总结李飞教授治疗顽固性面瘫之学术见解与临床心得。李飞认为，久病必虚，久病必瘀，顽固性面瘫之治，首当审 因辨证，通瘀滞，调气血，尤需重视经筋之疏调。经筋者，经络之属，气血滋养筋肉骨节之体系，于面瘫之治，尤为重要。 李飞以经筋理论为纲，辨证施治，并结合面部表情肌之解剖，以针刀松解粘连，破其瘀滞，针灸调和气血，揿针持续刺激， 如此，则经筋得疏，气血得调，面部筋肉得以荣养，面瘫之症自可渐愈。

This paper summarizes Li Fei’s academic insights and clinical experience in treating intractable facial paralysis. Li Fei posits that prolonged illness inevitably leads to deficiency and stasis，and thus，the treatment of intractable facial paralysis should first focus on identifying the etiology and syndrome differentiation， resolving stasis and unblocking stagnation，and regulating qi and blood，with particular emphasis on the relaxation of the meridian sinew system. The meridian sinew system， affiliated with the meridian and collateral， serves as the framework through which qi and blood nourish muscles， tendons， and joints， playing a crucial role in facial paralysis treatment. Guided by the theory of the meridian sinew system，Li Fei employs syndrome-based treatment， integrating the anatomy of facial expression muscles. His approach includes needle-knife therapy to release adhesions and break stasis，acupuncture to harmonize qi and blood，and intradermal needle therapy for sustained stimulation. Through these methods，the meridian sinew system is relaxed，qi and blood are regulated，and facial muscles are nourished，leading to gradual recovery from facial paralysis.

R246.9

国家青年岐黄学者支持项目（编号：国中医药人教函（2022）256 号）；安徽省自然科学基金面上项目（编号：2308085MH297）； 安徽高校自然科学重大研究项目（编号：2023AH040099）；安徽省财政中医领军后备人才培养项目（编号：皖发[2020]11号）