The invention discloses a traditional Chinese medicine composition and a traditional Chinese medicine preparation for treating gout and a preparation method thereof. The traditional Chinese medicine composition is prepared from the following medicinal raw materials in parts by weight: 40-60 parts of indian iphigenia bulb, 50-75 parts of centella asiatica, 50-75 parts of rhizoma atractylodis, 50-75 parts of saposhnicovia divaricata, 40-60 parts of cortex phellodendri, 30-50 parts of radix achyranthis bidentatae, 40-60 parts of coix seeds, 50-75 parts of radix angelicae, 50-75 parts of rhizoma atractylodis macrocephalae, 65-95 parts of capillary artemisia, 40-60 parts of cape jasmine, 40-60 parts of dandelions, 40-60 parts of herba violae, 40-60 parts of semiaquilegia adoxoides, 40-60 parts of flos chrysanthemi indici, 65-95 parts of honeysuckle stems, 50-75 parts of peach kernels, 50-75 parts of safflower carthamus, 30-50 parts of ligusticum wallichii, 40-60 parts of rhizoma smilacis glabrae, 50-75 parts of yam rhizome, 50-75 parts of caulis pipers futokadsurae, 30-50 parts of liquidambar formosana hance, 40-60 parts of herba plantaginis, 40-60 parts of lysimachia christinae hance, 50-75 parts of lamiophlomis rotata, 50-75 parts of cortex lycii radicis, 50-75 parts of cortex moutan, 50-75 parts of pseudo-ginseng, 65-95 parts of tripterygium glycosides, 30-50 parts of rhizoma corydalis, 50-75 parts of angelica sinensis and 65-95 parts of lilies. The traditional Chinese medicine composition and the traditional Chinese medicine preparation containing the composition have the effects of quickly controlling acute attack, quickly diminishing swelling, inhibiting bacteria, clearing heat, promoting blood circulation, relieving pain, improving micro-circulation, repairing joints, preventing relapse and curing secondary gout.