Objective： To observe the clinical effect of edge needle combined with Tuina for cervical spondylosis of vertebral artery type(CSA).Methods：Divided 70 cases of patients with CSA into two groups randomly，35 cases in each group.The treatment group received edge needle combined with Tuina for treatment，while the control group received routine acupuncture combined with Tuina for treatment.Observed the clinical effect of two groups，cervical vertigo symptoms and functional assessment scale， physical sign，changes of DR inspection， and adverse reactions during treatment in two groups.Results：A total of 2 cases off，34 cases were included in the statistics of two groups.The good improvement rate was 79.4%in the treatment group，being evidently higher than 55.9%in the control group，difference being significant(P＜0.05).The treatment group was better than the control group.After treatment，cervical vertigo symptoms and functions in two groups were all improved obviously，comparing them with those before and after treatment，differences being significant(P＜0.01).The treatment group was better than the control group(P＜0.01).Comparing the improvement rate of head spin-neck test in the treatment group with that in the control group，difference was significant(P＜0.01).The improvement rate of abnormal physiological curvature in the treatment group was better than that in the control group，difference being significant(P＜0.05).But there were no significant differences being found in the comparisons of the improvement rates of intervertebral space stenosis and vertebral instability(P＜0.05).Overall treatment time in the treatment group was shorter than that in the control group，difference being significant(P＜0.01).There were no obvious adverse reactions of edge needle，acupuncture，and Tuina being found during the treatment.Conclusion：Comparing with the commonly used acupuncture combined with Tuina in treating CSA，the therapy of edge needle combined with Tuina can effectively improve the clinical effect and worthesbeing applied clinically.