To explore the relationship between endogenous wind-evilness in traditional Chinese medicine and apoplexia, hemorrhagic and cerebrovascular disease from western medicine.Methods:Similarities are sought via the understanding of the causes of apoplexia from both western medicine and traditional Chinese medicine.Results:There is similarity between the theory of exuberance of heart fire in traditional Chinese medicine and hemorrhagic apoplexia from western medicine; analysis from phlegm and dampness condensation and deficiency of Qi and blood and ischemic apoplexia for western medicine are similar.Conclusion:Though understanding and language expression on apoplexia were different in both Chinese and western medicine, similarities and identical points could be found through analysis of the clinical manifestations and the present TCM clinical research progress, which are useful in the clinical treatment.