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.