Effective Chinese herbal remedies for varicose veins need to be based on the identification of the disease and treatment with the corresponding Chinese herbal remedies. At present, the identification types of varicose veins in Chinese medicine are Qi Stagnation and Blood Stasis Certificate, Blood Dryness and Spasm Certificate and Cold Dampness and Stagnation Certificate, and the corresponding Chinese herbal prescriptions are also different, and the therapeutic effect also varies from person to person. Qi stagnation and blood stasis syndrome mainly refers to the calf veins being tortuous, bulging or twisted into lumps, with pressure and pain in the affected limbs, petechiae and bruises, and stringy or astringent pulse. The main treatment principle is to promote qi and dredge the liver, activate blood circulation and remove blood stasis, and the prescription used is Chai Hu Shuo Hepatosan with additions and subtractions. Blood dryness and tendon contracture syndrome mainly refers to the symptoms of contracture and pain, accompanied by tinnitus like cicadas, dizziness, numbness of limbs and pale tongue in addition to tortuous tendons in the lower legs. The main treatment principle is to clear the liver and nourish yin, nourish blood and relieve tendons. The remedies used are Chuanxiong Xiong, Angelica sinensis, white peony, Radix Rehmanniae Praeparata, Aloe Vera, Kombu, Papaya, Chicken Blood Vine, Fenghui, Licorice, etc. For tinnitus and dizziness, add Jujubae Radix and Yuan Zhi, for numbness of the limbs, add Cinnamon Branches, Lutetiae, and for dryness and astringency of the eyes, add Chrysanthemums and Genus Panax. Cold-dampness stagnation syndrome refers to symptoms such as sinuous veins in the calves, swelling of the lower limbs, fear of cold, accompanied by loss of appetite, abdominal distension and diarrhea, white slippery tongue, and moistened and slow pulse. The main guiding principle was to strengthen the spleen and promote dampness, warm the meridians and activate the collaterals. The formulae used are roasted astragalus, cinnamon sticks, chicken blood vine, codonopsis, zedoary, anthelmintic, white mustard seeds, dry ginger, papaya; for lower limb distension, add poria; for swelling, add poria bark, Chinese yam; for dullness (lack of appetite, reduced food intake) and diarrhea, add atractylodes, salicornia. It is recommended to go to the Chinese medicine internal medicine department of the hospital, after the doctor’s diagnosis, use the drugs under the guidance of the physician.