Objective To explore the clinical effect of moxibustion ceramic jar scraping cup combined with acupuncture on acute peripheral facial paralysis. Methods A total of 180 patients with acute peripheral facial paralysis admitted to our hospital from June 2019 to June 2022 were randomly divided into group A and group B, with 90 patients in each group. Group A was treated with conventional drugs combined with acupoint massage, and group B was treated with moxibustion ceramic jar scraping cup combined with acupuncture. The clinical efficacy and treatment satisfaction of the two groups were compared. Results The total effective rate of treatment in group B was 100.00%, which was higher than 62.22% in group A (P<0.05). The treatment satisfaction of group B was 100.00%, which was higher than 61.11% of group A (P<0.05). Conclusion Moxibustion ceramic jar scraping cup combined with acupuncture has a good clinical effect in the treatment of acute peripheral facial paralysis, which can effectively improve the clinical symptoms, improve treatment satisfaction and promote recovery.