Fire acupuncture is a method of treating diseases by burning needles red on fire and then quickly piercing into the skin lesions or itchy or painful areas. Fire acupuncture has the effects of diarrhea and detoxification, reducing swelling and relieving pain; activating blood circulation and removing blood stasis, softening and dispersing knots; dispelling decay and draining pus, producing muscle and astringent sores; harmonizing qi and blood, warming the meridians and channels; dispelling wind and dispersing cold, removing dampness and relieving itching. Research shows that the thermal effect of fire acupuncture can improve the local microcirculation, promoting the acceleration of microcirculation in the lesion area, which is conducive to the absorption of inflammatory and metabolic substances; at the same time, inhibit the synthesis and release of mediators, improve immunity, alleviate the hypersensitivity of the nerves, so as to achieve the efficacy of anti-inflammatory, analgesic and anti-itch. Indications for fire acupuncture: 1, acne, folliculitis 2, acute phase of herpes zoster, post-herpetic neuralgia phase 3, nodular itchy rash 4, flat warts, common warts, plantar warts 5, neurodermatitis 6, pruritus 7, vitiligo 8, dermatitis, lower limb boils. Application experience: treatment of early herpes zoster efficacy, papular herpes fading fast, significantly reduce post-neuralgia; treatment of multiple folliculitis, cystic acne can accelerate local inflammation subsidence, guide the excretion of inflammatory secretions; multiple small cysts, boils by fire acupuncture treatment, nodules quickly swelling; chronic hypertrophic dermatitis, skin amyloidosis can be treated with multi-headed fire acupuncture, pruritus reduced, rash thinning; vitiligo of fire acupuncture treatment can be seen after the appearance of dotted pigment island, improve the rate of recoloration; flat warts and other warts fire acupuncture after crusting off. The traditional fire acupuncture is more effective than just using medicine, the course of treatment is significantly shorter, easy to operate, minimal trauma, less pain, patient compliance is better. Fire acupuncture is the essence of inherited Chinese medicine, worthy of clinical vigorous promotion and application.