Abstract： Objective： To observe the clinical effect of the combination use of acupuncture and massage on idiopathic facial palsy of wind-phlegm obstructing the collaterals type. Methods：A total of 70 patients with idiopathic facial paralysis of wind-phlegm obstructing the collaterals type treated in the Hangzhou Third People's Hospital from January 2022 to December 2023 were included as the study subjects and randomly divided into the combination group （34 cases） and the control group （36 cases） according to the drawing lots. Both groups were treated with conventional therapy of modern medicine. The control group was additionally treated with acupuncture， and the combination group was additionally treated with acupuncture combined with facial massage. With seven days as a course of treatment，both groups were treated for one course. Before and after treatment，the House-Brackmann （H-B） facial paralysis grading， facial nerve function （scores of Modified Portmann Scale） and electromyographies in both groups were evaluated. After treatment，the clinical effects and incidence of adverse reactions were compared between the two groups. Results：After one course of treatment，the total effective rate in the combination group was higher than that in the control group，and the curative effect was better than that in the control group，differences being significant （P＜ 0.05）. The scores of frowning，closing eyes，moving alar，bulging cheeks，whistling，smiling and the total scores in the two groups were increased compared with those before treatment （P＜0.05）； the scores of closing eyes， bulging cheeks，whistling and the total scores in the combination group were higher than those in the control group （P＜0.05）. The resistance index （RI） incubation period of buccinator， frontal muscle， sphincter of eye， nasalis muscle and orbicularis oris in the two groups was respectively shortened when compared with that before treatment， and the amplitude ratio and root mean square （RMS） of the affected side were increased when compared with those before treatment，differences being significant （P＜0.05）；the RI incubation period of the muscles in each facial area in the combination group was shorter than that in the control group，and the amplitude ratio and RMS of the affected side were higher than those in the control group， differences being significant （P＜0.05）. There was no significant difference being found in the comparison of incidence of adverse reactions between the two groups （P＞0.05）. Conclusion：The combination use of acupuncture and massage based on conventional therapy of modern medicine can improve the clinical effect on patients with idiopathic facial palsy of wind-phlegm obstructing the collaterals type， help the recovery of muscle strength and repair the facial nerve with great safety.