Objective To observe effect of Salvianolate injection on plasma galectin-3 and C-reactive protein (CRP) in elderly patients with stroke. Methods According to the TOAST classification, 202 patients with LAA stroke and 200 healthy controls were enrolled. Patients with LAA stroke were randomly divided into control group and test group. All patients received standard treatment while patients in test group received additional Salvianolate injection. modified rankin scale (mRS), pasma galectin-3 and hs-CRP were recorded. Results Treatment of Salvianolate induced decreased levels of plasma galectin-3, hs-CRP and mRS score significantly when compared with those in control group or healthy group. Conclusions Salvianolate injection improves the clinical symptoms in patients with LAA stroke probably through modulating inflammatory response.