A throbbing sensation in the face is usually the occurrence of facial muscle spasm, which is manifested by involuntary local muscle twitching, and the symptoms can be aggravated during emotional tension or excitement. The pathogenesis of the disease has not been fully studied yet, and may be related to facial neuropathy and some rheumatic immune inflammatory diseases. Patients need to complete cranial MRI and EEG to exclude intracranial organic diseases. Treatment is usually with symptomatic management medications, such as thiopride, 0.1 g once, 2-3 times a day or haloperidol, 0.5 mg once, 2-3 times a day, with dose adjustment according to symptoms and maintenance with the smallest dose that can control the patient’s symptoms. If medication is not effective, botulinum toxin injection closure therapy needs to be considered. Surgery can also be considered if necessary, but surgery can affect the function of the facial nerve and has more side effects, so it needs to be chosen carefully.