2 origins: Peripheral or central. The central involves only the mouth, send to emergency, it is cerebral vascular. We will see the peripheral, motor nerve affected, involves eye and mouth on one side.

Normally it is a picture of fullness, attack of cold wind that obstructs the M (DM, RM, Yang Ming is the fundamental, Shao yang or...) Sudden onset, gets up in the morning, looks in the mirror, disfigured on one side. Feeling of tightness numbness. 2 typical symptoms: cannot close eye and mouth deviates toward the healthy side. Cannot raise nose, cannot take water, nor blow, nor raise eyebrows, creases disappear. There can be a lot of pain in the mastoid area, behind the eye. At first a lot of headache, photophobia. Sometimes the anterior two thirds of the tongue numb, loss of taste capacity.

Due to cold current, otitis, maxillary problem, febrile problem. Here it is not seen much. Li ping here does not treat until after 10 days, during those days it worsens, starts incorporating treatment when they start lowering the dose of corticosteroids. Generally they come for sequelae. The first three months are fundamental. After 3 years it is very difficult to recover something.

Here they give corticosteroids, it is useful and necessary to avoid sequelae.

Treatment

At least 2 or 3 times per week. In China every day.

The recent paralysis is needled on the affected side, in the chronic both. In chronic it usually goes into spasms, in that case treat only the healthy side, the other is dry land. Everything depends on how each one is.

Transfixion.

• Yin Tang. GV-26 toward the affected side. CV-24 the same.
• ST-4 toward ST-6. ST-6 toward ST-4. Careful not to go through the cheek.
• ST-7 perpendicular. TE-17 perpendicular.
• LI-4, LR-3. LI-20 following the groove toward the root of the nose.
• If crying, tearing BL-1 or BL-2 toward BL-1. 2 to be able to close the upper eyelid and knit the brow, direct toward 1 for crying, surely you will make it purple.
• GB-14, pinch and reach the center of the eyebrow transfixiating.
• ST-2 to raise the lower eyelid that falls.
• If a lot of pain behind the ear, in the mastoid area, apart from TE-17 + GB-12 + TE-5.
• If drool falls at the side of CV-24, the 24 RM bis, Jia Cheng Jiang, directing it toward

• From the 4 E toward 6 E and another needle toward 20 IG. Can do electro.

• If the tongue is numb or there is loss of taste: The two points below the tongue, Jin Jin and Yu Ye.

Techniques

We can moxa the points with a cigar. Do not put moxa on the needles. Electro-stimulation with low frequency, continuous waves. Sometimes also cupping. Massages, that they massage themselves several times a day.