Deviation of Eye and Mouth

Deviation of the eye and the mouth is derived from invasion of the meridians and collaterals and muscle meridians in the facial region by exogenous pathogenic wind and cold . It can occur in patients of any age , but mostly at the age of twenty to forty , and more frequently in males .

Etiology and Pathogenesis

Deviation of the eye and the mouth is due to paralysis of the facial muscles caused by the attack of pathogenic wind and cold on Yangming and Shaoyang Meridians , which leads to malnutrition of the muscle regions of the meridians .

Differentiation

Main manifestations : Sudden onset , usually right after waking up , incomplete closure of the eye in the affected side , drooping of the angle of the mouth , salivation and inability to frown , raise the eyebrow , close the eye , blow out the cheek , show the teeth or whistle , and in some cases pain in the mastoid region or headache , thin white tongue coating , superficial tense or superficial slow pulse .

Analysis : It is known that the Foot and Hand Yangming and Shaoyan Meridians supply the facial region , and the Muscle Meridians of Hand and Foot Yangming and Shaoyang also reach the forehead , cheek , and the front of the ear . The above manifestations of deviation of the eye and the mouth are due to the flaccidity of affected muscles leading to the imbalance of facial muscles between the two sides . The paralytic muscles are caused by stagnation of qi in the meridians and malnutrition of the regions of the muscle meridians after the invasion of pathogenic wind and cold .

Treatment

Method : To eliminate wind and remove the obstruction of meridians by applying even - movement mainly to the points of Hand and Foot Yangming Meridians , and also to the points of Shaoyang Meridians .

Prescription : Yifeng ( S J 17 ) , Yangbai ( G 14 ) , Taiyang ( Extra ) , Quanliao ( S 1 18 ) , Xiaguan ( S 7 ) , Dicang ( S 4 ) , Jiache ( S 6 ) , Hegu ( L 14 ) . Supplementary points : Headache : Fengchi ( G 20 ) . Difficulty in frowning and raising the eyebrow : Zhanzhu ( B 2 ) , Sizhukong ( S J 23 ) .

Incomplete closing of the eye : Zanzhu ( B 2 ) , Jingming ( B 1 ) , Tongziliao ( G 1 ) , Yuyao ( Extra ) , Sizhukong ( S J 23 ) . Difficulty in sniffing : Yingxiang ( L 1 20 ) . Deviation of the philtrum : Renzhong ( Du 26 ) .

Inability to show the teeth : Juliao ( S 3 ) . Tinnitus and deafness : Tinghui ( G 2 ) . Tenderness at the mastoid region : Wangu ( G 12 ) , Waiguan ( S J 5 ) .

Explanation : Hegu ( L 1 4 ) , the Yuan - ( Primary ) point of the Large Intestine Meridian ofHand - Yangming , can ehminate pathogenic wind from the head and facial region . Wangu ( G 12 ) and Tinghui ( G 2 ) can eliminate wind and relieve headache . Yangbai ( G 14 ) , Taiyang ( Extra ) , Zanzhu ( B 2 ) , Sizhukong ( S J 23 ) , Tongziliao ( G 1 ) , Yuyao ( Extra ) , Juliao ( S 3 ) , Renzhong ( Du 26 ) , Dicang ( S 4 ) , Jiache ( S 6 ) , Yingxiang ( L 1 20 ) and Quanliao ( S J 17 ) are all local points of the involved meridians and have the effect of elininating wind and invigorating circulation of meridians .

Remarks

This condition is seen in peripheral facial paralysis or Bell's palsy in modern medicine .

In long - standing cases , the warming needle or moxibustion may be used to the points Taiyang ( Extra ) , Jiache ( S 6 ) , Dicang ( S 4 ) , Juliao ( S 3 ) , and Xiaguan ( S 7 ) .

Cupping : Cupping may be used as an adjuvant method to acupuncture . The affected side may be treated with small cups once every three to five days .

If the healthy side of the face is stiff , shallow puncture and needle retaining at the local points of the healthy side can be applied in combination with needling of the affected side .