The invention discloses a traditional Chinese medicine composition for preventing and treating paroxysmal atrial fibrillation as well as superfine powder water pills and application thereof. The medicine is prepared into the superfine powder water pills from aconitum napellus, cassia twig, raw oyster shell, rhizoma alismatis, cortex lycii radicis, magnets, radix stephaniae tetrandrae, beautiful sweetgum fruit, processed polygala tenuifolia, white mulberry root-bark, sappanwood, amber powder, radix ophiopogonis, ramulus mori, radix puerariae, tetrapanax papyriferus, turtle shell, dung beetle, pine nuts, crude dragon bone, tortoise plastron, rhizoma nardostachyos, fried wild jujube seeds, raw jujube kernels, leech, safflower, coptis chinensis, scutellaria baicalensis, American ginseng, schisandra chinensis, morinda officinalis, radices stellariae dichotomae and root of rehmannia. The traditional Chinese medicine composition disclosed by the invention is used for preventing and treating arrhythmia, accords with traditional Chinese medicine syndrome patterns such as yin-yang deficiency and deficient yang with upper manifestation, is mainly specified at patients with persistent atrial fibrillation and various arrhythmia such as palpitation, short of breath, fear of cold and the like, and is obvious in curative effects and excellent in clinical effect, and the prepared superfine powder water pills are small in size and convenient to take and carry.