OBJECTIVE: To investigate clinical efficacy and safety of Xuebijing injection in the treatment of chronic obstructive pulmonary disease (COPD) complicated with community-acquired pneumonia (CAP). METHODS: A total of 88 COPD patients with CAP selected from our hospital during Feb. 2013-Jan. 2015 were divided into control group and observation group according to random number table, with 44 cases in each group. Control group received routine treatment as anti-infection, reducing phlegm, fluid replacement, nutritional support, etc. Based on control group, observation group was additionally given Xuebijing injection 50 mL added into 0.9% Sodium chloride injection 100 mL, ivgtt, for 30-40 min, bid, for consecutive 10 d. Clinical efficacy, application time of antibiotics, pulmonary function indexes [FEV1, FVC, FEV1/FVC, VC] were observed in 2 groups. The occurrence of ADR was recorded. RESULTS: Total response rate of observation group was 88.64%, which was significantly higher than 70.45% of control group, with statistical significance (P<0.05). The application time of antibiotics in observation group was significantly shorter than control group, with statistical significance (P<0.05). There was no statistical significance in FEV1, FVC, FEV1/FVC, VC between 2 groups before treatment (P>0.05). After treatment, FEV1 and VC of 2 groups were improved significantly, and the observation group was better than the control group, with statistical significance (P<0.05). There was no statistical significance in FVC, FEV1/EVC before and after treatment and betwean the two groups (P>0.05). No obvious ADR was found in 2 groups. CONCLUSIONS: Xuebijing injection has significant therapeutic efficacy for COPD complicated with CAP and can significantly shorten the use time of antibiotics, improve pulmonary function with good safety.