In the past 20 years, due to the application of MRI and the rapid development of microsurgery, the localization and qualitative diagnosis of spinal cord intramedullary tumors have become more accurate and the surgical efficacy has been significantly improved. At present, it is appropriate to take surgery as the main treatment for spinal cord intramedullary tumor, with Chinese medicine as the complementary comprehensive treatment attitude. The only effective treatment for spinal cord tumors is surgical resection of the tumor. Unless there is sufficient evidence that the tumor is a malignant tumor that cannot be removed by surgery, or the patient is generally difficult to tolerate surgery, surgery should be performed for diagnosed spinal cord tumors, especially benign tumors. For benign extramedullary tumors, if all of them can be removed, satisfactory functional recovery can often be obtained. For infiltrating intramedullary tumors that are difficult to be completely resected, spinal cord decompression by dorsal tractotomy is appropriate and can significantly improve the symptoms of spinal cord compression. For clearly demarcated intramedullary tumors such as ventricular meningioma and astrocytoma, it is possible to remove all of them and preserve the function of the spinal cord. Although radiation therapy is not a curative measure, it is effective for certain malignant tumors or vascular tumors and can be used as an adjuvant therapy to surgical treatment. The prognosis of spinal cord tumors depends on the degree and duration of spinal cord compression before surgery, the nature of the tumor, the growth site and the general condition of the patient. Since most of the spinal cord tumors are benign, and only most of them can achieve total resection and rarely recur, most of them have good prognosis. Chinese medicine treatment for spinal cord intramedullary tumor is mainly applied before and after surgery to nourish the liver and kidneys, strengthen the Governor’s vein, strengthen the tendons and bones, generate new marrow, strengthen the muscles and nerves, balance the theory of yin and yang, and combine the overall and local, internal and external, and discriminatory treatment principles. The stagnation of blood and blood stasis leads to poor circulation of Qi and stagnation of blood vessels. The formula is based on the formula for Qi deficiency and Blood stasis. The formula is based on the formula for Yang and Blood stasis, with the addition and subtraction of Huang Qi to tonify Qi, and the administration of blood circulation products to treat the root cause. Under the effect of various pathogenic factors, the spinal cord is empty and the spirit is absent, so we use Shu Di Huang to benefit the essence and fill the marrow, and also match with Cornu Cervi Pantotrichum, Yam, Cinnamon, Deer horn Gum and Semen Cuscutae to nourish the liver and kidney and fill the source of essence and marrow, and Angelica Sinensis, Mai Men Dong, Radix et Rhizoma Ginseng and Radix et Rhizoma Pseudostellariae to quickly nourish Qi and fluid and renew the source of essence and marrow. Acupuncture, massage, blood circulation and tendon relaxation, together with the Chinese medicine, the internal and external help each other, so that the righteous energy has a way out, external source, to achieve the purpose of “internal and external treatment”.