Bird perking moxibustion, as an approach of moxa stick suspended moxibustion, is a widespread application in clinic. In recent years, plenty of research about bird perking moxibustion are performed in the academic field, which preliminarily explains the mechanisms of bird perking moxibustion and expands the clinical application. However, the detailed origin of bird perking moxibustion is still unconfirmed. This study is to explore the exact origin of bird perking moxibustion. It is suspected that it was proposed by Lian Zhu in the middle of 20th century. After analyzing the academic background during those years, it is suggested that this approach may be the combination of warming moxibustion apparatus moxibustion, taiyi miraculous moxa roll, thunder-fire miraculous moxa roll, bird perking acupunctural method and reinforcing-reducing techniques of acupuncture. In the early stage, the bird perking moxibustion was considered as an excitation method and the clinical application was infant diseases, syncope, joints pain, abdominal pain, diarrhea, malposition, and so on. As times goes, present clinical application is expanded. It is considered to be more beneficial to replace the manual operation by similar stimulus devices based on its operating characters.