Objective To study the distribution characteristics of TCM syndromes of acute cerebral infarction（ACI） patients accompanied with glycometabolic abnormality in the early stage.Methods Totally 224 ACI paients were given blood glucose test and were scored with National Institute of Health Stroke Scale（NIHSS） for evaluating neural function defect.Meanwhile their TCM syndromes were scored for analyzing the syndrome characteristics of ACI accompanied with glycometabolic abnormality.Results There were 121 patients of ACI accompanied with glycometabolic abnormality and 103 cases without glycometabolic abnormality.The NIHSS score of ACI patients accompanied with glycometabolic abnormality was higher than that without glycometabolic abnormality（P<0.05）.The morbidity of hypertension of ACI patients with glycometabolic abnormality was significantly higher than that without glycometabolic abnormality（P<0.01）.The cases of fire-heat syndrome in the ACI patients with glycometabolic abnormality were more than those in the ACI patients without glycometabolic abnormality（P<0.05）.The first 10 TCM syndromes of the two groups were almost the same.Conclusion ACI patients with glycometabolic abnormality are more susceptible to fire-heat syndrome than those without glycometabolic abnormality

their neural function defect is more severe

and most of them are complicated with hypertension.