Facial palsy is a common disease in the acupuncture department, and it is also the absolute advantage of acupuncture therapy. Patients with facial palsy may have asymmetrical facial expressions, or they may wear a mask and become a “masked face”, which will seriously affect their work, study and life, and will affect their self-confidence and quality of life, causing great psychological pressure and pain to patients. Most patients with facial palsy can be cured with conservative treatment, while about 10% of patients with poor treatment results will have sequelae. A small percentage of these patients can be considered for surgery depending on the situation. The first step is to distinguish the type of facial palsy. Facial palsy is divided into two types: central and peripheral, how to identify them? The simple way is to do eyebrow raising, if the eyebrow cannot be raised, it is peripheral, if it can be raised, it is central. Only peripheral facial palsy is discussed here. The common causes are Bell’s facial palsy caused by herpes simplex virus, Hunt’s syndrome facial palsy caused by herpes zoster virus, facial palsy caused by trauma, and facial palsy caused by tumors of the ear and facial nerve. The next step is to clarify the typology and etiology of facial palsy and choose the appropriate treatment plan. Bell’s facial palsy is the most common type of peripheral facial palsy. The vast majority of patients (85-90%) can be cured without sequelae with conservative treatment such as acupuncture, etc. If conservative treatment is ineffective and the facial nerve electrogram indicates facial nerve degeneration of 90% or more within 3 weeks of onset, facial nerve decompression surgery can be considered. If the facial palsy is 1-2 years old, facial-sublingual nerve anastomosis can be done according to the situation. The prognosis of Hunt’s syndrome facial palsy is not as good as that of Bell’s palsy, and surgery is generally not recommended. Facial palsy caused by trauma and tumor should first be judged as suitable for surgical treatment based on the comprehensive condition. In clinical practice, we encounter many patients with facial palsy who have been suffering from facial palsy for six or seven years, more than ten years or even decades, and we can do nothing for these patients, and many of them are treated in primary hospitals and have never been to a major hospital for consultation or examination to confirm the diagnosis, so it is a pity that the time for treatment is delayed. Therefore, once facial palsy occurs, it is necessary to go to a regular medical institution to avoid delaying the diagnosis and treatment and leaving regrets.