The etiology of a diagnosis of facial spasm with typical symptoms is relatively certain, namely, compression and injury of the facial nerve by the artery at the exit brainstem. This injury is a dynamic process, and the severity of symptoms varies depending on two factors that affect the balance: the strength of the injury to the artery and the ability of the nerve to repair. All symptoms in daily life are related to one or both of these factors. For example, stress, anger, illness, exertion, insomnia. In case of stress, adrenaline is secreted, sympathetic nerves are excited, thus blood pressure rises, vascular pulsation is increased, and the compression of the facial nerve is increased. For example, facial twitching can be triggered or aggravated by anger, speaking on stage, talking to strangers, reporting to superiors, or even chatting with excitement. The nerve’s ability to repair itself is mainly related to physical fitness and health status, and mainly takes place during sleep, so illness, exertion and insomnia can affect nerve repair and thus aggravate facial twitching symptoms. Anything that can reduce arterial compression damage and enhance nerve repair, then, is worth doing for patients with facial spasm. For example, a healthy regimen, a balanced diet, oral neurotrophic medications, TCM modifications, mood regulation, and avoiding sickness and strain and insomnia. Theoretically, any early symptoms of facial twitching can be relieved or even cured by the above methods.