Objective:To observe the hemodynamic influence of vertebro-basilar artery and improvement of symptoms by the treatment of（cervical spondylotic arteriopathy）CSA with heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction.Method:The patients were randomized into a 40-case control group treated with Flunarizine Capsule and a 40-case treatment group with heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction.Individually transcranial doppler（TCD） check was done and symptomatic change was noted.Result:Heat-sensitive moxibustion therapy and Chinese herbal medicine significantly improve the systolic peak of vertebro-basilar artery（P<0.05）

which differ significantly from the control group（P<0.05）;in treatment group the total effective rate of symptomatic improvement was 92.5%

while in control group was 77.5%.The significant difference existed（P<0.05）.Conclusion:Heat-sensitive moxibustion therapy and Banxia Baizhu Tianma decoction can significantly improve the systolic peak of vertebro-basilar artery and the therapeutic effect of CSA.