Objective:To observe the clinical efficacy of fire needle acupuncture in the treatment of dysphagia due to pseudobulbar paralysis after stroke. Methods76 patients with dysphagia due to pseudobulbar paralysis after stroke were randomly divided into the treatment group and control group,38 cases in each group. Based on the conventional therapy of western medicine,the treatment group was treated with fire needle acupuncture,and the control group was treated with the rehabilitation training for swallowing function,with a course of 30 days. The clinical efficacy was observed,the changes on the evaluation grades and pulse oximetry value in Kubota’s drinking water test and Chinese medical evaluation scale score on swallowing dysfunction were compared.  Results:①Finally 75 cases completed the trial,among 38 cases in the treatment group and 37 cases in the control group. ②The clinical total effective rates were 89.5% in the treatment group and 75.7% in the control group. The clinical efficacy of the treatment group was obviously better than that of the control group(P<0.05). ③After treatment,there were statistically significant differences on the evaluation grades of Kubota’s drinking water test between the two groups,and the improvement on the swallowing function in the treatment group was obviously better than that in the control group(P<0.05). ④For the comparison of the difference of pulse oximetry value between before and after Kubota’s drinking water test,there was statistically significant difference on the decreased value of pulse oximetry value between the two groups after treatment,and the improvement on the mistaken aspiration in the treatment group was obviously better than that in the control group(P<0.05). ⑤After treatment,there was statistically significant difference on the Chinese medical evaluation scale score of swallowing dysfunction between the two groups,and the score of the treatment group was significantly lower than that of the control group(P<0.05).  Conclusion:Fire needle acupuncture shows good efficacy in the treatment of dysphagia due to pseudobulbar paralysis after stroke,which is better than conventional rehabilitation training. It can obviously improve the dysphagia in patients and reduce the mistaken aspiration during diet and drinking.