Some people think that acupuncture is not suitable for the early stage of facial paralysis, mainly because they have seen the phenomenon of aggravation of the condition of some patients after acupuncture, and thus advocate that facial paralysis should be treated with acupuncture after the recovery period; some acupuncturists see that the symptoms of patients with facial paralysis in the early stage of the disease are progressively aggravated, and they are afraid that the treatment will not be able to reverse this aggravation immediately, and are worried that patients may think that the more the needles are injected the more the symptoms worsen, which is due to the level of the doctor’s performance. Some people think that acupuncture is only a rehabilitation method and is only applicable to the treatment of various diseases during the recovery period. For the first situation, as long as the affected side of the face without stabbing or less stabbing, light stabbing can be avoided; for the second situation, as long as the patient’s explanation can be done; for the third situation, people should know that acupuncture can stimulate the body’s own ability to resist disease, with a wide range of benign adjustment, can be used in various stages of the disease. Practice has proved that for peripheral facial paralysis, the earlier the acupuncture treatment, the shorter the course of treatment, the fewer sequelae. The author’s practice is that, at the early stage of facial paralysis (7~10 days), only one needle is used on the side of the affected person, the dicang through the cheek car, and the stabbing person can be used without any manipulation, and for those who have more pain behind the ear, the wind pool is added. Distal points are mainly used with Hegu and Taichong, which can be stimulated with stronger stimulation, and it is better to have needle sensation conduction. It is advisable to cooperate with the Chinese medicine soup, with the draw Zheng San plus flavor, cold evidence plus windproof, dahurica, qiangwu, gui zhi products, hot evidence plus silver flower, forsythia, mulberry leaves, chrysanthemum genus, with viral infections, increase the dose of dandelion, dicotyledonin, and so on. Available vitamin B1, B12 mixed to do the distal points of the acupoint injection, the effect is better than intramuscular injection. The use of hormones is not necessary, and infusion therapy is even more unnecessary. The early stage of facial paralysis is very important: first, rest, that is, first of all, to ensure that the patient has enough rest, to prevent physical labor, mental labor, room labor. The second is to keep warm, the affected part should not be cooled, and a mask should be worn when going out in windy and cold weather. Third, diet, can not eat spicy stimulating things, avoid tobacco and alcohol. These 3 points do not do well, will seriously affect the treatment, prolong the course of treatment. These 3 points of attention should be carried out throughout the treatment period of facial paralysis, especially in the early stage is more important. When the symptoms of facial paralysis begin to improve, the patient is in the recovery period. At this time, the affected side can be needled, the points should be from less to more, the stimulation should be from light to heavy, the author insisted on the principle of minimum stimulation, minimum pain, to get the maximum therapeutic effect. For mild facial paralysis, only 3 points of Dicang, Hegu and Taichong can be used to cure the patient. When the recovery of facial paralysis symptoms is slow, then gradually increase the number of acupuncture points on the side of the affected side, the needles do not have to be deep, and the needles do not have to feel strong. When the patient’s symptoms are significantly reduced, then gradually reduce the use of acupuncture points, and finally only the dicang, the sun, and the hegu, consolidate the treatment for a few times to collect the full effect. The characteristic of using acupuncture points is from less to more to less, so that can better mobilize the body’s ability to resist disease, and as far as possible to reduce the patient’s physical pain. During the recovery period, traditional Chinese medicine treatment is mostly based on the formula of “牵正散” and “桃红四物汤”, with additional treatment according to the evidence. The above practices are usually cured within 4~6 weeks for patients with moderate facial paralysis.