Abstract： Objective： To observe the curative effect of Xiejin Tongfu tang combined with western medicine on the postoperative recovery of thoraco- abdominal injuries. Methods： A total of 92 cases of patients with thoraco- abdominal injuries were randomly divided into the control group and the treatment group， 46 cases in each group. Both groups were given thoracoabdominal surgery. After surgery， the control group was treated with routine western medicine， and the observation group was additionally given Xiejin Tongfu tang based on the treatment of the control group. The postoperative recovery of gastrointestinal function including the anal exhaust time， the remission time of abdominal distention and the recovery time of bowel sounds in the two groups were observed and compared. The changes in the levels of C- reactive protein(CRP)， white blood cells(WBC) and interleukin- 6(IL- 6) before and after treatment as well as the incidence of postoperative complications were compared between the two groups. Results：After treatment，the anal exhaust time，the remission time of abdominal distention and the recovery time of bowel sounds in the treatment group were significantly shorter than those in the control group，the difference being significant(P＜0.05). After treatment，the levels of CRP，WBC and IL- 6 in the two groups were significantly decreased when compared with those before treatment(P＜0.05)， and the above levels in the treatment group were significantly lower than those in the control group(P＜0.05). The total incidence of complications was 15.22% in the treatment group， and 36.96% in the control group， the difference being significant(P＜ 0.05). Conclusion： The application of Xiejin Tongfu tang in the postoperative recovery of thoraco- abdominal injuries can significantly accelerate the recovery of gastrointestinal function， and reduce the release of inflammatory factors and the incidence of complications，which is worthy of clinical promotion and application.