As an acupuncturist, bleeding is encountered in many cases in acupuncture treatment of patients. Bleeding from acupuncture is inevitable and clinically therapeutic to some extent, but it is also an abnormal condition. The following will be a brief one on acupuncture bleeding to relieve the confusion of the majority of patients. First, needling bleeding probably has the following causes: 1, acupuncture point reasons: acupuncture point area deep or nearby points with blood vessels through the body, when the needle body pierced into the body, there is a possibility of accidental injury to the blood vessels and lead to bleeding. 2, operation reasons: for the main reason, mostly related to the following. Select needle tool is too thick or too rough, easy to pierce or scrape the vessel wall, needle piercing too deep, lifting and inserting amplitude is too large, or because of inaccurate point taking, also easy to lead to accidental injury to the blood vessels. 3, the blood vessels themselves have lesions, such as the elderly after atherosclerosis, the elastic layer of the vessel wall and muscle layer destruction, so that the wall becomes thin, easy to be damaged rupture. 4, In addition, some bleeding diseases, such as thrombocytopenia or longer oral intake of drugs to activate blood circulation and remove blood stasis, are also prone to bleeding during the needling process. Clinical manifestations and treatment Generally, after the needle is removed, there is bleeding in the needle hole. When bleeding is found in the needle hole, pressure should be applied immediately with a dry cotton ball, and generally no bleeding can be applied to the needle hole after 1 to 3 minutes of pressure, if the bleeding point is located in the face or the patient belongs to a special bleeding-prone system, the pressure time should be extended appropriately. If the hemorrhage is located under the skin, it can be manifested as a subcutaneous hematoma, which can be seen after the needle is removed or after several minutes or hours; the extent of the hematoma depends on the amount of bleeding, which can be as small as a bean or as large as a piece; the hematoma site is swollen, bruised, and painful to the touch. After the appearance of subcutaneous hematoma, the patient is advised to apply cold towels during the bleeding period to reduce the blood exudation and pain. After hemostasis, apply hot towels to promote the absorption of blood stasis. It can be applied once to several times a day, and the patient is advised to relax and have a reasonable diet, which will generally subside within a week. Therefore, in order to avoid bleeding, we should inform the patient of the possible situations before the operation, and must insist on accurate positioning, avoidance of blood vessels, and gentle manipulation during the operation. If bleeding is encountered do not panic, but rather be calm and take active measures to reduce the bleeding and alleviate the discomfort brought to the patient.