The invention discloses a Chinese medicinal composition for promoting nerve regeneration and a preparation method and use thereof. The Chinese medicinal composition for promoting nerve regeneration consists of 2 to 10 parts of multiflower knotweed root, 1 to 10 parts of ginseng and 1 to 10 parts of ginkgo leaves; and the Chinese medicinal composition for promoting nerve regeneration also may consist of commercial multiflower knotweed root extract, ginseng extract and ginkgo leaf extract in a ratio. Besides the conventional preparation method, the invention also provides a preparation method of the Chinese medicinal composition, which comprises: subjecting the raw materials to C1 to C1 alcohol extraction respectively to obtain C1 to C3 alcohol extracts; concentrating, passing through a macroporous adsorption resin column, eluting with ethanol, collecting eluent, recovering ethanol, and drying; or recovering ethanol, concentrating to obtain thick paste, drying, grinding, obtaining the final extracts, and mixing to obtain the Chinese medicinal composition. The Chinese medicinal compostion has an obvious nerve regeneration promoting effect, and has the effects of resisting cerebral ischemia injury, protecting nerves, improving learning and memory and resisting senile dementia; the main active ingredients are definite, the quality is stable, and the dosage is small; and the Chinesemedicinal composition is a high-quality natural medicine or health-care food.