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Objective:To compare the therapeutic effects of acupuncture of different acupoints in the treatment of spastic hemiplegia of apoplexy. Methods: Eighty stroke patients with spastic hemiplegia were evenly randomized into control group and treatment group. Forty cases of treatment group were given with acupuncture of Jiaji (夹脊 EX-B2) from T1 to L5, while forty cases of control group were treated with conventional acupoints as Jianyu (肩NFDA1 LI 15), Quchi (曲池 LI 11), Huantiao (环跳 GB 30), Zusanli (足三里 ST 36), Kunlun (昆仑 BL 60), etc. On the diseased side, once daily, with 10 sessions being one therapeutic course, and 3 courses all together. The modified Ashworth Scale (MAS) and neurological deficit grading scale (NDS) were used as the indexes to assess the therapeutic effects. Results: After treatment, the scores of NDS of both treatment and control groups reduced and the difference value between post- and pre-treatment of treatment group was significantly bigger than that of control group. MAS showed a similar tendency in both groups. Of the 40 cases in treatment and control groups, 6 and 1 were cured, 20 and 15 had marked improvement, 9 and 11 had improvement, 4 and 8 failed, 1 and 5 got worse, with the total effective rates being 87.5% and 67.5% respectively. The therapeutic effect of treatment group was significantly superior to that of control group (P