Neural remodeling is the key to neurological recovery after intracerebral hemorrhage (ICH). The early stage of stroke is a sensitive period for brain plasticity, during which the brain initiates complex processes such as neurogenesis, synaptic remodeling, and angiogenesis to promote collateral circulation and achieve structural and functional remodeling. Acupuncture, as a critical traditional Chinese medicine approach for treating brain disorders, has demonstrated significant efficacy in promoting neurological recovery after ICH in both clinical and experimental studies; however, systematic reviews of the mechanisms by which acupuncture regulates neural remodeling after ICH remain limited. This review thus provides a multi-dimensional summary of the mechanisms by which acupuncture facilitates neural remodeling after ICH, including (1)promoting neurogenesis and synaptic remodeling; (2) modulating the damaged microenvironment; (3)optimizing neuroelectrophysiology; (4)improving hemodynamics; (5)facilitating angiogenesis. This review systematically summarizes these mechanisms to highlight the therapeutic potential of acupuncture and advance its further research and application in the field of neuroscience.