Abstract：Objective：To observe the clinical effect of Sanjin Paishi Decoction assisted extracorporeal shock wave lithotripsy (ESWL) for proximal ureteral stones of lower energizer damp-heat and blood stasis types. Methods：A total of 98 cases of patients with proximal ureteral stones of lower energizer damp-heat and blood stasis types were selected and divided into the observation group and the control group， with 49 cases in each group. Both groups were treated with ESWL. After ESWL，the control group was treated with routine treatment and nursing，and the observation group was additionally treated with Sanjin Paishi Decoction based on the treatment of the control group. Both groups were treated for 4 weeks. The clinical effects， the scores of Visual Analogue Scale (VAS)， the time of hematuria disappearance， the time of stone excretion， and the incidence of complications were compared between the two groups. Results： Four weeks after surgery，the total clinical effective rate was 95.92% in the observation group and 83.67% in the control group，the clinical efficacy of the observation group was better than that of the control group (P＜0.05). The VAS scores at 1 day，14 days and 28 days after ESWL in the two groups were decreased when compared with those before treatment (P＜0.05)，and the VAS scores in the observation group were lower than those in the control group in the same period (P＜0.05). The time of hematuria disappearance and the time of stone excretion in the observation group were shorter than those in the control group (P＜0.05). The incidence of complications was 4.08% in the observation group and 6.12% in the control group，there being no significance in the difference (P＞0.05). Conclusion： Sanjin Paishi Decoction assisted ESWL for proximal ureteral stones of lower energizer damp- heat and blood stasis types can effectively relieve pain and shorten the time of hematuria disappearance and the time of stone excretion.