Objective：To observe the clinical effect of eight-orifice opening acupuncture for pseudobulbar palsy after stroke.Methods：Divided 70 cases of patients with pseudobulbar palsy after stroke into the observation group and the control group randomly，35 cases in each group.The control group received the routine western medicine treatment and rehabilitation training， while the observation group additionally received eight-orifice opening acupuncture， in which two groups of acupoints were selected and used alternatively every other day.Before treatment and in the 4th and 8thweek of treatment，compared scores of video fluoroscopic swallowing study(VFSS)and the symptom and sign scale，and recorded the occurrence of adverse reactions during treatment.Results：In the 4thweek of treatment，scores of VFSS in both groups were higher than those before treatment(P＜0.01)；comparing the scores of VFSS in-between the two groups，there was no significant difference being found(P＞0.05).In the 8thweek of treatment，scores of VFSS in both groups were higher than those before treatment(P＜0.01)；the scores in the observation group were increased more significantly than those in the control group(P＜0.05).After 4 and 8 weeks of treatment，scores of the symptom and sign scale in both groups were lower than those before treatment(P＜0.01)；the scores in the observation group were decreased more significantly than those in the control group(P＜0.05).During treatment in the observation group，fainting during acupuncture occurred in 3 person-times and hematoma in 4 person-times，which disappeared after simple treatment.Conclusion：Eight-orifice opening acupuncture can significantly improve the swallowing function of patients with pseudobulbar palsy after stroke，also with certain effect in ameliorating such functions as speech and phonation.