Abstract： Intractable hiccups are a relatively common complication after stroke. They not only hinder rehabilitation during the recovery period but can also severely impact the patient′s body and mental health as well as their quality of life. The holistic view of body-qi-spirit，originating from the ancient text Huai Nan Zi （The Writings of the Prince of Huainan），is a life view in Chinese medicine that understands human physiology and pathology through three interconnected levels：material form（ body），energy function（ qi），and mental-spiritual activity（ spirit）. Poststroke intractable hiccups present with characteristics of "simultaneous disorder of the body，qi，and spirit." Its core pathogenesis is believed to involve： body spasm， manifesting as clonic convulsion of sinews and vessels and diaphragmatic spasm； reversed flow of qi： involving disharmony between the liver and stomach， leading to reversed flow of stomach qi； and spirit constraint： resulting from brain marrow impairment and dysregulation of the spirit activity. The treatment principles should be focusing on relaxing muscles and calming the diaphragm to restore the body′s normal state； soothing the liver and harmonizing the stomach to direct qi downward； and replenishing essence and enriching the marrow to relieve constraint and regulate the spirit. This approach， combined with needling the primary acupoints for hiccups such as Cuanzhu （BL2）， ultimately aims to restore the steady state of holistic view of body-qi-spirit.