〔Abstract〕 Objective To observe the clinical effect of fine needleknife combined with traditional Chinese medicine fumigation in the treatment of cold-dampness stagnation type of cervical radiculopathy. Methods Fifty-five patients with cold-dampness stagnation type of cervical radiculopathy treated in Yunfu People's Hospital from 2021 to 2022 were randomly divided into an observation group (27 cases, given fine needle knife combined with traditional Chinese medicine fumigation) and a control group (28 cases, given fine needle knife alone) for treatment. The clinical efficacy, the score of shoulder and neck symptoms, the score of upper limb and finger symptoms, the score of foraminal compression test and the score of visual analogue scale (VAS) were compared between the two groups. Results The total effective rate of the observation group was higher than that of the control group, the difference was statistically significant (P < 0.05). After treatment, the scorel of shoulder and neck symptoms, upper limb and finger symptoms, foraminal compression test, and VAS of the two groups were all decreased compared with before treatment, and after treatment, the scores of shoulder and neck symptoms, upper limb and finger symptoms, foraminal compression test, and VAS of the observation group were lower than those of the control group, with statistical significances (P < 0.05). Conclusion Fine needle knife combined with traditional Chinese medicine fumigation has a better clinical effect than pure acupotomy in the treatment of cold_x005fdampness congesting type of cervical radiculopathy.