The present invention relates to a pleural effusion metabolite combination, a kit and a method for diagnosing tuberculous pleurisy, the pleural effusion metabolite combination for diagnosing tuberculous pleurisy comprising dimethylglycine, tyrosine, kynurenine, and nicotinamide , betaine, acylcarnitine 12:0, acylcarnitine 14:2 and phosphatidylcholine 42:8. Kit for the diagnosis of tuberculous pleurisy, including for the detection of dimethylglycine, tyrosine, kynurenine, nicotinamide, betaine, acylcarnitine 12:0, acylcarnitine 14 in the extraction solution of pleural fluid samples :2 and Phosphatidylcholine 42:8 are the required internal standards. Through the combined markers involved in the present invention, the diagnosis of tuberculous pleurisy can be characterized with high sensitivity and high specificity. At the same time, the combined marker can be complementary to the traditional marker adenosine deaminase, and combined use can be used for auxiliary diagnosis of tuberculous pleurisy.