• Journal of Acupuncture Research
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• v.24 no.3
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• pp.1-8
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• 2007

Objectives : This study was to evaluate the influence of dysgeusia on prognosis of peripheral facial paralysis. Methods: We investigated 40 cases of patients with Peripheral Facial Paralysis, and classified them as existence of dysgeusia. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System before treatment and after final treatment. Results: 1. Postauricular pain showed the highest frequency in symptoms at onset. 2. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after final treatment was marked higher than that before treatment within each group. 3. After final treatment, non-dysgeusia group showed signficant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with dysgeusia group. Conclusions: These results suggested that non-dysgeusia group should be get better than dysgeusia group in the patient with peripheral facial paralysis.

• Journal of Acupuncture Research
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• v.18 no.2
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• pp.1-17
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• 2001

Background and Objetive : Lack of uniformity in reporting facial nerve recovery in patients with facial nerve paralysis has been a major disadvantage in comparing treatment modalities. The objective evaluation of facial nerve function is a complex procedure. The House and Brackmann grading system, the Yanagihara grading system has been recommend as a universal standard for assessing the degree of facial nerve palsy. However, clinical studies for treatment of facial palsy have rarely used this universal standard in oriental medicine. That is the reason for analysing this facial nerve grading system. Material and Method : We choose 10 scales reported from 1955 till 1995. These facial nerve grading systems may be classified as Gross system, Regional system and Specific system. Result and Conculsion : The scales of Botmann and Jonkees, May, Peitersen, and House and Brackmann are the gross facial nerve grading systems with which we grossly assess the facial motor dysfunction and the secondary defect. Among these scales, H-B scale is the most widespred The scales of Yanagihara(若杉文吉), Smith, Adour and Swanson, Jassen, FEMA are the regional facial nerve grading system in which we weight, or unweight the facial motor dysfunction and the secondary defect. For example, the scales of Yanagihara(若杉文吉) and Smith are the unweighted regional scale, the scale of Adour and Swanson, Jassen, FEMA are the weighted regional grading system. The scale of Stennert is the Specific facial nerve grading system in which we respectively assess the grade of facial dysfunction at rest, in motion and the secondary defect. For the objective evaluation of the oriental medicine treatment for facial palsy, we must use the universal standard scale, i.e. the H-B scale, the Yanagihara scale.

• Journal of Acupuncture Research
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• v.21 no.4
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• pp.53-64
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• 2004

Objective: This study was to evaluate the influence of stress on Peripheral Facial Paralysis during the complex traditional korean medical treatment. Methods: We investigated 41 cases of patients with Peripheral Facial Paralysis who were given the complex traditional korean medical treatment. one group had stress as main factor, the other group didn't it. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System. Results : 1. In age, sex, lesion, duration of disease, frequency of treatment, duration of treatment, we found that two groups have no significant differences. 2. Pain back of the ear showed the highest frequency in symptoms at onset. 3. Boyangwhanotang showed the highest frequency in oriental herb medicine treatment. 4. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 2weeks was marked more higher than score before treatment and treatment score after final treatment was more higher than treatment score after 2weeks on each groups. 5. After final treatment, Non-stress group had signficant result on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with stress group. Conclusion : These results suggested that patient with Non-stress group should be get better than stress group.

• Journal of Acupuncture Research
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• v.22 no.4
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• pp.121-129
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• 2005

Objectives : This study was to evaluate the effect of electroacupuncture on symptoms of peripheral facial paralysis. Methods : We investigated 34 cases of patients with Peripheral Facial Paralysis. We flip a coin and divide into two groups. Electroacupuncture was performed at one group, and the other group didn't do it. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System. Results : 1. In Pain back of the ear, we found that two groups have no significant differences. 2. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 2weeks was marked higher than that before treatment and treatment score after 4weeks treatment was higher than treatment score after 2weeks within each group. 3. After 4weeks treatment, electroacupuncture group showed significant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with acupuncture group. Conclusion : These results suggested that electroacupuncture treatment should be more effective in the patient with peripheral facial paralysis.

• Journal of Acupuncture Research
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• v.27 no.5
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• pp.43-50
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• 2010

Objectives : This study was to compare the effect of electroacupuncture therapy on peripheral facial paralysis according to the wave forms. Methods : We investigated 56 cases of inpatients with Peripheral Facial Paralysis, and divided them into two groups, One group was treated by electroacupuncture on interrupted wave, and the other was treated by electroacupuncture on dense-dispersed wave. We evaluated the effect of electroacupuncture in each group by using Gross Grading System of House-Brackmann and Yanagihara's Unweighed Grading System. Results : 1. In the interrupted wave and the dense-dispersed wave, compared with baseline, at final, Gross Grading System of House-Brackmann was significantly decreased and Yanagihara's Unweighed Grading System was significantly increased. 2. At final, Interrupted wave showed significant decrease on the Gross Grading System of House-Brackmann and significant increase on Yanagihara's Unweighed Grading System compared with dense-dispersed wave. Conclusions : These results suggested that interrupted wave should be more useful for improving symptoms related with peripheral facial paralysis than dense-dispersed wave.

