OBJECTIVE: To study the neuroprotective effect of Shuxue tongmai (SXTM) capsules on cerebral ischemia- reperfusion injury model rats. METHODS: A total of 36 SD rats were randomly divided into sham operation group (equal volume 0.9% sodium chloride solution), model group (equal volume 0.9% sodium chloride solution), nimodipine group (0.01 g/kg), SXTM capsules low-dose, medium-dose and high-dose groups (0.32, 0.64, 1.28 g/kg), with 6 rats in each group. Except for sham operation group, cerebral ischemia reperfusion injury model of rats was established in other 5 groups, and relevant medicine was given intragastrically after modeling,once 2 day, for consecutive 28 d. Neurological function deficit scores were by mNSS method obtained before medication and 3, 7, 14, and 28 d after medication. The cortical neuron apoptosis in cortexarea of rats’ braintissue was determined by TUNEL method 28 d after medication. The expression of brain-derived neurotrophic factor (BDNF) in cerebral tissue was determined by immunohistochemical staining mothed. RESULTS: Compared with sham operation group, the neurological function deficit score of model group was increased significantly 7, 14, 28 d after medication. The number of apoptotic cell was increased significantly 28 d after medication, and the expression of BDNF was strengthened significantly,there were significient difference (P<0.01). Compared with model group, neurological function scores of nimodipine group and SXTM capsules low-dose, medium-dose and high-dose groups were decreased significantly (P<0.01). The number of apoptotic cell was decreased significantly 28 d after medication (P<0.01), and the expression of BDNF was strengthened significantly, there were significient difference (P<0.01). CONCLUSIONS: SXTM capsules has a neuroprotective effect on cerebral ischemia-reperfusion injury model rats, the mechanism of which may be associated with inhibiting neuronal apoptosis and strengthening the expression of BDNF.