To discuss the effect of abdominal acupuncture combined with Chine se medicine hot pack on gastrointestinal function，defecation and nutrition in patients with constipation after stroke.Methods：A total of 86 cases of patients with constipation after stroke were divided into the control group and the treatment group according to the random number table method，43 cases in each group.The control group was treated with external application with Chinese medicine hot pack，and the treatment group was additionally treated with abdominal acupuncture based on the treatment of the control group.The clinical effect，defecation，gastrointestinal function and nutrition in the two groups were compared.Results：The total effective rate was 95.35%in the treatment group，significantly higher than that of 79.07%in the control group(P＜0.05).Before treatment，compared the scores of intervals，speeds，characters and difficulty of defecation in the two groups，there was no significance in the difference(P ＞ 0.05).After treatment，the above scores in the two groups were significantly decreased when compared with those before treatment(P ＜ 0.05)，and the scores in the treatment group were lower than those in the control group(P ＜ 0.05).Before treatment，compared the resting pressure in rectum and anus，and systolic pressure in anus during defecatory maneuvers in the two groups，there was no significance in the difference(P＞0.05).After treatment，the above three indexes in the two groups were significantly increased when compared with those before treatment(P＜0.05)，and the indexes in the treatment group were higher than those in the control group(P＜0.05).Before treatment， compared the measured values of albumin(Alb)， transferrin(TRF)and prealbumin(PA)in serum in the two groups，there was no significance in the difference(P ＞ 0.05).After treatment，the measured values in the two groups were significantly increased when compared with those before treatment(P ＜ 0.05)，and the values in the treatment group were higher than those in the control group(P＜0.05).Conclusion：The therapy of abdominal acupuncture combined with Chinese medicine hot pack in treating patients with constipation after stroke has significant clinical effect，which can significantly improve the indexes of defecation and nutrition and effectively promote the recovery of gastrointestinal function，and is worthy of clinical promotion.