The patient, Yang, male, 3 weeks old, came to the clinic on October 11, 2008. He came to the clinic 3 days ago after waking up from a nap, and his family noticed that his mouth was crooked to the right when he talked, and it was more obvious when he laughed. He was in good health. Physical examination: clear speech, bilateral pupils are round, sensitive to light reflex, left Bell’s sign (+), right-sided mouth angle when showing teeth, tongue extension in the center. Western medicine diagnosis: peripheral facial nerve palsy; Chinese medicine diagnosis: facial palsy. Acupuncture treatment was given. Acupuncture points: Yangbai, Sibai, Zygomatic s, Dicang, Cheek car, Cataract. A 0.30×13mm sterile acupuncture needle (Suzhou Acupuncture Supplies Co., Ltd.) was used to stab shallowly into the acupuncture points, and the needles were left in place for 30 min after obtaining Qi. At the same time, the patient was given oral vitamin B1 tablets three times a day, 10 mg each time, and her parents were instructed to give facial massage and hot compresses. After two courses of treatment, the patient’s left eye could be completely closed, the corners of the mouth on both sides were symmetrical when showing teeth, and the muscle strength of facial expressions was completely restored. Note: Peripheral facial palsy refers to peripheral facial palsy caused by lesions below the nucleus of the facial nerve. It can develop at any age, but is most common in men aged 20-40 years old and slightly more in men. According to Chinese medicine, this disease is mostly caused by deficiency of positive energy, deficiency of the meridians, and lack of solidity of the external guard, which leads to wind and evil entering the meridians, resulting in paralysis of qi and blood, loss of nourishment of the facial veins and meridians, resulting in muscle longitudinal extension and non-collection and facial paralysis. Modern medicine believes that this disease can be caused by wind and cold leading to vasospasm, ischemia and edema of the facial nerve, resulting in pressure on the facial nerve, lack of nerve nutrition and even nerve degeneration, or by non-purulent inflammation caused by viral infection. Acupuncture has been recognized at home and abroad for the treatment of facial palsy. Some scholars, through trials and clinical studies, believe that acupuncture treatment at the early stage of facial palsy can improve the clinical efficacy. This is contrary to the belief of some scholars that acupuncture treatment in the early stage of facial palsy will aggravate facial nerve edema and worsen facial palsy. In the clinical process, the author has given acupuncture treatment to patients with facial palsy at an early stage or even just after the onset of the disease, and also received satisfactory results. Patients with facial nerve palsy usually start to recover within 1 to 2 weeks after the onset of the disease, and about 80% of patients recover within a few weeks or 1-2 months. About 1/3 of patients have partial paralysis and 2/3 have complete paralysis. Of the latter, about 16% do not recover. If facial nerve palsy does not recover completely, it can often be accompanied by contractures of the paralyzed muscles, facial muscle spasms or joint band movements. Therefore, it is important to draw the attention of clinicians and patients.