The Coronavirus Disease 2019 is caused by COVID-19 infection，with fever，fatigue，and dry cough as the main clinical manifestations.It is highly contagious.Its etiology is infection of epidemic toxin and it falls into the category of pestilence in TCM.The location of disease is in the lung and spleen and the incidence is mostly related to “cold，damp，heat，toxin，stasis” and other factors，different experts have different views on the disease.From the perspective of TCM，the paper simply reviewed the recognition of etiology，pathomechanism and first-line treatment method，so as to make trivial contribution to the clinical practice of TCM.