This paper introduces Professor

SUN Shentian

's clinical experience in the treatment of refractory facial paralysis with acupuncture and moxibustion. Professor

SUN

believes that the etiology of refractory facial paralysis is complex. Acupuncture and moxibustion treatment should be based on cortical localization

Baihui (GV20)

lower 1/5 of mo

tor area and brainstem area are selected

and repetitive transcranial acupuncture is applied. Under the ultrasonic positioning

acupuncture is performed on the starting and ending points of the mimetic muscles in different lesion sites. Combined with the TCM pathogenesis of refractory facial paralysis with deficiency of healthy

qi

and retention of pathogenic factors

acupuncture and moxibustion treatment takes strengthening the healthy

qi

and eliminating pathogenic factors as the core

and reuses the acupoints of

yangming

meridians (Yingxiang [LI20

]

Sibai [ST2

]

Dicang [ST4

]

Hegu [LI4

]

Zusanli [ST36

]

etc.) as the main acupoints to dredge the meridians. The main facial mimetic muscles and related collateral points are selected for cluster needling to dredge the collaterals. Acupuncture at Yangbai (GB14)-toward-Tongziliao (GB1)

Sibai (ST2)-toward-Dicang (ST4)

Dicang (ST4)-toward-Jiache (ST6) is applied and combined with the needle-sticking and lifting technique to nourishing tendons. Qihai (CV6) and Guanyuan (CV4) are selected for acupuncture before moxibustion. In addition

Professor

SUN

emphasizes that the three methods of kneading

acupuncture and moxibustion should be used in Yifeng (TE17)

Qianzheng (Extra) and Xiaguan (ST7). Professor

SUN

combines TCM syndrome differentiation with modern technology

which has the advantages of accurate positioning and diverse techniques

and provides a new idea for the treatment of refractory facial paralysis.