Abstract： Objective： To observe the effect of acupuncture method of plum- blossom needle combined with modified Xiaoxuming tang based on routine treatment for peripheral facial paralysis of wind- cold obstructing the collaterals type. Methods： A total of 82 cases of patients with peripheral facial paralysis were divided into the control group and the observation group according to the random number table method， with 41 cases in each group. Both groups were given measures of routine treatment including medication and rehabilitation training，and the observation group was treated with acupuncture method of plum- blossom needle combined with modified Xiaoxuming tang. Both groups were treated for two weeks. Before treatment and after two-week treatment，the scores of Facial Disability Index(FDI) including Facial Disability Index- Physical(FDIP) score and Facial Disability Index- Social(FDIS) score， and facial nerve function including House- Brackmann Scale(H- B) score and modified portmann score in the two groups were evaluated. The incidences of adverse reactions were observed. The clinical effects in the two groups were compared. Results：After two- week treatment，the total effective rate of clinical effects in the observation group was higher than that in the control group(P＜0.05). The FDIP scores in the two groups were increased when compared with those before treatment， and the FDIS scores were decreased， differences being significant(P＜0.01)； the FDIP score in the observation group was higher than that in the control group，and FDIS score was lower，differences being significant(P＜0.05). The scores of H-B and modified Portmann scores in the two groups were increased when compared with those before treatment(P＜0.01)， and the scores in the observation group were higher than those in the control group(P＜0.01). During treatment，there was no adverse reaction in the two groups. Conclusion：Based on routine treatment，the application of acupuncture method of plum- blossom needle combined with modified Xiaoxuming tang has a significant effect in treating peripheral facial paralysis of wind-cold obstructing the collaterals type，which can effectively relieve symptoms and signs，and improve the recovery of facial nerve function and curative effect.