Stroke is also known as acute cerebrovascular disease or cerebrovascular accident. Statistics show that there are no less than 1.5 million new stroke patients in China every year, and 80% of them are left with hemiplegia as the main symptom of functional impairment, which seriously affects the quality of life of the patients and causes great losses to their families, i.e. “one person suffers from stroke, the whole family suffers”. The research of rehabilitation treatment for hemiplegia has been a hot topic at home and abroad, mainly involving two major technical fields. The first is modern rehabilitation techniques, including physical therapy (PT), occupational therapy (OT), speech therapy (ST), etc.; the second is traditional acupuncture rehabilitation techniques, such as body acupuncture, head acupuncture, eye acupuncture, etc. Since acupuncture has a long history of treatment for stroke hemiplegia, with mature techniques and rich experience, it has become the main measure for the treatment of stroke hemiplegia for the majority of medical practitioners in China. It can be said that almost every stroke patient, who has received, or at least heard of, acupuncture therapy, such as body acupuncture, head acupuncture, eye acupuncture, etc., has more or less achieved certain curative effects. However, due to the varying degrees of understanding and mastery of the etiology and pathogenesis of stroke and acupuncture theory, the efficacy of acupuncture in treating stroke hemiplegia cannot be maximized. The author started to study acupuncture for stroke hemiplegia in the 1980s under the guidance of his supervisor, and now he has become the supervisor of doctoral students, and the research field of his supervising students has been acupuncture for stroke hemiplegia for more than 20 years. The holistic concept of Chinese medicine is one of the two core theories of Chinese medicine, which believes that the human body is a unified and complete organic whole, that is, the human body is an organic whole composed of organs, meridians, limbs, chins and all tissues and organs with interconnection and mutual influence, and each component of the human body is structurally inseparable, functionally coordinated and pathologically influenced by each other. Using the holistic concept of Chinese medicine, through the analysis of the etiology, pathogenesis and location of stroke hemiplegia, the following conclusions are drawn: 1. The onset of stroke hemiplegia is related to the three yang and three yin meridians of the hands and feet, that is, the twelve meridians, not only one or several meridians. Su Wen? The seventh chapter of Yin and Yang: “The onset of one yang is good at coughing and coughing; its transmission is the heart button, and its transmission is the septum. Two yang and one yin onset, the main shock and back pain, good yelp good yawn, called wind syncope. Two yin and one yang onset, good distension and fullness of the heart, good qi. Three yang and three yin onset, for the impotence of impotence, limbs do not lift.” It is clearly pointed out that “partial impotence and ease” is due to the onset of the three yin and three yang meridians, so the relevant acupoints of the twelve meridians should be acupuncture. Ling Shu? The “prick section true evil” also pointed out that “the deficiency of evil in the half of the body, its entry is deep, the internal residence of the Rongwei, Rongwei a little decline in the true qi to go, the evil qi alone, the hair is bi-culprit.” According to “the Rong Xing pulse, the Wei Xing pulse outside”, the deficient evil is partial guest in the half of the body of the hand and foot of the three yin and three Yang meridians, and the hair is partial withered. Since the disease is caused by the three yin and three yang channels of the hands and feet, that is, the twelve meridians, the treatment should take the relevant acupoints of the twelve meridians. 2, the onset of stroke hemiplegia is related to the dysfunction of the five viscera and six internal organs, not only involving one or several internal organs. Su Wen? Wind Theory Chapter 34: “wind in the five viscera and six bowels of the acupuncture point, also for the dirty wind, each into its home, the wind is partial.” That is, the partial wind is related to the five organs and six viscera. The Suwen Xuanji original disease style? Fire class” also pointed out: “so the stroke paralysis, not that the liver wood with wind is very real and stroke; also not outside in the wind er …… much joy, anger, thought, grief, fear of the five will, there are too extreme and stroke, from the five will too extreme, are hot very reason.” According to “heart in the will for joy”, “liver in the will for anger”, “spleen in the will for thought”, “thought in the will for grief”, “kidney in the will for fear”. “Kidney is fear in the will”, stroke paralysis is related to the dysfunction of the five organs, not only to liver wind. Therefore, acupuncture points should be taken from the three yin meridians of the hands and feet to which they belong, and from the three yang meridians of the hands and feet that are cognate with them. 3. The lesion of hemiplegia in stroke is mainly in the head. Su Wen? The third chapter of the treatise on vital energy: “Yang qi is the one who, when he is very angry, his form and qi will be extinguished, and blood will be luxuriated in the upper part of the body, making people thinly convulsed.” Su Wen? The blood and gas, and go on the top, is a big syncope, syncope is violent death, gas back to life, does not return to the death.” From this, it can be seen that the lesion of stroke hemiplegia is mainly in the head. Although the three yang meridians of the hand and foot do not go directly to the head, they are all connected to the head through the yang meridians that are on the surface of the head, so the acupoints of the twelve meridians can be taken to treat stroke hemiplegia. According to the previous analysis of the etiology and location of stroke, the onset of stroke hemiplegia is related to the three yang and three yin meridians, i.e., the twelve meridians, not just one or several meridians; it is related to the dysfunction of the five or six