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J Acupunct Res > Volume 31(2); 2014 > Article
Im, Lee, Lee, Kim, Lee, Kang, and Kim: A Comparative Study of the Effects of Jungsongouhyul Pharmacopuncture Treatment and Bee Venom Pharmacopuncture Treatment on Peripheral Facial Paralysis
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Abstract

Objectives:

This study was designed to compare the effects of Jungsongouhyul pharmacopuncture treatment with bee venom pharmacopuncture treatment in hospitalized patients with peripheral facial paralysis

Methods:

This study was done on a total of 41 patients with peripheral facial paralysis who were admitted into the Korean Medicine Hospital from February 1st, 2013 to April 30th, 2014. Wedivided patients into two groups. The Jungsongouhyul group was treated by Jungsongouhyul pharmacopuncture once a day and the bee venom group was treated by bee venom pharmacopuncture once a day. To compare the therapeutical effects of the two treatments, we used Yanagihara’s unweighted grading system, House-Brachmann grading system, lip-length & snout indices and facial disablity index twice - before initial treatment and after final treatment.

Results:

Both Yanagihara’s score and House-Brachmann grading system score improved in each group. However, there were no significant differences in improvement between the bee venom group and the Jungsongouhyul group.

Conclusions:

Jungsongouhyul pharmacopuncture treatment appears to be as effective as bee venom pharmacopuncture treatment to improve symptoms of peripheral facial paralysis.

Table 1.
Y-System
Scale of rating
At rest 0 1 2 3 4
Wrinkle forehead 0 1 2 3 4
Blink 0 1 2 3 4
Closure of eye tightly 0 1 2 3 4
Closure of eye lightly 0 1 2 3 4
Closure of eye on involved side only 0 1 2 3 4
Wrinkle nose 0 1 2 3 4
Whistle 0 1 2 3 4
Grin 0 1 2 3 4
Depress lower lip 0 1 2 3 4
Table 2.
H-B Grade
Grade Description Characteristics
I Normal Normal facial function all areas

II Mild dysfunction Gross : Slight weakness noticeable on close inspection may have very slight synkinesis
At rest : Normal symmetry and tone
Motion
  Forehead : Moderate to good function
  Eye : complete closure with minimum effort
  Mouth : Slight asymmetry

III Moderate dysfunction Gross : obvious but not disfiguring difference between two sides, noticeable but not severe synkinesis, contracture, and/or hemifacial spasm
At rest : normal symmetry and tone
Motion
  Forehead : slight to moderate movement
  Eye : complete closure with effort
  Mouth : slightly weak with maximum effort

IV Moderately severe dysfunction Gross : obvious weakness and/or disfiguring asymmetry
At rest : normal symmetry and tone
Motion
  Forehead : none
  Eye : incomplete closure
  Mouth : asymmetric with maximum effort

V Severe dysfunction Gross : only barely perceptible
At rest : asymmetry
Motion
  Forehead : none
  Eye : incomplete closure
  Mouth : slight movement

VI Total paralysis No movement
Table 3.
General Characteristics
Jungsongouhyul group(n=21) BV group(n=20) p-value
Sex(male/female) 21(9/12) 20(10/10)
Age 41.95±13.13(23∼69) 47.10±12.07(15∼65) 0.137*
Left/right 11/10 8/12
Period of onset to first hospital visit 7.43±5.36(2∼21) 10.80±6.92(1∼30) 0.105*
Hospitalization period 11.86±1.65(9∼15) 12.05±1.82(8∼14) 0.560*
Past history of facial palsy 5 1 0.184**
Steroid intake 13 16 0.306**
DM 4 2 0.663**

BV : bee venom.

DM : diabetes mellitus.

* calculated by Mann-Whitney U test, p >0.05.

** calculated by Fisher’s exact test, p >0.05.

Table 4.
The Changes of Scale Score between before Treatment and after Final Treatment in Jungsongouhyul Group
Before treatment After treatment p-value
Y-score 11.52±3.86 19.28±7.46 0.001*
H-B grade 3.57±0.51 2.81±0.75 0.001
Lip-length 14.66±6.71 22.10±7.63 0.001*
Snout 17.96±5.59 23.09±5.74 0.001*
FDI 126.24±27.65 159.95±19.79 0.001*

Y-score : Yanagihara’s score.

H-B grade : House-Brackmann grade.

FDI : facial disablilty index.

* p-value<0.05 by Wilcoxon’s signed-rank test.

Table 5.
The Changes of Scale Score between before Treatment and after Final Treatment in BV Group
Before treatment After treatment p-value
Y-score 9.35±3.15 15.80±6.03 0.001*
H-B grade 3.85±0.59 3.20±0.70 0.001*
Lip-length 11.84±6.51 20.10±9.82 0.001*
Snout 15.34±4.37 19.64±4.50 0.001*
FDI 127.65±27.61 152.90±20.12 0.001*

Y-score : Yanagihara’s score.

