Acupunct Search

CLOSE


J Acupunct Res > Volume 31(3); 2014 > Article
Jeong, Lee, Seo, Shin, Kim, Kwon, Kim, Jang, and Yoon: The Clinical Research of Cervical Chuna Treatment’s Effects on Bell’s Palsy※
See the Original "".

Abstract

Objectives :

The purpose of this study is to investigate the effect of cervical Chuna treatment for Bell’s palsy.

Methods :

We investigated 30 patients with Bell’s palsy who had visited at Department of Acupuncture & Moxibustion, of Korean Medicine Hospital Dong-Eui University from June 1st, 2013 to April 15th, 2014. Subjects were randomly divided into two groups. Group A (experimental group) was treated by Korean-Western combination treatment with Cervical Chuna treatment and group B (control group) was treated by Korean-Western combination treatment without it. The cervical Chuna treatment was done twice a week, for a total of 8 times. We evaluated the change of each group by using Yanagihara’s unweighed grading system.

Results :

Yanagihara’s score in group A was significantly improved during each period from the first visit to four weeks later. However, Yanagihara’s score in group B was significantly improved except during first week. The improvement of Yanagihara’s score in group A is higher than group B during every period. And significant differences were shown after two weeks from the first visit between the two groups.

Conclusions :

These results suggest that cervical Chuna treatment may be effective for Bell’s palsy.

Notes

This research was supported by the Dong-Eui University Research Fund in 2014 (2014AA067)

Fig. 1.
Flow chart
acupunct-31-3-45f1.jpg
Table 1.
Herbal Medicine Prescription
Igigeopung decoction Saposhnikovia radix Paeoniae radix alba Angelicae Dahunricae Radix Citri reticulatae viride pericarpium Cnidii rhizoma Gastrodiae Rhizoma Angelicae pubescentis radix Ostericii radix Platycodi radix Glycyrrhizae Radix Schizonepetae spica Aurantii fructus Citri pericarpium Arisamatis rhizoma Linderae radix 5 g, Aconiti koreani tuber Bombyx batryticatus 4 g
Geopung decoction Polygoni multiflori radix 8 g, Citri pericarpium Lycii fructus Coicis semen Acori graminei rhizoma 6 g, Angelicae Dahunricae Radix Atractylodis rhizoma Cnidii rhizoma Angelicae gigantis radix Arisamatis rhizoma Clematidis radix Zingiberis rhizoma crudus 4 g, Aconiti koreani tuber Glycyrrhizae Radix Cimicifugae Rhizoma 2 g
Ikgi decoction Astragali radix Ginseng radix Atractylodis rhizoma white Angelicae gigantis radix Rehmanniae radix preparat Cnidii rhizoma Paeoniae radix alba Citri pericarpium Poris Glycyrrhizae Radix 6 g, Glycyrrhizae Radix Saposhnikovia radix Bupleuri radix Cimicifugae Rhizoma 4 g
Table 2.
Yanagihara’s Unweighed Grading System
Scale of rating Scale of three rating
1. At rest 0 1 2 3 4 0 2 4
2. Wrinkle forehead 0 1 2 3 4 0 2 4
3. Blink 0 1 2 3 4 0 2 4
4. Closure of eye lightly 0 1 2 3 4 0 2 4
5. Closure of eye tightly 0 1 2 3 4 0 2 4
6. Closure of eye on involved side only 0 1 2 3 4 0 2 4
7. Wrinkle nose 0 1 2 3 4 0 2 4
8. Whistle 0 1 2 3 4 0 2 4
9. Grin 0 1 2 3 4 0 2 4
10. Depress lower lip 0 1 2 3 4 0 2 4
Table 3.
General Characteristics
Group A (n=15) Group B (n=15) p-value
Age 41.53±12.00 49.40±12.15 0.085*
Sex (male/female) 15 (10/5) 15 (8/7) 0.456**
Left/right 7/8 8/7 1.000**
ENoG 54.40±19.26 44.13±20.86 0.172*
Y-score 11.93±3.35 12.80±5.49 0.606*

Values represent number or mean±standard deviation.

* using Mann-Whitney U test, p>0.05.

** using Chi-square test, p>0.05.

Table 4.
Distribution of Cause
Cause Group A (%) Group B (%) Total (%)
Overwork 1 (6.7) 2 (13.3) 3 (10.0)
Stress 0 (0.0) 1 (6.7) 1 (3.3)
Coldness 1 (6.7) 1 (6.7) 2 (6.7)
Overwork + stress 9 (60.0) 8 (53.3) 17 (56.7)
Overwork + coldness 0 (0.0) 0 (0.0) 0 (0.0)
Stress + coldness 0 (0.0) 0 (0.0) 0 (0.0)
Overwork + stress + coldness 3 (20.0) 3 (20.0) 6 (20.0)
Unknown 1 (6.7) 0 (0.0) 1 (3.3)
Total 15 (100.0) 15 (100.0) 30 (100.0)

Values represent number.

