This paper reviewed the literature related to the treatment of precancerous lesions of gastric cancer with traditional Chinese medicine in the past 5 years.The traditional Chinese medicine characteristics of precancerous lesions of gastric were summarized from the etiology，pathogenesis，syndrome differentiation，classical prescription，proved recipes，Chinese patent medicine and other treatments.Meanwhile，this paper not only summed up the experience of lots of famous experts and clinical trials，but also summarized the advance on precancerous lesions of gastric cancer therapeutic mechanism of TCM.This paper summarized the characteristics and advantages of Chinese medicine treatment of precancerous lesions of gastric cancer and explained its current deficiencies.At the same time，the future research directions and keys were also pointed out.