To research optimized acupuncture rehabilitation techniques on life activity of stroke patients.Methods：Sixty-eight hemiplegia patients were randomly divided into the treatment group and the control group.The treatment group was given acupuncture and rehabilitation therapy， while the control group was only given the conventional treatment.Results：The total effective rate of the treatment group was 88.2 %， compared to 67.7% in the control group with significant difference (P<0.05).The treatment group’s NDS decreased significantly compared with before treatment， the ADL and FCA increased significantly compared with those of before treatment (P<0.01).NDS in the treatment group was significantly lower than that in the control group (P<0.05); ADL and FCA in the treatment group were significantly higher (P<0.05).Conclusion：The acupuncture treatment has significant clinical effect on hemiplegia， which helps to resume life activity， improve patient quality of life with high safety， thus is worthy of clinical application.