Acupuncture treatment for facial muscle spasm can play a certain therapeutic effect, can be selected according to the identification of matching points, pay attention to warmth to avoid cold. Facial muscle spasm, also known as facial muscle twitching, is mainly manifested as involuntary twitching of the facial muscles, and the twitching is irregular, varying degrees, which may affect the daily social life, so it needs to be actively treated. Acupuncture can be chosen from facial points and distant points, such as the four white points, zygomaticosus point, the dicang point, cheek Che point, yangbai point, and hegu point, etc. If it is a cold case, it can be matched with Fengchi point, Lixue point to dispel wind and cold, and the other points to avoid cold. If it belongs to the wind-cold evidence, it can be matched with Fengchi point and Liejiao point to dispel wind and cold; if it belongs to the wind-heat evidence, it can be matched with Waiguan and Quchi to clear heat and dispel wind; if it is insufficient in qi and blood, it can be matched with Foot Sanli and Qihai to replenish qi and blood; if it is crooked, it can be matched with Shuigou point; if it is difficult to close the eyes, it can be matched with Zanzhu point, and so on. It is recommended that patients with facial muscle spasms timely treatment, do not open your mouth to talk and laugh during acupuncture, and pay attention to warmth after acupuncture to avoid re-aggravation by cold.