Combination of Manual Acupuncture, Penetrating Needling, and Electroacupuncture to Treat Bell's Palsy

Wijayani Mardiana, Yoshua Viventius, Irma Nareswari, Wahyuningsih Djaali

Research output: Contribution to journalArticlepeer-review


Background: Bell's palsy is an acute idiopathic paralysis of lower motor neurons on only 1 side of the face without any identifiable etiology. The condition affects a patient's physical, social, and psychologic health. It is important for the patient to recover quickly and minimize the risk of long-term sequelae. Therefore, researchers recommend a combination of several therapeutic modalities to shorten the disease's course and improve curative effects. Case: A 34-year-old woman had with right facial weakness. She was diagnosed with House-Brackmann grade III Bell's palsy and received medical therapy. She was also given manual acupuncture at GB-20, BL-2, ST-36, LI-4, TE-5 bilateral, and GV-20. Penetrating needling was given at GB-14 toward Ex-HN-3, ST-7 toward SI-18, SI-18 toward LI-20, ST-6 toward ST-4, and ST-5 toward ST-4 on the affected area, with a 30-minute needle retention. Electroacupuncture (EA) was delivered at ST-7-SI-18, ST-6-ST-5, GB-14-Ex-HN-5, and ST-4-CV-24, with a dense-disperse wave, at a frequency of 10/50 Hz for 20 minutes. She had treatment sessions twice per week, for a total of12 sessions. Results: From her 7th to 12th visit, this patient had reached House-Brackmann grade I. No adverse effects occurred. Conclusions: In this patient, a combination of acupuncture penetrating needling technique and EA played a role to shorten her recovery time and minimize the risk of sequelae of Bell's palsy. The treatment combination used in this case report can be considered in other clinical cases.

Original languageEnglish
JournalMedical Acupuncture
Publication statusAccepted/In press - 2023


  • Bell's palsy
  • case reports
  • electroacupuncture
  • penetrating needling


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