FACIAL PARALYSIS

Clinical Manifestations
Treatment Principle
Herb Formulas
Points
Clinical Manifestations
  • Facial paralysis
  • Chills and fever
  • Anhidrosis
  • Stiff and rigid neck, shoulders and upper back
  • Intolerance of Wind
  • Dislike of Cold
  • Inflammation
  • Diarrhea
  • Muscle spasms
  • Mucosal swelling
  • Nasal congestion
  • Sensitivity to dust
  • Headache
  • Wind-Cold Bi (few joints affected, inflammation intense but short lived, changes over days or weeks)
  • T: Normal
  • C: Thin and white
  • P: Floating and tight
Treatment Principle
  • Release Wind-Cold in the exterior and muscle layer
  • Generate Fluids
  • Relieve muscle-ache of the neck
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Asymmetry of the face
  • Paralysis of the face
  • Slow and slurred speech
  • Aphasia
  • Fever and chills
  • Semi-consciousness
  • Loss of consciousness
  • Convulsions
  • Neck rigidity
  • Limited movement of the joints
  • Loss of consciousness
  • Muscle spasms
  • Low back pain
  • Numbness of the muscles and skin
  • Hemiplegia
  • Urticaria
  • T: ; Pale
  • C: Thin and white
  • P: Floating and Empty or Tense or Wiry and tense
Treatment Principle
  • Warm the channels
  • Disperse Wind
  • Releases Yang
  • Supports the Qi 
Herb Formulas
Points
Clinical Manifestations
  • Facial paralysis
  • Sensation of extreme Cold
  • Severe chills
  • Chills are not relieved by clothing or covers
  • Slight fever
  • Anhidrosis
  • Exhaustion
  • Almost constant desire to sleep
  • Pale face
  • Cold extremities
  • Cold feet
  • Severe aversion to Cold
  • Headache
  • Shortness of breath
  • Fatigue
  • Joint pain
  • Edema
  • Cough
  • Pain penetrating to the back
  • Toothache
  • Sore throat
  • Raspy voice
  • Edema due to Wei Qi Stagnation
  • Weak extremities
  • Chronic wheezing
  • Severe pain and obstructed feeling over the throat
  • T: Pale and swollen
  • C: White and slippery
  • P: Deep and weak
Treatment Principle
  • Disperse Wind-Cold
  • Replenish Yang
Herb Formulas
Points
Clinical Manifestations
  • Facial paralysis
  • Sensation of extreme Cold
  • Severe chills
  • Chills are not relieved by clothing or covers
  • Slight fever
  • Anhidrosis
  • Exhaustion
  • Almost constant desire to sleep
  • Pale face
  • Cold extremities
  • Cold feet
  • Severe aversion to Cold
  • Headache
  • Shortness of breath
  • Fatigue
  • Joint pain
  • Edema
  • Cough
  • Pain penetrating to the back
  • Toothache
  • Sore throat
  • Raspy voice
  • Edema due to Wei Qi Stagnation
  • Weak extremities
  • Chronic wheezing
  • Severe pain and obstructed feeling over the throat
  • T: Pale and swollen
  • C: White and slippery
  • P: Deep and weak
Treatment Principle
  • Disperse Wind-Cold
  • Replenish Yang
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Asymmetry of the face
  • Paralysis of the face
  • Slow and slurred speech
  • Aphasia
  • Fever and chills
  • Semi-consciousness
  • Loss of consciousness
  • Convulsions
  • Neck rigidity
  • Limited movement of the joints
  • Loss of consciousness
  • Muscle spasms
  • Low back pain
  • Numbness of the muscles and skin
  • Urticaria
  • T: ; Pale
  • C: Thin and white
  • P: Floating and Empty or Tense or Wiry and tense
Treatment Principle
  • Warm the channels
  • Disperse Wind
  • Releases Yang
  • Supports the Qi 
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Whole body numbness
  • Deviation of mouth and eyes
  • Numbness of skin
  • Dysphagia due to stiffness of the tongue
  • Facial paralysis
  • Hemiplegia
  • Rigidity of the extremities
  • Spasms of the extremities
  • Aversion to Cold
  • Fever
  • Chills
  • Aching joints
  • Tingling of the skin
  • Paralysis of the extremities
  • Numbness and lack of sensation in the hands and feet
  • Common cold (with above symptoms)
  • Inability to walk
  • Wandering joints pain
  • T: Pink or Red
  • C: White or Thin yellow
  • P: Superficial or Superficial and wiry or superficial and tight or Wiry and thin
Treatment Principle
  • Dispel Wind
  • Clear Heat
  • Circulate Qi
  • Dredge the channels
  • Nourish and invigorate the Blood
  • Harmonize the Ying and Wei
Herb Formulas
Points
Clinical Manifestations
