Abstract： Objective： To observe the curative effect of combination use of facial muscle lifting technique and western medicine on acute peripheral facial paralysis. Methods： A total of 90 patients with acute peripheral facial paralysis admitted to Hangzhou Lin'an Traditional Chinese Medicine Hospital from July 2023 to June 2025 were selected and divided into the western medicine group， the Tuina group， and the observation group according to the random number table method，with 30 cases in each group. The western medicine group was treated with western medicine，the Tuina group was additionally treated with massage based on the treatment in the western medicine group， and the observation group was additionally treated with facial muscle lifting technique in addition to western medicine. The three groups were treated for 21 days. The clinical effects were compared among the three groups， and the changes in the affected side symptom scores [House-Brackmann （H-B） Static Symptom Scale scores， Portmann Dynamic Symptom scores]， facial artery ultrasound hemodynamic parameters [peak systolic blood flow velocity （Vs） of facial artery， vascular resistance index （RI）] before and after treatment were compared among the three groups. Results： After 21 days of treatment， the total clinical effective rate in the observation group was higher than that in the western medicine group and the Tuina group （P＜0.05），and the total clinical effective rate in the Tuina group was higher than that in the western medicine group （P＜0.05）. After 7， 14， and 21 days of treatment， the H-B scores in the three groups decreased when compared with those before treatment （P＜0.05），the H-B score in the observation group was lower than that in the western medicine group and the Tuina group at the same time period （P＜0.05），and the H-B score in the Tuina group was lower than that in the western medicine group at the same time period （P＜0.05）. After 7， 14， and 21 days of treatment， the Portmann scores in the three groups increased when compared with those before treatment （P＜0.05），the Portmann score in the observation group was higher than that in the western medicine group and the Tuina group at the same time period（ P＜0.05），and the Portmann score in the Tuina group was higher than that in the western medicine group at the same time period （P＜0.05）. After 21 days of treatment，Vs in the three groups increased when compared with that before treatment （P＜0.05）， and RI decreased when compared with that before treatment（ P＜0.05）；the Vs in the observation group was greater than that in the western medicine group and the Tuina group （P＜0.05），and the Vs in the Tuina group was greater than that in the western medicine group （P＜0.05）. RI in the observation group was lower than that in the western medicine group and the Tuina group （P＜0.05），and RI in the Tuina group was lower than that in the western medicine group （P＜0.05）. Conclusion：The therapy of facial muscle lifting technique combined with western medicine has a good curative effect on acute peripheral facial paralysis，which can increase the arterial blood supply and improve the neurological function of the affected side， enhance the motor ability of the facial muscle，and accelerate the recovery of facial appearance.