To observe the clinical effects on peripheral facial paralysis treated with warming needle moxibustion and traditional Chinese medicine (TCM) syndrome differentiation, and effects on surface electromyography (SEMG) testing. Methods:Sixty patients with peripheral facial paralysis admitted in our hospital from May 2016 to December 2017 were randomly divided into observation group and control group, with 30 cases in each group. Control group were treated with routine acupuncture treatment, while observation group were treated with warming needle moxibustion and TCM syndrome differentiation. Patients in 2 groups were treated for 2 courses lasting 4 weeks. Facial nerve function recovery was evaluated by the application of House-Brackman (H-B) facial nerve function evaluation grading system before and after treatment. Facial muscle recovery in patients was observed by using SEMG, and added up the efficiency in 2 groups after treatment. Results:The efficiency of observation group (96.67%) was significantly higher than control group (80.00%) after treatment (P<0.05). The H-B scores of both groups were decreased compared with those before treatment, and observation group was lower than control group, at 14 d, 21 d and 28 d after treatment. The H-B scores of observation group was lower than that of control group (P<0.05 or P<0.01). The recovery time of observation group was significantly shorter than that of control group after treatment (P<0.05). After the treatment, the RMS values of buccal muscle group, orbicularis muscle group, frontal muscle group and nasal muscle group in observation group were all higher than that of control group (P<0.01). Conclusion:The combination of warming needle moxibustion and TCM syndrome differentiation in the treatment of peripheral facial paralysis can improve the facial nerve function of patients, shorten the treatment time; at the same time, SEMG can objectively and accurately estimate the prognosis with broad clinical application prospects.