  • Wandering joint pain, especially the wrists, elbows, knees and ankles
  • Chills and fever
  • Atrophy above and below the knees
  • Limited movement
  • Paralysis of knees
  • One or both knees swollen, enlarged and painful
  • Stiffness of knees
  • Legs so weak and sore after dysentery that it is difficult to walk
  • Generalized pain and numbness in the legs
  • Hemiplegia
  • Dizziness
  • Neuralgia
  • Paralysis, stiffness, swelling and pain of feet
  • Atrophy of the leg muscles
  • Chest oppression
  • Lumbago
  • Tinnitus
  • T: Pink or Pale and swollen or Red
  • C: Thin white or Greasy white
  • P: Superficial and tense or tight or Deep and thin or Deep and weak or Deep, slow and weak
Treatment Principle
  • Dispel Wind
  • Activate Qi and Blood
  • TonifY Qi and Blood
  • Eliminate Cold-Dampness
  • TonifY Yang
  • Strengthen the muscles, tendons and bones
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Joint pain
  • Numbness
  • Bones and joints sore and painful
  • Worse with movement
  • Face is dull yellow
  • Spasms or contractures of muscles and sinews
  • Palpitations
  • Asthenia
  • Shortness of breath
  • Spontaneous sweating
  • Weight loss
  • Poor appetite
  • Diarrhea
  • T: Pale
  • C: None or White
  • P: Soggy and Weak or Thin and Faint
Treatment Principle
  • Activate the functions of the Liver and Kidneys
  • Strengthen Qi
  • Nourish the Blood
  • Expel Wind and Dampness
  • Stop numbness and pain
Herb Formulas
Points
Clinical Manifestations
  • Facial paralysis
  • Sciatica pain
  • The pain is intense and moves around
  • Swollen painful joints (especially lower limbs)
  • Joints are warm to the touch (may be burning and swollen)
  • The pain is worse at night
  • Reduced range of motion
  • Joint degeneration or deformity in the lumbar region
  • Chills
  • Anhidrosis
  • Weight loss
  • Shortness of breath
  • Muscular atrophy
  • Difficulty walking and moving
  • Thirst
  • Hemiplegia
  • Rigidity of the limbs
  • Headache
  • Dizziness
  • Vertigo
  • Nausea
  • Vomiting
  • Edema
  • Emaciation
  • Swollen feet
  • Numbness of the extremities
  • Paralysis
  • Fatigue
  • T: Normal
  • C: White and greasy or Thin, yellow and greasy
  • P: Wiry and slippery or Slippery and rapid
Treatment Principle
  • Unblock Yang Qi
  • Promote the movement of Qi
  • Dispel Wind
  • Eliminate Dampness
  • Clear Heat
  • Unblock the channels and collaterals
  • Stop pain
Herb Formulas
Points

Clinical Manifestations
  • Facial paralysis
  • Aversion to Wind and Cold
  • Spontaneous sweat
  • Recurrent colds
  • Shiny, pale complexion
  • Increased susceptibility to external invasion
  • T: Pale or pink
  • C: White
  • P: Floating, Deficient and soft
Treatment Principle
  • Tonify Qi
  • Stabilize the exterior
  • Stop sweat
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Red face
  • Body feels hot
  • Coarse breathing
  • Bad breath
  • Restlessness
  • Involuntary movements
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: Yellow and greasy
  • P: Slippery, wiry and rapid
Treatment Principle
  • Clear Phlegm
  • Open the Orifices
Herb Formulas
Points
Clinical Manifestations
  • Sudden collapse with loss of consciousness
  • Lockjaw (trismus)
  • Eyes open
  • Both fists clenched
  • Retention of urine
  • Constipation
  • Stiffness and spasm of limbs
  • Pale face with bluish lips
  • Limbs cold, pale and still
  • Lying peacefully
  • Usual sequelae of C.V.A. such as:
    Hemiplegia
    Aphasia
    Facial paralysis
  • T: Pink
  • C: White and greasy
  • P: Deep, slippery and even
Treatment Principle
  • Open the Heart Orifices with Pungent Warming Herbs
  • Eliminate Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness and vertigo to the point of falling over
  • Headache with a drawing sensation
  • Numbness and tremor of limbs
  • Twitching and involuntary writhing of hands and feet
  • Dysphasia
  • Unsteady gait
  • Paraplegia
  • With Wind-Stroke:
    Sudden loss of consciousness
    Tongue stiffness with aphasia
    Facial paralysis
    Hemiplegia
  • Maybe coma
  • Sometimes death
  • T: Red
  • P: Thready and wiry
Treatment Principle
  • Nourish Yin
  • Pacify the Liver
