Abstract： Objective： To observe the clinical effect of Shexiang Tongxin dropping pills combined with routine western medicine for stable angina pectoris(SAP) of coronary heart disease. Methods： A total of 108 cases of SAP patients with coronary heart disease were selected and divided into the study group and the control group according to the simple randomization method，with 54 cases in each group. The control group was treated with routine western medicine，and the study group was additionally treated with Shexiang Tongxin dropping pills based on the treatment of the control group. Both groups were treated for four courses， with one week being one course. The clinical effects， the improvement of angina attacks and the levels of blood lipid in the two groups were evaluated. Results：After treatment，the total effective rate was 94.44% in the study group and 72.22% in the control group， the difference being significant(P＜0.05). Before treatment， there was no significant difference being found in the comparison of Chinese medicine syndrome scores(P＞0.05). After treatment， Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment，and the score in the study group was lower than that in the control group(P＜0.05). Before treatment，there was no significant difference being found in the comparison of frequency and duration of angina pectoris and ST segment depression values between the two groups(P＞0.05). After treatment， frequency and duration of angina pectoris and ST segment depression value in the two groups were decreased when compared with those before treatment(P＜0.05)，and the above indexes in the study group were better than those in the control group(P＜0.05). Before treatment， there was no significant difference being found in the comparison of levels of total cholesterol(TC)， triglyceride(TG)， low- density lipoprotein cholesterol(LDL- C) and high- density lipoprotein cholesterol(HDL- C) between the two groups(P＞0.05). After treatment，the levels of TC，LDL- C and TG in the two groups were lower than those before treatment(P＜0.05)，and the level of HDL- C was higher than that before treatment(P＜0.05)，the improvement of the above indexes in the study group was more significant than that in the control group(P＜0.05). Conclusion： Shexiang Tongxin dropping pills combined with routine western medicine has a significant curative effect in treating patients with SAP of coronary heart disease， and can effectively improve their clinical symptoms，angina attacks and levels of blood lipid.