Professor Cheng Hongliang innovatively proposed the theory of "pharynx is the gathering of meridians", and pointed out that the treatment of dysphagia after stroke based on meridian differentiation should be concerned with the differentiation and selection of acupoints based on characteristics of meridian symptoms. The professor initially established the treatment idea of "taking acupoints on the neck, taking acupoints on the tongue and pharynx, differentiation and selection of acupoints". The professor keep the pathogenesis of "meridian Qi and blood disorder", take the spleen meridian as the responsibility, and follow the method of "skillfully select meridian points and take syndrome differentiation therapy" to reconcile Qi and blood, "take the original as the basis, dredge meridians and regulate spleen", "take the collateral as the key, dredge the spleen and stomach", "take the will as the main, regulate the meridians and moisten the pharynx", "treat the deficiency and excess differently, take acupuncture and moxibustion dialectically", "for the excess, reduce it by acupuncture, and for the deficiency, supplement it by acupuncture", thus improve the clinical efficacy. This paper summarized professor Cheng?蒺s experience in treating post-stroke dysphagia from spleen based on the theory of meridian differentiation.