Facial paralysis due to herpes zoster of the ear can be treated aggressively with antiviral medications, along with massage and acupuncture. Facial paralysis caused by herpes zoster of the ear is facial neuritis caused by herpes zoster virus invading the facial nerve. It manifests as shallow frontal lines and large lid fissures, accompanied by tearing, salivation and drooping of the corners of the mouth. In the acute stage, antiviral drugs such as acyclovir can be applied, together with vitamin B and other neurotrophic agents to assist the treatment. In the remission stage, the treatment with acupuncture and massage is more effective. After active treatment, most patients’ symptoms improve in 2 to 4 weeks and recover better in about 3 months, but a few patients never achieve the desired results. In daily life, we should pay attention to a light diet and avoid exertion. If the symptoms of facial paralysis still exist after more than 3 months, it is easy to leave sequelae. Herpes zoster ear caused facial paralysis, patients with any discomfort promptly consult a doctor, under the guidance of professional doctors and active treatment.