Tong-Qiao-Huo-Xue Decoction (TQHXD) is a classical prescription in traditional Chinese medicine treating blood stagnation in the head and facial channels, especially cerebral ischemia. We investigate the effect of TQHXD on the expressions of related proteins of the blood-brain barrier (BBB) and analysis of constituents in the cerebrospinal fluid (CSF) on cerebral ischemic model rats. Here, we demonstrate that TQHXD protected the hippocampus neurons, reduced the opening of tight junction (TJ) and decreased the permeability of BBB by up-regulating ZO-1, occludin, claudin-5 expressions, down-regulating aquaporin-4 (AQP-4) and matrix metalloproteinase-9 (MMP-9) expressions. Meanwhile, we detected Muscone, ligustilide and hydroxysafflor yellow A in CSF on cerebral ischemic model rats. These compounds could be identified as the main active ingredients of TQHXD on protecting the damaged BBB. These results suggest that TQHXD could act as a potential neuroprotective agent against BBB damage for cerebral ischemia.Key words Tong-Qiao-Huo-Xue Decoction; cerebral ischemia injury; blood-brain barrier; tight junction; cerebrospinal fluid Ischemia brain damage is one of the most challenging central nervous system (CNS) diseases which threaten human life and health due to its high rates of disability and mortality.1,2) The blood-brain barrier (BBB) injury is an important performance in ischemia brain damage.3) BBB is a highly specialized structure in CNS that comprises arachnoid membranes, cerebral capillary endothelial cells, and the choroid plexus epithelium. 4,5) These layered cell structures construct the so-called tight junction (TJ) and the TJ-associated protein of Claudin-5, Occludin and ZO-1, which contribute to the integrity of the BBB, and the changes of its composition and the expression of relative ingredients are closely associated with BBB permeability.6-8) These proteins are the major structural protein of TJ, their expressions levels are relevant to the degree of cerebral microvascular permeability and cerebral edema.In recent years, experimental reports and clinical applications of traditional Chinese medicine (TCM) against cerebral ischemia injury had shown superiority because of its effects of multiple targeting and multi-directional regulations.9) TongQiao-Huo-Xue Decoction (TQHXD) is a classical prescription in traditional Chinese medicines, prescribed by Qingren Wang, a distinguished doctor of the Qing Dynasty, comprising seven Chinese herbs (Table 1). TQHXD promotes blood circulation by removing blood stasis, and induces resuscitation by dredging the channels. It has remarkable efficacy on the treatment of stagnation of blood in the head and facial channels, 10) especially cerebral ischemia. Our previous experiments in vivo and vitro showed that TQHXD had beneficial effects in cerebral ischemia.11-16) However, we just investigated the effect of TQHXD on cerebral ischemia from the perspective of pharmacodynamics. Moreover, the model of animal used in the experiment was a cerebral ischemic model established ...