To investigate blood lipid level and medication of highrisk population of stroke in eight communities of Beijing and to explore the TCM syndrome differences and distribution between patients who reached ideal LDLC and those who did not. Methods:A total of 9605 cases aged over 40 with highrisk factors of stroke were recruited from eight communities of Beijing. Demographic characteristics, past medical history, drug history,TCM symptoms and four diagnostic information were obtained. Blood lipid levels were measured from fasting blood, including Triglyceride(TG), total cholesterol(TCHO), lowdensity lipoprotein cholesterol(LDLC) and highdensity lipoprotein cholesterol(HDLC). According to different risk factors and whether the patient has arteriosclerotic cardiovascular disease(ASCVD), patients were divided into extremelyhighrisk group, highrisk group, mediumrisk group and lowrisk group. Different LDLC goals were set up for each groups: 2.1 mmol/L, 2.6mmol/L, 3.4mmol/L and 4.1 mmol/L. The percentages of cases achieved the goals in these four groups were calculated respectively. Besides, TCM symptoms, tongue examinations and pulse manifestations were analyzed. Results:Among 9605 residents with high risk of stroke,the percentage of cases with dyslipidemia was 80.4%, lipidlowing treatment rate was 32.9%, and statin treatment rate was 31.9%. The percentages of patients who achieved LDLC goals in extremehighrisk group, highrisk group, mediumrisk group and lowrisk group were 26.5%, 15%, 58.2% ,83.7% respectively, and the overall LDLCgoalachieved rate was 43.8%. As for TCM symptoms, the occurrence rate of emaciation in goalachieved group was significantly higher than that in goalnotachieved group(P<0.01). The occurrence rates of sallow complexion, flushing, head feeling heavy as if swathed, dizziness, insomnia, thirst, bitter taste of mouth, sticky and greasy mouth, chest tightness, soreness and weakness of waist and knees, clumsy limb, fatigue, frequent urination at night, cough laugh enuresis, dark tongue and slippery pulse in goalachieved group were lower than that in goalnotachieved group (P<0.01, P<0.05). The occurrence rate of blood stasis syndrome and Qi deficiency syndrome in goalachieved group were lower than those of the goalnotachieved group (P<0.05, P<0.01). Conclusion:The percentage of patients who achieved LDLC goals in communities of Beijing was relatively low, and there was a phenomenon of drug misuse. Spleen and kidney deficiency, phlegm and blood stasis syndrome were more obvious among patients who fail to control cholesterol.