Objective To observe the awakening effect and safety of Xingnao Kaiqiao（regaining consciousness and opening orifices） acupuncture on consciousness disorder in children with early severe traumatic brain injury（STBI） based on western medicine treatment. Methods A total of 62 children with STBI were randomly divided into an observation group（31 cases

1 case dropped off） and a control group（31 cases

1 case dropped off）. The control group was treated with routine rehabilitation therapy（6 times a week for 30 days）

and intravenous drip of cattle encephalon glycoside and ignotin injection（once a day for 28 days）. On the basis of the treatment in the control group

the observation group was treated with Xingnao Kaiqiao acupuncture at Neiguan（PC 6）

Shuigou（GV 26）

Yintang（GV 24+）

Baihui（GV 20）

Sanyinjiao（SP 6）

Zusanli（ST 36）

etc.

and supplementary acupoints according to clinical symptoms

once a day

6 times a week for 30 days.The scores of Glasgow coma scale（GCS）

coma recovery scale-revised（CRS-R） and modified Barthel index（MBI） were observed before treatment and 10

20 and 30 d into treatment. Electroencephalogram（EEG） grading before and after treatment was observed in the two groups

and safety was evaluated. Results After 10

20 and 30 days of treatment

the scores of GCS

CRS-R and MBI in the two groups were increased compared before treatment（P<0.05）

and those in the observation group were higher than the control group（P<0.05）. After treatment

EEG grading of both groups was improved compared with that before treatment（P<0.05）

and the observation group was better than the control group（P<0.05）. There were no adverse events or adverse reactions in the two groups during treatment. Conclusion On the basis of western medicine treatment

Xingnao Kaiqiao acupuncture plays a remarkable role in wakening the early STBI children

can improve the level of consciousness disorder and daily living ability

and it is safe and effective.