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Facial complexion pale and sallow
  • Both cheeks slightly red
  • Dizziness
  • Dry eyes
  • Blurred vision
  • Spots before the eyes
  • Numbness of limbs
  • Flaccid paralysis (Wei syndrome)
  • Weakness
  • Tinnitus
  • Deafness
  • Forgetfulness
  • Low back and knees sore and painful
  • Throat dry and painful
  • Five sole Heat
  • Low-grade fever
  • Night sweats
  • Irritability
  • Insomnia
  • Stools difficult to pass
  • Constipation
  • Men:
    Spermatorrhea
  • Women:
    Irregular menses or
    Scanty menses or
    Amenorrhea
    Vaginal discharge
  • T: Red
  • C: None
  • P: Thready and rapid
Treatment Principle
  • Nourish and Reinforce the Liver and Kidneys
Herb Formulas
Points
Clinical Manifestations
  • Paralysis
  • Slight edema of the dorsum of the feet
  • Lumbago: low back feels cold, weak and aching
  • Feeling chilled
  • Aversion to Cold
  • Cold limbs
  • General debility
  • Fatigue
  • Lack of strength
  • spontaneous sweating
  • Pale face
  • Urinary frequency with abundant, clear urine or
  • Oliguria with edema
  • Maybe nocturia
  • Lassitude
  • Withdrawn, subdued behavior
  • Knees feel cold and aching
  • Dizziness
  • Vertigo
  • Tinnitus
  • Impotence
  • Spermatorrhea
  • Premature ejaculation
  • Low libido
  • Female infertility ("uterus cold and infertile")
  • Maybe anorexia
  • Maybe loose stools
  • Maybe chronic diarrhea or "cock crow" diarrhea
  • T: Pale and swollen
  • C: Thin and white
  • P: Deep and thready - maybe slow
Treatment Principle
  • Warm and Reinforce Kidney Yang
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Paralysis
  • Atrophy of the lower limbs
  • Facial paralysis
  • Slurred speech
  • Drooling
  • Dry stools
  • Frequent urination
  • Urinary incontinence
  • Deviation of the eyes and mouth
  • Excess salivation
  • Cold extremities
  • Asthenia
  • T: Purple and dark
  • C: White and slimy
  • P: Slippery, slightly slow and forceless
Treatment Principle
  • TonifY Qi
  • Activate the Blood
  • Unblock the channels
  • Promote movement in the limbs
Herb Formulas
Points
Clinical Manifestations
  • Facial paralysis
  • Relatively superficial numbness without pain
  • Paresthesia and numbness of the skin and flesh
  • Paresthesia of the shoulders
  • Neck and shoulder stiffness and pain
  • Abdominal pain alleviated by warmth and pressure
  • Pale complexion
  • Hemiplegia
  • Stiff tongue
  • Flaccidity if the extremities
  • Migratory pain
  • Pain, weakness, tightness or spasms of the extremities
  • Spontaneous sweating
  • Shortness of breath
  • Aphasia
  • Excess salivation
  • Aversion to Wind
  • T: Normal or Thick
  • C: White or Smooth and white or White and greasy
  • P: Faint, choppy and tight or Slightly rough and tight or Large and weak or Slow and large
Treatment Principle
  • Tonify Qi and Blood
  • Warm and harmonize the channels and collaterals
  • Harmonize the Ying and Wei
  • Unblock painful obstruction
  • Warm the Middle Jiao
  • Dispel Cold
  • Alleviate pain
  • Harmonize Yin and Yang
Herb Formulas
Points
Clinical Manifestations
  • Hemiplegia
  • Sluggish speech
  • Urinary incontinence
  • Atrophy of the extremities
  • Deviated mouth and eyes
  • Salivation
  • Frequent urination
Treatment Principle
  • Tonify Qi
  • Invigorate the Blood
Herb Formulas
Points
  • General points
Clinical Manifestations
  • Facial paralysis
  • One-sided facial paralysis
  • Facial muscle spasms or tics
  • Paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Dizziness
  • Tinnitus
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • Stroke
  • T: Deviated and trembling
  • C: Thick
  • P: Slippery and maybe wiry
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
Herb Formulas
Points
Clinical Manifestations
  • Dizziness
  • Vertigo
  • Mental cloudiness
  • Heavy head
  • Heavy sensation in the body
  • Cough with Excess sputum
  • Chest and epigastric distention
  • Suffocating sensation in the chest and epigastrium
  • Nausea
  • Profuse sputum
  • Vomiting
  • Anorexia
  • Fatigue
  • Borborygmus
  • Tinnitus
  • Mouth glutinous
  • No thirst
  • Likes to sleep
  • Maybe palpitations
  • T: Thick
  • C: White and greasy or Sticky and white
