Abstract： Objective： To observe the clinical effect of acupuncture combined with Dingxuan Zhiyun tang for cervical spondylosis of vertebral artery type. Methods：A total of 98 cases of patients with cervical spondylosis of vertebral artery type were divided into the control group and the study group according to different treatment methods，49 cases in each group. The control group was treated with Dingxuan Zhiyun tang，and the study group was additionally treated with acupuncture based on the treatment of the control group. Both groups were treated for two courses，14 days being one course. The pulsatility index(PI)，resistance index(RI)，peak systolic velocity(PSV) and temporal mean flow velocity(TMFV) in basilar artery as well as mean velocity in basilar artery and vertebral artery before and after treatment，and the clinical effect in the two groups were compared. Results：The total effective rate was 97.96% in the study group，higher than that of 79.59% in the control group，the difference being significant(P＜0.05). After treatment，TMFV and PSV in the two groups were increased (P＜0.05)，and PI and RI were decreased(P＜0.05)；TMFV and PSV in the study group were higher than those in the control group(P＜0.05)，and PI and RI were lower(P＜0.05). After treatment，the mean velocity in basilar artery and vertebral artery in the two groups were increased when compared with those before treatment(P＜0.05)，and the mean velocity in basilar artery and vertebral artery in the study group were higher than those in the control group(P＜0.05). Conclusion： Acupuncture combined with Dingxuan Zhiyun tang for cervical spondylosis of vertebral artery type can speed up blood flow velocity，and improve clinical symptoms and clinical effect.