The invention provides a traditional Chinese medicine composition for treating acute sinusitis and a preparation method thereof. The traditional Chinese medicine composition comprises an oral medicine and an external-use medicine. The oral medicine comprises the following raw materials: fortune eupatorium herb, Chinese angelica, biond magnolia flower, manchurian wildginger, long pepper, small centipeda herb, Siberian cocklour fruit, honeysuckle flower, suberect spatholobus stem, lilac pink herb, ginseng leaves, astragalus root, coptis, gentian root, lycium berry, pueraria root, arctium fruit, prunella spike, feather cockscomb seeds, radix liriopes, dendrobium, silybum marianum, rhizoma polygonati, radix acanthopanacis senticosi and licorice root; and the external-use medicine comprises the following raw materials: the biond magnolia flower, the manchurian wildginger, the long pepper, the small centipeda herb, the Siberian cocklour fruit, perilla leaves, mint, ephedra, lygodium spore, ligusticum root, Yuzhou uniflower swisscentaury root, achyranthes root, cowherb seeds, folium ilicis purpurea, radix bupleuri, cornu bubali, Japanese ampelopsis root, coptis, akebia fruit, tangerine peel, musk and the licorice root. The traditional Chinese medicine composition has the advantages that the efficiency for treating the acute sinusitis is high, the time of taking effect is faster, the pain of a patient can be quickly relieved within a short time, the cure rate is high, and the recurrence rate is low.