Bellís palsy, facial
paralysis, trigeminal neuralgia, and TMJ (temporomandibular joint) disorder are
disorders that affect the head region. These disorders affect different nerves
in the face and the head, leading to numbness, pain, and loss of sensory or
musculoskeletal functions. The causes are not always known, but are generally
attributed to damage to the cranial nerves.
to traditional Chinese medicine, trigeminal neuralgia and facial paralysis are
two conditions characterized by wind attacking the channels and collaterals in
the facial regions, leading to blocked circulation of qi and blood. As a
result, there is often severe pain, numbness, loss of muscle tone, and
paralysis of the muscles. Optimal treatment of this condition requires use of
herbs to release exterior wind, open the channels and collaterals, and activate
qi and blood circulation.
††††††† Symmetry is formulated based on Qian Zheng San (Lead to Symmetry Powder), a
classic formula that treats deviation of the eyes and mouth by restoring
symmetry of the face. Following this general principle, Symmetry
uses Fang Feng (Radix Saposhnikoviae), Bai Zhi
(Radix Angelicae Dahuricae) and Jing Jie
(Herba Schizonepetae) to release exterior wind, and Quan Xie (Scorpio)
and Wu Gong (Scolopendra) to dispel
interior Liver wind. In addition, Bai
Fu Zi (Rhizoma
Typhonii) and Jiang Can (Bombyx Batryticatus) dispel wind and eliminate
phlegm obstruction. Dang Gui (Radix Angelicae
Sinensis) tonifies blood in the channels and collaterals, and treats the
underlying deficiency. Yan Hu Suo (Rhizoma Corydalis) and Chuan Xiong (Rhizoma Chuanxiong)
activate qi and blood circulation and relieve pain. Si Gua Luo
(Retinervus Luffae Fructus) opens the peripheral channels and
††††††† Overall, Symmetry is a
strong formula to treat various disorders of the face, including but not
limited to trigeminal neuralgia, facial paralysis, TMJ disorder, and migraine
formula is strong and potent, and contains herbs that are considered slightly
toxic in traditional Chinese medicine. Therefore, the dosage should be
prescribed carefully according to the age, body weight and severity of the
condition. For additional details, see
Strategic Dosing Guidelines for age-to-dose and weight-to-dose charts on page
formula is contraindicated during pregnancy and nursing. It should be used with
extreme caution in pediatric and geriatric patients, and only when the benefits
outweigh the risks.
herbal formula contains herbs that invigorate blood circulation, such as Dang Gui (Radix Angelicae Sinensis).
Therefore, patients who are on anticoagulant or antiplatelet therapies, such as
should use this formula with caution, or not at all, as there may be a higher
risk of bleeding and bruising.,,
and frequent treatment of Bellís palsy will ensure proper recovery. Acupuncture
and moxa are extremely effective to treat this condition. In acute cases,
patients are recommended to receive acupuncture treatment three times a week.
Moxa on the local area for at least 20 minutes each day will also enhance
or Liver qi stagnation may be triggering factors for many women who suffer from
Bellís palsy. In such cases, maintenance and preventative formulas such as Calm
or Calm (ES) should be taken regularly to prevent repeated
attacks in the future.
palsy is the prodromal sign of a future stroke in some patients. After
successfully treating the symptoms, patients should be put on another formula
to nourish yin or lower Liver wind to prevent future attacks. See Supplementary Formulas.
formula is an adjunct formula to acupuncture treatment. Optimal results will
occur when acupuncture, electro-stimulation and herbs are all included in the
deviation of the eyes and mouth, topical application of herbs is also
beneficial. The topical preparation may be prepared by mixing extract powder of
Bai Jie Zi (Semen Sinapis) with
concentrated green tea. This herbal paste is to be applied topically to the
affected area for four to eight hours (the affected side in Bellís palsy can be
determined by the side of the eye that cannot close). This process may be
repeated daily, or every other day.
