We present a severe case of treatment-resistant Bell's palsy that improved after long-term acupuncture and moxibustion treatment. The patient was a 67-year-old woman with Bell's palsy. Despite receiving steroid therapy for one month, her paralysis score was 0 on the Yanagihara 40-point system. She was referred to the Anesthesiology Department and underwent stellate ganglion block and SSP therapy nine times. Since her paralysis did not improve, acupuncture was performed once every one to three weeks. Further, she self-administered moxibustion at home almost every day. Her paralysis gradually improved, and her paralysis score rose to 22 after seven months of treatment. This case report highlights that acupuncture and moxibustion may be used to manage refractory Bell's palsy due to its low risk of complications, long continuity for chronic conditions, and convenience.

We here report a patient whose longstanding refractory pain in the original anus was ameliorated by repeated subarachnoid phenol block (SAPB), improving his quality of life (QOL) and enabling transition from hospital to home care. After undergoing surgery for rectal cancer, a man in his 40s developed longstanding anal pain that was difficult to control with medication, this pain and adverse effects of drugs making home care difficult. Ganglion impar and caudal blocks, performed because of the likelihood of post-SABP dysuria, were ineffective. However, SAPB ameliorated the pain, enabling the patient to receive home care. His cancer subsequently progressed. Repeated SAPB (three times in total) on return of symptoms achieved pain control, allowing the patient to continue to receive home care until he died. Repeated SAPB contributed to improvement in this patient's QOL.