Abstract：Objective：To observe the clinical effect of combination use of Jieyu Decoction and language rehabilitation training on motor aphasia caused by acute ischemic stroke. Methods：A total of 156 patients with motor aphasia caused by acute ischemic stroke were selected and divided into the combined treatment group and the rehabilitation training group according to the different treatment methods，with 78 cases in each group. All patients were treated with basic drugs after admission without affecting the study results. The rehabilitation training group was treated with language rehabilitation training by professional language rehabilitation therapists in the rehabilitation training center， and the combined treatment group was additionally treated with Jieyu Decoction based on the treatment of the control group. Both groups were treated for four weeks. The clinical effects in the two groups were evaluated，and the language function， nerve function， daily communication ability and daily activities of living were compared before and after treatment between the two groups. Results：The total effective rate in the combined treatment group was 94.9%，higher than that of 82.1% in the rehabilitation training group (P＜0.05). After treatment，the scores of all items in Chinese Battery of Aphasia (ABC) in the two groups were elevated when compared with those before treatment (P＜0.05)，and the above scores in the combined treatment group were higher than those in the rehabilitation training group (P＜0.05). After treatment， the scores of Chinese Functional Communication Profile (CFCP) and Modified Barthel Index (MBI) in the two groups were up-regulated when compared with those before treatment (P＜0.05)， and the scores of CFCP and MBI in the combined treatment group were higher than those in the rehabilitation training group (P＜0.05). After treatment，the scores of National Institutes of Health Stroke Scale (NIHSS) in the two groups were reduced when compared with those before treatment，and the scores of Stroke-Specific Quality of Life (SS-QOL) scale were increased when compared with those before treatment (P＜0.05)；the NIHSS score in the combined treatment group was lower than that in the rehabilitation training group，and the SS-QOL score was higher than that in the rehabilitation training group (P＜0.05). Conclusion：The combination use of Jieyu Decoction and language rehabilitation training can improve the daily communication ability and language function of patients with motor aphasia caused by acute ischemic stroke， accelerate the recovery of nerve function， and improve the quality of life，and then the clinical effect.