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Shuxuetong Injection is a multi-component traditional Chinese medicine injectable preparation derived from leech and earthworm source materials, reported as *Whitmania pigra* and *Pheretima aspergillum*, respectively. It is used in China for ischemic cerebrovascular disease, including acute ischemic stroke, and is being evaluated in a Dongzhimen Hospital patient registry as an adjunct to intravenous alteplase or tenecteplase. Its molecular pharmacology is not fully defined; preclinical ischemic-stroke research has associated the product with suppression of CD44/NLRP3/gasdermin D signaling and pyroptosis. ([clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06018181))
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