引起肩手综合征（SHS）原因有中风、心肌梗死、颈椎病、上肢外伤、截瘫、肺疾病和肩关节疾病等疾病，其影响自主交感神经，造成末梢神经血管障碍或潜在其他疾病伴发关节退行性变、肩关节微小损伤和长期不运动导致的废用性萎缩，造成血管神经反射异常。临床表现早期患手骤然出现肿胀，水肿以手背明显；后期在手背侧腕骨连接区的中部，出现明显坚硬的隆凸；末期或后遗症期水肿和疼痛可完全消失，但关节活动度则永久丧失。对近5 年来中医药治疗脑卒中后SHS 的临床研究文献进行总结。 中医药治疗脑卒中后SHS 的治法多样，统观文献，针灸治疗、康复治疗、针灸康复、中药治疗、针灸中药治疗、物理疗法和其他疗法，显示出中医药治疗脑卒中后SHS 具有其独特优势，并已证实有显著的疗效。

The shoulder hand syndrome（SHS）is mainly sympathetic lesions，which has complex etiology，including stroke，myocardial infarction，cervical spondylosis，upper limb injury，paraplegia，pulmonary disease and shoulder joint disorders. The SHS is involved in the pathogenesis of peripheral nerve vascular disorders and vascular dysreflexia. The clinical features of SHS make a difference at different periods. Firstly，hand suddenly suffering from swelling，especially the back of hand；secondly，obvious protuberantia in the central region of back wrist；lastly，completely disappearance of edema and pain，but the permanent loss of range of motion. This study summarized clinical research literatures related to the traditional Chinese medicine in the treatment of SHS after stroke in recent five years. According to clinical researches，there are diverse Chinese medicine therapies for SHS including acupuncture therapy，rehabilitation，acupuncture and rehabilitation，Chinese herbs，acupuncture and Chinese herbs，physiotherapy and other therapies.The traditional Chinese medicine in the treatment of SHS has its unique advantages and has been proved a significant effect.