Purpose: To probe into application of TCM treatment based on differentiation of symptoms and signs for acute encephalorrhagia with hypertension. Methods: The patients of acute encephalorrhagia with hypertension were divided into TCM syndrome differentiation group （50 cases） and western medicine group （67 cases）

and they were treated for 6 months. The therapeutic effects were assessed by nerve functional defect rating. Results: In the TCM group

60% of the patients were the type of liver - wind interspersed with phlegm

and next

type of phlegm - heat and excess of Fu - organs

andtype of wind - stirring duo to Yin - deficiency. There was no significant difference between the two groups in total therapeutic effect

but calming the endopathic wind and resolving phlegm method for the TCM group was superior to the western medicine group in the therapeutic effect. Conclusion: The type of liver - wind interspersed with phlegm is main TCM syndrome type of acute encephalorrhagia with hypertension and calming the endopathic wind and resolving phlegm plus activating blood circulation and relaxing the bowels can further increase the therapeutic effect on acute encephalorrhagia with hypertension.