The invention relates to a hydrochloric acid cefotiam crystalline compound and a medicine combination containing the same. The crystalline compound is determined by a powder X-ray diffraction measurement method, and an X-ray powder diffraction pattern represented with a diffraction angle of 2theta+/-0.2 degree shows characteristic diffraction peak at the positions of 5.9 degrees, 7.9 degrees, 9.3 degrees, 13.0 degrees, 13.6 degrees, 15.7 degrees, 16.8 degrees, 20.4 degrees, 25.7 degrees, 27.0 degrees, 30.9 degrees and 32.9 degrees. The crystalline compound is high in purity, has good heat stability, and can hardly absorb moisture. Simultaneously, the invention further provides a preparation method of the crystalline compound and the medicine combination containing the crystalline compound. The method is simple in process, high in yield, strong in repeatability and suitable for industrial production. The medicine combination containing the crystalline compound is good in stability, thereby improving medication safety and effectiveness and reducing occurrence rate of adverse reactions.