OBJECTIVE： To explore the ideas for the prescription comment of TCM injections， and provide reference for clinical rational use. METHODS： Totally 9 457 prescriptions in PIVAS and 400 hospitalized medical records in our hospital in 2015 were collected. The prescriptions and hospitalized medical records which contained TCM injections were retrospectively commented in aspects of indications， usage and dosage， drug combination， solvent selection and repeat medication， and analysis of typical case. RESULTS： In 2015， there were 2 544 prescriptions （26.90％） in PIVAS and 195 medical records （48.75％） that used TCM injections； the irrational use was mainly inappropriate solvent selection （50.70％）， inappropriate usage and dosage （27.00％）， inappropriate indications （10.33％）， inappropriate combination therapy （7.51％） and repeat medication （4.46％）. CONCLUSIONS： Prescription of TCM injections should be commented with the medical records and individual analyzed； in terms of unreasonable prescriptions and medical records TCM clinical pharmacists should actively intervene unreasonable prescriptions by the bed.