Abstract：Acute ankle sprain is a common type of sports injury in clinic. At present，there is no uniform standard for the treatment of acute ankle sprain in clinic. The external treatment of Chinese medicine has a long history in treating this disease， which has significant curative effect， few adverse reactions， and wide clinical application. Through literature retrieval and reference，the authors made a summary on the external treatment of Chinese medicine for acute ankle sprain in recent years， in which the treatments of acupuncture， massage， medicine application and comprehensive therapy were analyzed and summarized，in order to provide clinical ideas for the treatment of acute ankle sprain.