Abstract：Objective：To observe the clinical effect of tuina combined with modified Buyang Huanwu tang for post-stroke spastic hemiplegia of qi deficiency with blood stasis type. Methods：A total of 80 cases of patients with post-stroke spastic hemiplegia of qi deficiency with blood stasis type were randomly divided into the control group and the observation group，40 cases in each group. The control group was given routine basic treatment and rehabilitation training， and the observation group was additionally treated with tuina combined with modified Buyang Huanwu tang based on the treatment of the control group. Both groups were treated for two weeks. The Chinese medicine syndrome scores，modified Ashworth Spasm Scale (MAS) score， the scores of Functional Comprehensive Assessment(FCA)， clinical Neurological Deficit Scores(NDS)， the scores of simplified Fugl- Meyer Assessment(FMA) of limbs and Clinical Spasticity Index(CSI) in the two groups were compared. Evaluate the clinical effect of two groups. Results： After treatment， Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment(P＜0.01， P＜0.05)， and the score in the observation group was lower than that in the control group(P＜0.05). After treatment， the MAS scores in the two groups were improved when compared with those before treatment，and the improvement in the observation group was better than that in the control group， differences being significant(P＜0.05). After treatment， the scores of FCA and FMA in the two groups were increased when compared with those before treatment(P＜0.05)，and the scores in the observation group were higher than those in the control group(P＜0.05)；the NDS and CSI in the two groups were decreased when compared with those before treatment(P＜0.05)， and the NDS and CSI in the observation group were lower than those in the control group(P＜0.05). The clinical effect in the observation group was better than that in the control group ， the difference being significant(Z=- 2.327 ， P=0.020＜0.05). Conclusion：The therapy of tuina combined with modified Buyang Huanwu tang for post-stroke spastic hemiplegia of qi deficiency with blood stasis type can significantly improve the degree of spasm， neurological impairment and motor function as well as reduce the Chinese medicine syndrome scores， whose clinical effect is better than that of routine basic treatment and rehabilitation training.