The invention belongs to the field of medicine, in particular to a pharmaceutical composition for treating myocardial ischemia, in particular to a traditional Chinese medicine composition for treating myocardial ischemia and a preparation method thereof. The pharmaceutical composition is prepared from the following Chinese medicinal materials in parts by weight: 20-40 parts of Panax notoginseng, 10-30 parts of Clematis clematis, 10-30 parts of Piper Piper, 20-40 parts of peach kernel, and 20-40 parts of cassia twig , 10-30 parts of tangerine peel, 10-30 parts of Aescin, 15-35 parts of elderberry, 20-40 parts of astragalus, 5-15 parts of myrrh, 15-35 parts of fairy spleen, 15-35 parts of rehmannia glutinosa . The pharmaceutical composition of the invention is safe and effective, has simple preparation process, no toxic and side effects, high patient compliance, and has very good development and application prospects.