Patient's question:
Right-sided hemiplegia, but no facial numbness, with pain sensation, lasting for 3 years, due to improper treatment. Currently, the eyes cannot fully close, the mouth leans to the left when speaking, tears while eating, dizziness, occasional head fullness, and hearing loss.Test results: Confirmed as localized facial palsy by the Third Military Medical University.
Previous treatment history and effectiveness: Treated at the Third Military Medical University through intravenous fluids, Chinese herbal medicine, and acupuncture, but the condition was not fully resolved. Continuous medication has been taken, including:
- Ginkgo biloba liquid (previously administered via IV, now taken as tablets)
- Xuesaitong
- Ferulic acid sodium
- Vitamin B1
- Methylcobalamin (previously administered via IV, now taken as tablets)
- Huofanwan
- Followed by Chinese herbal medicine and acupuncture.
To date, Chinese herbal medicine has been taken continuously, but the results have been unsatisfactory.
Desired assistance:
1. Can the condition be fully treated?
2. What treatment methods should be used?
3. Which hospitals in China are recommended?
Doctor's answer:
Hello, it's Bell's palsy. The treatment principle for Bell's palsy—stabilizing local blood circulation, reducing facial nerve edema, and promoting complete functional recovery.1. Early use of prednisone, initial dose of 1 mg/kg/day, bid, for 5 consecutive days, then gradually reduce to 5 mg/day within 10 days.
2. Antiviral medication
3. High-dose neurotrophic drugs and appropriate use of vasodilators, such as B vitamins, ATP, etc.
4. Physical therapy: infrared irradiation near the stylomastoid foramen or shortwave diathermy.
5. Traditional Chinese medicine: modified Qian Zheng San. Specific usage and precautions should follow medical advice.