Abstract： Objective： To discuss the clinical effect of Buyang Huanwu tang combined with rehabilitation exercise for hemiparalysis after apoplexy and its effect on motor function and quality of life of patients. Methods：A total of 78 cases of patients with hemiplegia after ischemic cerebral apoplexy with syndrome of qi deficiency with blood stasis were randomly divided into the control group and the experiment group， 39 cases in each group. The control group was given routine treatment including brain active element， and the experiment group was additionally treated with Buyang Huanwu tang combined with rehabilitation exercise based on the treatment of the control group. The limb function，quality of life，clinical effect and Chinese medicine syndrome scores in the two groups were observed and compared. Results：The total effective rate was 94.87% in the experiment group and 79.49% in the control group， the difference being significant(P＜0.05). The scores of Functional Ambulation Categories(FAC) and Fugl- Meyer Assessment in the two groups were increased when compared with those before treatment(P＜0.05)； the above scores in the experiment group were significantly higher than those in the control group(P＜0.05). The scores of Stroke Specific Quality of Life Scale(SS-QOL) and Activities of daily living (ADL) in the two groups were increased when compared with those before treatment(P＜0.05)； the above scores in the experiment group were significantly higher than those in the control group(P＜0.05). Conclusion： The therapy of Buyang Huanwu tang combined with rehabilitation exercise has definite curative effect in treating patients with hemiplegia after ischemic cerebral apoplexy with syndrome of qi deficiency with blood stasis，which can significantly improve their limb motor function and quality of life.