Abstract：Objective：To observe the clinical effect of the method of clearing lung-heat and resolving phlegm， and unblocking the bowels and discharging heat for pulmonary infection with phlegm heat and bowel excess syndrome after operation for stroke. Methods：A total of 86 cases of patients with pulmonary infection with phlegm- heat and bowel excess syndrome after operation for stroke were selected as the study objects，and were divided into the observation group and the control group according to the random number table method，with 43 cases in each group. The control group was given routine western medicine treatment，and the observation group was additionally treated with Chinese medicine with the method of clearing lung- heat and resolving phlegm， and unblocking the bowels and discharging heat based on the treatment of the control group. Before and after treatment， the lung function indexes， the Clinical Pulmonary Infection Scores (CPIS)， and the levels of inflammatory factors [C- reactive protein (CRP)， interleukin 6 (IL- 6)， and procalcitonin (PCT) in serum] were compared between the two groups. The disappearance time of clinical symptoms and the clinical effects were compared between the two groups. Results： Before treatment， there was no significant difference being found in the comparison of forced vital capacity (FCV)，maximal voluntary ventilation (MVV) per minute，and peak expiratory flow rate (PEF) between the two groups (P＞0.05). After treatment，the levels of FCV，MVV，and PEF in the two groups were increased (P＜0.05)， and the above levels in the observation group were higher than those in the control group (P＜0.05). The disappearance time of fever，cough，sputum and pulmonary moist rales in the observation group was shorter than that in the control group (P＜0.05). Before treatment， there was no significant difference being found in the comparison of CPIS scores，and the levels of CRP，IL-6，and PCT between the two groups (P＞0.05). After treatment，CPIS scores，and the levels of CRP，IL-6，and PCT in the two groups were decreased (P＜0.05)，and the above indexes in the observation group were lower than those in the control group (P＜0.05). The total effective rate was 95.35% in the observation group， higher than that of 79.07% in the control group (P＜0.05). Conclusion：The method of clearing lung- heat and resolving phlegm，and unblocking the bowels and discharging heat has a definite curative effect in the treatment of patients with pulmonary infection with phlegm heat and bowel excess syndrome after operation for stroke，which can effectively relieve the clinical symptoms of patients，improve lung function indexes，and reduce the levels of pulmonary infection and inflammatory factors.