Aim: To discuss the effect of stellate ganglion block (SGB), acupuncture SGB combined with acupuncture for peripheral facial paralysis through comparison of facial skin temperature. Methods: Forty-two patients diagnosed as having peripheral facial paralysis were recruited from the Pain Outpatients of Beijing Hospital from March 1999 to May 2005 and the Outpatient of Otorhinolaryngology-Neck, Xuanwu Hospital from March 2002 to May 2005. Patients were randomized into three groups with 14 in each group: SGB treatment in SGB group, acupuncture treatment in acupuncture group, and combination of SGB and acupuncture in combination group, once a day and ten days as a course. The Facial Movement Score (40 in all) was adopted to evaluate the effect on facial paralysis. Criteria of paralysis: 0-10 as severe paralysis, 11-20 as moderate paralysis, and > 21 as mild paralysis. Criteria of therapeutic effect: > 36 as cure, 32-36 as efficiency, and < 32 as improvement. Hitachi UY200M thermograph was used to assay the skin temperature of the patients' face. The data was recorded 10 minutes before treatment and 10, 20, 30, 40 and 50 minutes after treatment. Results: All the 42 patients were involved in the result analysis. 1 Comparison of the Facial Movement Score:The scores after treatment were higher than that before treatment in all the three groups (P < 0.01). After treatments, the scores in the combination group were higher than those in the SGB group and the acupuncture group(36.57±0.57,34.14±1.16, 34.00±1.03) (P < 0.01). The total effective rate was 99.4% in the combination group, 71.0% in the SGB group and 78.1% in the acupuncture group. 2 Effect on the facial skin temperature: The skin temperature of patients in the SGB group began to rise at 20 minutes after treatment[(35.5±0.3)°C], and then went up the highest level [(35.4±0.2)°C]. In the acupuncture group, the temperature began to rise at 30 minutes after treatment [(34.9±0.4)°C] and lasted until the 50th minute. In the combination group, the temperature began to rise at 10 minutes after treatment[(35.2±0.3)°C] and lasted until the 50th minute. The facial skin temperature in the combination group was higher than that in the SGB and acupuncture groups during 20-30 minutes after treatment (P < 0.01). Conclusion: All the three kinds of treatments have a therapeutic effect on peripheral facial paralysis. In comparison with single SGB and acupuncture, the combination therapy of SGB and acupuncture has a better curative effect and begins to operate more rapidly, can improve local circulatory disorder and has no adverse effects.