Background A 45 year old patient was hospitalized with a case of bilateral idiopathic Bell's palsy and initially received high-dose steroid therapy. After four days, the Patient was discharged without any detectable improvement in status. He then received acupuncture. Objectives As the patient was unable to make telephone calls, an improvement of articulation had top priority. The therapy also aimed at the restoration of lid occlusion to prevent desiccation of the eyes and enable the patient to take off the watch glass bandage. Method : Initially, the patient received two treatments per day followed by a pause of two days due to the weekend. During the following week, the patient received one treatment per day from Monday to Friday. The treatment consisted of acupuncture as well as cupping. Results After seven therapy sessions, the symptoms had completely disappeared. Conclusion Early-onset therapy of idiopathic Bell's palsy by means of acupuncture and cupping can lead to successful results even under continued use of steroids.