Facial muscle spasm, also known as facial muscle twitching, is a disease in which the main manifestation is a paroxysmal jerk-like contraction of the facial muscles. As the initial symptom of facial muscle spasm is eyelid jumping, the folklore is also known as “left eye jumping for money, right eye jumping for disaster”, so it usually does not attract people’s attention, and after a period of time it develops into a more stubborn facial muscle spasm. Facial muscle spasm can be divided into two types, one is primary facial muscle spasm, one is secondary facial muscle spasm, that is, facial muscle spasm generated by the sequelae of facial paralysis. The two types can be distinguished from each other in terms of symptoms. Primary facial myospasm can occur even at rest, and the spasm is relieved after a few minutes and is not controlled; facial myospasm produced by the sequelae of facial palsy is only produced when doing actions such as blinking and raising eyebrows. 1. Chinese medical treatment 1. Wind-cold obstruction Main symptoms: Facial muscle twitching, induced by wind-cold, accompanied by vicious cold and fever, light red tongue, thin white fur, floating and tight pulse. 2, wind and Yang upward disturbance Main symptoms: facial muscle twitching, often aggravated by irritation or mental tension, red face and eyes, bitter mouth and dry throat, impatient and angry, red tongue, thin yellow moss, and string pulse. 3. Blood deficiency and wind movement Main symptoms: facial muscle twitching, no color, insomnia and forgetfulness, palpitations and palpitations, light color of lips and nails, light tongue, thin moss, thin and stringent pulse How to treat facial muscle spasm? According to the specific condition and physical condition, the treatment is based on evidence. Clinically, dredging the wind and clearing the channels, activating blood circulation to stop spasm. Calming the liver and quenching the wind, promoting circulation and stopping spasm. Nourishing blood and nourishing Yin, quenching wind and stopping spasm. We must seek the root cause. Satisfactory results have been obtained. Western medical treatment 1, drug therapy ① oral phenytoin sodium or carbamazepine and other sedative antispasmodic drugs for mild patients effective. Botulinum toxin injection can control facial muscle spasm to some extent, generally one injection can control up to one year, a long time injection will produce resistance, and because of the type A botulinum toxin can paralyze the facial nerve caused by artificial facial paralysis, so at the time after playing facial muscle spasm will be controlled. However, patients who have been injected for a long time will have more or less symptoms of facial paralysis. 2.Surgical treatment There are facial nerve stem compression and branch severing, facial nerve decompression, facial nerve vertical segment combing, microvascular decompression, etc., among which microvascular decompression is more widely used at present. Surgical treatment is more effective, but it is traumatic and risky, and facial paralysis, tinnitus, deafness, balance disorder, etc. can occur after vascular injury.