Abstract：Objective：To observe the recovery effect of Jiangqi Xiaoyu tang for senile patients with hypertensive cerebral hemorrhage(HCH) after minimally invasive surgery. Methods： A total of 64 cases of senile patients with HCH undergoing minimally invasive surgery were divided into the observation group and the control group according to the random number table method， 32 cases in each group. The control group was given routine treatment， and the observation group was additionally treated with Jiangqi Xiaoyu tang based on the treatment of the control group. Both groups were treated for two courses，two weeks being a course. The clinical effect and the amount of cerebral hemorrhage before and after treatment were observed in the two groups. Before and after treatment，the changes in score of National Institutes of Health Stroke Scale(NIHSS) and Activity of Daily Living(ADL) were compared between the two groups；the changes in levels of interleukin-6 (IL- 6)， interleukin- 8(IL- 8)， and tumor necrosis factor- α(TNF- α) in serum were compared between the two groups. Results： The total effective rate was 93.75% in the observation group， and 71.88% in the control group， the difference being significant(P＜0.05). After treatment，the amount of cerebral hemorrhage in the two groups was significantly lower than that before treatment(P＜0.05)，and the amount in the observation group was significantly lower than that in the control group (P＜0.05). After treatment， the ADL scores in the two groups were higher than those before treatment(P＜0.05)， and the score in the observation group was significantly higher than that in the control group(P＜0.05). After treatment，the levels of IL- 6，IL- 8 and TNF- α in the two groups were lower than those before treatment(P＜0.05)，and the indexes above in the observation group were lower than those in the control group(P＜0.05). Conclusion：In the treatment of senile HCH patients， the therapy of Jiangqi Xiaoyu tang can significantly enhance the clinical effect，reduce the amount of cerebral hemorrhage， effectively promote the repair of nervous tissue，reduce levels of inflammatory factors in serum，and improve quality of life.