Objective To observe the effect of Niaoduqing granules on chronic renal failure in patients with blood lipid and blood homocysteine. Methods Patients with chronic renal failure were divided into observation group and control group by number table method,two groups of patients were both given low salt,low fat and high quality low protein diet,controlling blood pressure and blood sugar,correcting anemia,correcting calcium and phosphorus metabolic disorders,correcting of acidosis,while patients with combined infection were given positive anti infection treatment.Observation group was treated with Niaoduqing granules on that basis. The changes of triglyceride(TG),total cholesterol(HDL-C),total cholesterol(CHO),low-density lipoprotein(LDL-C),and plasma homocysteine(Hcy) were observed before and after treatment in the two groups. Results After treatment,CHO,TG,HDL-C,LDL-C,Hcy in the control group were respectively(4.83±0.22)mmol/L,(2.21±0.30)mmol/L,(0.69±0.11)mmol/L,(4.30±0.32)mmol/L,(24.35±7.05)μmol/L,that threre was no significant changes before and after treatment.In the observation group,TG,LDL-C,Hcy were(1.38±0.18)mmol/L,(3.29±0.13)mmol/L,(14.54±3.56)umol/L respectively after treatment,and which were significantly lower than that before treatment(t= 1.45,2.13,4.28,all P< 0.05).HDL-C(1.42±0.31)mmol/ L,were significantly increased after treatment as compared with that before treatment(t= 3.88,P< 0.05).The difference of Hcy,TG,LDL-C,HDL-C and CHO after treatment was statistically significantin between the two groups(t= 1.34,2.08,1.10,3.88,all P< 0.05). Conclusion Niaoduqing granules can improve lipid metabolism disorders in patients with chronic renal failure,and can reduce the serum homocysteine. Key words: Kidney Failure,Chronic; Lipid Metabolism; Homocysteine Type; Niaoduqing Granules