To observe the effect of acupuncture combined with aconite cake-separated moxibustion on senile female stress urinary incontinence (SUI). Methods: A total of 86 senile female patients with SUI were divided into two groups randomly, with 43 cases in each group. Patients in the control group were treated with acupuncture on Shenque, Qihai, Guanyuan, Zhongji, Sanyinjiao, Zusanli, Mingmen, Shenshu, Pangguangshu, and the study group were treated with aconite cake-separated moxibustion besides acupuncture. International Advisory Committee on urinary incontinence urinary incontinence questionnaire short table (ICIQ-SF) score and urinary leakage rate before treatment and at 3 and 6 weeks after treatment were compared between the two groups, and the total effective rate after 6 weeks of treatment of the two groups were compared. Results: There were no significant difference in the ICIQ-SF score and leakage urine volume between the two groups(P>0.05). The ICIQ-SF score were significantly lower after 3 weeks and 6 weeks of treatment, and the leakage volume had reduced significantly in the two groups, besides, the study group performed better than the control group(P<0.01). The total effective rate of the study group was significantly higher than that of the control group(P<0.05), and the difference was statistically significant. Conclusion: Acupuncture combined with aconite cake-separated moxibustion on senile female SUI can effectively relieve clinical symptoms, improve the quality of life of patients, and improve clinical efficacy.