Objective To explore the therapeutic effect on incomplete eyelid in the patients with facial neuritis treated with the penetrating needling at Cuanzhu(BL2) and Yuyao(EX-HN4) combined with the perpendicular needling at Shenmai(BL62). Methods A total of 64 patients with facial neuritis

in compliance with the inclusion criteria

were randomized into a treatment group and a control group

with 32 cases in each. In the treatment group

the penetrating needling was applied to BL2 and EX-HN4 on the affected side

combined with the perpendicular needling at bilateral BL62. Besides

on the affected side

the penetrating needling was applied from Yangbai(GB14) toward four directions

named Shangxing(GV23)

Touwei(ST8)

Cuanzu(BL2) and Sizukong(TE23)

the mutual penetrating needling was adopted between Dicang(ST4) and Jiache(ST6). Between Yingxiang(LI20) and Xiaguan(ST7)

a row-arranged needling technique was applied. All of the needles were retained for 10 to 30 min in each treatment. The treatment was given once daily and the treatment for 10 days was as 1 course. A total of 2 courses of treatment were required. In the control group

prednisone acetate(30 mg/d)

was administered consecutively for 5 days. Afterward

the dose was reduced to be 10 mg/d and the medication stopped after taking consecutively for 1 week. Muscular injection with vitamin B_(12)(0.5 mg) and B_1(0.1 mg) was given

once daily. 10 days later

vitamin B_1 was taken for oral administration

10 mg each time

three times a day

for 10 days totally. Before and after the treatment

the clinical effect was compared between the two groups in terms of the analysis on the Hourse-Brackman(H-B) grade of facial nerve function

the distance between the upper and the lower eyelids

muscle strength

degree of eyelid closure and electromyogram(EMG). Results The total effective rate of treatment group was 96.9 %(31/32)

better than 84.4%(27/32) in the control group(P<0.05). After treatment

in the treatment group

the distance between the upper and lower eyelids

the muscle strength

the degree of eyelid closure

the wave amplitude of motor nerve conduction and the latent period

as well as the blink reflex were all improved as compared with those before the treatment(P<0.01

P<0.05). In the control group

the distance between the upper and lower eyelids

the muscle strength

the degree of eyelid closure

the latent period of motor nerve conduction and the blink reflex were all improved as compared with those before the treatment(P<0.01

P<0.05). After the treatment

the results of the distance between the upper and lower eyelids

the muscle strength

the degree of eyelid closure

the wave amplitude of motor nerve conduction and the latent period

as well as the blink reflex in the treatment group were all better than those in the control group(P<0.05

P<0.01). Conclusion The treatment with the penetrating needling at Cuanzhu(BL2) and Yuyao(EX-HN4) combined with the perpendicular needling at Shenmai(BL62) greatly promotes the recovery of orbicularis oculi muscle in the patients with facial neuritis

reduces the complications and presents the satisfactory clinical effect.