Objective：To observe the clinical effect of modified fire needle combined with Gubing Huisheng pills for femoral head necrosis of qi-stagnating and blood-stasis type.Methods：Divided 156 cases of adult patients with avascular necrosis of femoral head into three groups randomly，namely the treatment group，the control group 1 and the control group 2，52 cases in each group.Each group received the oral administration of Gubing Huisheng pills； the control group 1 received fire-needling therapy， the control group 2 received blood-letting puncture therapy， and the treatment group received modified fire needle as fire needle and blood-letting puncture therapy in sequence.One treatment course lasted for 3 months.If still with discomforts in the hip joint，patients could repeatedly received fire needle，blood-letting puncture or both，which lasted for 4 courses.Observed the clinical effect，pain-reducing effect and times of treatment in each group.Results：The total effective rate was 94.23%in the treatment group，73.08%in the control group 1 and 67.31%in the control group 2，and the total effective rate in the treatment group was significantly higher than that in the control group 1 and the control group 2 respectively(P＜0.05)； there was no significant difference being found in the total effective rate of the control group 1 and the control group 2(P＞0.05).The total effective rate in clinical effect of pain was 98.08%in the treatment group，80.77%in the control group 1 and 71.15%in the control group 2，and the total effective rate in the treatment group was significantly higher than that in the control group 1 and the control group 2 respectively(P＜0.05)； there was no significant difference being found in the total effective rate of the control group 1 and the control group 2(P＞0.05).The occupation rate of treatment less than 3 times was 86.54%in the treatment group，69.21%in the control group 1 and 67.31%in the control group 2，and the total effective rate in the treatment group was significantly higher than that in the control group 1 and the control group 2 respectively(P＜0.01)； there was no significant difference being found in the total effective rate of the control group 1 and the control group 2(P＞0.05).No adverse reactions occurred in the three group during treatment.Conclusion：Modified fire needle combined with Gubing Huisheng pills has significant effect in treating femoral head necrosis of qi-stagnating and blood-stasis type，which can effectively alleviate pain without obvious adverse reactions.