Peripheral facial nerve palsy is a common and frequent disease in the acupuncture clinic. However, due to the lack of correct understanding of many patients, untimely treatment or improper methods lead to poor results or sequelae, resulting in persistent facial palsy, which affects the aesthetics, especially for some young patients, bringing both physical and mental pain to patients and their families. Therefore, the treatment of intractable facial palsy has become an urgent problem to be solved. At present, there is no special treatment for persistent facial palsy in Western medicine, and surgery cannot be carried out because of uncertain efficacy and possible serious adverse reactions; traditional Chinese medicine treatment mainly adopts traditional acupuncture, electro-acupuncture, acupuncture point injection, abdominal acupuncture, massage, physiotherapy and other physical treatments, which are not ideal in clinical application, and the course of treatment is long and slow. Fire acupuncture has a history of thousands of years, and gradually improved and developed to become a special acupuncture method. However, because of the ancient acupuncture appliance production process is crude, the treatment may leave scars, and therefore the ancient people believe that the face should be prohibited. But the modern clinical verification for many years, found that the disease for a long time must have depletion of positive qi, the use of fire acupuncture therapy, can invigorate the yang qi through the meridians, so that the positive qi enrich the guard outside the solid density, and modern production technology is exquisite, by the treatment did not appear obvious adverse reactions, no scar remains. This method requires less equipment, operation is fast, the effect is exact, no toxic side effects. Fire acupuncture has obvious advantages over traditional acupuncture in the treatment of intractable facial palsy, and has obvious effects, opening up a new way for acupuncture to treat intractable facial palsy and enriching the related treatment methods. Fire acupuncture therapy is simple and easy to perform, safe, standardized in operation, and unique in efficacy, bringing more options and treatment opportunities for patients with intractable facial palsy, with good economic and social benefits.