Abstract：Peripheral facial paralysis，as a clinical high incidence of neurological diseases，is characterized by facial nerve dysfunction and facial expression muscle paralysis，which seriously affects the social function and quality of life of patients. The meridian sinew theory of traditional Chinese medicine holds that the meridian sinew is a functional system where the qi of the twelve regular channels accumulates in the muscles and joints， and its distribution in the head and face is highly consistent with the branches of the facial nerve. Based on this theory，the treatment follows the principles of treating tendons with tendons，targeted repair，syndrome differentiation and treatment，and treating the spirit as the priority. The "tendon acupuncture method" is adopted，supplemented by external therapies such as gingerseparated moxibustion， blood-letting puncture and cupping therapy， and hot compress. Typical cases are listed to provide new treatment ideas for peripheral facial paralysis.