Mild moxibustion at Renying (ST9) combined with acupuncture in treatment of severe peripheral facial paralysis of <italic style="font-style: italic">qi</italic> deficiency and blood stagnation: a randomized controlled trial

CHEN Bin; YANG Shiyan; LU Hongkun; WANG Chenlin; CHEN Lianghua; LIN Wanqing

doi:10.13703/j.0255-2930.20251012-k0003

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Mild moxibustion at Renying (ST9) combined with acupuncture in treatment of severe peripheral facial paralysis of qi deficiency and blood stagnation: a randomized controlled trial

Clinical Research | 更新时间：2026-05-12

- Mild moxibustion at Renying (ST9) combined with acupuncture in treatment of severe peripheral facial paralysis of qi deficiency and blood stagnation: a randomized controlled trial
- Chinese Acupuncture & Moxibustion Vol. 46, Issue 5, Pages: 713-718(2026)
- 作者机构：
  
  福建中医药大学附属人民医院，福州　350004
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20251012-k0003
  CLC：
- Received：12 October 2025，
  
  Online First：04 March 2026，
  
  Published：12 May 2026
- 稿件说明：
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CHEN Bin, YANG Shiyan, LU Hongkun, et al. Mild moxibustion at Renying (ST9) combined with acupuncture in treatment of severe peripheral facial paralysis of qi deficiency and blood stagnation: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(5): 713-718. DOI: 10.13703/j.0255-2930.20251012-k0003.
DOI：

CHEN Bin, YANG Shiyan, LU Hongkun, et al. Mild moxibustion at Renying (ST9) combined with acupuncture in treatment of severe peripheral facial paralysis of qi deficiency and blood stagnation: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(5): 713-718. DOI: 10.13703/j.0255-2930.20251012-k0003. DOI：

摘要

目的：

观察温和灸人迎联合针刺治疗重度周围性面瘫（PFP）气虚血瘀证的临床疗效。

方法：

将66例重度PFP气虚血瘀证患者随机分为观察组和对照组，每组33例。对照组仅接受针刺治疗，穴取患侧阳白、四白、地仓、翳风、牵正等；观察组在对照组基础上加用温和灸患侧人迎，两组治疗均隔日1次，每周3次，连续治疗8周。比较两组患者治疗前后面神经功能评分、面部残疾指数（FDI）评分，采用表面肌电图（sEMG）检测两组患者健侧和患侧面部肌群均方根（RMS）平均值比值，并评定两组临床疗效和安全性。

结果：

治疗后，两组患者面神经功能评分及FDI总分、FDIP评分、FDIS评分均较治疗前升高（

0.01），观察组面神经功能评分、FDI总分、FDIP评分高于对照组（

0.01，

0.05）；治疗后，两组患者健侧和患侧额肌群、颊肌群、口轮匝肌群RMS平均值比值均较治疗前升高（

0.01），且观察组升高幅度大于对照组（

0.05）。观察组总有效率为87.9%（29/33），高于对照组的66.7%（22/33，

0.05）。研究过程中，两组均未出现明显不良反应。

结论：

在常规针刺基础上，温和灸人迎可以促进重度PFP气虚血瘀证患者患侧面肌恢复，改善面神经功能及面神经传导。

Abstract

Objective

To observe the clinical effect of mild moxibustion at Renying (ST9) combined with acupuncture on severe peripheral facial paralysis (PFP) of

deficiency and blood stagnation.

Methods

Sixty-six patients with severe PFP of

deficiency and blood stagnation were randomly divided into an observation group and a control group

with 33 cases in each group. In the control group

acupuncture was operated at Yangbai (GB14)

Sibai (ST2)

Quanliao (SI18)

Jiache (ST6)

Dicang (ST4)

Yifeng (TE17)

Qianzheng (Extra) and etc.

on the affected side; and in the observation group

besides the administration as the co

ntrol group

mild moxibustion was delivered at Renying (ST9) on the affected side. The intervention was given once every other day

3 sessions weekly

for 8 consecutive weeks in the two groups. The scores of facial nerve function and facial disability index (FDI) were compared before and after treatment in the two groups. The ratio of the root mean square (RMS) average values of the affected facial muscles to those of the healthy side was measured using surface electromyography (sEMG) in both groups

and the clinical effect and safety were evaluated.

Results

After treatment

both groups showed the increase in facial nerve function scores

the total scores of FDI and the scores on FDIP (physical function) and FDIS (social function) in comparison with those before treatment in the two groups (

0.01); and the facial nerve function score

the total score of FDI and the score on FDIP in the observation group were higher than those in the control group (

0.01

0.05). After treatment

the ratio of the RMS average values of the affected facial muscles (frontalis

buccinator

and orbicularis oris) to those of the healthy side was elevated in the two groups when compared with that before treatment (

0.01)

and the increase amplitude in the observation group was larger than that in the control group (

0.05). The total effective rate in the observation group was 87.9% (29/33)

higher than that (66.7%

22/33) in the control group (

0.05). No obvious adverse reaction was found in the two groups during trial.

Conclusion

On the basis of conventional acupuncture

mild moxibustion at Renying (ST9) may promote the recovery of facial muscles and improve facial nerve function and facial nerve conduction in patients with severe PFP of

deficiency and blood stagnation.

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⁰

Mild moxibustion at Renying (ST9) combined with acupuncture in treatment of severe peripheral facial paralysis of qi deficiency and blood stagnation: a randomized controlled trial

DOI：10.13703/j.0255-2930.20251012-k0003

摘要

Abstract

关键词

Keywords

references