The invention discloses a traditional Chinese medicine (TCM) preparation for treating sprains. The preparation is prepared from the following TCMs: manyprickle acathopanax root, dahurian rose fruit, hirsute shiny bugleweed herb, oriental waterplantain rhizome, roses, roselle calyx, common anemarrhena rhizome, dogbane, broadleaf holly leaf, wild buckwheat rhizome, cherokee rose fruit, immature tangerine peel, officinal magnolia bark, flos magnolisa officinalis, turmeric, orange fruit, immature bitter orange, Chinese arborvitae kernel, pearls, fiveleaf gynostemma herb, common fenugreek seed, radix onosmatis, solms-laubachia pulcherrima, herba artemisiae adamsii, sandwort, eriophyton wallichii, gentiana urnula, rhizoma codonopsis convolvulaceae, herba gentianopsis paludosae, aster souliei franch, manchurian lilac bark, pterocephalus hookeri heck, medulla stachyuri, Chinese mahonia stem, folium sauropi, thlaspi arvense, angelica decursiva and China root greenbrier rhizome. The preparation can effectively treat various acute and habitual sprains of joints and quickly and effectively relieve the pains of the sprain sufferers and can be used for quickly and effectively curing acute sprains of athletes in trainings and competitions. The TCM preparation has the beneficial effects that the TCM preparation has good treatment effects, takes effect quickly, does not have side effects, has high safety, is simple in preparation method, is convenient to use and is beneficial to timely alleviating the symptoms of the patients.