Abstract: Objective Based on the theory of traditional Chinese medicine, it is very helpful to treat the elderly ankle fracture with Shujin Huoxue Decoction and massage, but there are few reports about the combination of them. Therefore, this paper will explore the effect of Shujin Huoxue Decoction on the angle displacement, radian displacement and movement obstacle of ankle joint after operation in the way of comparative study, so as to open up a more effective treatment way for the clinical treatment of this disease. Methods A total of 140 elderly patients with ankle fracture admitted to the Department of Orthopaedics, Jiangnan Hospital affiliated to Zhejiang University of Traditional Chinese Medicine, from January 2017 to January 2019, were selected for prospective study. They were randomly divided into group A and group B, with 70 cases in each group. Group A was treated with Shujin Huoxue Decoction alone, while group B was treated with massage on the basis of group A. All the clinical data of all subjects were included in SPSS 21.0 statistical software. Baird-Jackson, American Orthopaedic Foot & Ankle Society(AOFAS) scoring system and joint swelling score were used to evaluate the recovery of joint function, and the angular displacement, radian displacement and dyskinesia of the two groups before and after treatment were evaluated. Results After 1 year follow-up, the excellent and good rate of Baird Jackson scoring system in group A(84.06%) was lower than that in group B(95.38%), the excellent and good rate of AOFAS ankle hind foot scoring system in group A(82.61%) was lower than that in group B(93.85%). There was no significant difference in joint swelling scores of all patients in group B before treatment(1.73±0.31 vs. 1.78±0.29, P>0.05), but the scores of above joint swelling in group A were significantly lower than those in group B after treatment(0.59±0.17 vs. 0.71±0.24, P<0.05). Conclusion In the clinical treatment of elderly patients with ankle fracture, scientific and reasonable Shujin Huoxue Decoction combined with massage is of great help to improve ankle function, with good effect and good clinical application and popularization value.