Through the analysis of the etiology and pathogenesis of vascular mild cognitive impariment and by the discussion of the advantage of acupuncture and moxibustion， it is considered that the marrow sea deficiency， the upper orifices closed resistance and the apraxia of vital activity is the main pathogenesis and treated with nourishing the marrow sea， dredging governor vessel and regulating mentality. Acupuncture treatment of this disease has a unique theoretical system and rich experience in clinical practice， reflecting the advantages of prevention and treatment. In the future， we should further explore the mechanism of acupuncture treatment of vascular mild cognitive impairment， and optimize the treatment of acupuncture treatment for the disease.