To discuss the traditional Chinese medicine(TCM)syndrome differentiation and treatment of henoch-schonlein purpura nephritis and the rule of prescriptions by the analysis of the literatures on the treatment of the disease collected by CNKI，VIP and Wang Fang from January 1993 to December 2019.Methods:By using SPSS 25.0 software，the syndromes，prescriptions and drugs in the literature were statistically classified.The frequency and proportion of syndromes，prescriptions and drugs were summarized，and the drugs and clinical symptoms were clustered.Results:A total of 93 papers were included，and 39 TCM syndromes were obtained through sorting and analysis，among which，deficiency of spleen and kidney，excess of wind and blood heat，qi failing to control blood，hyperactivity of fire due to yin deficiency，deficiency of yin and qi，deficiency of both qi and Yin were common syndromes of TCM; syndrome factor analysis:blood heat，wind heat，blood stasis and damp heat were the common pathogenesis; kidney deficiency，spleen deficiency，yin deficiency and qi deficiency were the common pathogenesis of deficiency.The location of the disease was mainly in kidney，spleen，lung and liver; a total of 145 prescriptions were obtained，53 of which were self-designed，92 of which were made into prescriptions.The 2 were mainly tonic，heat clearing agent，blood regulating agent and wind dispelling agent; there were 206 kinds of traditional Chinese medicine，which can be divided into 13 categories.Raw Rehmannia，Cortex Moutan，Radix Paeoniae Rubra，Angelica，Poria Cocos，etc.were commonly used.Conclusion:The location of Henoch Schonlein purpura nephritis is kidney，spleen，lung and liver; wind，heat，dampness，toxin，blood stasis and deficiency are the main pathogenesis of the disease.In clinical use，the main drugs are tonic drugs，blood activating drugs，heat clearing and detoxifying drugs，diuresis and dampness promoting drugs，as well as wind dispelling drugs; the treatment should be based on the combination of syndrome differentiation and disease differentiation.