Abstract：Objective：To observe the clinical effect of modified Huoluo Roujin Decoction combined with neuromuscular joint facilitation (NJF) on hemiplegia after ischemic stroke with stirring of wind due to yin deficiency syndrome. Methods：A total of 176 cases of patients with hemiplegia after ischemic stroke with stirring of wind due to yin deficiency syndrome were randomly divided into four groups. The control group received routine rehabilitation training and treatment，group A was additionally treated with NJF，group B was additionally treated with modified Huoluo Roujin Decoction， and the study group was additionally treated with modified Huoluo Roujin Decoction combined with NJF. Compared the traditional Chinese medicine symptom scores， National Institutes of Health Stroke Scale (NIHSS) scores， Fugl Meyer Scale (FMA) scores， Modified Barthel Index (MBI) scores， and hemorheological index levels between the four groups before and after treatment， and compared the clinical efficacy and adverse reactions in the four groups. Results： After treatment， the scores of main symptoms， secondary symptoms， and total traditional Chinese medicine symptoms in the four groups were all decreased (P＜0.05)，the scores in the study group were lower than those in the other three groups (P＜0.05)，and the scores in groups A and B were both lower than those in the control group (P＜0.05). After treatment，the NIHSS scores in all the four groups were decreased (P＜0.05)， the score in the study group was lower than those in the other three groups (P＜0.05)，and the scores in groups A and B were lower than that in the control group (P＜0.05). The FMA and MBI scores in the four groups were all increased (P＜0.05)，the scores in the study group were higher than those in the other three groups (P＜0.05)，and the scores in groups A and B were higher than those in the control group (P＜0.05). The total effective rate was 97.73% in the study group， which was higher than those in the other three groups (P＜0.05). After treatment， the plasma viscosity， erythrocyte sedimentation rates， and hematocrit in the four groups were all decreased (P＜0.05)， the indexes in the study group were lower than those in the other three groups (P＜0.05)，and the indexes in groups A and B were lower than those in the control group (P＜0.05). There was no significant difference in the incidence of adverse reactions among the four groups (P＞0.05). Conclusion： Modified Huoluo Roujin Decoction combined with NJF has a significant therapeutic effect on patients with hemiplegia after ischemic stroke with stirring of wind due to yin deficiency syndrome. It can improve symptoms and hemorheological indicators， promote the recovery of neurological function， improve limb motor function and daily living ability，and is safe and reliable.