trigeminal neuralgia, the topical use of herbs is also very beneficial. One
topical preparation that has been used with great success contains Ma Qian Zi (Semen Strychni) 30g, Zhi
Chuan Wu (Radix Aconiti Praeparata) 15g, Zhi Cao Wu (Radix Aconiti Kusnezoffii
Praeparata) 15g, Ru
Olibanum) 15g, and Mo
15g. This topical preparation is made by grinding all the ingredients into a
fine powder and then mixing it with oil to form an herbal paste. A small amount
of herbal paste is to be applied topically to acupuncture points around the
affected area, such as Taiyang,
Xiaguan (ST 7), and Jiache
(ST 6). [Note: These five
herbs must be used only topically, and not internally, as
internal ingestion of some of these herbs may be toxic.]
post-stroke patients with mental and physical deterioration, combine with Neuro Plus.
severe nerve pain, combine with Flex (NP).
severe and acute migraine headache, combine with Corydalin (AC).
chronic and moderate migraine headache due to blood deficiency, combine with Corydalin (CR).
neck and shoulder pain, add Neck & Shoulder (AC).
excessive stress, add Calm or
postpartum Bellís palsy with qi and blood deficiency, add Imperial Tonic.
high blood pressure or prevention of stroke, add Gastrodia Complex
or Gentiana Complex.
* Bellís palsy or facial paralysis:
the affected side (the side with the eye and/or mouth that cannot close): Jiache
(ST 6), Dicang (ST 4), Xiaguan (ST 7), Sibai (ST 2), Yangbai (GB 14), Taiyang, Yingxiang (LI 20), Chengjiang (CV 24), Yifeng (TH
17), Fengchi (GB 20),
Hegu (LI 4), Zanzhu (BL 2)
severe cases, more aggressive treatment is necessary. Thread the needle
underneath the skin from Dicang (ST
4) towards Jiache (ST 6),
Yangbai (GB 14) towards Yuyao,
Zanzhu (BL 2) towards Jingming
(BL 1), Yingxiang (LI 20) towards Sibai (ST 2), and Renzhong (GV 26) towards Dicang (ST 4). These points are needled
subcutaneously at least 1 cun parallel to the skin. Once the needle is
inserted, be careful to not have the tip of the needle penetrate out of the
* Trigeminal neuralgia:
stimulate the following points: Zanzhu (BL 2), Xiaguan (ST
7), Daying (ST 5), Yuyao,
Sibai (ST 2), Chengjiang
(CV 24), Yintang, Tinggong
points in Group 1 and 2 from treatment to treatment. Needle and bleed these
1: Shangxing (GV 23), Wuchu
(BL 5), Chengguang (BL 6), Tongtian (BL 7), Luoque (BL 8)
2: Qianding (GV 21), Baihui
(GV 20), Toulinqi (GB 15), Muchuang (GB 16), Zhengying (GB 17), Chengling (GB 18)
a few points and alternate between them: Hegu (LI 4), Taiyang,
Yangbai (GB 14), Zanzhu
(BL 2), Tongziliao (GB 1), Xiaguan (ST 7), Juliao (GB 29), Jiache (ST 6), Daying (ST 5), and Tinghui (GB 2).
Master Tung Points:
* Facial paralysis: Sanchasan (T 22.17)*, Wanshunyi (T 22.08), Wanshuner (T 22.09), Dizong (T 44.09), Cesanli
(T 77.22), Cexiasanli (T 77.23), Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong
(T 77.07), Shangquan (T 88.22), Zhongquan (T 88.21), Xiaquan (T 88.20) , Zhenghui (T 1010.01), Dicang (ST 4), Jiache (ST 6), Zhisanzhong (T 11.14). Bleed dark veins nearby the temporal area. Bleed before needling
for best result.†
* TMJ (temporomandibular joint) pain: Tianhuang
(T 88.13), Minghuang (T 88.12), Qihuang (T 88.14), Tongshen (T 88.09), Shangquan
(T 88.22), Xiaquan (T 88.20), Wanshunyi
(T 22.08), Wanshuner
(T 22.09), Sanzhong (T 77.07), Huoying (T 66.03)
* Trigeminal neuralgia: Yizhong (T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Shangquan
(T 88.22), Zhongquan (T 88.21), Xiaquan (T 88.20), Cesanli (T 77.22), Zhongjiuli
(T 88.25). Bleed the ear lobe and the ah shi points. Bleed
before needling for best result.
