To observe the clinical efficacy of integrated traditional Chinese and Western medicine treating patients with stroke sequela of community acquired pneumonia.Methods： Sixty seven patients with stroke sequela of community acquired pneumonia were randomly divided into treatment group（n=34）and control group（n=33）. Patients the in control group received the basic western medicine treatment， and patients in treatment group were given the combination therapy of Vibration sputum discharge machine， enteral nutrition support and Chinese medicine syndrome differentiation except from the conventional western therapies the same as the control group， and the efficacy and adverse reactions were observed. Results：The total effective rate of treatment group was 94.12%， and that of the control group was 75.76%. The two groups demonstrated similar treatment effect on inflammation index (P>0.05)，but the treatment group showed significant better performance in terms of the the total effective rate and the impact on TCM syndrome scores (P<0.05). As for relieving TCM symptoms， the treatment group can significantly improve the patient's cough， expectoration (sputum color， sputum volume)， abdominal distension and constipation， dry mouth and throat. Conclusion：Integrated traditional Chinese and Western medicine can improve the efficacy of patients with stroke sequelae of community-acquired pneumonia， and it is worthy of further research and promotion.