[You ask me an answer] When you wake up in the morning, your eyes are suddenly crooked, you can’t close your eyes, and your teeth are leaking. What’s going on? Is it a “brain infarction”?

Ms. Zhang, 38 years old, a company employee. In the morning, the mouth and eyes are skewed, the teeth are leaking, the eyes cannot be closed, and there is a dull pain behind the ears.

Ruan Mingjun, Director of the First Department of Encephalopathy, Jining Hospital of Traditional Chinese Medicine, answered: According to the patient’s symptoms, it should be facial neuritis. Facial neuritis is also known as hanging wire wind, facial paralysis, facial paralysis, which is the paralysis of facial muscles. Mainly manifested as inability to frown, inability to close or insufficiency of eyes, photophobia, lacrimation, deviating corners of the mouth to the healthy side, air leakage from the diseased side when bulging the cheeks, water leakage from the diseased side when rinsing the mouth, drooling, food staying on the teeth of the diseased side between cheeks. Some patients have pain behind the ear.

Director Ruan Mingjun is in consultation (Picture and text irrelevant)

Facial neuritis is an acute non-purulent inflammation, and Western medicine prefers hormones, blood-activating and stasis-removing drugs to treat it. From the perspective of Western medicine, the causes of facial neuritis include: feeling cold, infection (otitis media, mastoiditis, labyrinthitis, mumps), tumor compression, head and face trauma and fractures . The most common cause is idiopathic facial paralysis after exposure to cold.

He has extensive experience in the treatment of facial neuritis. From the perspective of traditional Chinese medicine, the clinical syndromes of facial paralysis (facial neuritis) can be divided into pathogenic wind entering the collaterals, deficiency of both qi and blood, mutual resistance of phlegm and blood stasis, and internal movement of liver wind. The main reasons are as follows:

1. Due to wind-cold, wind-heat, damp turbidity and obstruction of the face and collaterals, the flow of meridians and qi becomes abnormal, and the Disharmony of blood, lack of nourishment of tendons and meridians can lead to facial paralysis;

2. Insufficient qi and blood, emptiness of the veins, wind pathogens entering the central meridians, obstruction of qi and blood, and dystrophy of muscles and tendons, resulting in facial paralysis;

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3. Addicted to alcohol, fat and sweet, the spleen loses its healthy function, accumulates dampness and produces phlegm, phlegm moves and generates wind, wind and phlegm moves through the meridians, qi and blood are blocked, the channels and tunnels are blocked, the qi cannot move, and the blood cannot be moistened. Facial paralysis;

4. The yin does not converge on the yang, and the liver yang is hyperactive, and the liver yang is in the wind, which runs up the face and damages the yangming meridian, resulting in facial paralysis.

Traditional Chinese medicine treatment is mainly based on syndrome differentiation of oral Chinese medicine and acupuncture physiotherapy to achieve the effect of treating both the symptoms and the symptoms.

1. Diseases enter the interior for a long time, and the viscera and meridians are damaged. Qianzheng San is used to dispel wind, resolve phlegm and stop spasm, and is used for people with good constitution, severe wind pathogens and no internal heat in the meridians of the wind; , the mouth and eyes are skewed, mainly used for yin deficiency and blood that does not nourish tendons, and wind-heat is worse;

1. Usually, pay attention to physical activities, enhance physical fitness, and avoid catching a cold.

2. Pay attention to rest, ensure adequate sleep, watch less TV and computers, and avoid all kinds of mental stimulation and excessive fatigue.

3. Eat less greasy and indigestible food. Eat more vegetables and fruits to maintain adequate vitamin intake.

4. Be careful not to let the wind blow directly on your head and face after taking a car, enjoying the cool outdoors, bathing, or drinking, especially for the elderly and infirm.