The invention discloses a Chinese medicinal preparation for treating urolithiasis, which is prepared from niter, chicken's gizzard-membrane, alum, gardenia jasminoides, Japanese climbing fern spore, longhairy antenoron herb, cluster mallow fruit, herba pyrrosiae, virgate wormwood herb, amber, cuttlebone, pangolin scales, cowherb seed, spreading hedyotis herb, frankincense, myrrh, white paeony root, lalang grass rhizome, clematis root, corydalis root, radix curcumae, talc, pink herb, medicinal cyathula root, giant knotweed rhizome, astragalus, mongolian dandelion herb, mole cricket, plantain seed, herba polygoni avicularis, yellow croaker ear-stone, common burreed rhizome, zedoary, gleditsia thorn, dried orange peel, ephedra, oriental waterplantain rhizome, chinese waxgourd peel, notoginseng root, agaric, Chinese eaglewood, akebia stem, rhubarb and India madder root in a certain weight ratio. The Chinese medicinal preparation can be prepared into any common oral administration formulation. In a formula of the Chinese medicinal preparation, the medicaments have the good synergistic effect on the curative effect through reasonable compatibility, so the effects of inducing diuresis, treating stranguria and removing urinary calculus are achieved better, and the symptoms are removed. Compared with the prior art, the Chinese medicinal preparation has the advantages of quick response, high cure rate, relapse prevention, no toxic or side effect, low treatment cost and easy acceptance by patients.