Henoch–Sch€ onlein purpura (HSP) is commonly seen in the small vessels of children. HSP typically presents in autumn, winter or spring, and involves many organs including the skin, joints, gastrointestinal tract and kidneys. Erythema, macules and palpable purpuric lesions are common complaints in a patient with HSP. Previous studies have described treatment with methylprednisolone and urokinase pulse therapy, cyclophosphamide, cyclosporin A and other medications. Although Western medicine is the primary treatment for HSP, side-effects of these medical treatments have been reported, including hyperpigmentation and/or scarring, and the efficacy of pharmacological therapies is limited. Furthermore, there is no consensus regarding the management of severe rash. Acupuncture based on Traditional Chinese Medicine (TCM) theory originated in ancient China and has been practiced for thousands of years. These treatments have been historically used for HSP, but, to our knowledge, there are no clinical studies confirming its efficacy or effectiveness. Here, we report the case of a 6-year-old boy with a severe rash that completely recovered following acupuncture treatment for only 6 days. Ethical approval to publish this case report was obtained from the Ethical Committee of Chengdu University of Traditional Chinese Medicine, and permission was given by the patient’s parents.