〔Abstract〕 Objective To explore the clinical effect of internal heat acupuncture combined with joint mobilization in the treatment of adhesive shoulder bursitis. Methods 136 patients with adhesive shoulder bursitis treated in the General Hospital of Ningxia Medical University from February 2018 to February 2019 were randomly divided into observation group and control group, with 68 cases in each group. The observation group was treated with internal heat acupuncture combined with joint loosening, and the control group was treated with conventional therapy. The clinical efficacy, constant Murley score and serum inflammatory factor level of the two groups were compared and analyzed. Results The total effective rate of the observation group was 94.12%, higher than 79.41% of the control group (P < 0.05); There was no significant difference between the two groups before treatment (P > 0.05). After treatment, the constant – Murley scores of the observation group were significantly higher than those of the control group (P < 0.05); There was no significant difference in the level of serum inflammatory factors between the two groups before treatment (P > 0.05). After treatment, the levels of inflammatory factors in the observation group were better than those in the control group (P < 0.05).Conclusion The clinical effect of internal heat acupuncture combined with joint loosening in the treatment of adhesive shoulder arthritis is better. It can greatly improve the shoulder joint function, reduce the pain of patients, and help patients recover and improve the shoulder joint muscle strength, joint activity and life activity to the greatest extent.