OBJECTIVE： To provide reference for rational use of Shexiang tongxin dripping pills in clinic. METHODS： In retrospective study， the utilization of Shexiang tongxin dripping pills in outpatients and inpatients of our hospital during Jan. 2014-May 2015 was analyzed statistically in terms of gender， age， department， irrational drug use， ADR and DUI， etc. RESULTS： There were 719 outpatient prescriptions and 281 inpatient medical orders. The female was more than male with ratio of 1.42 ∶ 1. Most patients aged 80-89 year-old （35.4％）. Shexiang tongxin dripping pills were mostly used in cardiovascular medicine department （760 pieces/copies， 76.0％）. There were 72 prescriptions/medical orders that did not conform to the indications （7.2％）， and 7 prescriptions/medical orders for overdose use （0.7％）. No obvious ADR was found. DUI of Shexiang tongxin dripping pills was 1.007. CONCLUSIONS： Although the clinical use of Shexiang tongxin dripping pills in our hospital is basically rational， there still are some nonstandard uses， which should be taken seriously. In order to reduce ADR， the clinical use of Shexiang tongxin dripping pills should be strictly in accordance with the drug instructions and should emphasize the syndrome differentiation based on treatment.