To observe the effect of self made Fuming decoction in treating senile cataract. Methods:One hundred and thirty six patients suffered from senile cataract admitted to our hospital from September 2009 to July 2012 were randomly assigned to treatment group and control group, each group with 68 cases. Patients in treatment group were given Pearl of Western medicine as well as Chinese medicine Fuming decoction. Patients in the control group only received Pearl eye drop. Patients were treated for 2 courses (1 month for a course of treatment). Changes in vision and lens turbidity levels were recorded before and after treatment for statistical analysis. Results:Changes of vision in both groups before and after treatment showed statistically significant improvement (treatment group: t=18.971, P=0.000<0.01; Control group: t=3.99,P=0.003<0.05). The total effective rate of the treatment group (87.25%) was significantly higher than the control group (23.47%), and vision after treatment in two groups showed a significant difference (P<0.01).Conclusion: Fuming decoction combined with western medicine can be effective in treating senile cataract with great improvement in vision of patients, and it is worth generalizing.