Abstract：Objective：To observe the clinical effect of the therapy of auricular acupuncture combined with motor imagery therapy on post-stroke pusher syndrome and its effect on balance，cognition and motor functions and activities of daily living. Methods：A total of 92 patients with post-stroke pusher syndrome were selected and divided into the control group and the observation group according to the random number table method，with 46 cases in each group. Both groups were treated with routine rehabilitation training， the control group was additionally treated with motor imagery therapy， and the observation group was treated with auricular acupuncture based on the treatment of the control group. Both groups were treated for four weeks. Before and after treatment，the degree of tilt，balance function，cognitive function，motor function and activities of daily living were compared between the two groups. Results： After treatment， the scores of Scale for Contraversive Pushing(SCP) in the two groups were decreased when compared with those before treatment(P＜0.05)，and the scores of Berg Balance Scale(BBS)， Montreal Cognitive Assessment(MoCA)， Fugl- Meyer Assessment(FMA) scale， Modified Barthel Index(MBI) and Functional Independence Measure(FIM) were increased(P＜0.05)； the SCP score in the observation group was lower than that in the control group(P＜0.05)，and the scores of BBS，MoCA，FMA，MBI and FIM in the observation group were higher(P＜0.05). Conclusion：The therapy of auricular acupuncture combined with motor imagery therapy can effectively reduce the symptom of tilt in patients with post-stroke pusher syndrome，and improve their balance， cognitive，motor functions and activities of daily living.