Abstract： Objective： To observe the clinical effect of modified superficial needling releasing suboccipital muscle for cervical spondylosis of vertebral artery type and its effect on hemodynamics. Methods： A total of 120 cases of patients diagnosed with cervical spondylosis of vertebral artery type were randomly divided into the treatment group and the control group，60 cases in each group. The control group was treated with conventional acupuncture，and the treatment group was treated with modified superficial needling. The scores of Dizziness Handicap Inventory(DHI) before treatment， after twoweek treatment and four- week treatment in the two groups were recorded. The hemodynamic changes were evaluated by transcranial doppler(TCD). The curative effect was analyzed. Results：The DHI scores after treatment in the two groups were improved when compared with those before treatment；the degree of dizziness after two- week treatment and four- week treatment in the two groups were reduced in different degrees； the decrease of the degree of dizziness in the treatment group was more significant when compared with that in the control group at the same time point(P＜0.05). The mean velocity (Vm) of left vertebral artery(LVA)，right vertebral artery(RVA) and basilar artery(BA) after two-week treatment and four-week treatment in the two groups were increased in different degrees. After two-week treatment and four-week treatment，there was significant difference being found in the comparison of hemodynamic indexes between the two groups(P＜0.05). In the two groups， there was significant difference being found in the comparison of hemodynamic indexes after two- week treatment and before treatment(P＜0.05). After four- week treatment， when compared the hemodynamic indexes in the treatment group with those before treatment，there was significance in the difference(P＜0.05)，but there was no significant difference being found in the control group when compared with those before treatment(P＞0.05). No significant adverse reaction occurred in the two groups. Conclusion： The application of modified superficial needling releasing suboccipital muscle can obtain defined clinical effect in treating cervical spondylosis of vertebral artery type， and effectively improve hemodynamic indexes.