To observe the clinical curative effect of Taohong Siwu Decoction with penetrative acupuncture on facial paralysis of blood stasis at rest stage and its impact on facial nerve and EMG movement. Methods: Sixty cases with facial paralysis of blood stasis at rest stage were randomly selected from February 2016 to February 2017 in the outpatient and inpatient department of Acupuncture Department of the hospital and were randomly divided into the observation group and control group, with 30 cases in each group. Patients in the control group received conventional treatment combined with Taohong Siwu Decoction, while patients in the observation group additionally were given penetrative acupuncture. The House-Brackman grading scale was applied to assess facial nerve function. EMG device was used in the ipsilateral frontal muscle, orbicularis muscle and upper lip muscle and orbicularis muscle to record electromyography and measure action potentials induced by exercise at the start of the latency and amplitude of M wave. Results: 1） The House-Brackman score of the observation group was lower than that of the control group （P<0.05）. 2） The curative rate of the observation group （66.67%） was significantly higher than that of the control group （46.67%）（P<0.05）. 3） EMG resting potentials and denervation potentials were mainly manifested in the two groups before the treatment （P>0.05）; regeneration potential, decreased movement potential and the normal potential of the two groups after treatment were increased than those before the treatment （P<0.05） and the observation group was superior to the control group （P<0.05）. 4） After treatment, the latency of both the two groups were shortened （P<0.05） and the M-wave amplitude was increased （P<0.05）. The improvement of facial nerve latency and M-wave amplitude in the observation group were better than those of the control group （P<0.05）. Conclusion: Taohong Siwu Decoction combined with penetrative acupuncture may improve the symptoms of facial paralysis of blood stasis at stationary phase, and its mechanism may be related to the increase of regeneration potential, decreased movement potential and normal potential.