To explore the effect of Tongli Huayu Xingnao Decoction（通里化瘀醒脑汤）combined with lower extremity acupoint acupuncture on quality of life of stroke patients.

The study included 113 stroke patients，all of whom were admitted to the hospital from January 2021 to December 2022，and were divided into observation group and control group by random number table method. The patients in the control group（56 cases）received routine clinical treatment，and those in the observation group（57 cases）received combined treatment with Tongli Huayu Xingnao Decoction and lower limb acupoint acupuncture on the basis of treatment in the control group. The effects，complications，changes of TCM syndrome scores（dizziness and delirium，skew of mouth，hemiplegia，palpitation and shortness of breath，pale complexion，etc.）and neurological impairment scores were compared between the two groups. The changes in National Institute of Health stroke scale（NIHSS），Brunel Balance Assessment（BBA）score，Fugl-Meyer motor function assessment（FMA），quality of life score（Barthel index）and patient satisfaction with treatment of the two groups were compared.

Compared with that of the control group（71.43%），the effective rate of the observation group（87.72%）was higher（P<0.05）. The complication rate of the observation group and the control group was significant（1.75% vs 12.50%）（P<0.05）. The TCM syndrome scores（dizziness and delirium，skew of mouth，hemiplegia，palpitation and shortness of breath，pale complexion，etc.），NIHSSscore，BBA score，FMA score and Barthel index score before treatment in the observation group and the control group were similar（P>0.05）. After treatment，TCM syndrome scores（dizziness and delirium，skew of mouth，hemiplegia，palpitation and shortness of breath，pale complexion，etc.），NIHSS score，BBA score，FMA score and Barthel index were all improved in each group. And the indexes above in the observation group were better than those in the control group（P<0.05）. The treatment satisfaction rate of the observation group（96.49%）was higher than that of the control group（82.14%）（P<0.05）.

Tongli Huayu Xingnao Decoction combined with lower extremity acupoint acupuncture can significantly improve the clinical efficacy，quality of life and motor function of stroke patients，and reduce the complication rate，with good recovery and high satisfaction rate.