目的: 观察“小醒脑针法”联合超声波定向透药治疗中风后肩手综合征（痰瘀阻络证）患者疗效。方法: 选取2021年6月―2022年2月张家口市第一医院收治的中风后肩手综合征（痰瘀阻络证）患者120例,采用随机数字表法分为两组,其中对照组（n=60）采用超声波定向透药治疗,试验组（n=60）采用“小醒脑针法”联合超声波定向透药治疗。比较两组疗效、中医证候积分、上肢运动功能、生活自理能力血清P物质（SP）及降钙素原基因相关肽（CGRP）水平。结果: 两组治疗有效率比较,试验组（95.00%）高于对照组（81.67%）;治疗后,两组中医证候积分较治疗前均下降,试验组较对照组低;治疗后,两组上肢Fugl-Meyer 运动功能（FMA）评分较治疗前均上升,试验组较对照组高;治疗后,两组Barthel指数评分及总分较治疗前均上升,试验组较对照组高;治疗后,两组血清SP较治疗前下降,试验组低于对照组;CGRP较治疗前上升,试验组高于对照组。结论: “小醒脑针法”联合超声波定向透药治疗可显著提升中风后肩手综合征（痰瘀阻络证）患者疗效,改善中医证候积分与上肢运动功能,同时提升生活自理能力与改善血清SP、CGRP水平。

Objective To observe the effect of Xiaoxingnao acupuncture method combined with ultrasonic directional drug penetration therapy in the treatment of patients with post-stroke shoulder-hand syndrome (phlegm-stasis blocking collateral syndrome). Methods A total of 120 patients with post-stroke shoulder-hand syndrome (phlegm-stasis blocking collateral syndrome) who were admitted to Zhangjiakou First Hospital from June 2021 to February 2022 were enrolled in this study. They were randomly assigned to two groups.60 patients in the control group were given ultrasonic directional drug penetration therapy, while 60 patients in the experimental group were treated with Xiaoxingnao acupuncture method combined with ultrasonic directional drug penetration therapy. The two groups were compared on therapeutic effects, traditional Chinese medicine syndrome scores, upper limb motor function, activities of daily living, and serum levels of substance P (SP) and calcitonin gene-related peptide (CGRP). Results The response rate of the experimental group was 95.00%, higher than 81.67% of the control group. After treatment, traditional Chinese medicine syndrome scores of both groups decreased, and the experimental group had lower scores. The Fugl-Meyer Assessment Scale (FMA) scores for motor function, Barthel index scores in different dimensions and total scores of both groups increased. Compared with the control group, the experimental group had higher scores. After treatment, there were decreases in serum SP levels in both groups, and serum SP level in the experimental group was lower than that in the control group. There were increases in CGRP levels, and CGRP level in the experimental group was higher than that in the control group. Conclusion Xiaoxingnao acupuncture method combined with ultrasonic directional drug penetration therapy can significantly improve the therapeutic effect on patients with post-stroke shoulder-hand syndrome (phlegm-stasis blocking collateral syndrome), improve traditional Chinese medicine syndrome scores and upper limb motor function, enhance activities of daily living, and improve serum SP and CGRP levels.