Abstract： Objective： To observe the clinical effect of the therapy of acupuncture combined with psychological counseling on children with transient tic disorder of hepatic hyperactivity and stirring up wind type. Methods ： A total of 152 children with transient tic disorder of hepatic hyperactivity and stirring up wind type treated in Zhejiang Eye Hospital of Wenzhou Medical University （Hangzhou Branch） from April 2022 to October 2023 were selected and divided into the treatment group and the control group according to the random number table method， with 90 and 62 cases in each group. The treatment group was treated with acupuncture combined with psychological counseling，and the control group was given oral administration of Tiapride Tablets combined with psychological counseling. Both groups were treated for eight weeks. The clinical effects and incidence of adverse reactions，and the changes in scores of Yale Global Tic Severity Scale （YGTSS） before treatment and after two， four and eight weeks of treatment were compared between the two groups. Results： The total clinical effective rate was 95.6% （86/90） in the treatment group and 95.2% （59/62） in the control group， there being no significance in the difference （P＞0.05）. After treatment， the YGTSS scores in both groups were dwindled when compared with those before treatment （P＜0.05）；after two and four weeks of treatment，the YGTSS scores in the treatment group were lower than those in the control group at the same time point， differences being significant （P＜0.05）； after eight weeks of treatment， there was no significant difference being found in the comparison of YGTSS scores between the two groups （P＞0.05）. There was no serious adverse reaction in the two groups. Conclusion：The therapy of acupuncture combined with psychological counseling has a good clinical effect on children with transient tic disorder of hepatic hyperactivity and stirring up wind type with a better treatment effect and greater safety when compared with that of Tiapride Tablets combined with psychological counseling.