A 12 week old Hanoverian colt was presented following an injury resulting in a fractured dens and atlas and complete left facial paralysis. The colt was unable to nurse and suffered mental depression and secondary problems including keratoconjunctivitis sicca and an oral granuloma from grazing trauma. Two veterinarians recommended euthanasia based on a poor prognosis for recovery. The client elected to pursue evaluation and treatment with Traditional Chinese Veterinary Medicine (TCVM). On the initial TCVM examination he had paralysis of the ear, eyelids, nostril and lip on the left side, a painful swollen neck but was ambulatory and his Shen was depressed. His tongue was red-purple and he had strong carotid pulses bilaterally. The TCVM pattern diagnosis was an Excess Heat pattern with focal Qi and Blood stagnation to the head and neck. In TCVM, facial paralysis is caused by invasion of Wind Toxin, which leads to local Qi- Blood stagnation and paresis or paralysis. The TCVM treatment strategy was to dispel Wind, reduce pain, and move Qi and Blood to resolve local stagnation and improve blood flow to the nerves. He received 11 electro-acupuncture treatments and two Chinese herbal formulas Facial P formula (Jing Tang herbals) and Bu Yang Huan Wu for 30 days. He completely recovered in 4 months.