〔Abstract〕 Objective To observe the clinical effect of warm acupuncture and moxibustion in the treatment of windcold type acute peripheral facial paralysis. Methods 120 patients with wind-cold acute peripheral facial paralysis who were treated in Heyuan Hospital of Traditional Chinese Medicine from June 2018 to June 2020 were randomly divided into routine acupuncture group and warm acupuncture group, with 60 cases in each group. In the routine acupuncture group, Yangbai, Fengchi, Xiaguan, Quanliao, Dicang, Yingxiang, Taiyang, bilateral Waiguan, Yifeng and Hegu were treated with routine acupuncture; The warm acupuncture group was treated with warm acupuncture and moxibustion of Waiguan, Yifeng and Hegu on the basis of conventional acupuncture treatment. The treatment frequency and cycle of the two groups were the same. The facial disability index (FDI) scores of the two groups before and after treatment were recorded, and the clinical efficacy of the two groups was compared. Results There was no significant difference in the scores of FDI between the two groups before treatment (P > 0.05); after treatment, the scores of FDI in the warm acupuncture group were lower than those in the conventional acupuncture group, and the differences were statistically significant (P < 0.05). The total effective rate of the warm acupuncture group was 98.31%, which was higher than 93.22% of the conventional acupuncture group (P < 0.05). Conclusion Warm acupuncture and moxibustion is better than conventional acupuncture in the treatment of acute wind-cold tye acute peripheral facial paralysis.