A compound rifampicin preparation, which can be interpreted as a drug delivery system for a compound rifampicin preparation, comprising rifampicin and isoniazid, optionally further comprising pyrazinamide or pyrazinamide and ethyl hydrochloride Ambutol, wherein each dose meets the latest compatibility dose requirements proposed by the WHO 2001 No. 1 (No. 1, Volume 7) bulletin, it is characterized in that isoniazid, pyrazinamide, ethambutol hydrochloride are gastric dissolved While rifampicin is enteric-coated, or isoniazid is enteric-coated and others are gastric-coated, the enteric coating of enteric-coated drugs begins at the upper part of the small intestine, to be exact, when the pH of the external environment of the drug is From 5.0 to 5.5, the enteric-coated film began to dissolve, and the drug began to be released gradually. The dosage form of the preparation of the present invention is selected from capsules, granules, tablets, multi-layer tablets or suspensions. The invention also provides a preparation method of compound rifampicin.