Central facial palsy is often a symptom of cerebral infarction or cerebral hemorrhage, and the primary disease should be actively treated. Peripheral facial palsy is often caused by facial neuritis and has a certain degree of self-healing. Early and reasonable treatment can promote the early decreasing of local edema and reduce the compression on the facial nerve, and medication with acupuncture is the main treatment. For peripheral facial nerve palsy caused by facial neuritis, B vitamins and other drugs should be injected or taken orally to nourish the nerve, and glucocorticoids can be used for short-term treatment for patients without contraindications. In case of viral infection, antiviral treatment can be used. Early on, Chinese herbal medicines can be used to remove heat and toxins and dispel wind and pass wind, and after the acute stage, methods such as activating blood circulation and promoting qi can be used. For central facial palsy caused by cerebral infarction and cerebral hemorrhage, it is often caused by cerebral nerve injury, and the treatment effect is not as good as that of peripheral facial palsy. On the basis of treating the original disease, applying acupuncture treatment and rehabilitation treatment may help patients recover the function of facial and tongue muscles: hot compress can be applied to the affected side to promote local blood circulation, train the expression muscles, do eye opening, forehead wrinkling, sucking, lip curling, whistling, lip pouting, mouth opening, etc. actions, about 20 min each time, 1-2 times a day. Therefore, when you see a patient with facial palsy, you should first distinguish whether it is central facial palsy or peripheral facial palsy, and give appropriate treatment on the basis of a clear diagnosis, which is beneficial to the recovery of the disease.