Objective To observe clinical effect on the methods of conventional acupuncture， conventional acupuncture combined lifting-thrusting， modified acupuncture and modified acupuncture combined lifting-thrusting in treating cervical spondylosis of vertebral artery type（CSA）. Methods 120 CSA patients were randomly divided into four groups， each group of 30 patients. The four groups’ patients were given four different acupuncture treatment respectively， Group 1 given conventional Renying acupuncture method， Group 2 given conventional acupuncture combined lifting-thrusting manipulation method， Group 3 given modified acupuncture method， Group 4 given modified acupuncture combined lifting-thrusting manipulation method. After 4 groups experiencing 2 courses of treatment， compared clinical effect and the scores of Vertigo disorder rating scale（DHI）of those. Results ① In the comparision of the 4 groups’ clinical efficacy， there had no significant difference in Group 1， Group 2 and Group 3（P>0.0083）， and significant difference of Group 4 comparing with the other three groups respectively（P<0.0083）. ② Before treatment， comparing DHI scores of the 4 groups， showed significant difference between modified acupuncture combined lifting-thrusting manipulation and other three methods respectively（P<0.0083）. Conclusion The treatment of Renying modified acupuncture combined lifting and thrusting manipulation to improve the curative effect of CSA is better， especially for improving vertigo symptoms.