中医治疗面肌痉挛的研究进展

Research Progress on the Treatment of Hemifacial Spasm in Traditional Chinese Medicine

摘要: 面肌痉挛(Hemifacial Spasm, HFS)是一种以单侧面部肌肉阵发性、不自主抽搐为特征的慢性运动障碍疾病，常对患者的日常生活及心理健康造成显著负担。当前西医方法虽有一定效果，但仍面临手术创伤、药物副作用及症状复发等问题。中医基于整体辨证，综合运用中药、针灸及针药结合等多种疗法，在该病的治疗中体现出其独特价值。本文综述了近年来中医治疗HFS的进展，包括中药方剂的临床与实验研究、不同针刺技术的疗效比较，以及针药联合、穴位注射、火针与透穴放血等复合疗法的应用情况，并对中医治疗的安全性进行评述。同时，本文对未来研究提出具体建议，包括研究设计、结局指标选择等方面，以期为中医在该病综合治疗中的规范化和推广提供参考。

Abstract: Hemifacial Spasm (HFS) is a chronic movement disorder characterized by paroxysmal and involuntary twitching of the muscles on one side of the face, which often imposes a significant burden on patients’ daily life and mental health. Although current Western medical methods have certain effects, they still face problems such as surgical trauma, drug side effects and symptom recurrence. Based on holistic syndrome differentiation, traditional Chinese medicine comprehensively employs various therapies such as herbal medicine, acupuncture, and the combination of acupuncture and medication, demonstrating its unique value in the treatment of this disease. This article reviews the progress of traditional Chinese medicine in the treatment of HFS in recent years, including the clinical and experimental research of traditional Chinese medicine prescriptions, the comparison of the therapeutic effects of different acupuncture techniques, as well as the application of combined acupuncture and drug therapy, acupoint injection, fire needle and transacupoint bloodlet and other compound therapies, and discusses the safety of TCM interventions. Furthermore, specific suggestions for future research are proposed, including study design and outcome selection, with the aim of providing references for the standardization and promotion of traditional Chinese medicine in the comprehensive treatment of this disease.