Abstract：Objective：To observe the clinical effect of ear apex bloodletting combined with thumb-tack needling therapy on primary hypertension of intense liver fire type. Methods： A total of 120 cases of patients with primary hypertension of intense liver fire type were divided into the blank group，the control group 1，the control group 2 and the treatment group according to the random simplification method，with 30 cases in each group. The blank group was given general routine care；the control group 1 was treated with ear apex bloodletting； the control group 2 was treated with thumb-tack needling therapy； the treatment group was treated with ear apex bloodletting combined with thumb-tack needling therapy. The blood pressure levels and traditional Chinese medicine syndrome scores before and after treatment as well as the clinical effects were compared among the four groups. Results： In 30 minutes， 1 hour， 2 hours， and 24 hours after treatment， the levels of systolic blood pressure and diastolic blood pressure in the control group 1，the control group 2 and the treatment group were decreased (P＜0.05)，and the levels in the treatment group were lower than those in the blank group，the control group 1 and the control group 2 at the same time point (P＜0.05)； the levels in the control group 1 and the control group 2 were lower than those in the blank group at the same time point (P＜0.05)；there was no significant difference in the comparison of the above levels between the control group 1 and the control group 2 at the same time point (P＞0.05). After treatment，traditional Chinese medicine syndrome scores in the control group 1，the control group 2 and the treatment group were decreased (P＜0.05)，and the score in the treatment group was lower than those in the blank group， the control group 1 and the control group 2 (P＜0.05)； the scores in the control group 1 and the control group 2 were lower than that in the blank group (P＜0.05). there was no significant difference in the comparison of the above scores between the control group 1 and the control group 2 (P＞0.05). After treatment，the total effective rate was 93.33% in the treatment group， higher than that of 23.33% in the blank group， 66.67% in the control group 1 and 70.00% in the control group 2 (P＜0.05). The total effective rates in the control group 1 and the control group 2 were higher than those in the blank group (P＜0.05)， and there was significant difference in the comparison of the total effective rates between the control group 1 and the control group 2 (P＞0.05). Conclusion： The ear apex bloodletting combined with thumb-tack needling therapy has a significant curative effect on primary hypertension of intense liver fire type， which is beneficial to reduce the levels of blood pressure and alleviate clinical symptoms.