To investigate the effect of speech training with Taiji acupuncture in treating patients with aphasia after stroke. Methods: Ninety cases of patients with aphasia after stroke were selected from 1 June 2015 to 31 August 2016 treated in the hospital were divided into three groups according to stratified random approach, namely rehabilitation with acupuncture group, rehabilitation group and acupuncture group(n=30). On the basis of the basic treatment, the rehabilitation group implemented rehabilitation, acupuncture group implemented acupuncture treatment, and the acupuncture and rehabilitation group implemented rehabilitation and speech training with Taiji acupuncture. Results: After 10 days treatment, the total efficiency of the rehabilitation acupuncture group and that of the acupuncture group was higher than that of the rehabilitation group. BDAE severity rehabilitation was better than that of the rehabilitation group (P<0.05), but there were no significant between the rehabilitation acupuncture group and acupuncture group (P>0.05); after 20 days treatment, the total efficiency of the rehabilitation acupuncture group was higher than those of the other two groups and BDAE severity was better than those of the other two groups (P<0.05). The total efficiency and BDAE severity rehabilitation of the acupuncture group was better than that of the rehabilitation group (P<0.05). Conclusion: Personalized rehabilitation treatment, acupuncture, speech training with Taiji acupuncture may effectively promote the rehabilitation of post-stroke patients with aphasia, speech training with Taiji acupuncture have good effect and could be extended in the clinical use.