Objective It is to observe and evaluate the clinical efficacy and safety of Carbamazepine combined with scopolamine on the treatment of refractory epilepsy.Methods Open-self-matched trial with Carbamazepine combined with scopolamine as adjunctive therapy to refractory epilepsy in 51 cases,the course of treatment was 2 years.Results After treated,23 cases were effective in 51 cases,and the total effective rate was 45.1%.The cases whose patient history less than 5 years were more effective.18 cases showed mild untoward reaction as dry mouth,dizziness,debilitation,et al;1 cases showed WBC abaissement in a moment;and no cases of liver,renal function and hemogram dysfunction.Conclusion Carbamazepine combined with Scopolamine on the treatment of refractory epilepsy is effective and safe.