Objective：To observe the therapeutic effect of the five-neck needle for dysphagia after stroke with wind-phlegm and blood stasis syndrome.Methods：Divided 88 cases of patients admitted into the control group and the treatment group according to the random number table method，44 cases in each group.Routine measures for ischemic stroke were adopted in the two groups.The treatment group was treated with the five-neck needle combined with deglutition instrument，while the control group was treated with deglutition instrument.The two groups were treated for 4 weeks continuously.Compared the scores of Water Swallow Test， Standardized Swallowing Assessment(SSA)， wind-phlegm and blood stasis syndrome，Barthel index(BI)and Swallowing Quality Of Life Questionnaire(SWAL-QOL)，as well as the clinical effect before and after treatment in the two groups.Results：After treatment，the total effective rate was 93.18%in the treatment group，higher than that of 75.00%in the control group，the difference being significant(P＜0.05).Scores of Water Swallow Test，SSA and wind-phlegm and blood stasis syndrome(dizziness，numbness，phlegm and dark tongue)in the two groups were decreased when compared with those before treatment(P＜0.01).The above scores in the treatment group were lower than those in the control group(P＜0.01).Scores of BI and SWAL-QOL in the two groups were increased when compared with those before treatment(P＜0.01).The above two scores in the treatment group were higher than those in the control group(P＜0.01).Conclusion：Based on the routine treatment，the additional therapy of five-neck needle combined with deglutition instrument for dysphagia after stroke with wind-phlegm and blood stasis syndrome，can effectively relieve the dysphagia and clinical symptoms of patients，and improve the daily ability and quality of life.