Abstract: Stroke is known as a " four-high" disease, characterized by a high incidence, high mortality, high disability rate, and high recurrence rate. The incidence of spastic paralysis after stroke reaches 50%. If improperly treated or left untreated, the spastic state may become permanently fixed. This not only leads to pain and stiffness in the affected limbs but also results in muscle atrophy, joint contractures, deformities, and limited range of motion, ultimately causing disability (with a disability rate as high as 75%). Relieving spasticity is the key and difficult point in the rehabilitation of stroke-induced hemiplegia, and it directly influences the effectiveness of recovery outcomes. In order to address this key and difficult point, the Writing Group of Expert Consensus on traditional Chinese and Western medicine rehabilitation for stroke formulated this expert consensus based on clinical practice, combining holistic treatment with individualized rehabilitation. The rehabilitation of spastic paralysis of limbs after stroke should be centered on integrated traditional Chinese and Western medicine, combined with multidisciplinary teams such as rehabilitation department and acupuncture and moxibustion department, and comprehensively managed from diagnosis, western medical treatment, traditional Chinese medicine treatment, acupuncture therapy, massage therapy, rehabilitation therapy, evaluation indicators, and prevention and regulation, fully drawing on both domestic and international clinical practice experience to leverage the distinctive features and advantages of traditional Chinese medicine, which has demonstrated clear clinical efficacy and holds significant potential for further development.