下肢静脉曲张是临床常见的外周血管疾病，中医针灸疗法对本病的临床效果显著。根据不同针具形式、用途和刺激方式，包括火针疗法、毫针疗法、刺络放血疗法及皮肤针疗法等，对近年来应用针灸治疗下肢静脉曲张的文献进行综述，以中医理论为基础，探讨本病病因病机与针灸疗法的作用机理，通过调节人体血液流变学、内皮细胞功能等方式，改善病灶局部血液循环，降低炎症反应，恢复下肢静脉功能。同时，对临床诊疗中存在的不足进行展望，以中医学"治未病"思想为引导，加强针对性治疗方案，凸显中医针灸疗法辨证论治的个体化诊疗特色。

Varicose Veins of Lower Extremity (VVLE) is a common peripheral vascular disease in clinic, and acupuncture has a significant clinical effect on this disease. According to different forms, uses and stimulation methods of needles, including fire needle therapy, filiform needle therapy, collateral puncture and bloodletting therapy, and skin needle therapy, this paper summarized the literature on the application of acupuncture in the treatment of VVLE in recent years, and discussed the etiology and pathogenesis of the disease, and the action mechanism of acupuncture therapy based on the theory of traditional Chinese medicine, such as improving local blood circulation, reducing in flammatory reaction and restoring venous function of lower limbs. At the same time, this paper pointed out the shortcomings in clinical diagnosis and treatment.With the guidance of the thought " preventive treatment of disease" in traditional Chinese medicine, the targeted treatment scheme should be strengthened, to highlight the individualized diagnosis and treatment with the characteristics of syndrome differentiation and treatment in traditional Chinese medicine acupuncture therapy.