韦英才教授治疗周围性面瘫经验撷要

Summary of Professor Wei Yingcai’s Experience in Treating Peripheral Facial Paralysis

摘要: 韦英才教授作为壮医经筋疗法代表性传承人，在面瘫诊治方面，继承壮医“毒虚致病、三道两路”理论，结合“筋纵则瘫”学说，治疗上恪守“因结致痛，以痛为腧”的壮医经筋取穴原则，整合壮医刺血疗法，并辅以中药内服，形成“外通两路，内调气血”的特色治疗方案，临床收效迅捷。文章从病因病机、辨治思路、刺血部位选择、经筋手法要点及内服中药等方面总结韦教授经验，以期为民族医药治疗面瘫提供临床参考。

Abstract: Professor Wei Yingcai, a representative inheritor of the Zhuang medicine meridian sinew therapy, applies the Zhuang medicine theory of “disease caused by toxins and deficiency, and the three tracts and two pathways” in the diagnosis and treatment of facial paralysis. He integrates this with the theory of “flaccidity of sinews leading to paralysis”. In treatment, he adheres to the Zhuang medicine meridian sinew point selection principle of “nodules causing pain and pain indicating points”, incorporates Zhuang medicine bloodletting therapy, and supplements it with oral administration of traditional Chinese medicine. This forms a distinctive treatment plan of “unblocking the two pathways externally and regulating qi and blood internally”, achieving rapid clinical efficacy. This article summarizes Professor Wei’s experience from the perspectives of etiology and pathogenesis, diagnostic and treatment approach, selection of bloodletting sites, key points of meridian sinew manipulation, and oral administration of traditional Chinese medicine, aiming to provide a clinical reference for the treatment of facial paralysis with ethnic medicine.