More particularly, the present invention relates to a method of manufacturing an acupressure warming mat, and more particularly, to a method of manufacturing an acupressure warming mat using a heating mat, It is possible to extend the service life of the heating mat to the maximum by blocking the separation of the pressure syringe during the process and to diversify the shape and arrangement of the pressure syringe by the fixing method by the rivet of the pressure syringe, To be improved. The present invention provides a method of manufacturing an acupressure warm mat, An acupressure pad forming step of making a planar hexagonal pressing hole having a through hole at the center; A weaving step of weaving a tissue yarn such that various patterns and patterns are engraved using the gold yarn; A foaming process in which the woven tissue yarn is foamed to a thickness of 3 mm through a foaming machine; A laminating step of laminating the foamed sheet with a sponge of 3 mm and a T / C fabric mixed with polyester and cotton on the upper surface of the foamed sheet; The lowering speed of the perforating press is progressed step by step by using a press provided with a plurality of perforating punches at the lower portion of the sheet fabric, and when the perforation of the sheet fabric is performed, the lowering pressure is gradually lowered, A perforation process for perforating a through hole having a predetermined gap for arranging and fixing the pressure applying port; A sheathing step for cutting and cutting the sheet fabric whose perforations are perforated and an outer skin forming a lower surface and a side surface of the heating mat to a predetermined size and interlacing; A rivet fastening step of pressing the rivet with the through hole of the acupressure needle and the through hole of the sheet fabric and firmly attaching the acupressure sill to the sheet fabric and arranging and fixing them at regular intervals; A finishing step of filling and installing a heat