Objective:To observe the clinical efficacy of TCM cognitive therapy combined with Modified Banxia Houpo Decoction in treating laryngopharyngeal reflux diseases with syndrome of qi stagnation and phlegm coagulation. Methods70 patients of laryngopharyngeal reflux diseases with syndrome of qi stagnation and phlegm coagulation were randomly divided into the control group and the treatment group, 35 cases in each group. The control group was treated with Modified Banxia Houpo Decoction, and the treatment group was treated with TCM cognitive therapy based on the treatment for the control group, with a course of 2 months. The clinical efficacy was observed. The changes of reflux symptom index (RSI), reflux finding score (RFS) and modified Morisky questionnaire were compared.  Results:①=1\*GB3The total effective rates were 88.6% in the treatment group and 77.1% in the control group, respectively. The clinical efficacy of the treatment group was better than that of the control group (P<0.05). ②=2\*GB3Compared with treatment before, all item scores and the total score of RSI in both groups were decreased after treatment (P<0.05). After treatment, the scores of irritable cough, dyspnea, supine cough, difficulty in swallow and spit, clearing throat, something sticky and stagnant in throat and the total score in the treatment group were lower than those in the control group (P<0.05). ③=3\*GB3Compared with treatment before, all item scores and the total score of RFS in both groups were decreased after treatment (P<0.05). After treatment, the scores of false vocal ditch, granuloma, diffuse laryngeal edema, throat chamber disappear, polypoid changes, subglottic edema and the total score in the treatment group were lower than those in the control group (P<0.05). ④=4\*GB3After treatment, the score of modified Morisky questionnaire in the treatment group was lower than that in the control group (P<0.05).  Conclusion:TCM cognitive therapy combined with Modified Banxia Houpo Decoction shows satisfactory efficacy in the treatment of laryngopharyngeal reflux diseases with syndrome of qi stagnation and phlegm coagulation, which can remarkably ameliorate the reflux symptoms and signs, and improve the compliance of patients.