The invention belongs to the technical field of traditional Chinese medicine preparation and discloses a radix angelicae sinensis and radix astragali treatment reagent for treating early diabetic nephropathy and a preparation method. The reagent is prepared from 10-15 parts of radix angelicae sinensis, 8-11 parts of radix astragali, 5-8 parts of poria cocos, 3-5 parts of radix ginseng, 3-6 parts of radix codonopsis, 7-10 parts of rhizoma atractylodis macrocephalae, 2-4 parts of corn stigma, 6-10 parts of dried orange peel, 10-12 parts of rhizoma cimicifugae, 10-13 parts of radix bupleuri, 8-10parts of radix glycyrrhizae, 15-20 parts of polished round-grained rice, 12-15 parts of rhizoma anemarrhenae, 4-8 parts of radix ophiopogonis, 11-15 parts of radix puerariae, 10-15 parts of radix rehmanniae preparata, 9-13 parts of achyranthes roots, 10-15 parts of plantain herb and 6-10 parts of rhizoma chuanxiong. The reagent can enrich and activate blood, relieve restlessness, soothe nerves, protect the kidney, reduce damage of nephron, increase renal blood flow, improve the creatinine clearance rate, reduce urea nitrogen, relieve acute renal failure, protect the kidney, reduce blood sugar, reduce proteinuria and relieve renal toxic damage caused by gentamicin.