The invention provides a traditional Chinese medicinal composition for preventing cerebral apoplexy. The traditional Chinese medicinal composition is composed of the following traditional Chinese medicinal raw materials: the dried body of Buthus martensii Karsch, stiff silkworms, licorice roots, Herba Ephedra, frankincense, myrrh, Radix Cyathula, Rhizoma Atractylodis, Semen Strychni, cubilose, jujube, ginseng and Calculus Bovis Artifactus, wherein the traditional Chinese medicinal raw materials are processed into powders through a cell wall breaking technology for mixing to use. The traditional Chinese medicinal composition provided by the invention is adopted for treating patients with premonitory cerebral apoplexy, and has the advantages of exact curative effect, fast action, no recurrence, no sequelae and no toxic and side effects.