According to Chinese medicine, the onset of facial muscle spasm is mostly due to the deficiency of the body’s positive qi, the vacancy of the veins and channels, the lack of solidity of the couples, and the entry of wind and phlegm into the meridians of Yang Ming and Shao Yang in the face, resulting in paralysis of the facial muscle couples and meridians, the unfavorable flow of qi and blood, and the loss of moistening of the muscles and tendons, resulting in the constriction and relaxation of the facial muscles. Therefore, its formation is based on the basic pathology of deficiency, wind, phlegm and blood stasis, with the deficiency of positive energy as the root of the disease and wind, phlegm and stasis as the symptoms. The pathogenesis of facial muscle spasm starts with the facial meridians being empty, the wind evil takes advantage of the deficiency and enters, the positive and the evil fight each other, the evil moves across the facial meridians, the qi is not smooth, the meridians are paralyzed, resulting in facial muscle convulsions and spasms. In some cases, the evil invades for a long time, the treatment is not appropriate, the fluid does not work, the congestion becomes phlegm, phlegm and stagnation are not cured for a long time, forming a deficiency of the evil, mixed with the deficiency of the stubborn disease. Therefore, the basic treatment for this disease is to dispel wind and phlegm, invigorate the blood, and tonify the deficiency and benefit the qi. Chinese medicine and acupuncture massage can alleviate the condition, specific examination and treatment of the symptoms. From the perspective of Western medicine, Chinese herbal medicine can enhance the nerve activity and relieve the symptoms.