周围性面瘫是茎乳孔内面神经非特异性炎症所致的周围性面肌瘫痪。临床常采取针灸治疗以提高临床治愈率，减少后遗症的发生。火针是一种兼具针和灸双重作用的治疗方法，因其"简、易、廉、效"的优越之处为面瘫的治疗提供新的契机。火针疗法一方面可振奋阳气、驱除寒邪，使面部瘫痪肌肉的功能得以恢复，另一方面加速局部血液循环与新陈代谢，激发自身对坏死组织的吸收。将毫针与火针相结合治疗周围性面瘫可协同促进面部肌肉功能恢复，提高疗效。

Peripheral facial paralysis is a peripheral facial muscle spasm caused by non-specific inflammation of the facial nerve inside the stem. Acupuncture treatment is often used in clinical practice to improve the clinical cure rate and reduce the occurrence of sequelae. Fire needle is a kind of treatment that has the dual functions of needle and moxibustion. Because of its superiority of being " simple, easy, cheap and effective" , it provides a new opportunity for the treatment of facial paralysis. On the one hand, it stimulates yang, removes cold pathogen, and restores the function of facial muscles. On the other hand, it accelerates local blood circulation as well as metabolism, and stimulates its absorption of necrotic tissue. It has been clinically proven that the combination of acupuncture and fire needle to treat peripheral facial paralysis can synergistically promote the recovery of facial muscle function and improve the efficacy. Two cases are shared in this paper.