The invention relates to a traditional Chinese medicinal composition for treating tuberculous pleurisy. The traditional Chinese medicinal composition consists of the following traditional Chinese medicinal raw materials in parts by weight: 10-30 parts of radix codonopsis, 5-25 parts of herba epimedii, 5-25 parts of littleleaf indianmulberry herb, 5-20 parts of szechwan Chinaberry fruits, 5-25 parts of veronicastrum herb, 5-25 parts of herba aristolochiae, 5-25 parts of beautiful sweetgum fruits, 5-20 parts of flos carthami, 5-25 parts of henry clematis root, 5-25 parts of rhizoma curculiginis, 5-25 parts of rhizoma of ophiopogon tonkinensis, 5-20 parts of semen pharbitidis, 5-25 parts of herb of aernaria przewalskii maxim, 5-25 parts of marginate American agave leaf, 5-20 parts of common sowthistle herb, 5-25 parts of cudrania cochinchinensis kudo et masam, 5-25 parts of apricot kernels, 5-20 parts of rhizoma polygoni cuspidati, 5-25 parts of herb of bulbophyllum levinei schltr, 5-25 parts of anderson cirrhopetalum herb, 5-20 parts of pericarpium arecae, 5-25 parts of herba achyranthis asperae and 5-15 parts of liquorice root. The traditional Chinese medicinal composition provided by the invention has functions of tonifying spleen and lung, soothing liver and purging heat, reducing phlegm and removing fluid, promoting circulation of qi and blood, dredging collaterals and alleviating pain, and relieving stranguria by diuresis; and the traditional Chinese medicinal composition, on treating the tuberculous pleurisy, is significant in curative effect and reliable in action.