Abstract： Objective： To observe the clinical efficacy of fu′s subcutaneous needling combined with Chinese herbal medicinal fumigation and washing in the treatment of periarthritis of the shoulder of wind-cold-damp type. Methods： A total of 95 patients with periarthritis of the shoulder of wind-cold-damp type hospitalized in Panyu Hospital of Traditional Chinese Medicine from February to October 2025 were enrolled. They were randomly divided into three groups using the random number table method：Chinese herbal medicinal fumigation and washing group（ group A， 31 cases）， fu′s subcutaneous needling group （group B， 32 cases）， and fu′s subcutaneous needling combined with Chinese herbal medicinal fumigation and washing group （combination group， 32 cases）. All patients received conventional western medicine treatment. In addition， the group A received Chinese herbal medicinal fumigation and washing， the group B received fu′s subcutaneous needling， and the combination group received both Chinese herbal medicinal fumigation and washing as well as fu′s subcutaneous needling. The total effective rate， safety， as well as scores of Visual Analogue Scale （VAS） for pain， Activities of Daily Living （ADL） scale， shoulder range of motion （ROM），and traditional Chinese medicine syndrome before and after treatment were compared among the three groups. Results：After treatment，the total effective rate in the combination group was 96.88% （31/32），which was significantly higher than the rates of 70.97%（ 22/31） in group A and 81.25%（ 26/32） in group B（ P＜0.05）. There was no statistically significant difference in the total effective rate between group A and group B （P＞0.05）. After treatment， the clinical improvement rate in the combination group was 81.25% （26/32），which was significantly higher than the rate of 32.25%（ 10/31） in group A（ P＜0.05），but showed no statistically significant difference compared with the rate of 62.50% （20/32） in group B （P＞0.05）. The clinical improvement rate in group B was also significantly higher than that in group A （P＜0.05）. After treatment，the VAS scores of the three groups decreased compared with those before treatment （P＜0.05）， and there was a statistically significant difference in VAS scores among the three groups （P＜ 0.05）. Further pairwise comparisons showed that the VAS score in the combination group was lower than those in group A and group B （P＜0.05）， and the VAS score in the group B was also lower than that in group A （P＜0.05）. After treatment，the ADL scores of the three groups increased compared with those before treatment （P＜0.05），and there was a statistically significant difference in ADL scores among the three groups （P＜0.05）. Further pairwise comparisons showed that the ADL score in the combination group was higher than those in group A and group B （P＜0.05），and the ADL score in group B was also higher than that in group A （P＜0.05）. After treatment，the shoulder ROM scores of the three groups increased compared with those before treatment （P＜0.05）， and there was a statistically significant difference in shoulder ROM scores among the three groups （P＜0.05）. Further pairwise comparisons showed that the shoulder ROM score in the combination group was higher than those in group A and group B （P＜0.05）， and the shoulder ROM score in group B was also higher than that in group A （P＜0.05）. After treatment，the traditional Chinese medicine syndrome scores of the three groups decreased compared with those before treatment （P＜0.05）， and there was a statistically significant difference in traditional Chinese medicine syndrome scores among the three groups （P＜ 0.05）. Further pairwise comparisons showed that the traditional Chinese medicine syndrome score in the combination group was lower than those in group A and group B （P＜0.05），and the traditional Chinese medicine syndrome score in group B was also lower than that in group A （P＜0.05）. During treatment，no abnormalities in liver or kidney function or any therapeutic-related adverse reactions occurred in the three groups. Conclusion： Fu′s subcutaneous needling combined with Chinese herbal medicinal fumigation and washing can effectively alleviate clinical symptoms， improve shoulder ROM and quality of daily life in patients with periarthritis of the shoulder of wind-cold-damp type. Its total effective rate and marked effective rate are superior to those of fu′s subcutaneous needling or Chinese herbal medicinal fumigation and washing alone.