Acupuncture has received increasing attention in the West as a natural, traditional therapy. The National Center for Alternative and Complementary Medicine (NCCAM), part of the National Institutes of Health (NIH), specializes in the study of “non-Western mainstream medicine”, including Chinese medicine and acupuncture, of which acupuncture is one of the most popular. A growing body of research has shown that acupuncture works in multiple ways, stimulating the body’s own regulatory functions, improving local blood circulation, regulating neurological and humoral immunity, and improving cortical function. As a simple treatment that has been practiced for thousands of years, acupuncture is natural, safe, and free of toxic side effects. For some diseases, especially some stubborn pain, acupuncture therapy has better curative effect. The ancient name of “fire acupuncture” is burnt needle, n-needle, burning needle, white needle, simmering needle, that is, the body of the needle is burnt red, and then stabbed into certain points or parts of the human body, so as to achieve the treatment of disease, is one of the most important acupuncture therapy, and has a history of thousands of years. The Yellow Emperor’s Classic of Internal Medicine, written in the Warring States period, is the earliest medical monograph in China, which contains a record of fire acupuncture therapy. From the perspective of Chinese medicine, fire acupuncture can be said to combine the advantages of both “acupuncture” and “moxibustion”, which can use fire to help Yang to warm the meridians, and heat to induce heat to unblock Qi and blood. Chinese medicine considers blood stasis, phlegm, carbuncle and pus, and water and dampness as Yin evils, which can easily stagnate in the local area and block the flow of qi and blood in the meridians, resulting in malfunction of qi and blood, and causing the internal organs to be diseased. This kind of stagnation of the meridians and blood vessels, which is manifested in the affected area, can be used to warm up the meridians and channels with the power of “needle” and the warmth of “fire”, to remove the external evil. Fire acupuncture therapy has a good effect on some diseases. For example, the use of fire acupuncture for herpes zoster, especially in the early stages of the use of fire acupuncture to puncture the herpes, high temperature play a role in cauterizing the local soft tissue, can accelerate the healing of herpes crust, and can reduce the possibility of post-neuralgia. For some patients with postherpetic neuralgia, the use of fire needles to puncture the painful area can often provide good pain relief, the mechanism may be related to the inhibition of nerve discharge, the formation of the second dominant excitatory foci in the brain. For patients who have a clear history of cold, who are cold and warm, who have obvious pressure points in the shoulder, and whose pain is reduced by warmth, fire acupuncture is usually effective. When operating, mark the pain point, burn the fire needle until it is transparent red, and then stab the pain point sharply and release the needle immediately. In addition, some early rheumatoid arthritis patients, joint swelling and cold pain is obvious, but also see the symptoms of cold, pain to warm then reduced, the application of fire acupuncture, in the swelling, painful parts of the shallow around the prick, to reduce edema, reduce pain has a better effect. Fire needling and acupuncture, as an external treatment method can be very widely used clinically, the correct grasp of the indications, skillful technique is the key to effective treatment. Fire needle therapy from ancient times to the present has experienced thousands of years of accumulation, has formed a distinctive treatment characteristics. It can be said that fire acupuncture originated in ancient times and developed in contemporary times. While inheriting the traditional acupuncture experience, fire acupuncture has been given a new connotation and vitality, so that this ancient and unique acupuncture therapy can better meet the needs of contemporary human health.