Dysphagia caused by true bulbar paralysis after stroke is a common and serious complication that severely affects patients’ eating ability and quality of life, and significantly increases the risk of complications such as pneumonia and malnutrition. Electroacupuncture at swallowing points stimulates Swallowing 1 and Swallowing 2 acupoints, acting on key areas such as the glossopharyngeal nerve and vagus nerve, stimulating the reconstruction of nerve reflex arcs and the recovery of swallowing function. Therefore, this article analyzes the mechanism and clinical efficacy of electroacupuncture at swallowing points for the treatment of dysphagia caused by true bulbar paralysis after stroke, aiming to provide theoretical support and practical basis for clinical application.