To observe the effects of needle warming therapy in the treatement of irritable bowel syndrome-diarrhea(IBS-D).Methods:A total of 59 patients with IBS-D were divided into two groups Follow the principle of random.The treatment group with needle warming therapy，and the control group with routine acupuncture.To evaluate the effect by TCM syndrome integral scale and IBS-QOL.Results:The TCM syndrome score and IBS-QOL score of the warming acupuncture group and the routine acupuncture group were significantly improved.And the warming acupuncture group was more obvious than routine acupuncture group(P<005).The total effective rate of the warming acupuncture group was 931%.The rate of recovery of the warming acupuncture group was 207%.The total effective rate of the routine acupuncture group was 821%.The rate of recovery of the routine acupuncture group was 143%(P<005).Conclusion:The clinical efficacy of treating IBS-D with needle warming therapy was significant.Needle warming therapy worthy of clinical promotion and Further research.