After ankle sprain, pain, swelling and subcutaneous ecchymosis often occur, and in severe cases, walking may be affected and limping may occur. In the acute stage of the injury (within 24 hours), cold compresses should be applied as early as possible, while activities and manipulative massage therapy should not be done. Because when the ankle sprain, the injured capillary rupture bleeding, tissue fluid leakage, rapid swelling, blood stasis in the subcutaneous. In the early stage of the injury, cold compresses should be applied to stop the blood vessels from continuing to bleed. In addition, cold compresses can also play a role in relieving pain and swelling. In the early stages of ankle sprains, although it is not possible to do local massage, you can use auricular acupoint therapy to help relieve pain. Take the auricular points of Shenmen and ankle. In acute ankle sprains, swelling can be observed in these parts of the auricular acupoints, and there is tenderness when touched. Shenmen is an important pain-relieving point in the auricular acupoints, and the ankle point can be pressed with Wang Buliuxing seeds to promote blood flow to the injured area and achieve the goal of “no pain if it passes through”. In the later stage of ankle sprain, i.e. 24 hours after the injury, massage and hot compress can be carried out, which can make the injured local blood flow and promote the absorption of blood stasis to achieve the purpose of reducing swelling as soon as possible. Massage techniques are: 1, inward turning, outward turning movements The doctor holds the patient’s ankle with one hand, the other hand holds his toes, both hands cooperate, the affected foot swaying from side to side, do inward turning, outward turning movements 3~5 times. The doctor holds the patient’s ankle with his left hand and his toes with his right hand, and swings the patient’s foot upward in a stilted position, and then downward in a stilted position after a short pause, repeating this 3-5 times. 3, hold and rub the ankle joint The doctor holds the patient’s foot in his hand and rotates the ankle joint in clockwise and counterclockwise directions, each for 8 to 10 times.