* Migraine: Linggu (T 22.05), Dabai (T 22.04), Cesanli (T 77.22), Yizhong
(T 77.05), Erzhong (T 77.06), Sanzhong (T 77.07), Liuwan (T 66.08), Zhongjiuli
* Post-stroke sequelae (twitching†of muscles): Minghuang
(T 88.12), Tianhuang (T 88.13), Qihuang (T 88.14), Zhenghui (T 1010.01), Qianhui
(T 1010.05), Houhui (T 1010.06), Houxi
(SI 3) to Laogong (PC 8), Gongsun
(SP 4) to Yongquan (KI 1), Sanchayi
(T 22.15)*, Sanchaer (T 22.16)*, Sanchasan (T 22.17)*, Bafeng, Baxie
Method by Dr. Richard Tan:
side: Sanjian (LI 3), Zhongzhu
(TH 3), Ququan (LR 8)
side: ah shi points around
Chize (LU 5) to Kongzui
(LU 6), Quze (PC 3) to Ximen (PC 4), Shaohai (HT 3) to Lingdao (HT 4), Zulinqi (GB 41), Xiangu (ST 43)
sides from treatment to treatment. Patient should receive acupuncture treatment
at least twice a week for optimal result.
Medicine by Dr. Li-Chun Huang:
* Trigeminal neuralgia: Auricular Temporal Nerve, Brain Stem, San Jiao.
Bleed Ear Apex.
ß For neuralgia of the first
branch of the trigeminal nerve, add Forehead and Eye.
ß For neuralgia of the maxilla
nerve, add Upper Jaw and Upper Palate.
ß For neuralgia of the
mandibular nerve, add Lower Jaw and Lower Palate.
* Facial paralysis: Cheek Area, Brain Stem, Sanjiao,
Endocrine, Adrenal Gland, Mouth, Sympathetic, Liver, Spleen, Coronary Vascular
Subcortex. Bleed Ear Apex and Helix 5.
* Epilepsy: Epilepsy Point, Brain, Brain Stem, Nervous Subcortex, Occiput, Shenmen, Kidney, Liver. Bleed Ear Apex.
* Temporomandibular joint (TMJ) pain: TMJ (front and back), San Jiao, Teeth and Larynx, Mouth. Bleed Helix 4 or Helix 5.
adequate amounts of vegetables for vitamins A, B1, B2, C and
a diet with a diverse source of all nutrients, including raw fruits,
vegetables, whole grains, nuts, and seeds. B vitamins are important to maintain
cold, icy food and beverages, fried, smoked or barbecued foods. Stop smoking
and avoid drinking alcohol.
patients to avoid all aluminum products, which may be found in antacids,
cookware, aluminum foil, and certain foods. Drinking steam-distilled water has
a chelating effect in the blood to remove unwanted aluminum from the body.
patients to exercise daily and maintain a positive, hopeful outlook toward the
workout and deep breathing exercises are excellent ways to oxygenate the blood
and improve circulation to all parts of the body to facilitate recovery.
recovering from a stroke or Bellís palsy, engage in regular and mild exercises,
such as walking and tai chi chuan [tai ji chuan].
However, it is important to advise the patient to avoid exposure to wind and
cold. In addition, biking, and direct exposure to either fans or air
conditioning is strictly prohibited.
a 33-year-old male, presented with Bellís palsy located on the left facial area
without wrinkles on his forehead. The patient was able to close his left eye
with effort and needed to wear an eye patch at night. The action he was unable
to perform was lifting the left angle of his mouth or smile. Attempted
treatments by ER doctors included short courses of prednisone and Zovirax (acyclovir).
Previously, before it occurred, the patient had recently installed an air
conditioner in his room in addition to experiencing increased stress. The
client was not experiencing pain at this time. With the TCM diagnosis of
invasion of wind and Liver qi stagnation, Symmetry was prescribed. After three
treatments and five days of taking Symmetry, the client was able to
close his eye comfortably without needing the eye patch at night. He was also
able to raise the left angle of his mouth and wrinkle his forehead by 30% of
normal. Submitted by C.S., Hood River, Oregon.
