Objective To analyze the correlation between obesity indicators and the risk of stroke with phlegm-heat syndrome to provide evidence for screening the high-risk groups. Methods Totally 214 cases of stroke were selected with 82 cases in the phlegm-heat syndrome group and 132 cases in the non-phlegm-heat syndrome group. The height

weight

waist circumference （WC） and body mass index （BMI） were observed in both groups. BMI

central obesity

and abdominal obesity were used to determine the correlation between obesity indicators and the incidence of phlegm-heat syndrome. The odds ratio （OR） was used to analyze the effect of obesity indicators on the incidence of stroke with phlegm-heat syndrome. Results BMI and waist/height ratio in the phlegm-heat syndrome group was significantly higher than that in the non-phlegm-heat syndrome group （P<0.05）. There was no significant difference between groups in height

weight and WC （P>0.05）. According to the standard of China

the incidence of stroke with phlegm-heat syndrome was significantly higher in the groups of overweight

obesity

central obesity and abdominal obesity as compared with the normal weight group （P<0.05）. According to the standard of WHO

the incidence of stroke with phlegm-heat syndrome was significantly higher in the groups of over weight and central obesity as compared with the normal weight group （P<0.05）. According to OR

the top three risk factors for incidence of stroke with phlegm-heat syndrome were 25kg/m2<BMI<30kg/m2

BMI>28 kg/m2+WC ≥95cm （male） or ≥90cm （female）

and WC ≥95cm （male） or ≥90cm （female）. Conclusion The important risk factor for incidence of stroke with phlegm-heat syndrome is BMI>25 kg/m2. The abdominal obesity group has higher incidence of stroke with phlegm-heat syndrome.