Stroke, characterized by high morbidity, disability, and mortality rates, has become one of the significant diseases seriously threatening human health. Patients often suffer from multiple functional disorders such as hemiplegia, dysphagia, and cognitive dysfunction. Although Western medicine rehabilitation treatment can promote functional recovery to a certain extent, it still has limitations. As an essential part of traditional medicine, acupuncture therapy in traditional Chinese medicine has gradually gained attention in the field of stroke rehabilitation due to its unique theoretical system and treatment methods. This article aims to comprehensively review the application of acupuncture in stroke rehabilitation with integrated traditional Chinese and Western medicine, providing a reference for further optimizing the stroke rehabilitation program that integrates traditional Chinese and Western medicine.