44-year-old male presented with Bellís palsy affecting the right side of his
face, which had begun one week prior. Additional symptoms included left side
frontal headache, fatigue, and stress. His medical reports ruled out possible
ischemic and hemorrhagic strokes. Objective findings during his neurological
exam were the patient being unable to pucker his lips, smile, or close and
blink his right eye. The practitioner diagnosed this condition as wind phlegm
and damp obstructing the channels of the face. Symmetry was prescribed
at six capsules three times a day. He continued taking it for three bottles.
Treatment of acupuncture was given four times a week with smokeless moxa as
well on the right side of his face. After the first acupuncture treatment, his
mouth was getting better and he was able to smile. Furthermore, after eleven
days of contracting Bellís palsy, the patient had reported a 70% improvement.
The patientís pucker and facial dimples returned and he no longer need to tape
his eye closed at night after receiving three treatments of acupuncture and
taking Symmetry. Submitted by G.T., San Diego, California.
a 54-year-old female, presented with acute symptoms of numbness of the tongue, pain
and inability to close the mouth. Objective findings were drooping eyes and
lips, affected smile, and tenderness on the left nostril. Her mother had died
around the same age due to a stroke. She has a tendency to ride her bike to
work, enjoying the wind, and works a stressful job. Pulse was wiry and tongue
was deviated with thick greasy tongue coating. The practitioner diagnosed the
condition as exterior wind attack blocking the channels. Her Western diagnosis
was Bellís palsy with one-sided facial paralysis. The patient was given Symmetry
for a period of two weeks. With Symmetry the patient returned to
pre-stroke condition after just two weeks. Submitted by K.F., Honolulu, Hawaii.
a 75-year-old male, presented with fatigue, overworked, and had recently
experienced a mini-stroke in which he could not walk for 24 hours. Tongue was
slightly deviated to the left and pulse was deep and slippery. The TCM
diagnosis was Spleen and Kidney yang deficiencies; the Western diagnosis was a
6 mm lesion in the poris medulla. After taking Symmetry and Neuro Plus, the patient felt less confused, more focused, and was able to
walk again without struggle. He continued to take the herbs for five months to
maintain his results. Submitted by V.G., Virginia Beach, Virginia.
50-year-old female suffered from deviation of her eye and mouth on the right
side of the face. The patient had yellow tongue coating, and a wiry, fine, slippery,
and rapid pulse. Upon more inquiry, the condition was diagnosed as wind
attacking the channels and collaterals, with underlying deficiencies. The
patient was treated with both electro-acupuncture and modified Symmetry.
In addition, the patient was instructed to apply herbs topically to the
affected area at night, removing them in the morning (the topical preparation
was made by mixing Bai Jie
Zi (Semen Sinapis)
with concentrated green tea). After three courses of treatment, the overall
condition was greatly improved. The deviation was not noticeable at rest, and
only slightly noticeable when laughing. The patient continued to be treated on
a regular basis, and eventually reported complete recovery. Submitted Anonymously.
AND CLINICAL RESEARCH
is designed specifically to treat disorders affecting the facial regions, such
as facial paralysis†or hemiplegia†in stroke sequelae, Bellís palsy, TMJ
(temporomandibular joint) pain and trigeminal neuralgia. Symmetry
contains herbs with neurological benefits to treat facial paralysis, analgesic effects†to relieve pain, anti-inflammatory effects†to reduce swelling and inflammation, and
antiseizure†and antiepileptic effects†to treat post-stroke†sequelae.
††††††† Bai Fu Zi (Rhizoma
Typhonii), Jiang Can (Bombyx
Batryticatus) and Quan Xie (Scorpio) are the three principle herbs in this formula.
