A traditional Chinese medicine composition for treating simple carotid atherosclerotic plaque in middle-aged people, comprising the following Chinese medicinal materials in parts by mass: 20-24 parts of Atractylodes Rhizoma Atractylodes Rhizome, 16-18 parts of Gualou, 18-20 parts of Ji Nei Jin, Bupleurum bupleuri 12‑15 parts, Cyperus 12‑15 parts, Danpi 18‑20 parts, Guizhi 12‑15 parts, Radix Paeoniae Alba 20‑24 parts, Ophiopogon japonicus 20‑24 parts, Flaxseed 12‑15 parts, Shichangpu 10 parts ‑12 parts, 20‑30 parts of kudzu root, 15‑20 parts of Angelica dahurica, 15‑20 parts of honeysuckle vine, 12‑15 parts of cicada slough, 12‑15 parts of bellflower. The above-mentioned Chinese medicinal materials are mixed and put into a Chinese medicine formula granulator, extracted, concentrated, separated, and dried by modern pharmaceutical technology to make a Chinese medicine powder for treating simple carotid atherosclerotic plaque in middle-aged people, and then packed into small in packaging. The present invention has good therapeutic effect, and the total effective rate is over 82%, wherein the marked rate is over 56%. The preparation of the invention has the advantages of direct ingestion, rapid action, safety and sanitation, convenient carrying and storage, and the like.