Table 5.
Distribution of Accompanied Symptoms at Onset
Symptom Group A Group B Total
Postauricular pain 13 14 27
Lacrimation 10 11 21
Scheroma 7 7 14
Dysgeusia 6 4 10
Hyperacusis 2 1 3
Tinnitus 1 1 2
Dizziness 1 0 1
Cold 2 3 5
No symptom 0 0 0

Values represent number.

Table 6.
The Average of Y-score in Each Group
Group A Group B
P0 11.93±3.35 12.80±5.49
P1 17.00±8.41 14.67±7.35
P2 23.33±8.75 18.13±9.75
P3 28.67±8.51 21.67±10.68
P4 32.93±7.82 24.67±11.48

P0 : score at first visit.

P1 : score after one week from visit.

P2 : score after two weeks from visit.

P3 : score after three weeks from visit.

P4 : score after four weeks from visit.

Values represent mean±standard deviation.

Table 7.
Improvement of Y-score in Each Group During Period of Treatment
Group A Group B
Z or t p-value Z or t p-value
P01 −2.772 0.006* 1.374 0.191
P12 5.491 0.000** 3.070 0.008**
P23 5.474 0.000** 3.885 0.002**
P34 4.522 0.000** 3.674 0.003**
P02 5.715 0.000** −2.267 0.023*
P03 8.591 0.000** −3.328 0.001*
P04 12.636 0.000** 4.822 0.000**

P01 : period from the first visit to one week later.

P12 : period from the one week later to two weeks later.

P23 : period from the two weeks later to three weeks later.

P34 : period from the three weeks later to four weeks later.

P02 : period from the first visit to two weeks later.

P03 : period from the first visit to three weeks later.

P04 : period from the first visit to four weeks later.

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

** p-value < 0.05 by paired t-test.

Table 8.
Comparison of Group A and Group B about the Improvement of Y-score
Group A Group B Z or t p-value
P01 5.07±6.79 1.87±5.26 1.443 0.160
P12 6.33±4.47 3.47±4.37 1.776 0.087
P23 5.33±3.77 3.53±3.52 1.350 0.188
P34 4.27±3.65 3.00±3.16 1.015 0.319
P02 11.40±7.73 5.33±7.86 −2.513 0.011*
P03 16.73±7.55 8.87±8.59 −2.492 0.011*
P04 21.00±6.44 11.87±9.53 3.076 0.005**

P01 : period from the first visit to one week later.

P12 : period from the one week later to two weeks later.

P23 : period from the two weeks later to three weeks later.

P34 : period from the three weeks later to four weeks later.

P02 : period from the first visit to two weeks later.

P03 : period from the first visit to three weeks later.

P04 : period from the first visit to four weeks later.

Values represent mean±standard deviation.

* : p-value < 0.05 by Mann-Whitney U test.

** p-value < 0.05 by Student’s t-test.

VI. References

1. Choi IS. Steps to internal medicine neurology. Seoul: Jeongdam. 2008:99–103.

2. Beak MK. The newest Otolaryngology. Seoul: Ilmoongak. 1997:121–7.

3. National Teacher Training Center For Health Personnel Family medicine Seoul : Seoul National. University Press. 2001:519–24.

4. Lindsay Kenneth W, Bone Ian. Neurology and neurosurgery illustrated. Seoul: E-public. 2006:222–8.

5. Yang YG. Spiritual pivot. Taebuk: Taeyeonguk-pungchulpansa. 1976:164–5.

6. Jang JG. Jingyue’s complete works. Seoul: Seongbosa. 1982:30–1.

7. Jeong GJ. Treatise on causes and symptoms of diseases. Bukgyeong: Inminwisaengchulpansa. 1994:11.

8. Yang GJ. Great compendium of acupuncture and moxibustion. Seoul: Jeongdam. 1993:416.

9. Wang EG. Correction on the errors of medical works. Seoul: Iljungsa. 1992:77.

10. Jin E. Treatise on the three catagories of pathogenic factors and prescriptions. Bukgyeong: Inminwisaengchulpansa. 1983:223.

11. Department of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine Chimguhak ha. Seoul: Jipmoondang. 1994:1296–7.

12. Oh HJ, Song HS. Effect of cupping complex therapy on peripheral facial paralysis. J Kor Acupunc & Moxibus. 2011;28(4):119–25.

