Abstract: OBJECTIVE  To investigate the efficacy of eye acupuncture combined with electroacupuncture and motor function training in patients with ischemic stroke hemiplegia and the characteristic changes of their magnetic resonance diffusion tensor imaging.METHODS  180 patients with ischemic stroke hemiplegia admitted to 3201 Hospital from March 2018 to March 2020 were selected and divided into the control group and the observation group with 90 cases each in accordance with the random number table. The control group used electroacupuncture together with motor function training while the observation group used eye acupuncture and electroacupuncture combined with motor function training. In this study, we observed the clinical efficacy, hemodynamic indexes, activity of daily living, defect severity of neural function, motor function, living quality and nerve conduction function in the two groups.RESULTS  After treatment, the total effective rate and the total effective rate of traditional Chinese medicine syndrome in the observation group were significantly higher than those in the control group (P < 0.05, P < 0.01). The levels of plasma viscosity, fibrinogen (FIB), and hematocrit (HCT) were significantly reduced in the two groups (P < 0.01), which in the observation group were significantly better than those in the control group (P < 0.01). The scores of Barthel index, Fugl-Meyer Motor Assessment Scale (FMA) were significantly increased (P < 0.01) while the score of National Institutes of Health Stroke Scale (NIHSS) in the two groups were significantly reduced (P < 0.01), which in the observation group was better than that in the control group (P < 0.01). The FA values of the posterior limb of internal capsule and the region of pedunculus cerebri were significantly increased in the two groups (P < 0.01), which in the observation group were better than those in the control group (P < 0.05, P < 0.01). The scores of each index in the Quality of Life Scale (SF-36) were significantly increased in the two groups (P < 0.01), which in the observation group were better than those in the control group (P < 0.01).CONCLUSION  The combination of electroacupuncture and motor function training combined with eye acupuncture in the treatment of ischemic stroke hemiplegia can effectively relieve patients' symptoms, reduce the degree of nerve injury, improve blood circulation, as well as enhance the motor function and the activities of daily living function.