H-B grade : House-Brackmann grade.

FDI : facial disablilty index.

* p-value<0.05 by Wilcoxon’s signed-rank test.

Table 6.
Comparison of Scale Score before Treatment between Jungsongouhyul Group and BV Group
Jungsongouhyul group BV group p-value
Y-B 11.52±3.86 9.35±3.15 0.053*
HB-B 3.57±0.51 3.85±0.59 0.132*
LL-B 14.66±6.71 11.84±6.51 0.188*
S-B 17.96±5.59 15.34±4.37 0.230*
FDI-B 126.24±27.65 127.65±27.61 0.686*

* calculated by Mann-Whitney U test, p >0.05.

Y-B : Y-score of before treatment.

HB-B : H-B grade of before treatment.

LL-B : LL of before treatment.

S-B : S of before treatment.

FDI-B : FDI of before treatment.

Table 7.
Comparison of Scale Score after Final Treatment between Jungsongouhyul Group and BV Group
Jungsongouhyul group BV group p-value
Y-A 19.28±7.46 15.80±6.03 0.065*
HB-A 2.81±0.75 3.20±0.70 0.092*
LL-A 22.10±7.63 20.10±9.82 0.465*
S-A 23.09±5.74 19.64±4.50 0.052*
FDI-A 159.95±19.79 152.90±20.12 0.389*

* calculated by Mann-Whitney U test, p >0.05.

Y-A : Y-score of after final treatment.

HB-A : H-B grade of after final treatment.

LL-A : lip-length of after final treatment.

S-A : snout of after final treatment.

FDI-A : FDI of after final treatment.

VI. References

1. Ahn HY. Clinical otolaryngology head and neck surgery. Seoul: Koonja. 2008:76–8.

2. Korean Society of Otorhinolaryngology - Head and Neck Surgery. Ibiinhugwahakdukyeongbuoegwahak I. Seoul: Iljogak. 2002:833–68.

3. Korean Acupuncture & Moxibustion Medicine Society Textbook Compilation Committe. The acupuncture and moxibustion medicine. Paju: Jipmoondang. 2012:625–9.

4. Grogan PM, Gronseth GS. Practice parameter: steroids, acyclovir, and surgery for Bell’s palsy(an evidence-based review). Neurology. 2001;56(7):830–6.
crossref pmid
5. Tark KC. Facial reanimation. Korean J Head Neck Oncol. 2008;24(1):15–25.

