||Objective: To observe the clinical effect of combined tuina manipulation and warm needling moxibustion for adhesive shoulder periarthritis (ASP). Methods: A total of 182 cases with ASP were randomized into an observation group of 93 cases and a control group of 89 cases. The observation group employs combined tuina and warm needling moxibustion, whereas the control group employs warm needing therapy alone. For both groups, the treatment was conducted once every other day; 10 times made up one session. The function and range of motion of the shoulder joint were observed and graded prior to treatment and 1 session after treatment. Results: The recovery rate and the total effective rate in the observation group were 65.6% and 97.9% respectively, versus 11.2% and 85.4% in the control gorup, indicating a statistical significance (P<0.01). After treatment, the scores of the shoulder joint function and joint range of motion in both groups were significantly increased (P<0.01, P<0.05), and the scores in the observation group were higher than that in the control group (P<0.01). Conclusion: Combined tuina and warm needling therapy can obtain better effect than warm needling therapy alone.