Abstract：Objective：To discuss the clinical effect of massage on trigger points combined with acupuncture for cervical spondylosis of vertebral artery type(CSA). Methods：A total of 76 cases of CSA patients were divided into the study group and the control group according the random number table method，38 cases in each group. The control group was treated with jaw-occipital belt traction，and the study group was treated with massage on trigger points combined with acupuncture. The improvement of symptoms in the two groups was observed. The levels of nitric oxide(NO) and endothelium derived hyperpolarizing factor(EDHF) in serum were detected. Results：Before treatment，there was no significant difference being found in the comparison of hemorheological indexes between the two groups(P＞0.05). After treatment，the hemorheological indexes in the two groups were decreased when compared with those before treatment，and each index in the study group was lower than that in the control group，differences being significant(P＜0.05). Before treatment，compared the levels of NO and EDHF in serum between the two groups，there was no significance in the difference(P＞0.05). In the 2th and 4th week after treatment，the levels of NO in the two groups were significantly increased，and the level in the study group was higher than that in the control group；the levels of EDHF in the two groups were first increased then decreased，and the changes in the study group were more significant than those in the control group， differences being significant(P＜0.05). Before treatment，there was no significant difference being found in the comparison of the scores of symptoms and signs between the two groups(P＞0.05). After treatment， the scores of symptoms and signs in the two groups were decreased when compared with those before treatment， and the scores in the study group were lower than those in the control group，differences being significant(P＜0.05). The total effective rate was 94.74% in the study group，higher than that of 78.95% in the control group， the difference being significant(P＜0.05). Conclusion： The therapy of massage on trigger points combined with acupuncture in treating CSA patients can improve the hemorheological indexes and the levels of NO and EDHF in serum，with good clinical effect.