Facial palsy can develop at any age. Patients usually have a history of cold wind attack on the face or acute nasopharyngeal infection, usually with acute onset. Some patients may experience loss or disappearance of taste sensation in the front 2/3 of the affected tongue and auditory hypersensitivity. If treatment is not timely and recovery is incomplete, facial palsy sequelae such as paralytic muscle contracture, facial muscle spasm or joint band movement can often occur. Acupuncture is very effective in treating this disease, and the earlier the treatment, the better the results. There is a misconception that acupuncture is not appropriate during the initial acute phase of the disease. A large sample of clinical control trial to observe the relationship between the time and effect of acupuncture treatment for peripheral facial paralysis confirmed that the recovery rate of those who started acupuncture treatment within 2 weeks of onset was 77.2%, the recovery rate of those who started treatment within 2-4 weeks was 51.8%, and the recovery rate of those who started treatment within 6 months was only 4.5% for those who had been ill for more than 1 month. The early and appropriate treatment is the key to rapid and complete recovery of the disease, and early acupuncture treatment can also reduce the use of hormones. Previous studies on acupuncture for this disease have made similar findings. Our clinical practice also supports this conclusion, but the acupuncture treatment of this disease should be carried out in stages, and the acupuncture points and acupuncture methods should be different during the acute and recovery periods in order to fully reflect the principles of TCM evidence-based treatment. During the acute phase of the initial onset, the disease is superficial and fewer acupuncture points and lighter acupuncture techniques should be used on the face; during the recovery phase, the number of acupuncture points on the face can be increased appropriately and stimulation methods such as penetrating acupuncture and electroacupuncture can be used. Early facial light acupuncture plus TDP irradiation can dispel the wind and disperse the evil, improve the blood circulation of the lesion, quickly eliminate edema, reduce nerve damage, shorten the recovery time of nerve function, accelerate healing, and prevent the occurrence of sequelae. If the disease is more serious and deeper, it can be treated with Chinese and Western medicine appropriately.