In the early stage of viral facial palsy, medication and rehabilitation are usually recommended first. Medication includes the use of hormonal drugs, antiviral drugs, drugs to nourish the nerves, and drugs to improve nerve edema, and rehabilitation includes acupuncture treatment and facial massage. If viral facial palsy does not improve through the above treatment measures, surgery is recommended. 1. Drug therapy: 1. Hormonal drugs: Viral facial palsy in the early stage is mainly due to symptoms caused by edema and compression, and needs to be treated with hormone therapy, usually with prednisone, which can play the role of anti-inflammation and swelling, thus improving the symptoms of facial palsy; 2. Anti-viral drugs: appropriate anti-viral treatment should be chosen according to the severity of the viral infection. For facial palsy caused by varicella-zoster virus infection, it needs to be treated with acyclovir, vaxilovir, etc. in sufficient amount and throughout the whole process; 3. Nerve-nourishing drugs: including vitamin B1, methylcobalamin, adenosylcobalamin, as well as vitamin B6 and vitamin B12, which can promote nerve repair and improve symptoms; 4. Drugs to improve neuroedema: patients with viral facial palsy usually have facial edema, so drugs to improve edema can be used at this time, such as Mannitol, furosemide, etc. Acupuncture treatment is usually based on local acupuncture points on the face, such as the foot Yangming Stomach meridian, and can also be combined with the Hegu, the foot Sanli, etc., which usually has a good clinical effect; 2. Third, surgical treatment If the patient’s condition is serious and does not improve after the above conservative treatment, surgical treatment can be considered at this time, such as facial nerve transplantation, by transplanting the undamaged facial nerve to the distal end of the damaged nerve. Viral facial palsy is one of the types of facial palsy, which is mainly caused by viral invasion of the facial nerve. The clinical manifestation is spasm and paralysis of one side of the facial muscles, and the patient is unable to perform movements such as raising the eyebrows, blowing, and puffing cheeks. If the patient wants to relieve the symptoms of viral facial palsy through rehabilitation, it needs to be done 1-2 weeks after the edema of facial palsy has subsided, because early viral facial palsy is mainly caused by inflammatory edema and compression of the facial nerve, and if rehabilitation is used early, it may aggravate the symptoms of facial palsy.