case of multiple cranial nerve injury after gamma knife radiosurgery treated with acupuncture and moxibustion combined with rehabilitation therapy. The patient presented with weakness of facial and tongue muscles

hoarseness

choking on water

and swallowing difficulties. The syndrome was attributed to

qi

and blood deficiency

and blood stasis obstructing the collaterals. The treatment principle focused on replenishing

qi

and blood

promoting blood circulation and unblocking collaterals. Yintang (GV24

+

)

Lianquan (CV23)

Qihai (CV6)

Guanyuan (CV4)

and Cuanzhu (BL2)

Yangbai (GB14)

Jingming (BL1)

Sizhukong (TE23)

Yingxiang (LI20)

Sibai (ST2)

Juliao (ST3)

Quanliao (SI18)

Dicang (ST4)

Jiache (ST6)

Xiaguan (ST7)

Taiyang (EX-HN5) on the affected side

bilateral Jinjin (EX-HN12)

Yuye (EX-HN13)

Hegu (LI4)

Zusanli (ST36)

Sanyinjiao (SP6)

Tianshu (ST25) were selected. Among these

bilateral Jinjin (EX-HN12) and Yuye (EX-HN13) were treated with pricking

Dicang (ST4) and Jiache (ST6) on the affected side were connected to an electroacupuncture device

and warming acupuncture was applied at Guanyuan (CV4). Rehabilitation therapy and electromyographic biofeedback were also incorporated. The treatments were given 2-3 times a week. After 18 months of intermittent treatment

the patient reported significant improvement

House Brackmann (H-B) facial nerve function grade was Ⅳ

and Sunnybrook facial nerve rating scale score was 53 points. After 2-month of follow-up

the patient reported normal swallowing ability and restored social

engagement.