To investigate the efficacy of speech training combined with “Niesanzhen” in dysarthria after stroke. Methods:From June 2015 to 2017, 120 cases of stroke patients with dysarthria were divided into two groups according to the random number method, each of which was divided into three groups （n=40）. The joint group was provided with speech training and “Niesanzhen”,“Niesanzhen” group “Niesanzhen” and speech training group speech training. Speech function, Frenchay sound evaluation, clinical efficacy, quality of life and adverse reactions of the three groups after treatment were observed and compared. Results:After the treatment, the patients in the joint group had greater improvement in were speech function than the others, and the difference was statistically significant （Hc=11.763,P＝0.002）; combined treatment group had less Frenchay dysarthria, and the difference was statistically significant （Hc=11.635,P＝0.002）; after the treatment. The efficiency rate of the joint group was 47.50%, better than that of the temporal group and the speech training group （20%, 22.50%）, and the difference was statistically significant （χ2=6.76, χ2=5.49, P<0.05）; the clinical total effective rate of the joint group was 95%, higher than that of the temporal group and the speech training group （65%, 62.50%）, and the difference was statistically significant （χ2=11.25, χ2=12.62, P<0.01）; after treatment, three groups of patients had better score in the fields of physical and psychological, environmental and social relations, and the combined group had largest improvement, and the difference was statistically significant （P<0.001）. Conclusion:Speech training combined with “Niesanzhen” helps stroke patients with dysarthria recovery, improves the quality of life of patients.