〔Abstract〕 Objective To explore the rehabilitation effect of integrated traditional Chinese and western medicine therapy on cognitive dysfunction after hypertensive cerebral hemorrhage. Methods 82 patients with cognitive dysfunction after hypertensive intracerebral hemorrhage admitted to Xiangyang Central Hospital from January 2019 to December 2020 were randomly divided into control group and observation group, with 41 cases in each group. The control group was treated with conventional western medicine, and the observation group was treated with traditional Chinese medicine (TCM) on the basis of the control group. The clinical efficacy, changes in cognitive function indexes and changes of TCM syndrome scores were compared between two groups. Results The total effective rate of the observation group was 92.68%, higher than 73.17% of the control group (P < 0.05). There was no significant difference in Loewenstein occupational therapy cognitive assessment (LOTCA) scores between the two groups before treatment (P > 0.05). After treatment, the LOTCA scores of the observation group were significantly higher than those of the control group (P < 0.05). There was no significant difference in the scores of TCM syndrome between the two groups before treatment (P > 0.05). After treatment, the scores of TCM syndrome in the observation group were lower than those in the control group, and the difference was statistically significant (P < 0.05). Conclusion The rehabilitation effect of integrated traditional Chinese and western medicine on cognitive dysfunction after hypertensive intracerebral hemorrhage is significant, which can effectively improve the cognitive function, relieve TCM syndrome and improve neurological function.