Facial spasm is a common disease of the nervous system. Its long course and low cure rate not only affect the image of the patient, but also make the patient anxious and depressed when it is serious. Acupuncture therapy can improve the symptoms of facial spasm, with less invasive, green safety, low treatment cost. In this paper, special acupuncture methods such as traditional acupuncture (shallow needling, deep needling, multiple needling, penetrating needling, contralateral shallow collateral needling and fire needling) and modern acupuncture (ear acupuncture, electric acupuncture, skin acupuncture, acupotomy, acupoint injection) and comprehensive therapy for facial spasm are reviewed.