The invention relates to a Chinese medicinal preparation for treating acute ischemic stroke with a good treatment effect and high safety. The Chinese medicinal preparation is prepared from the following raw materials in parts by weight: 15 parts of red paeony roots, 9 parts of szechuan lovage rhizome, 15 parts of earthworms, 20 parts of danshen roots, 30 parts of siegesbeckia herb, 30 parts of roots of kudzuvine roots, 15 parts of tree peony root bark, 15 parts of twotooth achyranthes roots, 30 parts of suberect spatholobus stems, 15 parts of ground beetles, 9 parts of peach seeds, 6 parts of leeches and 3 parts of safflowers. The Chinese medicinal preparation provided by the invention is effective in treatment of both symptoms and root causes and has the efficacies of combining warming and heat clearing, promoting the circulation of qi and blood, dispersing blood stasis, dredging collaterals, relaxing muscles and relieving muscular spasm. The Chinese medicinal preparation has a significant effect of improving the neurological impairment of a patient with the acute ischemic stroke due to qi deficiency and blood stasis without causing adverse effects on liver and kidney functions, urine and blood routine, and in addition, the Chinese medicinal preparation can be used for treating acute ischemic stroke safely.