Abstract：Objective：To observe the clinical efficacy of miya cupping combined with bloodletting therapy in the treatment of externally contracted fever during the high fever stage in children. Methods：A total of 118 children in the high fever stage hospitalized at Traditional Chinese Medicine Hospital of Tiantai County from March 2023 to February 2025 were enrolled. They were randomly divided into the control group and the observation group using the random number table method，with 59 cases in each group. The control group received conventional treatment combined with bloodletting therapy，while the observation group received additional miya cupping on the basis of the control group's treatment. The treatment course for both groups was two days. The clinical efficacy，antipyretic effect （body temperature at different time points， time for body temperature to return to normal， body temperature rebound rate）， traditional Chinese medicine syndrome scores，and incidence of complications and adverse reactions were compared between the two groups. Results： After treatment， the total effective rate was 98.31% （58/59） in the observation group and 86.44% （51/59） in the control group，with a statistically significant difference between the two groups （P＜0.05）. At admission，there was no statistically significant difference in axillary temperature values between the two groups （P＞ 0.05）. After 12 h，24 h，and 48 h of treatment，the axillary temperature values in the observation group were lower than those in the control group at the same time points （P＜0.05）. The time for the body temperature to drop by 0.5 ℃ and the time for body temperature to return to normal were significantly shorter in the observation group compared to the control group （P＜0.05）. The body temperature rebound rate was 3.45% （2/58） in the observation group and 19.61% （10/51） in the control group，showing a statistically significant difference between the two groups （P＜0.05）. After treatment，traditional Chinese medicine syndrome scores for mild aversion to wind，difficulty in sweating，cough， nasal congestion， and runny nose decreased in both groups compared to before treatment （P＜0.05）， and each traditional Chinese medicine syndrome score in the observation group was lower than that in the control group （P＜ 0.05）. During treatment，the complication incidence was 5.08% （3/59） in the observation group and 18.64% （11/59） in the control group，with a statistically significant difference between the two groups （P＜0.05）. During treatment，no severe adverse reactions such as local infection，hematoma，or bleeding occurred in either group. Conclusion：On the basis of conventional treatment，the application of miya cupping combined with bloodletting therapy in the treatment of children with externally contracted fever during the high fever stage can improve traditional Chinese medicine syndrome， promote the return of body temperature to normal， reduce the body temperature rebound rate and complication incidence，demonstrating safe and reliable efficacy.