Abstract： Objective： To observe the effect of the therapy of thum-tack needling for subcutaneous embedding combined with auricular point seed-burying on preoperative anxiety and vital signs of patients receiving selective surgery for varices of lower limbs with local anaesthesia. Methods：A total of 180 patients who would reveive selective surgery for varices of lower limbs with local anaesthesia were divided into the control group and the observation group according to the random number table method，with 90 cases in each group. The two groups were given routine nursing for treatment； the control group was additionally treated with auricular point seed-burying and the observation group was additionally treated with thum-tack needling for subcutaneous embedding based on the treatment of the control group. The clinical effects，and scores of Amsterdam Preoperative Anxiety and Information Scale (APAIS)， vital signs (systolic pressure， diastolic pressure， heart rate and breathing rate)， Visual Analogue Scale (VAS) and 36-Item Short Form Health Survey (SF-36) and levels of hemorheology indexes were compared before and after treatment between the two groups. Results：After treatment，the total effective rate was 93.33% in the observation group， higher than that of 84.44% in the control group (P＜0.05). After treatment， the scores of APAIS (anxiety and information needs) and VAS in the two groups were decreased when compared with those before treatment (P＜0.05)， and the SF-36 scores were increased when compared with those before treatment (P＜0.05)；the scores of APAIS and VAS in the observation group were lower than those in the control group (P＜0.05)， and the SF-36 score was higher than that in the control group (P＜0.05). After treatment， the systolic pressure， diastolic pressure， breathing rate， and the levels of blood viscosity， fibrinogen and blood sedimentation rate in the two groups were decreased when compared with those before treatment (P＜0.05)， and the heart rate was increased when compared with that before treatment (P＜0.05)； the systolic pressure， diastolic pressure， breathing rate， and the levels of hemorheology indexes in the observation group were lower than those in the control group (P＜0.05)，and the heart rate was higher than that in the control group (P＜0.05). Conclusion： The therapy of thum-tack needling for subcutaneous embedding combined with auricular point seed-burying can mitigate the preoperative anxiety of patients who would receive selective surgery for varices of lower limbs with local anaesthesia，improve the vital signs and hemorheology indexes，and enhance the overall curative effect.