Abstract：Objective：To observe the clinical effect of enema with Yinqiao Baihu tang based on routine western medicine therapy and nursing for fever from external contraction in children. Methods：A total of 90 cases of children with fever from external contraction were divided into two groups according to the random number table method，45 cases in each group. Both groups were treated with ibuprofen suspension and paracetamol suppository as well as comprehensive nursing measures including physical hypothermia，and the observation group was additionally treated with enema with Yinqiao Baihu tang. Both groups were treated for three days. Before medication as well as 30 minutes，one and two hours after the first medication，the axillary temperatures were recorded，and the effective rates of defervesce were counted. The onset time of defervesce and the antipyretic time were recorded，and the antipyretic rates one，two and three days after treatment were counted. The scores of main symptoms before and after treatment were evaluated. Results：After treatment，the curative effect of lowering body temperature in the observation group was better than that in the control group(P＜0.05). Thirty minutes，one and two hours after the first medication，the axillary temperatures showed a downward trend(P＜0.05)，and the temperatures of the three different time points in the observation group were lower than those in the control group(P＜ 0.05). The onset time of defervesce and the antipyretic time in the observation group were shorter than those in the control group(P＜0.01). One and two hours after the first medication，the effective rates of defervesce in the observation group were higher than those in the control group(P＜0.05). Tow and three days after treatment，the antipyretic rate in the observation group were higher than those in the control group(P＜0.05). The scores of main symptoms in the two groups were decreased when compared with those before treatment(P＜0.01)， and the score in the observation group was lower than that in the control group(P＜0.01). Conclusion： Based on routine medical treatment and nursing， enema with Yinqiao Baihu tang in treating children with fever from external contraction can quickly lower body temperature，shorten the course and effectivel relieve other symptoms of acute upper respiratory infection.