The invention discloses a medicine for treating and preventing ischemic cardiovascular and cerebrovascular diseases, which belongs to the field of traditional Chinese medicine and is composed of the following bulk pharmaceutical chemicals by weight: 3-5 parts of Astragalus mongholicus, 3-5 parts of suncured ginseng, 2-10 parts of rheum officinale, 3-5 parts of leeches, 3-5 parts of radix notoginseng, 2-3 parts of Ligusticum wallichii, 3-5 parts of radix salviae miltiorrhizae, 2-10 parts of the root of kudzu vine, 2-3 parts of corydalis tuber and 1-2 parts of dragon's blood. By proportioning the bulk pharmaceutical chemicals, the medicine has the functions of tonifying qi, activating blood circulation and removing stasis, resisting atherosclerosis and resisting thrombopoiesis. The medicine has the advantages of being used in treating, primary prevention, secondary prevention and tertiary prevention of ischemic cardiovascular and cerebrovascular diseases and achieving good clinical effects. Condition of patients is stable, and the diseases can no longer occur, heart and brain functions are obviously improved, lift quality is obviously improved, and patients with light illness can return back to work.