Question

After one week of onset, there is pain in the ear and around the ear, with half of the scalp hurting. The lower half of the face has again drooped after swelling.

Answer

  1. Early use of high-dose corticosteroids, starting dose of 1 mg/kg/day, twice daily, for a continuous 5-day period, then gradually reduced to 5 mg/day over 10 days.
  2. Antiviral medications.
  3. High-dose neurotrophic drugs and appropriate use of vasodilatory agents, such as B vitamins, ATP, etc.
  4. Therapy: infrared irradiation or ultrashort wave diathermy near the mastoid foramen.
  5. Traditional Chinese Medicine: use Qian Zheng San with modifications. Specific usage and precautions should be followed as instructed by a physician.