Objective To find a convenient, fast, accurate, and cost-saving method for the puncture procedure of intracranial hematoma. Method One hundred patients with intracranial hematoma were selected for puncture treatment. According to the midline position of the CT film, mark the projection positions of the hematoma center on the horizontal plane, coronal plane, and sagittal plane of the body surface respectively. One of the marking points can be used as a puncture point, and the plane of the other two targets can be used as the maximum level and puncture angle of the hematoma, which is called the “one point two planes” method. Results After the puncture procedure, using the “one point two planes” method for positioning. The puncture points were in the hematoma center verified by CD film in the 100 patients. Conclusion The “one point two planes” method is convenient, fast, accurate, and cost-saving method for the puncture procedure of intracranial hematoma and is suitable for basic-level hospitals to treat patients with acute cerebral hemorrhage.