Abstract：Objective：To observe the clinical effect of external washing with Yangyin Xifeng Tongluo tang combined with acupuncture for spastic paralysis after stroke. Methods： A total of 113 cases of patients with spastic paralysis after stroke were randomly grouped by single- blind trail； the acupuncture group(29 cases) was treated with Yangyin Jiejing needling method； the external washing group(27 cases) was treated with external washing with Yangyin Xifeng Tongluo tang； the combination group(30 cases) was treated with Yangyin Jiejing needling method and external washing with Yangyin Xifeng Tongluo tang；the control group(27 cases) was given routine rehabilitation training for stroke patients. Changes in modified Ashworth grading， Chinese medicine syndrome scores， as well as scores of Berg Balance Scale(BBS)， simplified Fugl- Meyer Assessment(FMA) and National Institutes of Health Stroke Scale(NIHSS) were compared among groups before treatment and after one-month treatment. Clinical effect was compared among groups. Results：When compared with that in the same group before treatment，modified Ashworth grading(gradeⅠ，gradeⅠ+，gradeⅡ and grade Ⅲ) in each group was significantly improved(P＜0.05)，Chinese medicine syndrome scores and NIHSS scores decreased(P＜0.05)，and scores of FMA and BBS increased(P＜0.05). When compared with those in the control group after treatment， in the other three groups， improvement in modified Ashworth grading(grade Ⅰ) was significantly increased(P＜0.05)， Chinese medicine syndrome scores and NIHSS scores lower(P＜0.05)， and scores of FMA and BBS higher(P＜0.05). When compared with those in the external washing group and the acupuncture group， in the combination group， Chinese medicine syndrome scores and NIHSS scores were lower(P＜0.05)， and scores of FMA and BBS were higher(P＜0.05). After treatment， total effective rates in the combination group，the acupuncture group and the external washing group were higher than that in the control group(P＜0.05)；the total effective rate in the combination group was higher than those in the external washing group and the acupuncture group(P＜0.05). Conclusion： The therapy of external washing with Yangyin Xifeng Tongluo tang combined with acupuncture has good effect in the treatment of spastic paralysis after stroke. It can effectively improve muscular tension and function of exercise and balance，thus conducing to the recovery of nerve function.