Abstract： Objective： To observe the curative effect of warming-needle moxibustion combined with western medicine on peripheral facial palsy of wind-cold attacking the channels and collaterals type and its effect on facial nerve function and expression muscle elasticity. Methods： A total of 94 patients with peripheral facial palsy were selected and randomly divided into the observation group and the control group according to the random number table method，with 47 cases in each group. The control group was treated with western medicine，and the observation group was treated with warming-needle moxibustion on the basis of the control group. Both groups have a treatment period of two weeks. The clinical effects were compared between the two groups. The changes in traditional Chinese medicine syndrome scores，surface electromyography values of facial nerve，facial artery hemodynamic index values [end diastolic flow velocity (Vd)， peak systolic flow velocity (Vs)， resistance index (RI) of facial artery]， expression muscle elasticity values，House Brackmann (H-B) scores，and Facial Disability Index-Social (FDIS) scores were compared before and after treatment. Results： The total effective rate of clinical efficacy was 95.74% in the observation group， and 82.98% in the control group， the difference being significant (P＜0.05). After treatment，the traditional Chinese medicine syndrome scores in the two groups showed a decrease trend when compared with those before treatment (P＜0.05) in terms of mouth angle deviation，facial paralysis， inability to close eyes，shallow nasolabial fold，decreased taste，and ear pain；the above six scores in the observation group were lower than those in the control group (P＜0.05). After treatment， the latency of surface electromyographic signals of the frontal muscle， orbicularis oculi muscle， and orbicularis oris muscle in both groups was shortened when compared with that before treatment，and the amplitude of the waves was increased when compared with that before treatment，differences being significant (P＜0.05)； the latency of the three surface electromyographic signals mentioned above in the observation group was shorter than that in the control group， and the amplitude was higher than that in the control group， differences being significant (P＜0.05). After treatment， the Vd and Vs index values of arteries in the affected side in both groups were increased when compared with those before treatment，and the RI index values were decreased when compared with those before treatment，and the differences were significant (P＜0.05)；the Vd and Vs values in the observation group were higher than those in the control group (P＜ 0.05)， and the RI value was lower than that in the control group (P＜0.05). After treatment， the elastic modulus values of the frontal muscles，depressor anguli oris，and depressor labii inferioris in both groups were increased when compared with those before treatment (P＜0.05)；the elastic modulus values of the above three items in the observation group were higher than those in the control group (P＜0.05). After treatment，the H-B scores in both groups were decreased when compared with those before treatment， and the FDIS scores were increased when compared with those before treatment， differences being significant (P＜0.05)；the H-B score in the observation group was lower than that in the control group，and the FDIS score was higher than that in the control group， differences being significant (P＜0.05). Conclusion：Warming-needle moxibustion combined with western medicine can improve blood circulation and facial nerve function， restore the elasticity of expression muscles， and alleviate clinical symptoms in treating peripheral facial palsy of wind-cold attacking the channels and collaterals type.