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Updated: Jun 19, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[Points of attention in treatment of peripheral facial paralysis]
Xue-Yan Zhang1, Chun-Ping Zhuo
1Rehabilitation Center, Beijing Elderly Hospital, Beijing 100095, China.
Abstract:
It is generally believed that peripheral facial paralysis is mainly caused by vacancy of collaterals, invasion of pathogenic wind-cold and wind-heat to facial tendons and meridians, which lead to stagnation of qi and blood, loss of nourishment of tendons, and flaccidity of muscle. The authors belive that the main etiology and pathogenesis of facial paralysis could be deficiency of yin and blood, emptiness of Yangming and Shaoyang collaterals, lack of liver blood which all lead to loss of nourishment, which is combined with exogenous pathogenic wind-cold, that causes stagnation of meridian qi, loss of nourishment of tendons, and flaccidity of muscle. Thus, yin and yang of the Governor Vessel and the Conception Vessel should be regulated for treatment, Siguan (LR 3 and LI 4) should be always used in points selection, and moxibustion should be applied carefully.
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