OBJECTIVE: To investigate the combination of traditional Chinese and western medicine in the treatment of cardiovascular diseases based on the real medical data in primary hospitals, so as to provide references for rational application of Chinese and western medicine in primary hospitals. METHODS: Totally 90 064 outpatient prescriptions in the hospital information system from 12 primary hospitals from 2019 to 2020 in Yanqing District, Beijing were selected, information related to patients with cardiovascular diseases in 33 234 prescriptions for cardiovascular disease and 9 649 prescriptions for combination application of Chinese and western medicine were extracted. Descriptive statistical analysis was performed on general information and disease conditions of patients with cardiovascular diseases, frequency analysis was used to explore the combined application of Chinese and western medicine in patients with cardiovascular diseases, and Apriori association rule algorithm was adopted to analyze the pattern of combined application of traditional Chinese and western medicine in primary hospitals. RESULTS: From 2019 to 2020, outpatient prescnptlons for cardiovascular diseases accounted for 36. 90% of the total outpatient prescriptions in 12 primary community hospitals in Y anqing District, Beijing. Among the 33 234 outpatient prescriptions for cardiovascular disease, prescriptions for combined application of traditional Chinese and western medicine accounted for 29. 03% ; prescriptions for patients >45 years accounted for 96. 56% ( 9 317 prescriptions) ; prescriptions for female patients ( 4 956 prescriptions, 51. 36%) was more than male patients ( 4 693 prescriptions, 48. 64%) ; prescriptions for patients with hypertension, coronary heart disease and hypercholesterolemia accounted for 71. 59% ( 6 908 prescriptions), of which the prescription for hypertension was the most, totally 3 874 prescriptions, accounting for 40. 15%. Among the prescriptions for combined application of traditional Chinese and western medicine, the number of categories of traditional Chinese and western medicine were respectively 312 and 223, the categories of traditional Chinese medicine with high use rate included traditional Chinese topical ointment, Ganmao Qingre granules, Fufang Danshen preparation ( tablets and dropping pill), Huoxiang Zhengqi preparation ( oral liquid and soft capsule) and Niuhuang Qingxin pill, and that of western medicine included aspirin, amlodipine, nifedipine and atorvastatin; the categories of combined application of traditional Chinese and western medicine mainly involved combination among anti-hypertensive drugs, antiplatelet drugs, lipid-regulating drugs and blood-regulating recipe, tonic prescription and diaphoretic recipes; results of the association analysis showed that among the drugs with high confidence in the combined application of traditional Chinese and western medicine, western medicine were relatively unchanged, including aspirin, nifedipine and amlodipine, while there were more categories of traditional Chinese medicine, including Xuesaitong preparation ( tablets, soft capsules, capsules and injections), Maixuekang capsule, N aoxintong capsule, Tongxinluo capsule, Shexiang Baoxin pills and Yinxing preparation ( drop pills, tablets, capsules and injections) ; in terms of combined application of western medicine, the confidence coefficient of statins and aspirin was higher; in terms of the combined application of traditional Chinese medicine, the confidence coefficient of Jinkui Shenqi pill and Wuling capsule, Xuesaitong preparation (tablets, soft capsules, capsules and injections) and Fufang Danshen preparation ( tablets and dropping pill), Biqi capsules and Dahuoluo preparation ( pills and capsules ) were higher. CONCLUSIONS: In the real world, primary hospitals have the phenomenon of more patients with cardiovascular diseases, more prescriptions for combined application of traditional Chinese and western medicine and more varieties of combined application of traditional Chinese and western medicine, the combined application of traditional Chinese and western medicine is quite common, so that primary clinicians should pay attention to the benefits and risks. [ABSTRACT FROM AUTHOR]