With the arrival of winter, the weather gradually becomes colder, and there are more and more patients with facial palsy in the clinic. Many patients suddenly feel the symptoms of brushing and leaking, pinching food or tongue numbness and pain behind the ear when they wake up, which may be the precursor of facial palsy, so we must visit the acupuncture department in time for timely acupuncture treatment. Peripheral facial palsy concept facial movement mainly relies on facial expression muscles. The commonly referred to facial palsy refers to the paralysis or paralysis of facial expression muscles. When the facial nerve and its center are affected by pathological factors, it will cause partial or total paralysis of facial expression muscles, resulting in facial movement disorders. The centers and motor nuclei of the facial nerve: Motor center – lower part of the ~ lobe central anterior gyrus. The motor nucleus – the lower part of the pontine brain – is divided into two parts, the upper part receiving ipsilateral and contralateral innervation and the lower part receiving only contralateral innervation. Herpes simplex virus infection causes facial neuritis and is associated with temperature changes: exposure to cold, wind, etc. Risk factors: diabetes, pregnancy, menstruation. Clinical manifestations of Bell palsy sudden onset, facial paralysis may be preceded by pain behind the ear. Peripheral facial palsy. Hunt’s syndrome is a disease caused by varicella zoster virus that predominantly attacks the facial nerve and was first described by Ramsey Hunt in 1907, hence the name Hunt’s syndrome. It can also be associated with herpes simplex virus infection and is more common unilaterally. Causes of viral infection: cold, fatigue, decreased resistance. Clinical manifestations: otalgia, herpes, facial paralysis, bitemporal auditory nerve and other cranial nerve involvement. Differential diagnosis (exclusion method) can firstly exclude otitis media and facial palsy caused by ear herpes zoster. It is important to exclude other causes of facial palsy before making a diagnosis of Bell palsy. Treatment of facial palsy includes medication (hormones, nerve nutrition, antiviral), acupuncture, hot compresses and local massage, and electroacupuncture and acupoint injections for those with poor results. Once you have facial palsy, don’t be afraid to treat it as early as possible, the earlier you access acupuncture treatment, the better the effect.