Southern Tibet and western Yunnan are areas with an intensive distribution of high-temperature geothermal systems in China, as an important part of the Himalayan Geothermal Belt (HGB). In recent decades, China has conducted systematic research on high-temperature geothermal fields such as Yangbajing, Gudui, and Rehai. However, a comprehensive understanding has not yet been formed. The objective of this study was to enhance comprehension of the high-temperature geothermal system in the HGB and to elucidate the hydrogeochemical characteristics of geothermal fluids. This will facilitate the subsequent sustainable development and exploitation of domestic high-temperature hydrothermal geothermal resources. To this end, this study analysed geothermal spring and borehole data from the Yangbajing, Gudui, and Rehai geothermal fields. Based on previous research results, the source, evolution, and reservoir temperature characteristics of geothermal fluids are compared and summarised. The main high-temperature geothermal water in the geothermal field is derived from the deep Cl-Na geothermal fluid. Yangbajing’s and Gudui’s geothermal waters are primarily recharged by snow-melt water, while Rehai’s geothermal water is mainly recharged by local meteoric water. The average mixing ratios of magmatic water in the Yangbajing, Gudui, and Rehai geothermal fields are 17%, 21%, and 22%, respectively. The Yangbajing and Gudui geothermal fields have a relatively closed geological environment, resulting in a stronger water–rock interaction compared to the Rehai geothermal field. As geothermal water rises, it mixes with shallow cold water infiltration. The mixing ratios of cold water in the Yangbajing, Gudui, and Rehai geothermal fields are 60–70%, 40–50%, and 20–40%, respectively. Based on the solute geothermometer calculations, the maximum geothermal reservoir temperatures for Yangbajing, Gudui, and Rehai are 237 °C, 266 °C, and 282 °C, respectively. This study summarises and compares the hydrogeochemical characteristics of three typical high-temperature geothermal fields. The findings provide an important theoretical basis for the development of high-temperature geothermal resources in the Himalayan Geothermal Belt.