Acupuncture Treatment of Pseudobulbar Palsy
Pseudobulbar palsy is a serious complication of cerebrovascular disease, occurring in patients with bilateral medullary tract damage after multiple strokes or a single brainstem stroke affecting both corticobulbar tracts. This leads to upper motor neuron lesions involving the nucleus ambiguus (which controls pharyngeal muscles) and the hypoglossal nucleus (which controls tongue muscles), resulting in a syndrome primarily affecting the tongue, soft palate, pharynx, face, and masticatory muscles. It manifests as central paralysis of the tongue, soft palate, pharynx, face, and chewing muscles.Prescription: Acupuncture therapy. Fengchi (GB20), Fengfu (GV16), Yammen (GV15), Tianzhu (BL10), Lianquan (CV23).Procedure: Insert needle at Fengchi toward the throat, gently rotate and slowly advance 1.5–2 cun, applying light, rapid reinforcing technique for 1–3 minutes until a sensation of numbness and distension in the throat and tightening of the uvula is felt. Lianquan is inserted 1.5 cun, directed toward the root of the tongue, with sensation of numbness and distension in the tongue root as target; use gentle rotation and slow advancement, applying rotating reducing technique.