| Objective:to explore the differences of the clinical curative effects of early idiopathic facial neuritis when the acupuncture and moxibustion are combined in different way; to explore more effective, safer, and more convenient therapeutic plan, which provides the basis for clinical standardized treatment, in order to form a better clinical solution, and further facilitate the patients and improve curative effect. Thus, on this basis, a unified standardized treatment plan can be gradually formed.Method:this paper adopts the method of cohort study, with reference to the diagnostic criteria of idiopathic facial neuritis from the version 6 of "Neurology" published in 2008. The cases of the clinic patients are collected, which are from department of acupuncture and moxibustion of the Guang’anmen hospital of traditional Chinese medicine, which belongs to China Academy of Chinese Medical Sciences in Beijing. And the patients are divided into group A (acupuncture+acusector), group B (acupuncture+ acusector+ cupping), and group C (acupuncture + acusector+ moxibustion). Because of failing to find a suitable doctor for group C, the experiment of group C is given up, and retain only group A and group B for clinical observation. A total of 79 patients are received, among which 16 quit. The effective cases reach 63, including 35 cases of group A, and 28 cases of group B.The acupuncture treatment are used on the basis of the Qianzhengfang adopted by an aged prestigious physician of Chinese traditional medicine Mr. Wang Leting to treat facial paralysis. Group A:to needle the acupoint of Shuxue, and use acusector in the acupoint of Dicangjiache and Yangbaitouwei; each time retain for 20 minutes, once a day, and 4-6 times a week; group B:adopt moving cupping therapy first on the side face of the patients until their face turns ruddy. It takes 5 minutes or so and others are basically the same to that of group A. The symptoms before and after the therapy are compared and estimated (major assessment), the same to the estimation of psychological effects (secondary assessment), as well as the medical complication and satisfaction of patients. And the effective rate is calculated. The statistical software SPSS 19.0 is used to make comparison.Conclusion:(1) Effective rate:among the 35 cases of group A (acupuncture+acusector),13 of them are healed, which account for 37.14%. And 21 of them see effects, which account for 60.00%.1 case is valid, accounting for 2.86%, and no case is in vain. Among the 28 cases of group B (acupuncture+acusector+ cupping),4 of them are healed, which account for 14.16%. And 22 of them see effects, which account for 78.57%.2 cases are valid, accounting for 7.14%, and no case is in vain. Compared the diversity of these two groups, P=0.0403< 0.05. The diversity has statistical significance. In conclusion, the clinical effects of the combination of " acupuncture+ acusector" are more advantageous than that of "acupuncture+ acusector+ cupping" (2) Satisfaction:there is no statistical significance to compare the difference of patients’satisfaction scores. Therefore, it comes to the conclusion:the patients’satisfaction of the combination of "acupuncture+acusector" has no difference from that of "acupuncture +acusector+ cupping"No adverse reactions occurred in both groups, so it comes to the conclusion:the combination of "acupuncture+acusector" and the combination of "acupuncture+acusector+cupping" are safe. |