In the acute stage of facial palsy, patients can massage the paralyzed facial muscles by themselves with their hands for 5~10 minutes each time, 3~5 times a day, which can promote local blood circulation and reduce the excessive traction of the paralyzed muscles on the healthy side. If the affected facial muscles can move slightly, functional training and rehabilitation should be started as early as possible, such as frowning in the mirror, raising the forehead, closing the eyes, showing the teeth, puffing the cheeks, and whistling, etc., several times a day for 10-15 minutes each time, supplemented by facial massage, which should be soft and moderate in force. It is appropriate to massage once a day in the morning and once in the afternoon. I often tell facial palsy patients in the clinic that as long as they can open one eye (healthy side) and close one eye (affected side), and whistle, they are basically cured. Expression muscle rehabilitation training After the facial expression muscles of the affected side have moved, effective expression muscle rehabilitation training can significantly improve the healing effect. The main expression muscles involved in facial palsy are the frontalis frontalis, orbicularis oculi, superior labialis, zygomaticus, orbicularis oris, and inferior labialis square. The functional training of these major muscles can promote the normalization of the motor function of the entire facial expression muscles. The following treatment methods should be selected according to the patient’s different symptoms during training, with 2~3 times of training per day and 10~20 times of training for each movement. Specific training methods are as follows: 1. Eyebrow raising training The completion of the eyebrow raising action mainly relies on the movement of the frontal ventral occipital muscle. In the disuse type, mild and moderate lesion type facial palsy, the motor function of occipitofrontalis frontalis is the easiest to recover. Patients can be asked to raise the eyebrows on the healthy side and the affected side to help restore the eyebrow raising motor function. 2.Eye Closure Training The function of eye closure mainly relies on the motor contraction of orbicularis oculi muscle to complete. When training eye closure, ask the patient to gently close the eyes at the beginning and close both eyes at the same time for 10~20 times. If the eyelids cannot be completely closed, use the finger belly of the index finger to gently massage along the infraorbital rim when showing white, and then forcefully close the eyes for 10 times to help restore the eyelid closure function. 3. Nose shrugging training The nose shrugging exercise is mainly done by lifting the upper lip muscles and the contraction of the nasal pressure muscles. The nasal shrug training can promote the recovery of the motor function of the nasal pressor and upper lip muscles. A small number of patients do not know how to shrug their noses, so they should pay attention to the direction of the nose when training. 4, show teeth training Show teeth action mainly relies on the contraction of the zygomaticus major and minor muscles, lift the corners of the mouth muscle and smile muscle to complete. The dysfunction of these four muscles is the main reason for the crookedness of the corners of the mouth. The patient is instructed to move the corners of the mouth to both sides at the same time, to avoid only to one side of the force to practice a habitual skewed movement of the corners of the mouth. 5.Nu mouth training Nu mouth mainly relies on the contraction of the orbicularis oris muscle to complete. When performing the nuzzling training, contract the lips and nuzzle forward with force. After the orbicularis oris muscle is restored, the patient can puff up the cheeks, and the symptoms of brushing teeth or eating drooling will disappear. When training the mouth, the motor function of the upper lip, lower lip and chin muscles are trained at the same time. 6, cheek training Cheek training helps to restore the motor function of orbicularis oris muscle and buccal muscle. When the cheek is leaking, use your hand to squeeze the affected orbicularis oris muscle up and down for cheek puffing training. If the patient can perform cheek puffing exercise, it means that the motor function of orbicularis oris muscle and buccal muscle can be restored to normal, and the symptoms of tooth brushing leakage, drooling and food stagnation will disappear. This method helps to prevent and control the contracture of the upper lip square muscle. The training of each action above is designed for the motor disorders of different muscle groups, so when observing the motor disorders of the patient’s facial expression muscles, the training should be carried out for the involved muscle groups, and if the involved muscle groups cannot be judged effectively, the motor function training can be carried out according to the above procedures, and good rehabilitation results can also be obtained.