卒中后动眼神经麻痹（PSONP）是卒中后常见后遗症，临床表现为复视、垂直性斜视、视物模糊、眼球运动障碍等，严重影响患者的生活质量。目前，西药与手术治疗存在疗效局限及并发症风险，而针刺作为中医传统疗法，在长期临床实践中已显示出显著疗效。本文聚焦针刺治疗PSONP的临床研究进展，系统梳理近10年相关文献，从临床诊疗思路，具体针刺方案涵盖醒脑开窍、维筋相交、经筋排刺、眼周特殊刺法等技术，以及电针、针药结合等联合增效手段展开论述，旨在总结现有临床证据，为优化针刺治疗方案提供参考。

Post-stroke oculomotor nerve palsy (PSONP) is a common sequela of stroke, clinically characterized by diplopia, vertical strabismus, blurred vision, and ocular motility disturbance, which severely impairs patients' quality of life. Currently, pharmacological therapies and surgical interventions are limited by suboptimal efficacy and inherent risks of complications. In contrast, acupuncture, a classic modality of traditional Chinese medicine (TCM), has demonstrated remarkable therapeutic effects in managing PSONP through long-term clinical practice. Focusing on the clinical research progress of acupuncture for this condition, this review systematically collates relevant literature over the past decade, elaborating on clinical diagnosis and treatment ideas, specific acupuncture protocols, including characteristic TCM techniques such as Xingnao Kaiqiao (resuscitating and inducing consciousness), Weijin Xiangjiao (collateral tendon interaction), Jingjin Paici (meridian tendon row acupuncture), and periorbital special needling, and combined synergistic approaches like electroacupuncture and acupuncture-medication combination therapy. This work aims to synthesize existing clinical evidence and provide practical references for optimizing acupuncture treatment protocols for PSONP.