6. Gronseth GS, Paduga R. Evidence-based guideline update: steroids and antivirals for Bell’s palsy. Neurology. 2012;79(22):2209–13.
crossref pmid
7. Choi KW, Kang JH, Kim YI, Hong KE, Lee H. Clinical comparison studies on 30cases of Bell’s palsy patients with posterior ear pain by Sa-Am acupuncture Sojangjeonggyeok & general acupuncture. J Kor Acupunc & Moxibus. 2004;21(8):125–34.
pmid
8. Yoo JH, Kim KW, Kim DH, et al. A controlled trial on the effect of complex oriental medical treatment with or without Pyung-Hyung acupuncture on the treatment of peripheral facial palsy. J Kor Acupunc & Moxibus. 2012;29(3):121–8.
pmid
9. Kwon SJ, Song HS, Kim KH. The influence of moxibustion and basic compound therapy on peripheral facial paralysis. J Kor Acupunc & Moxibus. 2000;17(4):160–71.
pmid
10. Choi CH, Song HS. Effect of moxibustion on peripheral facial paralysis according go selection method of acupoints. J Kor Acupunc & Moxibus. 2008;25(3):87–94.
pmid
11. An BJ, Song HS. Effect of electroacupuncture on patients with peripheral facial paralysis. J Kor Acupunc & Moxibus. 2005;22(4):121–9.
pmid
12. Choi CH, Song HS. Effect of electroacupuncture complex therapy on peripheral facial paralysis according to the wave forms. J Kor Acupunc & Moxibus. 2010;27(5):43–50.
pmid
13. Lee CW, Lee SM, Jeon JH, Kim JI, Kim YI. Effects of Needle-embedding therapy on sequelae of peripheral facial palsy: a case series. J Kor Acupunc & Moxibus. 2011;28(4):93–103.
pmid
14. Choi CH, Song HS. Effect of moxibustion on peripheral facial paralysis according go selection method of acupoints. J Kor Acupunc & Moxibus. 2008;25(3):87–94.
pmid
15. Oh HJ, Song HS. Effect of cupping complex therapy on peripheral facial paralysis. J Kor Acupunc & Moxibus. 2011;28(4):119–25.
pmid
16. Oh MJ, Song HS. Effect of scratching method complex therapy on the patients with peripheral facial paralysis. J Kor Acupunc & Moxibus. 2011;28(5):1–7.
pmid
17. Lee SY, Ko JM, Kim JH, et al. Case study of Miso facial rejuvenation acupuncture on intractable facial palsy. J Kor Acupunc & Moxibus. 2009;26(1):163–71.
pmid
18. Choi YJ, Yoon KJ, Kim MS, et al. Effects of scalp acupuncture with usual acupuncture on peripheral facial paralysis in comparison with usual acupuncture only. J Kor Acupunc & Moxibus. 2010;27(6):101–9.
pmid
19. Hwang JH, Lee DG, Lee HJ, Cho HS, Kim KH, Kim KS. Effect of combined silver spike point therapy and electroacupuncture on patients with peripheral facial paralysis. J Kor Acupunc & Moxibus. 2008;24(4):69–80.
pmid
20. Yang KR, Song HS. Effect of bee venom pharmacopuncture complex therapy on peripheral facial paralysis. J Kor Acupunc & Moxibus. 2009;26(4):29–37.
pmid
21. Choi JY, Lee H, Kang JH, et al. Comparative study of general oriental medical treatment and bee venom pharmacopuncture on acute peripheral facial paralysis patient with postauricular pain. J Kor Acupunc & Moxibus. 2009;26(5):95–103.
pmid
22. Oh HJ, Song HS. Effect of bee venom pharmacopuncture complex therapy at Yepung on peripheral facial paralysis. J Kor Acupunc & Moxibus. 2010;27(4):179–85.
pmid
23. Park JH, Jang JH, Lee CH, et al. The clinical research of the effectiveness of pharmacopuncture complex therapy on peripheral facial paralysis. J Kor Acupunc & Moxibus. 2010;27(2):79–87.
pmid
24. Lee CH, Ku JY, Park JA, et al. Comparison of the efficacy between method of regulating ascending kidney water and descending heart fire and sweet bee venom pharmacopuncture on peripheral facial paralysis. J Kor Acupunc & Moxibus. 2011;28(4):85–92.
pmid
25. Choi YJ, Kim JH, Yoon KJ, et al. Comparative study of BUM pharmacopuncture and Soyeom pharmacopuncture on peripheral facial paralysis with postauricular pain. J Kor Acupunc & Moxibus. 2012;29(5):31–7.
pmid
26. Lee JD. Bee-venom therapy : method of clinical approach. J of Korean Med. 2000;20(3):3–8.

27. Daehannyakchimhakhoe. The out line of herbal acupuncture therapy. Seoul: Daehannyakchimhakhoe. 1999:313.

28. Lee SH, So WR, Shin KH, Kim JK, Kim JU. A clinical study carried out blood stasis herbal acupuncture therapy to low back pain. The Journal of the Korea Institute of Oriental Medical Informatics. 2003;9(2):59–73.

29. Seol H, Sin MS, Song BR, Yook TH. Effects of Jungsungouhyul herbal acupuncture(JSO) multi-treatment for whiplash injury by traffic accident. Journal of Pharmacopuncture. 2005;8(1):59–65.

30. Yoon IJ. Effect of Jungsongouhyul herbal acupuncture therapy for neck pain patients. Daejeondaehakgyo Hanuihangnyeonguso Non-munjip. 2007;16(2):1–5.

31. Choi EH, Chun HS, Ryu HS, Lee JH, Yang DS, Hong S. Case report of radial nerve palsy patients treated with additional Jungsongouhyul pharmacopuncture. Journal of Pharmacopuncture. 2011;14(4):63–9.
crossref
32. Yanagihara N. Grading of facial palsy. In: Facial Nerve Surgery, Zurich. 1976:Edited by Fisch U. Amstelveen, Netherlands: Kugler Medical Publications. Birmingham Al: Aesculapius Publishing Co. 1977:533–5.

33. House JW, De Brackmann. Facial nerve grading system. Otolaryngol Head Neck Sug. 1985;93(2):146–7.
crossref
34. Jansen C, Jennekens FG, Wokke JH, Leppink GJ, Wijnne HJ. Lip-length and snout indices: methods for quantitative assessment of peri-oral facial muscle strength. J Neurol Sci. 1990;97(2–3):133–42.
crossref pmid
35. Van Swearingen JM, Brach JS. The facial disability index : reliability and validity of a disability assessment instrument for disorders of the facial neuromuscular system. Physical Therapy. 1996;76(12):1288–300.
crossref pmid


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