  • P: Rolling or Wiry and slippery
Treatment Principle
  • Strengthen the Spleen
  • Harmonize the Stomach
  • Eliminate Dampness
  • Resolve Phlegm
Herb Formulas
Points
Clinical Manifestations
  • Sudden heaviness
  • Numbness or paralysis of the extremities on one side of the body
  • Facial paralysis
  • Dysphagia
  • Disordered consciousness
  • Dry stools
  • Constipation
  • Dizziness
  • Copious Phlegm
  • Drooling
  • T: Stiff and quivering or Deviated
  • C: Greasy and yellow
  • P: Wiry and slippery
Treatment Principle
  • Expel Phlegm-Heat through the bowels
Herb Formulas
  • Xing Wei Cheng Qi Tang
  • Chinese Patent Medicines:
    Niu Huang Qing Xin Wan
    Niu Huang Jiang Ya Wan

    Jiang Ya Wan
    Jiang Ya Ping Pian
    Xiao Huo Luo Dan
    Tian Ma Wan
    Ren Shen Zai Zao Wan
    Da Huo Luo Dan
Points
Clinical Manifestations
  • Facial paralysis
  • Migrating pain in the joints especially the :
    Shoulders
    Elbows
    Knees
    Wrists
    Fingers
    Upper back and neck
  • Multiple joints
  • Pain quality changes
  • May move from soreness to numbness to aching
  • Sensitivity varies
  • Pain often appears abruptly, acutely or paroxysmal and then disappears
  • Limited range of motion
  • Chills and fever
  • Aversion to Wind
  • Symptoms are worse in windy weather
  • Sore throat
  • General body aches
  • Maybe perspiration
  • T: Pink
  • C: Thin and white or Sticky and yellow
  • P: Superficial and moderate
Treatment Principle
  • Eliminate Wind
  • Warm Cold
  • Expel Damp
  • Clear the Channels
Herb Formulas
Points
Clinical Manifestations
  • Flaccidity
  • Atrophy
  • Hysterical paralysis
  • Periodic paralysis
  • Facial paralysis
  • Fever during the initial stage of an illness or
  • Fever followed by weakness, rapidly developing flaccidity and immobility of the extremities with muscular atrophy, and dry skin
  • Low grade fever and Yin impairment
  • Usually lower extremities
  • Dry skin
  • Restlessness
  • Irritability
  • Thirst
  • Cough
  • A dry throat
  • Scanty sputum
  • Scanty, yellow urine
  • Dry stool
  • T: Red
  • C: Yellow and scanty
  • P: Thready and rapid
Treatment Principle
  • Clear Heat from the Lungs
  • Moisten the Lungs
  • Nourish the tendons and bones
Herb Formulas
Points
Clinical Manifestations
  • Heaviness of the limbs
  • Weak and flaccid extremities
  • Occasional numbness
  • Hysterical paralysis
  • Periodic paralysis
  • Facial paralysis
  • Slight swelling in the affected extremities
  • Most often affects the lower extremities
  • Possibly fever
  • Stifling sensation in the chest and epigastrium
  • Obesity
  • Edema
  • Skin problems
  • Dark, scanty, painful and difficult urination
  • A sensation of Heat that begins at the dorsum of the foot and slowly progresses up the leg to the waist
  • T: Red
  • C: Yellow and greasy
  • P: Soft and rapid and possibly slippery
Treatment Principle
  • Clear Heat
  • Dry Dampness
  • Open the channels
Herb Formulas
Points
Clinical Manifestations
  • Gradual onset of flaccidity and weakness of the extremities aggravated by exertion
  • Gradual loss of muscle mass
  • Hysterical paralysis
  • Periodic paralysis
  • Facial paralysis
  • Sallow complexion
  • Facial puffiness
  • Fatigue
  • Lassitude
  • Anorexia
  • No desire for food and drink
  • Frequent belching
  • Borborygmus
  • Loss of sensation of taste
  • Four limbs feel tired and heavy
  • Abdominal and epigastric distention after eating
  • Maybe acid regurgitation or vomiting
  • Loose stools
  • Shortness of breath
  • Urine clear and abundant
  • T: Pale and flabby - may have teethmarks
  • C: White
  • P: Even, forceless and Deficient or Thready and forceless
Treatment Principle
  • Tonify and Strengthen the Spleen and Stomach
  • Augment Qi
Herb Formulas
Points
Clinical Manifestations
  • Facial paralysis
  • Numbness
  • Slurred speech
  • Deviated eyes
  • Deviated mouth (wry mouth)
  • Dizziness
  • Tinnitus
  • Sputum in the throat
  • Chest fullness and distention
  • Epigastric fullness and distention
  • Hypertension
  • Stroke
  • T: Deviated and trembling
  • C: Thick
  • P: Slippery and maybe wiry
Treatment Principle
  • Resolve Phlegm
  • Subdue Wind
Herb Formulas
Points