Facial paralysis (in this case, idiopathic peripheral facial nerve palsy) is a face project. When you have facial paralysis, although it is not fatal, it is disfiguring if you can’t treat it. The best time to treat facial paralysis is within 48 hours of the onset of symptoms. If effective treatment is given during this time, the damage of inflammation to the facial nerve can be controlled and the local inflammatory edema can be eliminated, so that the damage to the facial nerve can be minimized and the patient can basically recover. The treatment principle of facial paralysis is to improve local blood circulation, reduce facial nerve edema, relieve nerve compression and promote nerve function recovery. Preferred medication for facial paralysis 1. The preferred medication for acute facial nerve paralysis is the early use of corticosteroids (i.e., hormones), such as prednisone, etc., with short-term use of adequate dosage and gradual reduction of the dosage. Generally speaking, short-term use of hormones will not cause side effects such as obesity, bone quality changes. 2.B vitamins can promote nerve myelin recovery, vitamin B1, B12 (adenosylcobalamin, methylcobalamin) intramuscular injection. 3.Facial paralysis caused by herpes zoster is treated with antiviral drugs. Acupuncture and moxibustion can improve local circulation and eliminate nerve edema. The author believes that early use, especially with warm acupuncture is effective in promoting facial nerve function repair. V. Interpretation of the time of appearance of facial spasm Facial spasm appeared within one month of the onset of the disease, and is not continuous, as a signal for the recovery of facial paralysis. The appearance of facial spasm after 3 months of onset mostly suggests that the patient’s facial nerve injury is serious, the recovery is not ideal, and there will be sequelae of facial paralysis.