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Objective: To compare the clinical therapeutic effects on the syndrome of L3 transverse process between thick silver warming needling and electric acupuncture. Methods: One hundred and twenty cases of the syndrome of L3 transverse process were randomized into observation group and the control, 60 cases for each one. Thick silver warming needling was applied in observation group and electric acupuncture in the control. Results: The curative rate was 81.7% In observation group and 58.3% in the control, indicating significant difference (P＜0.01). The significant difference in the therapeutic effects between two groups had not been discovered yet for the cases within 3 months of sickness ( P＞0.05), but, the therapeutic effect in observation group was superior to that in the control for the cases over 3 months of sickness ( P＜0.01).Conclusion: The therapeutic effects of thick silver warming needling and electric acupuncture were quite advantageous on the syndrome of L3 transverse process, but that of thick silver warming needling was superior to electric acupuncture.