本文检索自建库以来至2025年3月1日在中国期刊全文数据库（CNKI）、维普中文科技期刊数据库（VIP）、万方数据知识服务平台（Wanfang）、中国生物医学文献数据库（SinoMed）、PubMed、Cochrane Library、Web of Science、Ebsco Medline发表的火针治疗延髓麻痹的19篇中文文献和3篇英文文献，从选穴情况、治疗方法以及治疗机制方面进行归纳分析，发现选用频率最高的5个腧穴分别为足三里、廉泉、风池、曲池和合谷穴，经外奇穴以局部取穴居多。本文对常用穴位进行总结归纳，为火针治疗延髓麻痹提供选穴思路，体现火针治疗延髓麻痹的临床价值，为延髓麻痹治疗提供新的治疗思路。然而，在辨证论治指导下的个体化治疗及作用机制研究方面存在显著空白，有待进一步研究。

This study retrieved literature on fire needle therapy for bulbar palsy from the China National Knowledge Infrastructure (CNKI), VIP Chinese Science and Technology Journals Database, Wanfang Data Knowledge Service Platform, SinoMed, PubMed, Cochrane Library, Web of Science, and EBSCO Medline, spanning from the inception of the databases to March 1, 2025. The selected literature was categorized and analyzed based on acupuncture point selection, treatment methods, and therapeutic mechanisms. A total of 19 Chinese articles and 3 English articles were included. The five most frequently used acupoints were Zusanli, Lianquan, Fengchi, Quchi and Hegu. Extraordinary points were predominantly selected based on local symptoms. This study summarized common acupoints to provide guidance for fire needle therapy in bulbar palsy, highlighting its clinical value and offering new treatment perspectives for the condition. However, significant gaps remain in research on individualized treatment under syndrome differentiation and mechanism studies, warranting further investigation.