The invention discloses a kit and method for clinically detecting serum or plasma free fatty acid. The kit is composed of a reagent 1 and a reagent 2, wherein the reagent 1 comprises a buffer, ATP, a coenzyme A, 4-amino antipyrine, an ion activator, an acyl coenzyme A synthetase, stabilizer, a preservative, a surfactant, and concentrated hydrochloric acid, and the reagent 2 comprises a buffer, a chromogen, a composite sulfhydryl reagent, a peroxidase, an acyl coenzyme A oxidase, a stabilizer, a preservative, a surfactant and concentrated hydrochloric acid. The kit has the advantages of good stability, high specificity of the free fatty acid, and wide linear range. The serum or plasma free fatty acid is detected by the enzyme method, and the method has the advantages of high precision, andsmall measuring error.