To explore the clinical effect of midnight-noon ebb-flow acupuncture combined with Buqi Quyu Decoction（补气祛瘀汤）in the treatment of post-stroke cricopharyngeal muscle atrophy type dysphagia.

A total of 60 patients with post-stroke cricopharyngeal muscle atrophy type dysphagia were randomly divided into two groups，including an experimental group（30 cases）and a control group（30 cases）. Two groups received basic therapy，while the control group received Buqi Quyu Decoction. The experimental group received midnight-noon ebb-flow acupuncture on the basis of the control group. The surface electromyographic changes of the submandibular muscle group between two groups as well as the results of water swallow test（WST），standardized swallowing assessment（SSA），swallowing disorder specific quality of life（SWAL-QOL）and swallowing X-ray fluoroscopy（VFSS）were compared. The clinical efficacy and overall incidence of complications were observed. Statistical analysis was conducted using SPSS 26.0.

After treatment，the root mean square（RMS）values of the submandibular muscle group in two groups decreased（P<0.05）. Compared with that in the control group，the RMSvalue of the submandibular muscle group in the experimental group was lower（P<0.05）. After treatment，the results of WST examination of the two groups decreased，and the result of WST examination of the experimental group was lower than that of the control group（P<0.05）. After treatment，the SSA scores of the two groups decreased，while the scores of SWAL-QOL and VFSS increased. The experimental group had lower SSA scores and higher scores of SWAL-QOL and VFSS（P<0.05）. The total clinical effective rate of the treatment experimental group was higher than that of the control group，and the incidence rate was lower than that of the control group（P<0.05）.

The treatment of Buqi Quyu Decoction combined with midnight-noon ebb-flow acupuncture has a good therapeutic effect on patients with post-stroke cricopharyngeal muscle atrophy type dysphagia，with advantages in improving swallowing function and high safety.