Abstract：Objective：To observe the effect of Chinese herbal retention enema and collateral bloodletting therapy based on comprehensive medical nursing measures in intervening hyperpyrexia in postoperative patients with hypertensive intracerebral hemorrhage (HICH) in acute stage. Methods：Divided 90 cases of patients with hyperpyrexia after operation for HICH in acute stage into the observation group and the control group randomly，45 cases in each group. Both groups received routine internal medicine treatment， symptomatic treatment of hyperpyrexia and routine nursing measures， while the observation group additionally received Chinese herbal retention enema and collateral bloodletting therapy. The course lasted till the body temperatures of patients were decreased below 38.5 ℃ and maintained for 24 hours. The nursing staffs measured body temperature every 4 hour and recorded the onset time of defervescence，the time of complete defervescence and the condition of temperature rebounding；evaluated the scores of Glasgow Coma Scale (GCS) and National Institutes of Health Stroke Scale (NIHSS) before and after treatment. Results： The onset time of defervescence and the time of complete defervescence in the observation group were quicker than those in the control group(P＜0.01). The rate of temperature rebounding was 15.56% in the observation group，being lower than 35.56% in the control group，difference being significant(P＜0.05). The scores of GCS in both groups were higher than those before treatment(P＜0.01)， and the scores of NIHSS were lower than those before treatment(P＜0.01)；the scores of GCS in the observation group were higher than those in the control group (P＜0.05)，and the scores of NIHSS were lower than those in the control group(P＜0.05). Conclusion：Based on comprehensive internal medicine treatment，symptomatic treatment of hyperpyrexia and routine nursing measures，Chinese herbal retention enema and collateral bloodletting therapy is applied for intervening patients with hyperpyrexia after operation for HICH in acute stage. It can shorten the time of defervescence， promote the decline of body temperature and reduce temperature rebounding，which has certain effect in promoting consciousness and alleviating neurological deficit.