Rupture of vulnerable plaque of carotid artery is closely related to the occurrence of cerebral vascular accidents. Stabilization of vulnerable plaque of carotid artery has significant influence on the prevention and treatment of cerebrovascular accidents. Animal experiments and clinical studies show that Chinese medicine has good stabilizing effect on vulnerable plaque of carotid artery. This article reviewed TCM etiology and pathogenesis, treatment prescriptions and mechanism of vulnerable plaque of carotid artery.