Abstract： Objective： To observe the curative effect of Shengxuening Tablets combined with Ferrous Lactate Tablets on iron deficiency anemia (IDA) during pregnancy. Methods：A total of 120 pregnant women with IDA were selected as the study subjects and divided into the observation group and the control group according to the random number table method，with 60 cases in each group. The control group was treated with Ferrous Lactate Tablets， and the observation group was treated with Shengxuening Tablets and Ferrous Lactate Tablets. Both groups were treated for four courses， with one week as a course of treatment. After four courses， the clinical effects， traditional Chinese medicine (TCM) syndrome scores， and the levels of blood routine indexes [hemoglobin (Hb)， red blood cell (RBC)， and mean corpuscular volume (MCV)]， and iron metabolism indexes [serum ferritin (SF)， serum iron (SI)， and transferrin saturation (TSAT)] were compared between the two groups. Results： After treatment， the total effective rate was 95.00% in the observation group， and 80.00% in the control group， the difference being significant (P＜0.05). After treatment，the scores of TCM syndromes such as pale complexion，palpitations and shortness of breath，dizziness and vertigo，fatigue and lack of strength，numbness in hands and feet， lazy speech， and spontaneous sweating in the two groups were decreased when compared with those before treatment (P＜0.05)， and the above scores in the observation group were lower than those in the control group (P＜0.05). After treatment， the levels of RBC， Hb， and MCV in the two groups were increased when compared with those before treatment (P＜0.05)，and the levels of RBC，Hb，and MCV in the observation group were higher than those in the control group (P＜0.05). After treatment，the levels of SI， TSAT， and SF in the two groups were increased when compared with those before treatment (P＜ 0.05)，and the levels of SI，TSAT，and SF in the observation group were higher than those in the control group (P＜0.05). Conclusion：Shengxuening Tablets combined with Ferrous Lactate Tablets for IDA during pregnancy is beneficial for promoting iron metabolism， improving clinical effects， reducing clinical symptoms，and correcting anemia.