Objective: To determine the impacts of psychological nursing on the efficacy of percussopunctator combined with Chinese herbal medicine for the treatment of severe alopecia areata. Methods:Eighty two patients with severe alopecia areata were randomly allocated to receive percussopunctator acupuncture plus subcutaneous injection of XiangDan in the area of alopecia areata and the Chinese herbal medicine ( percussopunctator group, n=41) or in combination with psychological nursing ( psychological nursing, n=41) . The efficacy and the total effective rates were compared. Results: The percussopunctator group was associated with11, 13, 9 and 8 patients with clinical recovery, markedly effective, effective and ineffective therapy, and these figures were 13, 14, 12 and 2 in psychological nursing group. The total effective rate was 80. 5% in percussopunctator group and 95. 1% in psychological nursing group, respectively ( P<0. 05 ) . Conclusion:Psychological nursing potentiates the efficacy con