Objective：To observe the effect of moxibustion with seed-sized moxa cone on Wuzangshu acupoints on the score of Montreal cognitive assessment(MoCA)in patients with vascular cognitive impairment with no dementia(VCIND)of m arrow sea insufficiency type.Methods：Divided 61 cases of patients into the group of moxibustion with seed-sized moxa cone and the western medicine group randomly.There was one case of abscission in the group of moxibustion with seed-sized moxa cone.Hence，60 cases of patients were effectively enrolled in total，30 cases in each group.The group of moxibustion with seed-sized moxa cone adopted moxibustion with seed-sized moxa cone on BL15(Xinshu)and BL23(Shenshu)respectively.The adjunct acupoints were selected as MS5(middle line of vertex)，MS1(middle line of forehead)，MS8(lateral line 1 of vertex)， ST36(Zusanli)， SP6(Sanyinjiao)， GB39(Xuanzhong)and KI3(Taixi).The above adjunct acupoints were treated by routine acupuncture once a day for five consecutive days every w eek.The western medicine group was treated with oral administration of piracetam tablets.The two groups were treated for two courses，four weeks being one course.After treatment，compared scores of MoCA in the two groups.Results：After treatment，total scores of MoCA in the two groups were increased obviously when compared with those before treatment，the difference being significant( P ＜0.05)，and the score of MoCA in the group ofmoxibustion with seed-sized moxa cone was increased more obviously than that in the western medicine group( P ＜0.05).After treatment，scores of languages，visual-spatial and executive ability，memory and delayed memory，and orientation ability of patients in the group of moxibustion with seed-sized moxa cone were increased obviously when compared with those before treatment( P ＜0.05)，w hereas there was no significant difference in the comparisons of the scores of naming，attention and abstraction before and after treatment( P ＞0.05).Scores of the visual-spatialand executive ability as wellas the memory and delayed memory in the western medicine group were increasedobviously when compared with those before treatment( P ＜0.05)，while there was no significant difference in the comparisons of other scores( P ＞0.05).The score of languages in the group ofmoxibustion with seed-sized moxa cone was increased more significantly than that in the western medicine group( P ＜0.05).Conclusion：The therapy ofmoxibustion with seed-sized moxa cone for VCIND can improve the score of MoCA of patients effectively and achieve an optim al effect in improving their language ability.