In acupuncture clinics, we often encounter patients who complain of involuntary throbbing of one side of the facial muscles, which they cannot control. In some cases, the throbbing may stop at times, but in severe cases, the throbbing may not stop. Some patients start with throbbing muscles at the corners of the eyes, and after a while, the muscles at the corners of the mouth also start to throb. Although this throbbing is not painful, it is very annoying, and the more annoyed you are, the more you jump, forming a vicious circle. What exactly is wrong with this. This condition is known in the medical field as lateral facial myasthenia, and is characterized by involuntary movements of the muscles on one side of the face. As of today, the cause of most facial myasthenia is unknown, and only a few patients can be found to have abnormalities in the basilar artery travel after cerebral angiography, but other patients have been repeatedly examined and no cause can be found, so this condition is often also referred to as idiopathic facial myasthenia. So, how is facial myasthenia treated? As mentioned earlier, for patients with confirmed abnormalities in the course of the basilar artery, surgical procedures can be attempted to isolate the basilar artery from the facial nerve to relieve the compression of the facial nerve, and the spasm will then be relieved. However, for other patients, this method is not feasible. In acupuncture treatment, we should first identify the characteristics of facial muscle spasm and find a breakthrough in treatment in order to treat this problem, which is not a major disease but is very annoying. Through clinical observation and literature, we found that most patients with facial muscle spasm are irritable, poor sleepers, with strong liver fire, red tongue, dry mouth and bitter mouth, and the manifestation of heart and liver fire is more obvious. We used head acupuncture points with deep pricking of Yanglingquan and other acupuncture points, and found that the patient felt clear head and eyes after treatment, and the throbbing was relieved. Therefore, we consider that acupuncture and moxibustion to calm the mind is a feasible path to treat facial spasm. We are still observing this method for the treatment of facial muscle spasm in our outpatient clinic. Through more than ten years of clinical work in acupuncture, I realized that for difficult diseases, strange diseases, and diseases whose causes are not clear in Western medicine, it is a good battlefield for acupuncture treatment to show its skills. Although facial muscle spasm does not affect food and drink, but can reduce the quality of life of patients, doctors are often helpless. It would be great if, through the observation of a large number of cases, we could further refine the acupuncture treatment of facial spasm and improve its efficacy by one step. We will continue our efforts.