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Case History rnMs. Zheng from Singapore, aged 51 years, paid her first visit on Aug.30, 2006, with the chief complaint of left facial paralysis accompanied with facial spasm for 5 years. The patient got left facial paralysis in 2001, which was not completely cured, and developed into facial spasm one year later. Although she had received various treatments including surgical operation, the disease was not cured. At the moment she had discomfort and dull sensation in the left facial area, mainly accompanied with twitching of the peripheral nerve of the eye. She was also accompanied with posterior auricular muscle tension and discomfort. She had fairly good sleep and appetite, but slightly quick temper. Physical examination at the moment showed that the patient had a slightly thin body figure, flushing face, and good mental state. The blood pressure was 110/75mmHg and the heart rate was 85 beats/min. No abnormal signs were found in the heart and lungs. The facial examination showed mild swelling of the left side of the face, incomplete closing of the eye lids, disappearance of wrinkles on the forehead, shallow nasolabial groove, and obvious muscle tension and tendess in the left opisthotic region. Careful observation could find slight facial muscular twitching. The tongue proper was red with little coating, and the pulse thready-wiry. rn