Acute facial neuritis is one of the common conditions in neurology in our country. Because of the specificity of its symptoms, it causes great psychological trauma to patients, whose treatment for this condition is also eager. For a long time, there has been a wide variety of treatments for facial neuritis. There is no shortage of folk remedies. Because facial neuritis is a self-limiting disease that can be treated without treatment in neurology, it has brought about a very confusing situation in the treatment of facial neuritis. The clinical situation is that many patients do not receive effective treatment and proper guidance, and delay the best time for treatment, leaving a lifelong disability that cannot be completely cured. There are very important issues that need to be clarified in the treatment of facial neuritis. 1. Do facial neuritis symptoms of facial palsy need to be treated? Neurologists have long believed that facial neuritis, as an infectious disease of the peripheral nerves of the nervous system, can recover on its own in the acute phase after treatment with hormones, anti-virals, vasodilators, vitamins and other neurotrophic drugs, and after passing the acute phase (generally considered to be one week), leaving the symptoms of peripheral facial palsy without treatment and three weeks to one month. In some patients, the recovery time is longer because the infection is more severe and the nerve damage is obvious, and the individual will evolve into facial muscle spasm. In fact, most of the patients cannot be cured, and even if they improve, most of the expression muscles of the patient’s face cannot be restored to the same strength as the healthy side, and their movements will be found to be asymmetrical on both sides of the face. In some patients, the symptoms are prolonged and become untreatable facial muscle spasm (of course, botulinum toxin injections can be done for facial muscle spasm nowadays, but the clinical treatment effect is not good). This is why facial paralysis needs to be treated. 2. Are folk remedies effective or not? Many people know that the mouth is crooked and the eyes are slanted, so use eels to wipe it outside. It is also a popular folk remedy for dropping wind, treated with eel blood. There is also the use of strychnine croton (both are very irritating herbs) facial topical application. Is this therapy very scientific and effective? It should be said that treatment with fish blood is not based on any scientific basis and does not make sense from TCM theory. The reason why it has been circulating for so long is because it has come across some patients who can heal themselves and use fish blood as if it is very effective, but in fact, fish blood does not have any effect at all, at best, because the protein contraction in fish blood partly corrects the expression muscle paralyzed by nerve damage, making it seem that the corner of the mouth is not so obvious, as if it is very effective, but in fact, its effect is not at all. This is also the case with topical Chinese medicine, and strychnine and croton are very corrosive and can cause local skin damage, and are now rarely used in large cities where medical care is developed. 3, the role of Chinese medicine? Patients with facial neuritis think that finding traditional medicine to treat facial palsy is to take Chinese medicine, and some of them choose to take Chinese medicine because they are afraid of acupuncture treatment. According to the theory of traditional medicine, facial palsy should be classified inside the wind evidence. There are several classifications such as external wind-cold, external wind-heat, and internal movement of liver wind. According to these classifications, some prescriptions will be prescribed, and there is no shortage of special prescriptions such as Zhanzheng San (a special prescription for crookedness of the corners of the mouth). Clinically, Chinese medicine has no advantage in the treatment of facial neuritis. 4. Acupuncture treatment. For facial neuritis treatment, the treatment methods that fall under the category of acupuncture, which are currently widely used around the world include: simple acupuncture (without any measures, only using acupuncture needles, according to the traditional Chinese medical thinking, group acupuncture formula acupuncture treatment); electroacupuncture therapy (after acupuncture acupuncture points, adding direct current stimulation on the needle, the method used by our department should be classified as this category); long needle penetration therapy (using longer acupuncture needles, needles into the After the epidermis, one needle is used to stimulate two acupuncture points along the subcutaneous. It is the favorite method of many old Chinese medicine doctors); local cutting and bleeding (in the lesion of the local, cut with a blade, buried wire is the selection of the lesion of the acupuncture point subcutaneous buried in the sheep intestine thread therapy, bleeding is in the lesion of the site with a three-pronged needle puncture bleeding).