Abstract：Objective：To observe the effect of point application with Chinese herbal medicine and auricular point sticking with beans on promoting the discharge of upper urinary calculi after extracorporeal shock wave lithotripsy(ESWL). Methods：A total of 140 cases of patients with downward flow of damp-heat syndrom were randomly divided into the control group and the observation group，70 cases in each group. Both groups were treated with ESWL，followed by postoperative treatment with levofloxacin hydrochloride tablets and Shilintong granules，as well as postoperative nursing guidance. The observation group was additionally treated with point application with Chinese herbal medicine and auricular point sticking with beans. Both groups were treated for 10 days after ESWL. The frequency of ESWL， stone discharge， stone- free time， the size and quantity of residual stones，as well as the pain and the frequency of renal colic in three days after ESWL were recorded. The clinical effect in the two groups was compared. Results：After treatment，the cure rate in the observation group was higher than that in the control group(P＜0.05). The frequency of both ESWL and renal colic in the observation group was lower than that in the control group(P＜0.05，P＜0.01). The stone-free rate was 82.86% in the observation group ，higher than that of 65.71% in the control group(P＜0.05)；the stone-free time in the observation group was shorter than that in the control group (P＜0.05)；the residual stones were fewer than those in the control group(P＜0.05). There was no significant difference being found in the comparison of the size of residual stones between the two groups(P＞0.05). During the first three days after ESWL，the pain scores in the observation group were all lower than those in the control group(P＜0.01). Conclusion：The nursing measures of point application with Chinese herbal medicine and auricular point sticking with beans can further accelerate the discharge of stones after ESWL， reduce the quantity of residual stones， relieve the postoperative pain of patients，and improve the effect of the discharge of stones.