The Use of Tui-na to Treat Facial Paralysis in a 6 Week Old Arabian Filly

The Use of Tui-na to Treat Facial Paralysis in a 6 Week Old Arabian Filly

by Antonio Alfaro DVM, CVA, CVTP, Costa Rica

Author: Chi Institute/Wednesday, August 1, 2012/Categories: Student Case Reports, TCVM Newsletter, 2012 Summer Issue

A six week old Arabian filly injured herself while the handlers were taking her to the pasture and putting on the halter. She struggled with them and fell down sideways, fighting tremendously to get up in several attempts, while the handlers were holding her by the halter. The halter generated enough bruising into the nasal and facial crest skin area that it generated a compressive-tearing lesion over the tract of the facial nerve on the left side. Western Examination showed a mouth deviation towards the right side, with partial inability to close the left eye, saliva drooling from the mouth mostly on the left side and lower lip ptosis. The deviation was really noticeable as can be seen on Fig. 1. Local sensitivity was diminished but it was tender over a small raised area that could be felt immediately below the left facial crest and skin bruising over the nasal and facial crest area (Fig.1).

Pulse is fast and superficial and the tongue has a normal peach color, slightly purplish. She is playful, happy but difficult to handle and when she gets tired of acupuncture treatment. I was able to insert needles and perform 20 to 30 minutes of EA treatment on a weekly basis. Facial Paralysis in this case was caused by trauma; this blocks the free flow of Qi and Blood: the TCVM diagnosis is Qi Deficiency with local Qi-Blood Stagnation.

Tui-na was given on the first session to nourish Qi and Blood, activate the channels and relieve stagnation

  • Mo-fa was given to first ask permission, on the neck following the ST and LI channels and over the SI, to remove stagnation at the same time.

  • Moo-fa was then given over the frontal and supraorbital areas and Da-feng-men, to calm the Shen and to benefit the eye.

  • Ca-fa was given on the affected cheek until warm, and also behind the poll area at GB-20, TH-17 area.

  • Nie-fa was then given over the affected cheek area and mandible to invigorate Qi.

  • Rou-fa and Tui-fa were then introduced over the small raised area below the facial crest to dispel stagnation using Relief Salve.

  • Yi-zhi-chan was then applied to ST-6 bilateral, ST-7, ST-5, ST-36, LI-18, 17, 16 and SI-19.

  • Ban-fa was accomplished by opening the mouth and stimulate chewing by placing fingers on the labial commissure.

  • Mo-fa, Ca-fa, Moo-fa and Nie-fa were given on daily basis for 10 minutes by owner and handler. Rou-fa, Tui-fa; Yi-zhi-chan and Ban-fa were applied by us every week for 9 weeks.

Fig 1. Filly before treatment Fig 2. Moo-fa 6th session.

 The main channels involved were ST, LI and SI. 9 weekly acupuncture treatments were given. Improvement was seen after the 6th session (Fig.2) and the points used were:

  • Dry Needle at ST-2 towards SI-18 affected side.

  • EA: GV-26 to LI-18, CV-24 to LI-17, ST-4 to ST-7, ST-5 to ST-10 same side, and ST-6 to ST-6. EA was set at 40 Hz for 10 minutes and a Dense/Disperse mode at 40/120 Hz for 10 to 20 minutes.

 This filly is valued at a high price since she has an Endurance racing potential. Her deformity was of great concern to the owners since her price had dropped considerably. As seen in Fig. 3, she does not look as a filly that just recently had a facial paralysis. Tui-na was important because the handlers could do it, assuring the great outcome of this TCVM strategy.

By restoring normal circulation of Qi and Blood, channels can be unblocked and the body can heal faster. Tui-na techniques accomplish that, assuring a better outcome and greater satisfaction for the TCVM practitioner, who sees much better results than when using one branch of TCVM alone. Owners and handlers become more aware of the great results when looking at before/after pictures, becoming themselves promoters of TCVM practice. In this case, Tui-na showed its remarkable therapeutic effect in, for so many times, a neurological disorder difficult for western approaches.







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