李晓宁运用“牵正针法”结合闪罐法治疗顽固性面瘫之经验

Clinical Experience of Professor Li Xiaoning in Treating Refractory Facial Paralysis with Qianzheng Acupuncture Combined with Flash Cupping

摘要: 顽固性面瘫(RFP)，又称难治性面瘫，是指周围性面神经麻痹患者在经过常规、系统的综合治疗后，病情仍未得到有效控制或恢复，病程超过3个月且面部肌肉功能恢复欠佳者。本文主要总结龙江名医李晓宁治疗顽固性面瘫的临床经验，李师认为此期正气未复、邪瘀经络、经筋失濡，且病位在里，浅刺不能深达病所以祛瘀，亦不能激发经气以扶正，故李师基于中医滞针法提出牵正针法，并以经络腧穴学与现代解剖学理论为依据，创新性地提出提上睑肌穴、提额穴、颧大穴三大经验效穴，结合面部闪罐法以温通经络、散邪逐瘀、调和气血，投治本病，每获良效。

Abstract: Refractory facial paralysis (RFP), is defined as peripheral facial palsy with poor muscle recovery persisting over three months despite conventional systematic treatment. This paper summarizes the clinical experience of Professor Li Xiaoning, a renowned Longjiang physician, in treating RFP. Professor Li posits that this stage is characterized by depleted healthy qi (Zheng qi), meridian stasis, and malnourished sinews. Because the pathology is deep-seated, superficial needling fails to dissipate stasis or reinforce healthy qi. Therefore, he developed the Qianzheng Acupuncture method based on the traditional retention needle technique. Integrating meridian theory with modern anatomy, he innovatively proposed three empirical acupoints: Levator Palpebrae Superioris, Frontalis, and Zygomaticus Major. Combined with facial flash cupping to warm and unblock meridians, dispel pathogenic factors, dissipate stasis, and harmonize qi and blood, this approach has consistently achieved remarkable efficacy.