Objective To observe the efficacy and safety of special needling such as fire needling

pricking and bloodletting for psoriasis vulgaris plaque.Methods Totally 180patients were randomized into the treatment group and control group

with 90in each.Fire needling or pricking and bloodletting was used in the treatment group according to the pattern once every 7 days.Tazarotene cream was applied externally in the control group once nightly.The treatment lasted for 8 weeks.The therapeutic effect and adverse reaction was observed in both groups.The lesion area

degree of hypertrophy（infiltration）

erythema and scaling was scored with Psoriasis Area and Severity Index（PASI）before and after treatment.Results There was no significant difference between before and after 2-week treatment in PASI score in both groups（P>0.05）.The PASI scores were significantly improved in both groups after 4and 8weeks of treatment（P<0.05）

especially in the treatment group（P<0.05）.The total effective rate of the treatment group and control group was 87.50% and 81.18% respectively

with a significant difference between groups（P<0.05）.There was no serious adverse event in both groups.Conclusion Special needling such as fire needling

pricking and bloodletting is effective for psoriasis vulgaris plaque with less adverse reaction.It can be used as a preferred process of acupuncture for psoriasis vulgaris plaque.