Together, these three herbs have shown remarkable effect via numerous clinical
studies to treat facial paralysis, trigeminal neuralgia and migraine
headache. According to one study, concurrent use of acupuncture and herbs [Bai Fu Zi (Rhizoma
Typhonii), Jiang Can (Bombyx
Batryticatus), Quan Xie (Scorpio) and others] were successful in
treating 52 of 60 patients with facial paralysis. According to another study, concurrent
use of acupuncture and herbs [Bai Fu Zi (Rhizoma Typhonii), Jiang Can (Bombyx Batryticatus), Quan Xie
(Scorpio) and others] for two days
to one year was associated with 95% effective rate in 88 patients with facial
paralysis. In addition,
use of these three herbs in an herbal formula successfully treated 50 patients with facial paralysis with a 98% rate
of effectiveness (complete recovery in 44 cases, significant improvement in 3
cases, moderate improvement in 2 cases, and no effect in 1 case).
trigeminal neuralgia, one study
reported 94.2% rate of
effectiveness among 52 patients when treated with Bai Fu Zi (Rhizoma
Typhonii), Jiang Can (Bombyx
Batryticatus), Quan Xie (Scorpio) and others. Finally,
these three herbs also showed good
results to treat 25 patients with stubborn migraine headache. The overall rate
of effectiveness was 92%.
††††††† Symmetry also contains many herbs with analgesic effects to relieve pain and anti-inflammatory
effects†to reduce swelling and inflammation. Yan Hu Suo (Rhizoma
Corydalis), Bai Zhi (Radix
Angelicae Dahuricae) and Dang Gui (Radix
Angelicae Sinensis) all have
excellent analgesic and anti-inflammatory effects. Yan Hu Suo (Rhizoma
Corydalis) may be used to treat pain
of various origins.,
Bai Zhi (Radix Angelicae Dahuricae) is most effective for treating headache.,
Dang Gui (Radix Angelicae Sinensis) is excellent for migraine headache, with a
potency comparable to that of acetylsalicylic acid.,
Chuan Xiong (Rhizoma Chuanxiong) has
been used in various formulas to treat headache (95.1% success rate),
vascular headache (96.3% rate of
trigeminal nerve pain (90.6% rate of effectiveness),
and trigeminal neuralgia. Lastly,
Bai Fu Zi (Rhizoma Typhonii) in formulas has been shown to have good success to treat numbness and
pain of the facial nerves.
herbs in Symmetry also
have marked antiseizure and antiepileptic effects to prevent seizure and
epilepsy, and to treat post-stroke sequelae. Herbs with such actions include Jiang Can (Bombyx
Quan Xie (Scorpio),
and Wu Gong (Scolopendra).
In addition, use of these herbs is associated with very little toxicity
in mice studies.
†† In summary, Symmetry is an excellent formula
to treat disorders affecting the face. It restores symmetry to the face for
disorders such as facial paralysis and Bellís palsy. It also relieves pain to
treat TMJ (temporomandibular joint) pain, trigeminal neuralgia, and migraine
disorders are complicated illnesses that encompass many different diseases,
including but not limited to Bellís
palsy, facial paralysis, TMJ (temporomandibular joint) pain, and trigeminal
neuralgia. From Western medicine perspectives, these diseases are well-defined
and accurately diagnosed, but not successfully treated. Though there are some
drugs available for symptomatic treatment, such as use of antiseizure or
tricyclic antidepressants for nerve pain, none are very effective and all have
serious side effects. Furthermore, there are simply no effective pharmaceutical
treatments for either the symptoms or the cause of conditions such as Bellís
palsy and facial paralysis. As a result, these conditions continue to
deteriorate, creating more debilitation and suffering.
has long excelled in the treatment of such neurological disorders with both
acupuncture and herbs. There are numerous options available to stimulate the
central and peripheral nervous systems to help relieve symptoms and restore
normal functions. Generally speaking, the prognosis is excellent if treatment
begins within three months from the onset of illness, positive within one year,
and hopeful if within three years. TCM treatments using both acupuncture and
herbs should be explored and aggressively implemented as early and as much as
possible to achieve maximum results. Time delay before treatment only decreases
the overall success rate.
treatments offer safe and effective options for treatment of these neurological
disorders, and are significantly superior to Western medicine.