To evaluate the effectiveness and safety of fire needle to treat lateral epicondylitis.Methods:Clinical articles in CNKI,VIP,WF,CBM and Pubmed were electronically searched from the day of database set up to October 22,2016.Collect and select relevant RCTs which report the effectiveness of fire needle in treating lateral epicondylitis.Analyze the final data by Meta analysis with RevMan5.3 Meta analysis software.Results:Six references were included.Off cases and adverse reactions were reported in 1 article.516 cases can be included (264 cases in the experiment group and 252 cases in the control group).Compared with other acupuncture therapies,fire needle therapy,fire needle combined are more effective than other acupuncture,especially in the aspects of cure rate and decreasing VAS score(P<0.05 or P<0.01).However,differences were not significant in the aspect oftotal effective rate (P>0.05).Conclusion:Fire needle or fire needle compared with other therapies in treating lateral epicondylitis have obvious advantages.It is safe and worthy of promotion.