Objective To explore the clinical effects of acupuncture combined with Buyang Huanwu Decoction on the treatment of spastic paralysis after cerebral stroke.Methods A total of 100 patients with spastic paralysis after cerebral stroke who were treated in the department of neurology in a hospital in Dalian from March 2017 to December 2018 were selected as the research subjects.The patients were divided into a control group and an observation group by random number table

with 50 cases in each group.Patients in the control group were treated with Buyang Huanwu Decoction

and patients in the observation group were treated with acupuncture on the basis of the control group.At week 2 of treatment

the efficacy of treatment as well as at baseline and 2 weeks after intervention the scores in muscle spasm scale（MAS）and modified Barthel Index（MBI）

and the levels of matrix metalloproteinase-9（MMP-9）and vascular endothelial growth factor（VEGF）in peripheral blood in the two groups were compared.Results After treatment

the total effective rate of treatment in the observation group was 90.00%

which was significantly higher than that in the control group（64.00%）（P<0.05）.Before treatment

there was no significant difference in the upper limb MAS

lower limb MAS in the two groups were lower than those before treatment

and MBI scores between the two groups（P>0.05）.After treatment

the upper limb MAS

lower limb MAS

and those in the observation group were significantly lower than those in the control group（P<0.05）;MBI scores in the two groups were higher than those before treatment

and those in the observation group were significantly higher than those in the control group（P<0.05）.Before treatment

there was no significant difference in serum MMP-9 and VEGF levels between the two groups（P>0.05）.After treatment

the levels of serum MMP-9 and VEGF in the two groups were lower than those before treatment

and those in the observation group was significantly lower than those in the control group（P<0.05）.Conclusion Combining acupuncture with Buyang Huanwu Decoction can significantly enhance the clinical effect

and is worthy of wider application.