The invention discloses a medical nuclide imaging system and a medical nuclide imaging method based on photosensitive tights. The imaging system comprises an imaging darkroom, three CCD cameras, a control system, a lifting system and the photosensitive tights, wherein the photosensitive tights are prepared by uniformly mixing acrylic fibers and Gd2S2O (gadolinium oxysulfide) rare earth material. During the imaging process, a to-be-tested person receives intravenous injection of corresponding radionuclide, then enters the imaging darkroom for imaging at the proper moment, after lighting equipment inside the imaging darkroom is turned on, the to-be-tested person stands in an imaging area, and the three CCD cameras photograph the to-be-tested person; then the to-be-tested person stands still, the lighting equipment inside the imaging darkroom is turned off, the three CCD cameras collect fluorescence signals converted by the photosensitive tights and on the body surface of the to-be-tested person, and finally a fluorescence signal image and a picture image are displayed in a mixing manner. With the adoption of the medical nuclide imaging system and the medical nuclide imaging method, optical imaging of the medical radionuclide is realized, and the medical nuclide imaging system and the medical nuclide imaging method have the characteristics of whole body imaging, real-time imaging, simplicity and convenience in operation, low cost, and the like.