The problems in the clinical test design of acupuncture therapy for rehabilitation of stroke at present are probed. The main problems now are: the objective of the test is not clear and definite; main and adjuvant points are not clear; needling manipulation is not clear or has no standards of manipulation; the model of the needling instrument is not definite, etc. For really becoming acupuncture therapy as a world medicine, it is necessary to continuously complete and raise the test design, manipulation standardization and united quantitative standard in acupuncture therapy for rehabilitation of stroke.