Objective: To conduct a review to explore the efficacy of the Shengmai injection in treating ischemic stroke. Method: Search all randomized controlled trails (RCTs) that can be found with regard to the effectiveness of the Shengmai injection for ischemic stroke. Evaluate strictly all the studies that have been searched and adopt the studies that can be analyzed by means of Meta-analysis. Calculate the relative risk (RR) for effective rate of the Shengmai injection for ischemic stroke. Result: Totally 12 RCTs including 960 cases were analyzed. The cumulative cases in using the Shengmai Injection for Ischemic stroke group were 493,in which 444 cases were effective,while in the group treat without shengmai injection was 467 and 351 respectively. The pooled RR was 1.20, with a 95%confidence interval (1.13, 1.27). Conclusion: This review showed that the Shengmai injection is effective for ischemic stroke.