Aphasia is the most common communication disorder after the stroke attack. A significant number of clinical trials has provided strong evidence for acupuncture in treating post stroke aphasia (PSA), including traditional acupuncture, Jin's Three Needles, scalp acupuncture, tongue acupuncture. Numerous studies have been conducted to explore the therapeutic mechanism of acupuncture for PSA, among which, neuroimaging and electrophysiology researches show their promising prospect. This article summarizes the status quo of clinical and therapeutic mechanism researches on acupuncture for PSA.