Lin female, 34 years old, with episodic left upper and lower blepharospasm for almost 1 year. The patient presented with left upper eyelid spasm about one year ago, which improved with methylcobalamin. recurrence in October 15, with spread to the left lower eyelid and tightness and discomfort in the left cheek, was first seen on 2016-2-23. The patient felt dryness and heat in her body, but her hands and feet were cold since childhood. Coldness in the waist and knees during menstruation. Poor sleep and dreaminess. Fourth diagnosis: darker yellow face, spasms in the left upper and lower eyelids, pale tongue with thin white coating, sunken thin and tight pulse. Differentiation: Wind-cold paralysis, heat and wind. Treatment: Warming Yang to dispel cold, clearing heat and quenching wind. Effect: After one week of follow-up, the facial muscle spasm was more than half relieved, but still dreamy. Add raw dragon peony and fried jujube seeds. Analysis: Pale tongue with thin white fur, sunken thin and tight pulse suggesting wind-cold paralysis, heat and wind, with a mixture of cold and heat in the body, with cold still present and heat turning into wind; Yang deficiency as the basis and wind-heat as the symptom. We should use Radix et Rhizoma Pseudostellariae, Ephedra, Cinnamomum, Bupleurum and Sinapis to warm Yang and disperse cold, and use Radix Scutellariae, Scutellariae, Paeoniae, Zhi Mu and Radix Angelicae Sinensis to clear heat and nourish Yin. In the year of Cian Shen, water transportation was too much, so he treated with hemp, gui, and saposhnikov; Shao Yang was in the sky, and the sympathetic yin was in the spring, so he treated with wu mei, gypsum, scutellaria, and gardenia, and the second diagnosis with Sheng Long Mu, which is in line with Nei Jing: “the upper salty cold, the middle salty warm, and the lower pungent warm, so called medicine and food are also appropriate”, so both the symptoms and the root cause were treated, so the effect was quick.