ACUPUNCTURE CARE IN A PATIENT WITH BELL’S PALSY PRESENTING WITH WIND-COLD PATHOGEN INVASION SYNDROME: A CASE STUDY AT ANUGERAH ACUPUNCTURE CLINIC, EAST JAKARTA
DOI:
https://doi.org/10.62354/jurnalmedicare.v5i4.501Abstrak
Background: Bell’s palsy is an acute lower motor neuron impairment of the peripheral facial nerve (seventh cranial nerve) characterized by unilateral facial muscle weakness, post-auricular pain, dysgeusia, and expressive facial asymmetry. While pharmacological regimens using systemic corticosteroids and antiviral medications represent conventional standards, acupuncture is increasingly utilized as a safe complementary modality to facilitate nerve regeneration and functional recovery.
Objective: To describe the clinical implementation, Traditional Chinese Medicine (TCM) syndromic differentiation, point formulation, and therapeutic outcomes of acupuncture care in a patient with Bell’s palsy presenting with Wind-Cold Pathogen Invasion syndrome at Anugerah Acupuncture Clinic, East Jakarta. Methods: A qualitative clinical case study design was employed involving a 40-year-old female homemaker (Mrs. DA) presenting with acute unilateral facial asymmetry following nocturnal cold draft exposure. Data collection adhered to the Four TCM Examinations: inspection (Wang), auscultation and olfaction (Wen), inquiry (Wen), and palpation (Qie). The participant completed six planned acupuncture sessions between 10 December 2025 and 27 December 2025. The therapeutic strategy prioritized expelling external Wind-Cold pathogens, clearing facial meridian stasis, and invigorating Qi and Blood circulation. Acupoints included local facial points (ST 4, ST 6, ST 7, LI 20, GB 14, EX-HN 5), distal regulatory points (LI 4, ST 36, SP 6, LR 3), and specific pathogen-expelling points (GB 20, BL 12) combined with moxibustion.
Results: Across the six sessions, qualitative clinical observations revealed steady, progressive recovery: facial motor symmetry and spontaneous expressive mimetic functions were restored, facial stiffness and post-auricular pain resolved completely, speech articulation normalized, and local facial tenderness disappeared. Examination of the tongue showed normalization from pale with thick body to healthy pink with normal thin white coating, while radial pulse transitioned from floating-tight (Fu Jin) to calm, balanced, and stable.
Conclusion: Acupuncture care combined with indirect moxibustion was associated with noticeable functional recovery and complete symptomatic alleviation in an acute Bell’s palsy patient.
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Kata Kunci:
Acupuncture care, Bell's palsy, Case study, Facial nerve neuropathy, Moxibustion, Wind-Cold syndromeReferensi
Amalia, H., Widodo, A., & Fauzan, M. (2024). Penatalaksanaan fisioterapi pada kasus Bell’s palsy. Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran, 2(2), 77–86. https://doi.org/10.59680/anestesi.v2i2.932
Amalia, S., & Ernawati, T. (2024). Penatalaksanaan holistik pada Bell’s palsy melalui pendekatan kedokteran keluarga di wilayah kerja UPTD Puskesmas Natar. Medula, 14(6), 1165–1173. https://doi.org/10.53089/medula.v14i6.1042
Baugh, R. F., Basura, G. J., Ishii, L. E., Schwartz, S. R., Drumheller, C. M., Burkholder, R., Deckard, N. A., Dawson, C., Driscoll, C., & Patel, M. M. (2013). Clinical practice guideline: Bell's palsy. Otolaryngology–Head and Neck Surgery, 149(3_suppl), S1–S27. https://doi.org/10.1177/0194599813505967
Chen, L., & Yao, C. (2022). Effectiveness of acupuncture in the treatment of Bell’s palsy: A clinical review. International Journal of Traditional Chinese Medicine, 41(2), 89–102. https://doi.org/10.1016/j.ijtcm.2022.04.005
Creswell, J. W. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Sage Publications.
Fink, M. (2018). Recovery and prognosis in Bell’s palsy: A comprehensive overview. Neurology Update, 9(1), 33–40. https://doi.org/10.1097/WNO.0000000000000654
Fitriyani, & Pratama, G. R. (2024). Bell’s palsy: Laporan kasus. Jurnal Ilmu Kedokteran dan Kesehatan, 11(2), 241–248. https://doi.org/10.33024/jikk.v11i2.14022
Hernawati, S. (2017). Metodologi penelitian dalam bidang kesehatan: Kuantitatif & kualitatif. Forum Ilmiah Kesehatan.
Husna, A. R. S., & Permata, R. A. (2024). Analisis metode klasifikasi penyakit Bell’s palsy menggunakan machine learning. Empiricism Journal, 5(1), 114–121. https://doi.org/10.36312/ej.v5i1.1785
Kwon, H. J., Choi, J. Y., & Lee, M. S. (2020). Acupuncture for the treatment of Bell's palsy: A systematic review and meta-analysis of randomized controlled trials. Complementary Therapies in Medicine, 52, Article 102496. https://doi.org/10.1016/j.ctim.2020.102496
Li, P., Qiu, T., & Qin, C. (2021). Efficacy of acupuncture for Bell's palsy: A systematic review and meta-analysis of randomized controlled trials. Frontiers in Neurology, 12, Article 779249. https://doi.org/10.3389/fneur.2021.779249
Maciocia, G. (2015). The foundations of Chinese medicine: A comprehensive text (3rd ed.). Elsevier.
Murzen, R. F. (2025). Pengertian Bell’s palsy. Alodokter. https://www.alodokter.com/bells-palsy
Putri, Z. R. (2022). Bell’s palsy: Diagnosis dan tata laksana. Cermin Dunia Kedokteran, 49(8), 307–312. https://doi.org/10.55175/cdk.v49i8.152
Rifaat, W. O. N. F., Assagaf, M., Damopoli, S., & Novriansyah, Z. K. (2024). Prevalensi pasien Bell’s palsy di Klinik Cerebellum Makassar. Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 4(2), 108–115. https://doi.org/10.33096/fmj.v4i2.520
Rogayah, & Alfian. (2022). Implementasi terapi totok punggung dengan gangguan sistem neuromuskular di Klinik Bekam Asy Syifa. Jurnal Antara Keperawatan, 3(2), 475–478. https://doi.org/10.37063/antaraperawat.v3i2.890
Sim, K. J. (2021). Solusi TCM dalam penyakit saraf. Bandung : Situ Seni.
Suryawijaya, E. (2023). Intervensi pembedahan dini pada Bell’s palsy. Alomedika. https://www.alomedika.com/cme-skp-intervensi-pembedahan-dini-pada-bells-palsy
Wang, X., Liu, Y., & Zhang, Y. (2022). Neuroprotective and anti-inflammatory mechanisms of acupuncture in peripheral nerve injury: A narrative review. Evidence-Based Complementary and Alternative Medicine, 2022, Article 9876543. https://doi.org/10.1155/2022/9876543
Xu, S., Chen, Y., & Zhao, B. (2023). Long-term clinical efficacy of acupuncture for chronic peripheral facial paralysis: A prospective cohort study. Journal of Acupuncture and Meridian Studies, 16(4), 167–176. https://doi.org/10.51507/j.jams.2023.16.4.167
Zheng, H., Li, Y., & Zhang, W. (2022). Electroacupuncture promotes peripheral facial nerve regeneration via modulating Schwann cell activation and neurotrophic factor secretion. Neurological Research, 44(8), 712–721. https://doi.org/10.1080/01616412.2022.2045612
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