The present invention relates to a perianal anthracia treatment traditional Chinese medicine composition, which comprises the following traditional Chinese medicine raw materials by weight: 10-30 parts of dandelion, 5-25 parts of lysimachia clethroides duby, 5-25 parts of radix trichosanthis, 5-20 parts of milkvetch root, 5-25 parts of callicarpa bodinieri levl, 5-25 parts of ilex purpurea hassk, 5-25 parts of mecodium microsorum, 5-20 parts of berberis sargentiana schneid, 5-25 parts of heartleaf houttuynia herb, 5-20 parts of spina gleditsiae, 5-25 parts of dendrobium, 5-20 parts of veronicastrum brunonianum, 5-25 parts of cayratia trifolia, 5-25 parts of alysicarpus vaginalis, 5-20 parts of stellaria media, 5-25 parts of gerbera piloselloides (l.) cass, 5-25 parts of little groundcherry herb or fruit, 5-25 parts of hibiscus mutabilis, and 5-15 parts of licorice root. According to the present invention, the perianal anthracia treatment traditional Chinese medicine composition has characteristics of scientific compatibility, simple prescription, significant perianal anthracia treatment effect and reliable effect, and has effects of heat clearing, detoxification, dampness removing, qi promoting, blood circulation activating, blood stasis removing, hard mass softening and loosening, inflammation eliminating, pain stopping, pus discharging, carbuncle eliminating, tissue regeneration promoting and sore convergence, wherein the clinical statistics results show that the effective rate is 96.5%.