Objective:To observe the effect of Tongdu Zhengji Massage combined with thunder-fire moxibustion in the treatment of vertebrobasilar insufficiency.Methods:Seventy-six cases were randomly divided into the control group and the study group,with 38 cases in each group.Both groups were treated with thunder-fire moxibustion,and the study group were treated with Tongdu Zhengji massage in addition.Results:The total effective rate of the study group was higher than that of the control group(P<0.05).After treatment,the scores of TCM syndromes in both groups decreased,and those in the study group were lower than the control group(P<0.05).Conclusion:Tongdu Zhengji Massage combined with thunder-fire moxibustion is effective in the treatment of vertebrobasilar insufficiency.