Objective To investigate the clinical efficacy of electroacupuncture on the basis of different parameters in the treatment of acute facial paralysis, and to provide the scientific basis for the optimal parameters of early clinical electroacupuncture on the treatment of facial paralysis. Methods A total of 133 patients with acute facial paralysis were randomly divided into five treatment groups: A group （2 Hz＜density wave≤5 Hz group); Group B （1 Hz＜density wave ≤2 Hz group); Group C（2 Hz＜continuous wave≤5 Hz group); Group D(1 Hz＜continuous wave≤2 Hz group）; Group E (common acupuncture group). The House-Brackmann Local Quantitative Scoring Scale, TCM Symptom Scoring Scale and the total effective rate at the end of treatment were used to evaluate the clinical efficacy before study, after 2 courses of treatment, and after 4 courses of treatment. Results There were statistically significant differences within the groups in H-B Local Quantized Score Scale and TCM Symptom Score Scale(P<0.05), but no statistically significant differences between groups (P>0.05). The total effective rate of each group was 100% in group A, 95.7% in group B, 92.9% in group C, 94.8% in group D, and 100% in group E , respectively. There was no statistically significant difference in the efficacy of the 5 treatment schemes(P>0.05). Conclusion All the 5 therapeutic regimens are the dominant therapeutic regimens for acute facial paralysis.Early interventional treatment with electroacupuncture is effective. It may be in clinical application of low level of stimulation can make facial nerve paralysis patients have a better recovery.