Hemiplegic shoulder pain is one of the complications of cerebrovascular disease and is characterized by pain and dysfunction of the shoulder joint on the hemiplegic side. This disease is not characterized by the “resting pain” of frozen shoulder, but rather by severe pain when moving. Therefore, patients are reluctant to move passively and refuse to move the affected limb due to shoulder pain, and prefer to hold the affected hand with the healthy hand to make it into a flexed elbow position. As a result, the recovery of the affected limb is affected. If left untreated, the functional rehabilitation of the affected limb will be affected. If left untreated, it may affect the functional recovery of the affected limb. If the shoulder joint is contracted and straightened over time, or if the shoulder muscles atrophy, it may even cause incomplete dislocation of the shoulder joint, which may affect the quality of life of the patient. This disease is due to the inability of the upper limb on the hemiplegic side to move on its own, while the passive movement is often limited and the activity time is small; or the passive movement is incorrect (e.g. excessive movement leads to new motor injury of the shoulder joint), or the shoulder is squeezed or wind chilled, which causes poor local blood movement, adhesions between the joint capsule and muscles, and muscle atrophy and relaxation, resulting in shoulder pain. In addition, prolonged bed rest and other factors cause the shoulder joint muscles to atrophy, often resulting in subluxation of the shoulder joint. It belongs to the category of “paralysis” or “shoulder coagulation” in Chinese medicine. It should be treated by promoting the flow of qi and blood and unblocking the meridians. This disease is likely to occur after the hemiplegia is half a month old, so after the cerebrovascular disease has been controlled, active early treatment and proper treatment is the key to prevent hemiplegic shoulder pain. In clinical practice, we use acupuncture and moxibustion treatment with passive movement of the hemiplegic shoulder to achieve very good results. The acupuncture points are mainly taken by identifying the meridians and local ayurvedic points. In addition, with the help of family members, the patient can do passive activities for rehabilitation exercise: the patient lies flat, the family member holds the scapula on the paralyzed side with one hand, and holds the forearm on the paralyzed side with the other hand to lift upward with a small amplitude, as much as the patient can tolerate, and the frequency should be gentle. The frequency should be gentle, about 20-30 times per minute. This will speed up the blood circulation in the shoulder, dissipate the adhesions and make it painless.