• Journal of Acupuncture Research
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• v.26 no.4
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• pp.29-37
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• 2009

Objectives : This study was to investigate the effectiveness of Bee Venom Pharmacopuncture complex therapy on peripheral facial paralysis. Methods : We investigated 30 cases of patients with Peripheral Facial Paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with Bee Venom Pharmacopuncture therapy, and did the other group by complex oriental medical treatment without Bee Venom pharmacopuncture therapy. To investigate the effectiveness of treatment applied for two groups, we used Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System at baseline, 3 weeks and final. Results : 1. Male, Female is same ratio in distribution of sex, the number of left side is more than that of right side in distribution of lesion, the average age is 49.33. 2. Pain back of the ear showed the highest frequency among Bell's palsy related symptoms at onset, the overwork was a major cause of Bell's palsy in distribution of cause. 3. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 3weeks was marked higher than that before treatment and treatment score after final treatment was also marked higher than that after 3weeks within each group. 4. After final treatment, Bee Venom Pharmacopuncture therapy group showed signficant difference on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with Acupuncture therapy group. Conclusions : Bee Venom Pharmacopuncture therapy can be available for relieving symptoms related with peripheral facial paralysis.

• Journal of Acupuncture Research
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• v.25 no.5
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• pp.205-211
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• 2008

Objectives : This study is designed in order to evaluate oriental medical treatment of facial diplegia with continued facial palsy. Methods : The authors observed patients by Yanagihara's unweighted grading system for operated acupuncture treatment, herbal medicine treatment and physiotherapy. Results & Conclusions : 1. Both facial grade had different scores in Yanagihara's unweighted grading system for 2 cases when the facial palsy occured. 2. Both cases were diagnosed in wind-cold(feng-han) type. 3. The left and right side of face took different amount of time to recover. 4. Facial diplegia was significantly improved.

• Journal of Acupuncture Research
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• v.29 no.4
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• pp.35-42
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• 2012

Objectives : This study was to observe clinical application of auto-microneedle therapy system (AMTS) in patients with peripheral facial paralysis. Methods : 27 peripheral facial paralysis patients were observed after taking AMTS at Facial Palsy Center, Kyung Hee University Oriental Medicine Hospital from March 1, 2011 to January 9, 2012. We assessed the symptoms of facial paralysis with Yanagihara unweighted grading system, Sunnybrook facial grading system(SBGS) and facial disability index(FDI), and observed adverse events and total safety of the treatment. Results : The scores of facial palsy scales increased after AMTS in Yanagihara grading system and Sunnybrook facial grading system. AMTS-related adverse events were mild pain(5.9%) and fatigue(3.5%), which needed no extra treatment. The total safety evaluation was between 'safe' and 'nearly safe' level. There were no other serious adverse events. In addition, patients were satisfied with subjective improvement including facial tingling and numbness. Conclusions : AMTS can be applied as an adjunctive treatment for patients with peripheral facial paralysis due to its safety and clinical usefulness. It is easier to stimulate wide skin area in a short time. Further clinical research is required to investigate the effectiveness of ATMS in a more rigorous RCTs.

• Journal of Acupuncture Research
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• v.24 no.4
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• pp.69-80
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• 2007

Objective : This study was designed to evaluate the effect of combined Silver Spike Point Therapy and Electroacupuncture on symptoms with Peripheral Facial Paralysis. Methods: We investigated 112 cases of patients with Peripheral Facial Paralysis. The patients were divided into two groups. Group A and B were both treated with basic oriental medicine treatment including Electroacupunctre and Group B was treated with Silver Spike Point Therapy additionaly. We evaluated the tratment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System before treatment, after 2weeks and 4weeks treatment and Changing Point -period from onset of Peripheral Facial Paralysis to the day which the change begins to be seen at the face-. Results: 1. In Changing point, two groups showed significant differences. 2. As a results of evaluation by using Gross Grading system of House-Brackmann, Yanagihara's Unweighed Grading System, treatment scores showed significant difference over time in each group. 3. After 4weeks treatment, Group B showed significant difference on Gross Grading system of House-Brackmann, Yanagihara's Unweighed Grading System compared with Group A. 4. After 2weeks and 4weeks treatment, the Improvement Indexes of Group B were higher than those of Group A and statistically significant. And after 2weeks and 4weeks treatment, Ratio of Group B on mean of Improvement Index was 1.47 times and 1.34 times as large as those of Group A. Conclusions : Combined Silver Spike Point Therapy on Peripheral Facial Paralysis was more efficacious than the only use of basic oriental treatment including Electroacupuncture.

• Journal of Acupuncture Research
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• v.26 no.6
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• pp.179-186
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• 2009

Objectives : This study was to compare the effect of acupuncture on peripheral facial nerve paralysis between affected part, and unaffected part in the incipient stage. Methods : We investigated 32 cases of patient with peripheral facial nerve paralysis, and divided into two groups. One group was treated by acupuncture on the affected part, and the other was treated by acupuncture on the unaffected part. Both groups were evaluated by Yanagihara's unweighted grading system and House-Backmann grade before treatment, and in every one week and after treatment. Results & Conclusion : 1. The number of female was more than that of male and the number of left side was more than that of right side in distribution of lesion. Post ear pain was the highest related symptom at onset, Unknown was a major cause of peripheral facial nerve paralysis in distribution of cause. 2. Yanagihara's unweighted grading system and House-Backmann grade score between two groups were not statistically significant in every one week. 3. Yanagihara's unweighted grading system and House-Backmann grade score between two groups were not statistically significant in before treatment and final.