Abstract： Objective： To observe the effect of warming- needle moxibustion on facial nerve function and traditional Chinese medicine (TCM) symptom scores in patients with peripheral facial paralysis. Methods：A total of 96 cases of patients with peripheral facial paralysis were divided into the observation group and the control group according to different treatment methods，with 48 cases in each group. The observation group was treated with warming-needle moxibustion，and the control group was treated with simple acupuncture. Clinical effects and adverse reactions were compared between the two groups. TCM symptom scores，the scores of House Brackmann Facial Nerve Grading Scale (HBFGS) and Facial Disability Index (FDI) Scale，and the levels of immunoglobulin G (IgG) and immunoglobulin M (IgM) were compared between the two groups before and after treatment. Results：The total effective rate was 95.83% in the observation group，higher than that of 79.17% in the control group (P＜0.05). Before treatment，there was no significant difference being found in the comparison of TCM symptom scores including deviated eye and mouth， disappeared forehead wrinkles， shallow nasolabial sulcus， increased eye fissure， the failure of eye closure，and dry eye and tearing between the two groups (P＞0.05)；after treatment，the above TCM symptom scores in the two groups were decreased (P＜0.05)， and the scores in the observation group were lower than those in the control group (P＜0.05). Before treatment，there was no significant difference being found in the comparison of HBFGS grading between the two groups (P＞0.05)； after treatment， HBFGS gradings in the two groups were improved (P＜0.05)， and the improvement in the observation group was better than that in the control group (P＜0.05). Before treatment， there was no significant difference being found in the comparison of FDI scores between the two groups (P＞0.05)； after treatment， the scores of physical function in FDI in the two groups were increased (P＜0.05)， and the scores of social/well- being in FDI were decreased (P＜0.05)； after treatment， the score of physical function in FDI in the observation group was higher than that in the control group (P＜0.05)，and the scores of social/well-being in FDI was lower than that in the control group (P＜0.05). Before treatment，there was no significant difference being found in the comparison of the levels of IgG and IgM between the two groups (P＞0.05)；after treatment，the levels of IgG and IgM in the two groups were decreased (P＜0.05)，and the two levels in the observation group were lower than those in the control group (P＜0.05). During treatment， there was no severe adverse reaction in the two groups. Conclusion： For patients with peripheral facial paralysis，warming-needle moxibustion can effectively improve their facial nerve function， TCM symptoms，and immune function，and enhance clinical effects，with good safety.