IJHPIJHP

International Journal of Health and Pharmaceutical (IJHP)International Journal of Health and Pharmaceutical (IJHP)

Unilateral facial paralysis, also known as Miantan, refers to paralysis affecting one side of the face. One type of Miantan is Shi Syndrome, which is caused by pathogenic factors such as wind-cold and wind-heat. These factors lead to obstruction of the flow of Qi in the Yang Ming and Shao Yang meridians, resulting in a “wind-phlegm syndrome. This condition manifests with various associated symptoms, including weakness of the facial muscles, and may lead to the characteristic clinical features of Bells palsy. Bells palsy is a peripheral facial nerve paralysis characterized by weakness or paralysis on one side of the face due to dysfunction of the seventh cranial nerve. This condition is characterized by inability to close the eyes completely, drooping of the mouth corners, and facial asymmetry. This study aimed to determine the effectiveness of acupuncture care in patients with Bells palsy at the Integrative department of St. Carolus Borromeus Hospital Kupang. This study used a qualitative case study design. The participant was a 35-year-old female patient diagnosed with left-sided Bells palsy. Data were collected using acupuncture diagnostic methods including observation (Wang), listening and smelling (Wen), questioning (Wen), and palpation (Qie). Acupuncture therapy was administered based on the established diagnosis of disease and syndrome. The results showed facial asymmetry on the left side, inability to raise the forehead, and incomplete eyelid closure. After several acupuncture therapy sessions, improvements were observed in facial muscle function, eyelid closure ability, and facial expressions. This study concludes that acupuncture therapy can improve facial nerve function and accelerate recovery in patients with Bells palsy.

Acupuncture treatment for patients with Bells palsy can help improve facial nerve function and gradually increase facial muscle strength.Acupuncture therapy can be an effective complementary or integrated therapy in the treatment of facial nerve paralysis.

Berdasarkan studi kasus ini, beberapa saran penelitian lanjutan dapat diajukan. Pertama, perlu dilakukan penelitian dengan desain studi yang lebih ketat, seperti uji klinis acak terkontrol (randomized controlled trial/RCT), untuk memvalidasi efektivitas akupunktur dalam penanganan Bells palsy. RCT akan memungkinkan perbandingan yang lebih akurat antara kelompok yang menerima akupunktur dengan kelompok kontrol yang menerima perawatan standar atau plasebo. Kedua, penelitian lebih lanjut dapat mengeksplorasi mekanisme kerja akupunktur dalam memulihkan fungsi saraf wajah. Hal ini dapat melibatkan pengukuran aktivitas listrik saraf, aliran darah, atau perubahan struktural pada otak menggunakan teknik pencitraan seperti MRI. Pemahaman yang lebih baik tentang mekanisme ini akan membantu mengoptimalkan protokol akupunktur untuk hasil yang lebih baik. Ketiga, penelitian dapat difokuskan pada identifikasi faktor-faktor yang memprediksi respons terhadap akupunktur, seperti usia pasien, tingkat keparahan kelumpuhan, atau jenis sindrom TCM yang mendasari. Identifikasi faktor-faktor ini akan memungkinkan personalisasi perawatan akupunktur untuk memaksimalkan efektivitasnya.

  1. Bell's Palsy: A Review | Cureus. bell palsy review cureus home specialties browse articles posters... cureus.com/articles/110622-bells-palsy-a-reviewBells Palsy A Review Cureus bell palsy review cureus home specialties browse articles posters cureus articles 110622 bells palsy a review
  2. Tinjauan Anatomi Klinik dan Manajemen Bell's Palsy | Qanun Medika - Medical Journal Faculty of Medicine... doi.org/10.30651/qm.v1i02.634Tinjauan Anatomi Klinik dan Manajemen Bells Palsy Qanun Medika Medical Journal Faculty of Medicine doi 10 30651 qm v1i02 634
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