Some people often ask, “Can I still get acupuncture for a stiff, spastic stroke hemiplegic limb?” Some medical practitioners answer, “No,” or “Acupuncture will aggravate the spasm.” This answer is incorrect. Since ancient times, acupuncture has been used to treat stroke hemiplegia in various ways and with remarkable efficacy. In addition, the correct acupuncture treatment in the early stage of hemiplegia can avoid or shorten the spasticity period and promote the early recovery of patients. According to the characteristics of spasticity in stroke hemiplegia, many doctors have combined it with Chinese medicine theory and proposed various anti-spasticity acupuncture methods, such as: diarrhea of yin and tonicity, balanced acupuncture, acupuncture of antagonistic muscles, acupuncture of the Governor’s vein pinch points, meridian acupuncture, warm acupuncture, acupuncture point burial, and coarse acupuncture therapy.