Stage 1 (cause analysis): Using pulse diagnosis and thermal imaging, we diagnose the degree of heat rising in the head and face and the state of Liver qi stagnation and phlegm-fluid. We take a detailed history of spasm frequency, duration, and triggering situations. Stage 2 (stabilizing the underlying condition): Using Cheonma-gudeung-eum (Gastrodia and Uncaria decoction) family herbal medicine, we manage Liver-Wind and phlegm-fluid and begin cheongsang treatment to draw the risen heat downward. Stage 3 (direct meridian treatment): We apply pharmacopuncture and electroacupuncture to the acupoints along the facial nerve path to locally regulate nerve overexcitability. Stage 4 (maintenance and relapse prevention): Once the spasm stabilizes, we lengthen the visit intervals and provide guidance on self-care methods.