Objective <p>To observe the effects of acupuncture-moxibustion combined with rehabilitation training on limb function and surface electromyography (sEMG) in patients with hemiplegia after stroke (HAS).</p> Methods <p>Eighty-four HAS patients were divided into a control group and a combined group using the random number table method, with 42 cases in each group. The control group received dynamic-static balance rehabilitation training, and the combined group additionally received Fu Zheng Bu Tu (strengthening the healthy Qi and invigorating the spleen) acupuncture-moxibustion therapy. After 4 weeks of treatment, their clinical efficacy was compared, and they were also observed for changes in limb motor function, muscle spasticity level, balance ability, sEMG indices, and hemorheological parameters as well as adverse reactions.</p> Results <p>After treatment, the combined group had a higher total effective rate than the control group (<i>P</i>&lt;0.05). After the intervention, both groups presented significant increases in the upper- and lower-limb Fugl-Meyer assessment (FMA) score, Berg balance scale (BBS) score, maximum voluntary contraction (MVC), root mean square (RMS), and integrated electromyography (iEMG); the combined group had superior improvements compared to the control group (<i>P</i>&lt;0.05). After treatment, the modified Ashworth scale (MAS) scores of the elbow, wrist, knee, and ankle joints, and the levels of plasma viscosity (PV), whole blood viscosity (WBV), and hematocrit (HCT) dropped in both groups and were lower in the combined group than in the control group (<i>P</i>&lt;0.05). Neither group showed significant adverse reactions during the treatment period.</p> Conclusion <p>Fu Zheng Bu Tu acupuncture-moxibustion plus dynamic-static balance rehabilitation training can effectively alleviate muscle spasticity, improve balance ability, enhance sEMG signal levels, modulate hemodynamics, and promote the recovery of limb motor function in HAS patients.</p>