简述蒙西医治疗周围性面神经麻痹

Briefly Describe the Treatment of Peripheral Facial Nerve Palsy with Mongxi Medicine

摘要: 周围性面神经麻痹又称“面瘫”，属蒙医“面萨”病范畴，为临床常见病之一，是指病变侧上下部颜面肌均瘫痪的一种病症，以口角偏向一侧、眼裂增宽、鼻唇沟变浅为主要表现。不能皱眉、闭眼、鼓腮、吹口哨，同侧面肌表情功能丧失。治疗：西医在急性期使用药物(如激素)或理疗甚至手术以减轻病情；蒙医药有深厚的历史底蕴以及丰富的临床实践作为基础，以辨证论治为主，在内外用药等方面达到药到病除，副作用小的效果。笔者总结有关文献，并综合比较论述蒙医与西医治疗，减少后遗症从而提高临床疗效的研究，为临床上对患者的选择性治疗及蒙医药现代化发展提供借鉴。

Abstract: Peripheral facial nerve paralysis, also known as “facial palsy”, falls under the Mongolian medicine category of “Mian Sa” disease. It is one of the common clinical conditions and refers to a disorder in which the upper and lower facial muscles on the affected side are paralyzed. Its main manifestations include the corner of the mouth being drawn to one side, widened palpebral fissure, flattened nasolabial fold, speech air leakage, and drooling. Patients are unable to frown, close their eyes, puff their cheeks, or blow a whistle, resulting in the loss of facial expression function on the same side. Treatment: In Western medicine, drugs (such as steroids), physical therapy, or even surgery are used in the acute phase to alleviate the condition; whereas Mongolian medicine, based on a profound historical foundation and rich clinical practice, mainly uses syndrome differentiation treatment, achieving the effect of curing the disease with internal and external medications and minimal side effects. The author summarizes relevant literature and comprehensively compares and discusses Mongolian and Western medicine treatments to reduce sequelae and improve clinical efficacy, providing references for selective treatment of patients in clinical practice and the modernization of Mongolian medicine.