internal organs, not just one or several internal organs; and the lesion is mainly in the head. According to the theory of acupuncture and meridians, the acupuncture points should be directly targeted at the acupuncture points of the five internal organs and the six meridians to which they belong. The textbook of Acupuncture and Moxibustion and the clinical routine of acupuncture points over the years have neglected this problem. For example, the sixth edition of the textbook of Acupuncture and Moxibustion has the following prescriptions for the upper limbs: shoulder k, quchi, hand sanli, wai guan, hegu; lower limbs: ring jump, yanglingquan, foot sanli, xiexi, kunlun, all of which are Yang meridian acupoints, without taking a Yin meridian acupoint. Happily, knowledgeable researchers have confirmed that acupuncture acupoints of the Yin meridian can improve the efficacy of treatment of stroke hemiplegia. For example, for the treatment of stroke hemiplegia, the main acupuncture points are: Neiguan (Hand Conjunctive Yin Pericardium Meridian), Renzhong (Governor’s Vessel), and Sanyinjiao (Foot Taiyin Spleen Meridian); the secondary acupuncture points are: Jiquan (Hand Shaoyin Heart Meridian), Shouze (Hand Taiyin Vessel Meridian), and Zhizhong (Foot Sun Bladder Meridian). The main and auxiliary acupoints are two-thirds of each of the Yin meridian acupoints. After 9005 cases of clinical observation, the healing rate was 59.27% and the total effective rate was 98.56% . In the current clinical practice of acupuncture for stroke and hemiplegia, there are almost no acupoints selected for the five visceral meridians (hand and foot three yin meridians), let alone the meridians. 2. The method of matching acupuncture points is based on the relationship between the yin and yang of the internal organs and the meridians, i.e., if an internal organ or meridian is diseased, the acupuncture points of the meridians are taken to form a prescription for treatment. For example, in the Su Wen? The Fifth Treatise on Yin and Yang states, “Therefore, those who make good use of acupuncture can draw yang from yin and yin from yang. ……” At the same time, acupuncture acupuncture points of the yin and yang meridians can adjust the functional state of both yin and yang meridians, so that they can benefit from each other. The current conventional acupuncture treatment for stroke is to select only superficial meridian (yang meridian) acupoints, without matching the lid meridian (yin meridian) acupoints. Problem 4: In the choice of acupuncture method, the use of giant acupuncture method is neglected Ling Shu? The seventh chapter of the official acupuncture chapter: “giant acupuncture, left to take the right, right to take the left”. In other words, the left disease is taken to the right, the right disease is taken to the left, and the left and right cross-acupuncture points are used for treatment. According to the giant acupuncture method, the left hemiplegia should be treated with the right acupuncture point; similarly, the right hemiplegia should be treated with the left acupuncture point. Modern clinical research has confirmed that giant acupuncture therapy can significantly improve the clinical efficacy of stroke hemiplegia. For example, 428 cases of stroke patients with hemiplegia of six months’ duration were treated with the giant acupuncture method, and the recovery rate was 47%; 287 cases were treated with the paralytic acupuncture method (acupuncture on the paralyzed side of the limb), and the recovery rate was 31%, and the difference in efficacy was very significant (P<0.01). Another person used the giant prick plus paralyzed limb movement method to treat 88 cases of stroke hemiplegia, with a basic healing rate of 45.40% and a total effective rate of 97%. This shows that. The giant acupuncture method is effective in the treatment of stroke hemiplegia, but it is hardly used in conventional acupuncture. Problem 5: Easy to produce the phenomenon of acupoint fatigue The phenomenon of acupoint fatigue refers to the fact that when a stimulus acts on an acupoint repeatedly for a long time, although the stimulus continues to act, the sensitivity of the acupoint to the stimulus gradually decreases, the sensation gradually weakens, and the effect gradually decreases. This phenomenon is also called acupoint adaptation, or acupoint inertia. This is why some patients initially have good results with acupuncture treatment, but after several sessions or treatments, the effect is not good or even ineffective. The treatment of stroke hemiplegic patients is a long-term process, short one or two months, long three months to several months, if only a few acupuncture points of a few meridians, repeatedly stimulated every day, you can imagine, will certainly produce the phenomenon of point fatigue, affecting the therapeutic effect. Most of the current acupuncture method does not pay attention to avoid this phenomenon. Problem 6: Easy to lead to "disuse syndrome" and "misuse syndrome" "Disuse syndrome" refers to patients who are bedridden for a long time or have insufficient activity and reduced stimulation of various kinds, appearing The "disuse syndrome" refers to a series of syndromes such as joint contracture and muscle atrophy in patients who have been bedridden for a long time or who have insufficient activity and reduced stimulation. The "misuse syndrome" refers to a group of symptoms in which patients with stroke hemiplegia cannot achieve effective motor function due to the uncoordinated movement of the hemiplegic limbs due to inappropriate exercise methods during the rehabilitation process. For "disuse syndrome", stimulation should be enhanced; for "misuse syndrome", stimulation should be reduced. The current textbook of Acupuncture and Moxibustion and clinical routine acupuncture have not yet paid attention to the existence of this problem. The above analysis shows that there are six major problems in the treatment of stroke hemiplegia by acupuncture. In order to solve these six problems, we created the whole meridian acupuncture method, which has been used for more than ten years for the treatment of stroke hemiplegia and has proved to be very effective.