Abstract：Objective：To observe the clinical efficacy of Fu's subcutaneous needling combined with conventional therapy and Chinese herbal fumigation in treating stageⅠpost-stroke shoulder-hand syndrome （PSHS） of blood stasis obstructing the collaterals type. Methods： A total of 92 patients with stage Ⅰ PSHS of blood stasis obstructing the collaterals type were randomly divided into a control group and an observation group using a random number table method，with 46 cases in each group. The observation group finally completed 44 cases （1 excluded，1 dropped out）， while the control group completed 42 cases （2 excluded， 2 dropped out）. Both groups received conventional modern medical therapy and Chinese herbal fumigation， and the observation group additionally received Fu's subcutaneous needling. Both groups were treated for four weeks. Before and after treatment， traditional Chinese medicine syndrome scores， Fugl-Meyer Assessment-Upper Extremity （FMA-UE） scores， Barthel Index （BI） scores， Visual Analogue Scale （VAS） scores at rest and during movement， range of motion （ROM） of the affected shoulder joint （flexion， extension， internal rotation， external rotation， and abduction） and swelling degree of the affected hand， and blood flow velocity of the brachial vein，axillary vein，and median cubital vein were assessed. Clinical efficacy was compared between the two groups. Results：After four weeks of treatment，the total effective rate in the observation group was significantly higher than that in the control group （P＜0.05）. The primary symptom scores，secondary symptom scores， and total scores of traditional Chinese medicine syndromes decreased in both groups （P＜0.05），with significantly lower scores in the observation group （P＜0.05）. ROM of the affected shoulder joint in all directions increased in both groups （P＜0.05），with greater improvements in the observation group （P＜0.05）. Blood flow velocities of the brachial vein，axillary vein，and median cubital vein increased in both groups （P＜0.05），with significantly faster velocities in the observation group （P＜0.05）. VAS scores at rest and during movement decreased， FMA-UE and BI scores increased， and swelling degree of the affected hand decreased in both groups after treatment， differences being significant （P＜0.05）. The observation group showed significantly lower VAS scores at rest and during movement， higher FMA-UE and BI scores，and less swelling compared with the control group，differences being significant （P＜ 0.05）. Conclusion： Fu's subcutaneous needling combined with Chinese herbal fumigation and conventional modern medical therapy yields significant effects in patients with stageⅠPSHS of blood stasis obstructing the collaterals type. It can effectively alleviate clinical symptoms， accelerate venous blood flow velocity in the affected limb， and improve venous blood flow return， thereby reducing upper limb pain and swelling， improving shoulder joint ROM， and restoring upper limb motor function and activities of daily living.