Abstract：Objective：To observe the effect of needle warming moxibustion for obesity of spleen-kidney yang deficiency type. Methods：A total of 86 cases of patients with obesity of spleen-kidney yang deficiency type were selected as the study objects， and randomly divided into the observation group and the control group， 43 cases in each group. The observation group was given needle warming moxibustion， and the control group was given simple acupuncture. Before and after treatment， the percentage of body fat， the degree of obesity， Body Mass Index(BMI）， body girth including waist circumference，hip circumference，thigh circumference and arm circumference，as well as the levels of blood lipid including total cholesterol(TC)，triglyceride(TG)，low- density lipoprotein cholesterol(LDL- C) and high- density lipoprotein cholesterol (HDL-C) in the two groups were detected and counted；the incidence of adverse reactions was observed；the clinical effect was compared between the two groups. Results：After treatment，the total effective rate of reducing weight and lipid in the observation group was higher than that in the control group(P＜0.05). Body mass，the percentage of body fat，the degree of obesity and BMI in the two groups were decreased when compared with those before treatment，and the above indexes in the observation group were lower than those in the control group， differences being significant(P＜0.05). Waist circumference， hip circumference， arm circumference and thigh circumference in the two groups were decreased when compared with those before treatment，and the above circumferences in the observation group were smaller than those in the control group，differences being significant(P＜0.05). The levels of HDL-C，LDL-C，TC and TG in the two groups were improved when compared with those before treatment；in the observation group，the level of HDL-C was higher than that in the control group， and the levels of LDL- C， TC and TG were lower than those in the control group， differences being significant(P＜0.05). No adverse reactions occurred in the two groups. Conclusion： The application of needle warming moxibustion in the treatment of obesity of spleen- kidney yang deficiency type，which can reduce patients' body mass and degree of obesity，shorten body girth，and regulate their blood lipid metabolism，with safety and effectiveness.