Abstract： Objective：To observe the clinical effect of nursing based on syndrome differentiation of Chinese medicine for patients with hypertensive intracerebral hemorrhage. Methods： A total of 130 cases of patients with hypertensive intracerebral hemorrhage were divided into two groups based on the envelope method，65 cases in each group. The control group was given routine western medicine and nursing intervention， and the study group was additionally given nursing based on syndrome differentiation of Chinese medicine based on the treatment of the control group. The treatment and the follow- up lasted for three months in the two groups. The curative effect of Chinese medicine syndrome， hematoma absorption，and the recovery degree of the nerve function and the limb function were compared between the two groups. Results：The total effective rate of the curative effect of Chinese medicine syndrome was 87.69% in the study group，and 66.15% in the control group，the difference being significant(P＜0.05). On the 7th and 14th days of treatment，the volume of hematoma in the two groups was significantly decreased when compared with that before treatment(P＜0.05)， and the volume in the study group was significantly smaller than that in the control group(P＜0.05). After treatment，the scores of neurological impairment in the two groups were decreased when compared with those before treatment(P＜0.05)，and the scores of Simplified Fugl-Meyer Assessment of the upper and lower limbs were increased when compared with those before treatment(P＜0.05)；the improvement on each score above in the study group was more significant than that in the control group(P＜0.05). Conclusion： Based on routine western medicine and nursing intervention，the additional nursing based on syndrome differentiation of Chinese medicine in the treatment of patients with hypertensive intracerebral hemorrhage can promote hematoma absorption，and improve Chinese medicine syndromes. Besides，it can conduce to recovering the nerve function and the limb function in short term.