The invention relates to a traditional Chinese medicine composition for preventing and treating external wind-cold invasion type urticaria and a spray and belongs to the technical field of traditionalChinese medicines. The traditional Chinese medicine composition for preventing and treating external wind-cold invasion type urticaria consists of the following components in parts by weight: 8-12 parts of asarum, 10-14 parts of paniculate swallowwort roots, 13-17 parts of radix angelicae, 8-12 parts of ginger, 8-12 parts of scorpio, 10-14 parts of flatstem milkvetch seeds, 10-14 parts of fructuscnidii, 8-12 parts of radix arnebiae, 10-14 parts of cochinchina centranthera seeds and 10-14 parts of nidus vespae. The external wind-cold invasion type urticaria has the etiology and pathogenesis of endowment rejection or long-term weakness with insufficient surface strength, pathogenic wind-cold is accumulated in skin, and then the disease can be caused by disharmony between ying and wei. Thecomposition has the functions of expelling wind and removing coldness and coordinating ying and wei, and is good in effect in preventing and treating external wind-cold invasion type urticaria. The composition has the beneficial effects that clinical application shows that the composition is definite in treatment effect and is safe and free of toxic or side effect.