13. An BJ, Song HS. Effects of electroacupuncture on patients with peripheral facial paralysis. J Kor Acupunc & Moxibus. 2005;22(4):121–9.
pmid
14. Lee CW, Kim HG, Heo SW, et al. The clinical study about hominis placenta herbal acupuncture on bell’s palsy. Journal of Pharmacopuncture. 2005;8(3):87–97.
crossref
15. Kang EK, Kim JH, Seo HS. The clinical investigation studies in peripheral facial paralysis using needle-embedding therapy. The Journal of Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology. 2009;22(2):118–27.

16. Korean Society of Chuna Manual Medicine for Spine & Nerve. Chuna manual medicine. Seoul: Korean Society of Chuna Manual Medicine for Spine & Nerve. 2013:3–4, 171–86.

17. Park JH, Lee CH, Lee YH, et al. The clinical research of the effectiveness of “Danmuji Anchu traction technique” on acute peripheral facial paralysis. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2011;6(1):43–52.

18. Upledger John E, Vrendevoogd Jon D. Craniosacral therapy. Seoul: Korean Society of Chuna Manual Medicine for Spine & Nerve. 2006:70–4.

19. Yanagihara N. In: 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.

20. Seoul National University College of Medicine. Neurology. Seoul: Seoul National University Press. 2006:19.

21. Min YG, Choi JG, Kim RS. Ear nose throat. Seoul: Ilchokak. 2000:414–5.

22. Kim HD. Neurology & Neurosurgery. Seoul: Koonja. 2008:46266–9.

23. Finsterer J. Management of peripheral facial nerve palsy. Eur Arch Otorhinolaryngol. 2008;265(7):743–52.
crossref pmid pmc
24. The Korean Academy of Family Medicine. Textbook of family medicine. Seoul: Hankookbook. 2007:1010–3.

25. No GT. Otolaryngology. Seoul: Ilchokak. 2002:169–74.

26. Peitersen E. Bell’s palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol. 2002;549:4–30.
crossref
27. Yin CS, Kang MK, Kim JD, et al. Cross-sectional observation of the sequelae of peripheral facial palsy. J Kor Acupunc & Moxibus. 2003;20(3):24–33.

28. Kim GW. Sa-am acupuncture therapy Susangnok. Chungnam: Chorakdang. 2011:225.

29. Jeong YG, Kim MY, Kim JS, et al. The domestic trend of Chuna manual therapy on cervical spinal disorders. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2013;8(1):1–13.

30. Park IB, Kim SW, Lee CW, et al. Comparative clinical study between oriental medicine and oriental-western medicine treatment on Bell’s palsy. J Kor Acupunc & Moxibus. 2004;21(5):191–203.
pmid
31. 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
32. 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.

33. Neumann Donald A. Kinesiology of the Musculoskeletal System. Seoul: Jungdammedia. 2010:301.

34. Thomas FB, David HP. Chiropractic technique principles and procedures. Seoul: Korean Society of Chuna Manual Medicine for Spine & Nerve. 2011:197–202.

35. Yang P, Song RG, Oh BP, Jang GY. Ganmyeong-gyeongnodaboneukchoseonghak. Jeongju: Hanamuigwadaehakchulpansa. 1997:91163–7.
pmid
36. Shin BC, Kim DH, Kim SD, Song YS. Influence on vertebral artery and basilar artery blood flow by cervical Chuna manual therapy. Journal of Korea Chuna Manual Medicine. 2000;1(1):45–53.

37. Paoletti Serge. The fasciae. Seoul: Hanmi Medical Publishing Co. 2012:103, 219, 283.

38. Seo HK, Han JM, Lee DH. The effects of myofascial release therapy on blood velocity of cranial arteryin tension type headache subjects. The Journal of Korean Academy of Orthopedic Manual Physical Therapy. 2002;8(2):5–17.

TOOLS
Share :
Facebook Twitter Linked In Google+
METRICS Graph View
  • 7 Crossref
  •    
  • 3,130 View
  • 51 Download
Related articles in JAR


Article and Issues
For this Journal
For Authors
Ethics
Submit Manuscript
Editorial Office
Gil Korean Medical Hospital, Gachon University
Keunumul-Ro, Chung-Ku, Inchoen 22138, Korea
Tel: +82-70-7606-6353,4    Fax: +82-32-232-3334    E-mail: jared@e-jar.org                

Copyright © 2020 by Korean Acupuncture & Moxibustion Medicine Society. All rights reserved.

Developed in M2community

Close layer
prev next