OBJECTIVETo introduce studies about the effect of different needling manipulation methods on the body surface temperature in recent years, and to probe the mechanism.

METHODSIt is reviewed from clinical studies and experimental studies, and other aspects.

CONCLUSIONThe functions and therapeutic effects of acupuncture are changed with temperature changes induced by different needling manipulations. Reinforcing method of acupuncture can increase body temperature, and the reducing manipulation can decrease it. The temperature of body surface is decided by blood circulation, excitement extent of the sympathetic nerve, and metabolic state of the tissues, and other aspects, which are related with the changes of skin temperature induced by different needling manipulation methods.