This article reports a case of a patient who developed left lateral rectus muscle paralysis combined with facial nerve injury after acoustic neuroma surgery

and was treated wit

h acupuncture. Based on the academic theory of "

Fang

's Acupuncture"

the main acupoints selected were Shangming point

Chengqi (ST1)

Yangbai (GB14) toward Yuyao (EX-HN4)

Sizhukong (TE23) toward Yuyao (EX-HN4)

Cuanzhu (BL2) toward Shangjingming

Kouheliao (LI19) toward Quanliao (SI18)

Dicang (ST4) toward Jiache (ST6)

and Jiachengjiang toward Daying (ST5) on the affected side. The supplementary points included bilateral Fengchi (GB20)

Tongziliao (GB1)

and Xinming 1

Qianzheng

Quanliao (SI18)

and Hegu (LI4) on the affected side. Shangming and Chengqi (ST1) were treated using triple needling technique

combined with point-toward-point needle insertion and electroacupuncture. Each treatment lasted 30 minutes

once every other day. After 4-month treatment

the movement of the left eyeball returned to normal

with abduction reaching the lateral edge. After a further 2-month treatment (once weekly)

the left lateral rectus muscle paralysis was cured

although facial nerve injury on the left side remained. The treatment protocol was then adjusted. After another 5-month treatment

the facial nerve injury symptoms of left side were improved. At 6-month follow-up

the patient had slightly shallow left forehead wrinkles

complete eyelid closure without eyeball exposure

and a slightly shallow left nasolabial fold

with overall good condition.