Objective To explore the clinical effect of acupuncture and moxibustion, massage combined with traditional Chinese medicine in the treatment of facial paralysis. Methods A total of 60 patients with facial paralysis admitted to our hospital from March 2021 to March 2022 were selected as the research objects. They were divided into control group and experimental group by random number table method, with 30 patients in each group. The control group was treated with acupuncture and moxibustion, massage of traditional Chinese medicine, and the experimental group was treated with acupuncture and moxibustion, massage combined with traditional Chinese medicine. The clinical efficacy, treatment time and hospitalization time of the two groups were compared. Results The total effective rate of treatment in the experimental group was 93.33%, which was higher than 73.33% in the control group, the difference was statistically significant (P